Neonatal Resuscitation Program (NRP®) Exam: 200
Practice Questions with Answers and Rationales Most
Recent Exam Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded A+ |
Guaranteed Success!! Newest Exam | Just Released!!
This comprehensive question bank is aligned with the American Academy of Pediatrics (AAP) and American Heart
Association (AHA) Neonatal Resuscitation Program (NRP) 8th Edition guidelines. The NRP Provider exam consists
of two sections: Section 1 (Lessons 1-5) with 25 questions and Section 2 (Lessons 6-11) with 25 questions, for a
total of 50 scored questions. The exam is taken online after studying the Textbook of Neonatal Resuscitation, 8th
Edition. The 9th Edition was released in October 2025 to align with the 2025 AHA/AAP Guidelines, but many
institutions are still transitioning, so this question bank reflects the current 8th Edition content with key updates
noted.
Exam Overview
Exam Component Details
Total Questions 50 scored (25 in Section 1 + 25 in Section 2)
Passing Score 80% (determined by the NRP online exam system)
Format Online, open-resource (textbook allowed)
Content Lessons 1-11 of the Textbook of Neonatal Resuscitation
Guidelines NRP 8th Edition (2021); 9th Edition (2025) rolling out
Exam Domains
1
, Domain Focus Areas
1. Foundations of Neonatal Resuscitation Physiology of transition, pre-birth questions, equipment preparation, the NRP algorith
2. Initial Steps of Newborn Care The 5 initial steps: warm, position, clear airway, dry, stimulate
3. Positive-Pressure Ventilation (PPV) Indications, technique, equipment, MR SOPA, endotracheal intubation
4. Chest Compressions Indications, technique, coordination with ventilation, 3:1 ratio
5. Medications Epinephrine, volume expanders, naloxone, routes and dosing
6. Special Considerations Prematurity, meconium, congenital anomalies, resuscitation of the non-vigorous new
7. Ethics and Team Dynamics Communication, resuscitation decisions, family presence
DOMAIN 1: FOUNDATIONS OF NEONATAL RESUSCITATION (Questions 1-30)
This domain covers the physiology of fetal-to-neonatal transition, the NRP algorithm, pre-
birth questions, equipment preparation, and team dynamics.
1. What is the most important and effective action in neonatal resuscitation?
A. Administration of epinephrine
B. Positive-pressure ventilation (PPV)
C. Chest compressions
D. Endotracheal intubation
Correct Answer: B. Positive-pressure ventilation (PPV)
Rationale: Positive-pressure ventilation is the single most important and effective action in
neonatal resuscitation. Most newborns who require resuscitation respond to effective
ventilation. The NRP algorithm emphasizes that ventilation is the priority.
2
, 2. A newborn is born at 39 weeks gestation. The amniotic fluid is clear, the baby is breathing
and crying, and has good muscle tone. What is the appropriate next step?
A. Move the baby to the radiant warmer
B. Provide PPV
C. Keep the baby with the mother for routine care
D. Suction the airway
Correct Answer: C. Keep the baby with the mother for routine care
Rationale: A vigorous, term newborn with clear amniotic fluid who is breathing and crying with
good tone can stay with the mother for routine care. The rapid evaluation answers three
questions: Is the baby term? Does the baby have good tone? Is the baby breathing or crying?
3. What three questions are asked during the rapid evaluation of a newborn immediately
after birth?
A. Is the baby breathing? Is the heart rate >100 bpm? Is the baby pink?
B. Is the baby term? Does the baby have good muscle tone? Is the baby breathing or crying?
C. Is the baby term? Is the baby crying? Is the baby pink?
D. Is the baby crying? Is the heart rate >100 bpm? Is the baby term?
Correct Answer: B. Is the baby term? Does the baby have good muscle tone? Is the baby
breathing or crying?
Rationale: The rapid evaluation determines if the baby can stay with the mother or should be
moved to the radiant warmer. The three questions are: Is the baby term? Does the baby have
good muscle tone? Is the baby breathing or crying?
4. What is the recommended timing for clamping the umbilical cord in a vigorous newborn?
A. Immediately after birth (within 10 seconds)
B. 30-60 seconds after birth
C. 1-2 minutes after birth
D. After the placenta is delivered
Correct Answer: B. 30-60 seconds after birth
3
, Rationale: For vigorous newborns, delayed cord clamping for 30-60 seconds is recommended to
allow placental transfusion, which increases blood volume and iron stores. The 9th Edition
(2025) extends this to at least 60 seconds.
5. Which of the following is NOT a pre-birth question that should be asked before every
delivery?
A. What is the expected gestational age?
B. What is the amniotic fluid color?
C. What is the mother's blood type?
D. Are there any additional risk factors?
Correct Answer: C. What is the mother's blood type?
Rationale: The key pre-birth questions are: expected gestational age, amniotic fluid color,
number of babies expected, and any additional risk factors. Maternal blood type is not one of
the routine pre-birth questions for every delivery.
6. What is the normal range for newborn heart rate?
A. 80-100 bpm
B. 100-160 bpm
C. 120-180 bpm
D. 140-200 bpm
Correct Answer: B. 100-160 bpm
Rationale: The normal heart rate for a newborn is 100-160 beats per minute. A heart rate below
100 bpm is considered bradycardia and requires intervention.
7. According to the NRP 8th Edition, what is the recommended initial FiO₂ for resuscitation of
a term newborn?
A. 21% (room air)
B. 30%
C. 40%
D. 100%
Correct Answer: A. 21% (room air)
4
Practice Questions with Answers and Rationales Most
Recent Exam Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded A+ |
Guaranteed Success!! Newest Exam | Just Released!!
This comprehensive question bank is aligned with the American Academy of Pediatrics (AAP) and American Heart
Association (AHA) Neonatal Resuscitation Program (NRP) 8th Edition guidelines. The NRP Provider exam consists
of two sections: Section 1 (Lessons 1-5) with 25 questions and Section 2 (Lessons 6-11) with 25 questions, for a
total of 50 scored questions. The exam is taken online after studying the Textbook of Neonatal Resuscitation, 8th
Edition. The 9th Edition was released in October 2025 to align with the 2025 AHA/AAP Guidelines, but many
institutions are still transitioning, so this question bank reflects the current 8th Edition content with key updates
noted.
Exam Overview
Exam Component Details
Total Questions 50 scored (25 in Section 1 + 25 in Section 2)
Passing Score 80% (determined by the NRP online exam system)
Format Online, open-resource (textbook allowed)
Content Lessons 1-11 of the Textbook of Neonatal Resuscitation
Guidelines NRP 8th Edition (2021); 9th Edition (2025) rolling out
Exam Domains
1
, Domain Focus Areas
1. Foundations of Neonatal Resuscitation Physiology of transition, pre-birth questions, equipment preparation, the NRP algorith
2. Initial Steps of Newborn Care The 5 initial steps: warm, position, clear airway, dry, stimulate
3. Positive-Pressure Ventilation (PPV) Indications, technique, equipment, MR SOPA, endotracheal intubation
4. Chest Compressions Indications, technique, coordination with ventilation, 3:1 ratio
5. Medications Epinephrine, volume expanders, naloxone, routes and dosing
6. Special Considerations Prematurity, meconium, congenital anomalies, resuscitation of the non-vigorous new
7. Ethics and Team Dynamics Communication, resuscitation decisions, family presence
DOMAIN 1: FOUNDATIONS OF NEONATAL RESUSCITATION (Questions 1-30)
This domain covers the physiology of fetal-to-neonatal transition, the NRP algorithm, pre-
birth questions, equipment preparation, and team dynamics.
1. What is the most important and effective action in neonatal resuscitation?
A. Administration of epinephrine
B. Positive-pressure ventilation (PPV)
C. Chest compressions
D. Endotracheal intubation
Correct Answer: B. Positive-pressure ventilation (PPV)
Rationale: Positive-pressure ventilation is the single most important and effective action in
neonatal resuscitation. Most newborns who require resuscitation respond to effective
ventilation. The NRP algorithm emphasizes that ventilation is the priority.
2
, 2. A newborn is born at 39 weeks gestation. The amniotic fluid is clear, the baby is breathing
and crying, and has good muscle tone. What is the appropriate next step?
A. Move the baby to the radiant warmer
B. Provide PPV
C. Keep the baby with the mother for routine care
D. Suction the airway
Correct Answer: C. Keep the baby with the mother for routine care
Rationale: A vigorous, term newborn with clear amniotic fluid who is breathing and crying with
good tone can stay with the mother for routine care. The rapid evaluation answers three
questions: Is the baby term? Does the baby have good tone? Is the baby breathing or crying?
3. What three questions are asked during the rapid evaluation of a newborn immediately
after birth?
A. Is the baby breathing? Is the heart rate >100 bpm? Is the baby pink?
B. Is the baby term? Does the baby have good muscle tone? Is the baby breathing or crying?
C. Is the baby term? Is the baby crying? Is the baby pink?
D. Is the baby crying? Is the heart rate >100 bpm? Is the baby term?
Correct Answer: B. Is the baby term? Does the baby have good muscle tone? Is the baby
breathing or crying?
Rationale: The rapid evaluation determines if the baby can stay with the mother or should be
moved to the radiant warmer. The three questions are: Is the baby term? Does the baby have
good muscle tone? Is the baby breathing or crying?
4. What is the recommended timing for clamping the umbilical cord in a vigorous newborn?
A. Immediately after birth (within 10 seconds)
B. 30-60 seconds after birth
C. 1-2 minutes after birth
D. After the placenta is delivered
Correct Answer: B. 30-60 seconds after birth
3
, Rationale: For vigorous newborns, delayed cord clamping for 30-60 seconds is recommended to
allow placental transfusion, which increases blood volume and iron stores. The 9th Edition
(2025) extends this to at least 60 seconds.
5. Which of the following is NOT a pre-birth question that should be asked before every
delivery?
A. What is the expected gestational age?
B. What is the amniotic fluid color?
C. What is the mother's blood type?
D. Are there any additional risk factors?
Correct Answer: C. What is the mother's blood type?
Rationale: The key pre-birth questions are: expected gestational age, amniotic fluid color,
number of babies expected, and any additional risk factors. Maternal blood type is not one of
the routine pre-birth questions for every delivery.
6. What is the normal range for newborn heart rate?
A. 80-100 bpm
B. 100-160 bpm
C. 120-180 bpm
D. 140-200 bpm
Correct Answer: B. 100-160 bpm
Rationale: The normal heart rate for a newborn is 100-160 beats per minute. A heart rate below
100 bpm is considered bradycardia and requires intervention.
7. According to the NRP 8th Edition, what is the recommended initial FiO₂ for resuscitation of
a term newborn?
A. 21% (room air)
B. 30%
C. 40%
D. 100%
Correct Answer: A. 21% (room air)
4
