NRP
8th Edition Quiz Answers Part 1 Pre-Assessment |
Practice Review & Rationales
Resource Features
• Part 1 pre-assessment review
• Practice questions and answers
• Detailed explanations and rationales
• Key NRP concepts
• Clinical scenario-based practice
• Quick-review format
• Exam-preparation material
• Focused review of commonly tested concepts
, NRP 8th Edition Quiz Answers Part 1
Pre-Assessment | Practice Review &
Rationales
Question 1
When is the placement of an endotracheal tube recommended?
A) HR < 100
B) HR < 80
C) HR < 60 after 30 seconds of PPV
D) HR < 60 despite adequate ventilation
Correct Answer: A) HR < 100
Rationale: Endotracheal intubation is recommended when the heart rate
remains below 100 beats per minute after 30 seconds of positive pressure
ventilation (PPV) with a mask. This indicates that mask ventilation is
ineffective and a more secure airway is needed to provide adequate
ventilation and oxygenation.
Question 2
Intubation skills should be available:
, A) In hospital and immediately available
B) Within 5 minutes of delivery
C) Only in the NICU
D) By a respiratory therapist only
Correct Answer: A) In hospital and immediately available
Rationale: The NRP guidelines emphasize that intubation skills must be
available in the delivery area or neonatal intensive care unit at all times.
Immediate availability is critical because delays in securing the airway can
lead to worsening hypoxia, bradycardia, and poor outcomes in newborns
requiring resuscitation.
Question 3
Confirming endotracheal tube placement is best done by:
A) Chest rise and breath sounds
B) Gastric auscultation
C) Exhaled CO₂ and increased HR
D) Chest X-ray only
Correct Answer: C) Exhaled CO₂ and increased HR
Rationale: The gold standard for confirming endotracheal tube placement
includes detection of exhaled CO₂ (colorimetric detector showing yellow)
and an increase in heart rate. While clinical signs like chest rise and breath
sounds are helpful, they are not as reliable. CO₂ detection confirms the
tube is in the trachea, and a rising HR indicates effective ventilation.
8th Edition Quiz Answers Part 1 Pre-Assessment |
Practice Review & Rationales
Resource Features
• Part 1 pre-assessment review
• Practice questions and answers
• Detailed explanations and rationales
• Key NRP concepts
• Clinical scenario-based practice
• Quick-review format
• Exam-preparation material
• Focused review of commonly tested concepts
, NRP 8th Edition Quiz Answers Part 1
Pre-Assessment | Practice Review &
Rationales
Question 1
When is the placement of an endotracheal tube recommended?
A) HR < 100
B) HR < 80
C) HR < 60 after 30 seconds of PPV
D) HR < 60 despite adequate ventilation
Correct Answer: A) HR < 100
Rationale: Endotracheal intubation is recommended when the heart rate
remains below 100 beats per minute after 30 seconds of positive pressure
ventilation (PPV) with a mask. This indicates that mask ventilation is
ineffective and a more secure airway is needed to provide adequate
ventilation and oxygenation.
Question 2
Intubation skills should be available:
, A) In hospital and immediately available
B) Within 5 minutes of delivery
C) Only in the NICU
D) By a respiratory therapist only
Correct Answer: A) In hospital and immediately available
Rationale: The NRP guidelines emphasize that intubation skills must be
available in the delivery area or neonatal intensive care unit at all times.
Immediate availability is critical because delays in securing the airway can
lead to worsening hypoxia, bradycardia, and poor outcomes in newborns
requiring resuscitation.
Question 3
Confirming endotracheal tube placement is best done by:
A) Chest rise and breath sounds
B) Gastric auscultation
C) Exhaled CO₂ and increased HR
D) Chest X-ray only
Correct Answer: C) Exhaled CO₂ and increased HR
Rationale: The gold standard for confirming endotracheal tube placement
includes detection of exhaled CO₂ (colorimetric detector showing yellow)
and an increase in heart rate. While clinical signs like chest rise and breath
sounds are helpful, they are not as reliable. CO₂ detection confirms the
tube is in the trachea, and a rising HR indicates effective ventilation.
