NRP 8TH EDITION PRACTICE TEST 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉Abnormal Transition Findings ANSWER: - -Irregular Breathing,
absent breathing, or rapid breathing
-Slow or fast heart rate
-Decreased Muscle Tone
-Pale Skin or Blue Skin
-Low oxygen saturation
-Low blood pressure
◉After the birth of the baby, what do you ask? ANSWER: - 1. Term
Gestation?
2. Good Tone?
3. Breathing or crying?
◉FIVE INITIAL STEPS:
If you answer NO to any of the three questions (term, tone, breathing)
what do you do? ANSWER: - Warm
Dry
Stimulate
Position airway
Suction if needed
, ◉Apnea or gasping? HR >100 bpm with laboured breathing/cyanosis
ANSWER: - Position airway, suction if needed
Pulse oximeter
Oxygen if needed
Consider CPAP
◉Apnea or gasping? HR <100bpm= YES ANSWER: - PPV
Pulse Oximeter
Consider Cardiac Monitor
◉HR STILL less than 100bpm= YES ANSWER: - Ensure adequate
ventilation
Consider ETT or laryngeal mask
Cardiac Monitor
◉HR <60 bpm? ANSWER: - ETT or laryngeal mask
Chest compressions
Coordinate PPV-100% oxygen
UVC
◉HR STILL <60 bpm? ANSWER: - IV Epinephrine every 3-5 minutes
If still less than 60, consider hypovolemia or pneumothorax
QUESTIONS WITH SOLUTIONS GRADED A+
◉Abnormal Transition Findings ANSWER: - -Irregular Breathing,
absent breathing, or rapid breathing
-Slow or fast heart rate
-Decreased Muscle Tone
-Pale Skin or Blue Skin
-Low oxygen saturation
-Low blood pressure
◉After the birth of the baby, what do you ask? ANSWER: - 1. Term
Gestation?
2. Good Tone?
3. Breathing or crying?
◉FIVE INITIAL STEPS:
If you answer NO to any of the three questions (term, tone, breathing)
what do you do? ANSWER: - Warm
Dry
Stimulate
Position airway
Suction if needed
, ◉Apnea or gasping? HR >100 bpm with laboured breathing/cyanosis
ANSWER: - Position airway, suction if needed
Pulse oximeter
Oxygen if needed
Consider CPAP
◉Apnea or gasping? HR <100bpm= YES ANSWER: - PPV
Pulse Oximeter
Consider Cardiac Monitor
◉HR STILL less than 100bpm= YES ANSWER: - Ensure adequate
ventilation
Consider ETT or laryngeal mask
Cardiac Monitor
◉HR <60 bpm? ANSWER: - ETT or laryngeal mask
Chest compressions
Coordinate PPV-100% oxygen
UVC
◉HR STILL <60 bpm? ANSWER: - IV Epinephrine every 3-5 minutes
If still less than 60, consider hypovolemia or pneumothorax
