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NRP 8th Edition Final Exam Practice Questions
200 Multiple Choice Questions with Answers and Rationales
Section 1: Initial Assessment and Preparation (Questions 1-30)
Question 1
During a delivery, when and where should a person with intubation skills be
available?
A) In the delivery room only during high-risk deliveries
B) In the hospital and immediately available
C) On call from home for all deliveries
D) Only in the NICU
Correct Answer: B
Rationale: The NRP 8th Edition requires that a person skilled in endotracheal
intubation be in the hospital and immediately available for every birth. This
ensures rapid response if advanced airway management is needed.
,Question 2
What are the five blocks of the NRP algorithm?
A) Assessment, Airway, Breathing, Circulation, Defibrillation
B) Rapid evaluation, Airway, Breathing, Circulation, Drug
C) Preparation, Intubation, Ventilation, Compressions, Medication
D) Assessment, Oxygen, Chest compressions, IV access, Reassessment
Correct Answer: B
Rationale: The NRP algorithm follows a structured approach: (1) Rapid evaluation
determines if the baby can stay with the mother or needs the radiant warmer, (2)
Airway - initial steps to open the airway, (3) Breathing - assist with PPV if needed,
(4) Circulation - chest compressions, and (5) Drug - epinephrine administration.
Question 3
What is looked at during the rapid evaluation to determine if a baby can stay with
the mother?
A) Heart rate and oxygen saturation
,B) Term gestation, good tone, breathing or crying
C) Birth weight and APGAR score
D) Maternal history and gestational age
Correct Answer: B
Rationale: The rapid evaluation consists of three key questions: Is the baby term?
Does the baby have good muscle tone? Is the baby breathing or crying? This
assessment must be completed within the first minute of life to determine the
need for further intervention.
Question 4
What skills must be present to comprise a qualified team that must be
immediately available for every resuscitation?
A) At least one person skilled in PPV
B) Persons skilled in endotracheal intubation, chest compressions, emergency
vascular access, and medication administration
C) A neonatologist and two nurses
D) Respiratory therapist and NICU nurse
, Correct Answer: B
Rationale: A qualified resuscitation team requires individuals skilled in multiple
advanced competencies: endotracheal intubation, chest compressions,
emergency vascular access, and medication administration. This typically requires
four or more qualified persons.
Question 5
What is an NRP quick equipment checklist?
A) A list of medications needed for resuscitation
B) A list of all supplies and equipment for a complete resuscitation that must be
readily available and functional for every birth
C) A checklist for newborn discharge
D) A list of emergency contact numbers
Correct Answer: B