NRP ACTUAL EXAM PAPER 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ A baby required ventilation and chest compressions. After 60 seconds
of chest compressions, the electronic cardiac monitor indicates a heart
rate of 70 beats per minute. What is your next action? Answer: Stop
chest compressions; continue positive-pressure ventilation.
◉ How soon after administration of intravenous epinephrine should you
pause compressions and reassess the baby's heart rate? Answer: 1 minute
◉ You are counseling a set of 17-year-old parents,whose baby is about
to be born at 23 weeks' gestation. You have explained the chance of
survival is low and that if the baby survives there is a high likelihood of
long-term morbidity.The parents understand your discussion and clearly
request that you provide life-sustaining treatment in the delivery
room.How might you answer them? Answer: You assure them that, as
the parents, they are the appropriate decision makers for their baby and
you will support their decision.
◉ After chest compressions with coordinated ventilations are started, the
heart rate should be assessed: Answer: After 60 seconds
, ◉ Which of the following is the best indication for volume expansion
after resuscitative efforts that included intubation, chest compressions,
and IV epinephrine? Answer: The baby's heart rate remains 50 beats per
minute after resuscitative efforts and pulses are weak.
◉ A newborn requires complex resuscitation. You have intubated and
are administering positive-pressure ventilation and chest compressions.
Which 3 signs are used to evaluate the effectiveness of your actions, and
the need to continue one or both of these measures? Answer:
Respirations, heart rate, oxygen saturation
◉ During resuscitation, a baby is responding to positive-pressure
ventilation with a rapidly increasing heart rate. Her heart rate and
oxygen saturation suddenly worsen.She has decreased breath sounds on
the left side and transillumination also reveals a bright glow on the left
side.What is the most likely cause of this distress? Answer: Left-sided
pneumothorax
◉ A baby born at 36 weeks' gestation was apneic after birth and required
positive-pressure ventilation and oxygen supplementation in the delivery
room. He continues to require supplemental oxygen after birth. Which of
the following statements is true? Answer:
◉ A baby required ventilation and chest compressions. After 60 seconds
of chest compressions, the electronic cardiac monitor indicates a heart
rate of 70 beats per minute. What is your next action? Answer: Stop
chest compressions; continue positive-pressure ventilation.
WITH SOLUTIONS GRADED A+
◉ A baby required ventilation and chest compressions. After 60 seconds
of chest compressions, the electronic cardiac monitor indicates a heart
rate of 70 beats per minute. What is your next action? Answer: Stop
chest compressions; continue positive-pressure ventilation.
◉ How soon after administration of intravenous epinephrine should you
pause compressions and reassess the baby's heart rate? Answer: 1 minute
◉ You are counseling a set of 17-year-old parents,whose baby is about
to be born at 23 weeks' gestation. You have explained the chance of
survival is low and that if the baby survives there is a high likelihood of
long-term morbidity.The parents understand your discussion and clearly
request that you provide life-sustaining treatment in the delivery
room.How might you answer them? Answer: You assure them that, as
the parents, they are the appropriate decision makers for their baby and
you will support their decision.
◉ After chest compressions with coordinated ventilations are started, the
heart rate should be assessed: Answer: After 60 seconds
, ◉ Which of the following is the best indication for volume expansion
after resuscitative efforts that included intubation, chest compressions,
and IV epinephrine? Answer: The baby's heart rate remains 50 beats per
minute after resuscitative efforts and pulses are weak.
◉ A newborn requires complex resuscitation. You have intubated and
are administering positive-pressure ventilation and chest compressions.
Which 3 signs are used to evaluate the effectiveness of your actions, and
the need to continue one or both of these measures? Answer:
Respirations, heart rate, oxygen saturation
◉ During resuscitation, a baby is responding to positive-pressure
ventilation with a rapidly increasing heart rate. Her heart rate and
oxygen saturation suddenly worsen.She has decreased breath sounds on
the left side and transillumination also reveals a bright glow on the left
side.What is the most likely cause of this distress? Answer: Left-sided
pneumothorax
◉ A baby born at 36 weeks' gestation was apneic after birth and required
positive-pressure ventilation and oxygen supplementation in the delivery
room. He continues to require supplemental oxygen after birth. Which of
the following statements is true? Answer:
◉ A baby required ventilation and chest compressions. After 60 seconds
of chest compressions, the electronic cardiac monitor indicates a heart
rate of 70 beats per minute. What is your next action? Answer: Stop
chest compressions; continue positive-pressure ventilation.
