2022 NRP PRACTICE EXAM QUESTIONS AND ANSWERS ALL CORRECTLY SOLVED SOLUTION
Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of an
endotracheal tube strongly recommended?
a. The baby's heart rate remains less than 100 bpm and is not increasing.
b. The baby's heart rate is between 60 and 100 bpm and the heart rate is increasing.
c. The baby's heart rate is >100 bpm and the baby is beginning to breathe.
d. The baby's heart rate is >100 bpm and oxygen saturation is less than the target range.
Correct Ans-a
During a delivery, when and where should a person with intubation skills be available?
a. In the hospital and immediately available
b. In the delivery room or operating room at every birth
c. Available on call at home
d. Available on call from a remote area of the hospital
Correct Ans-a
What are the primary methods of confirming endotracheal tube placement within the trachea?
a. Continued central cyanosis and no mist in the tube
b. Auscultation of bilateral breath sounds and no air entry heard over the abdomen
c. Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
d. Absence of crying and no abdominal distension
Correct Ans-c
You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has been intubated and the
endotracheal tube insertion depth is correct. You can see chest movement with PPV and hear bilateral breath
sounds, but the colorimetric CO2 detector does not turn yellow. What is the likely reason for this?
a. The endotracheal tube is not in the trachea.
b. Excessive ventilation pressure.
c. Epinephrine contamination.
d. Low cardiac output.
Correct Ans-d
, According to the Textbook of Neonatal Resus citation, 8th edition algorithm, at what point during resuscitation is a
cardiac monitor recommended to assess the baby's heart rate?
a. After chest compressions are performed for at least 2 minutes
b. When an alternative airway is inserted
c. Immediately after epinephrine is administered
d. Anytime pulse oximetry is used to assess oxygen saturation
Correct Ans-b
What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated gestational age
of 32 weeks (estimated birth weight of 1.4 kg)?
a. 2
b. 1
c. 0
d. 00
Correct Ans-c
Even brief interruptions of chest compressions may significantly reduce their effectiveness, but it is also important
to assess the need to continue chest compressions. What is the preferred way to assess the heart rate during chest
compressions?
a. Briefly interrupt chest compressions every 30 seconds to auscultate the heart rate.
b. Briefly interrupt chest compressions and palpate the brachial pulse.
c. Briefly interrupt chest compressions every 60 seconds to a ssess the heart rate using the cardiac monitor.
d. Briefly interrupt chest compressions to palpate the umbilical cord.
Correct Ans-c
Your team is resuscitating a newborn at birth. The heart rate is low and the baby has poor perfusion. Which is the
preferred method to assess the heart rate?
a. Cardiac monitor
Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of an
endotracheal tube strongly recommended?
a. The baby's heart rate remains less than 100 bpm and is not increasing.
b. The baby's heart rate is between 60 and 100 bpm and the heart rate is increasing.
c. The baby's heart rate is >100 bpm and the baby is beginning to breathe.
d. The baby's heart rate is >100 bpm and oxygen saturation is less than the target range.
Correct Ans-a
During a delivery, when and where should a person with intubation skills be available?
a. In the hospital and immediately available
b. In the delivery room or operating room at every birth
c. Available on call at home
d. Available on call from a remote area of the hospital
Correct Ans-a
What are the primary methods of confirming endotracheal tube placement within the trachea?
a. Continued central cyanosis and no mist in the tube
b. Auscultation of bilateral breath sounds and no air entry heard over the abdomen
c. Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
d. Absence of crying and no abdominal distension
Correct Ans-c
You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has been intubated and the
endotracheal tube insertion depth is correct. You can see chest movement with PPV and hear bilateral breath
sounds, but the colorimetric CO2 detector does not turn yellow. What is the likely reason for this?
a. The endotracheal tube is not in the trachea.
b. Excessive ventilation pressure.
c. Epinephrine contamination.
d. Low cardiac output.
Correct Ans-d
, According to the Textbook of Neonatal Resus citation, 8th edition algorithm, at what point during resuscitation is a
cardiac monitor recommended to assess the baby's heart rate?
a. After chest compressions are performed for at least 2 minutes
b. When an alternative airway is inserted
c. Immediately after epinephrine is administered
d. Anytime pulse oximetry is used to assess oxygen saturation
Correct Ans-b
What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated gestational age
of 32 weeks (estimated birth weight of 1.4 kg)?
a. 2
b. 1
c. 0
d. 00
Correct Ans-c
Even brief interruptions of chest compressions may significantly reduce their effectiveness, but it is also important
to assess the need to continue chest compressions. What is the preferred way to assess the heart rate during chest
compressions?
a. Briefly interrupt chest compressions every 30 seconds to auscultate the heart rate.
b. Briefly interrupt chest compressions and palpate the brachial pulse.
c. Briefly interrupt chest compressions every 60 seconds to a ssess the heart rate using the cardiac monitor.
d. Briefly interrupt chest compressions to palpate the umbilical cord.
Correct Ans-c
Your team is resuscitating a newborn at birth. The heart rate is low and the baby has poor perfusion. Which is the
preferred method to assess the heart rate?
a. Cardiac monitor
