NRP Exam Questions 2026/2027: 120
Neonatal Resuscitation Practice Questions
with Answers | NRP Algorithm, PPV, MR
SOPA, Chest Compressions & Medications
Description:
Prepare for the NRP certification exam 2026/2027 with this comprehensive study guide
featuring 120 exam-style questions and answers covering the NRP algorithm, positive
pressure ventilation, MR SOPA corrective steps, chest compressions, epinephrine
administration, and neonatal resuscitation team requirements.
Download the Complete 2026/2027 NRP Exam Prep Guide with 120 Questions & Detailed
Answers - Ace Your Certification on Your First Attempt!
, NRP Exam Prep 2026/2027: 120 Questions & Answers
Section A: Foundational Concepts and Team Requirements
Question 1
Which of the following correctly identifies the five blocks of the NRP algorithm in their
proper sequence?
A) Rapid evaluation, Airway, Breathing, Circulation, Drugs
B) Initial assessment, Ventilation, Chest compressions, Medication, Re-evaluation
C) Airway, Breathing, Circulation, Disability, Exposure
D) Primary survey, Secondary survey, Defibrillation, Medication, Transport
Answer: A
Explanation: The NRP algorithm follows a structured approach: Rapid evaluation to
determine if the baby can remain with the mother; Airway to open the airway and support
spontaneous respirations; Breathing to assist with positive pressure ventilation (PPV) if
needed; Circulation to perform chest compressions coordinated with PPV for severe
bradycardia; and Drugs to administer epinephrine if bradycardia persists despite other
interventions.
Question 2
A qualified neonatal resuscitation team must be immediately available for every birth. Which
of the following skill sets must be present within the team?
A) At least two providers skilled in the initial steps of newborn care
B) A minimum of four qualified persons skilled in endotracheal intubation, chest
compressions, emergency vascular access, and medication administration
C) One provider capable of performing all resuscitation tasks independently
D) A team comprising only neonatal intensive care unit (NICU) staff members
Answer: B
Explanation: A complete resuscitation team requires at least four qualified individuals with
specific skills: endotracheal intubation, chest compressions, emergency vascular access, and
medication administration. This ensures comprehensive coverage for all potential
resuscitation scenarios. The team composition reflects the complexity of neonatal
resuscitation and the need for simultaneous interventions.
,Question 3
What is the single most important and effective step in neonatal resuscitation?
A) Endotracheal intubation
B) Chest compressions
C) Positive pressure ventilation
D) Epinephrine administration
Answer: C
Explanation: Positive pressure ventilation is universally recognised as the most critical
intervention in neonatal resuscitation. Since newborn resuscitation typically results from
respiratory failure, effective ventilation addresses the primary pathophysiology. Mastery of
PPV technique is considered the cornerstone of successful neonatal resuscitation.
Question 4
Neonatal resuscitation is usually the result of which underlying condition?
A) Cardiac failure
B) Respiratory failure
C) Neurological impairment
D) Metabolic derangement
Answer: B
Explanation: The vast majority of newborns requiring resuscitation do so because of
respiratory failure. This is consistent with the transition from intrauterine to extrauterine life,
where establishing effective breathing is paramount. Understanding this pathophysiology
guides the clinical approach, emphasising ventilation as the primary intervention.
Question 5
Which of the following comprises the NRP quick equipment checklist?
A) A list of medications required for every delivery
B) A comprehensive list of all supplies and equipment necessary for complete resuscitation
that must be readily available and functional for every birth
C) A checklist of documentation requirements for neonatal resuscitation
D) A list of personnel roles required during neonatal resuscitation
Answer: B
Explanation: The NRP quick equipment checklist is a comprehensive inventory of all
supplies and equipment required for complete neonatal resuscitation. This checklist must be
, reviewed prior to every birth to ensure all items are present, functional, and readily accessible
at the radiant warmer.
Section B: Pre-birth Preparation and Risk Assessment
Question 6
What are the four pre-birth questions that determine appropriate team composition and
equipment preparation?
A) What is the expected gestational age? Is the amniotic fluid clear? Are there additional risk
factors? What is the umbilical cord management plan?
B) What is the maternal age? What is the baby's estimated weight? Is the mother Group B
Streptococcus positive? Is the delivery vaginal or caesarean?
C) What is the fetal heart rate? Are there meconium-stained fluids? What is the maternal
blood type? What is the parity?
D) What is the expected birth weight? Are there multiple gestations? Is there maternal
diabetes? What is the placental location?
Answer: A
Explanation: The four pre-birth questions are: expected gestational age, amniotic fluid
clarity, additional risk factors, and the umbilical cord management plan. These questions
guide the preparation of appropriate equipment and team members, ensuring readiness for
potential complications. The answers determine whether additional personnel with advanced
skills are needed at the delivery.
Question 7
When meconium-stained fluid is the only risk factor, how many qualified people should be
present exclusively to manage the baby?
A) At least one person skilled in the initial steps of newborn care
B) At least two qualified people, including one person with intubation skills
C) At least three qualified people, including a respiratory therapist
D) At least four qualified people with full resuscitation capabilities
Answer: B
Explanation: If meconium-stained fluid is present as the only risk factor, a minimum of two
qualified individuals should be dedicated exclusively to the baby's management. This team
must include at least one person skilled in endotracheal intubation, as meconium may require
airway clearance procedures.
Neonatal Resuscitation Practice Questions
with Answers | NRP Algorithm, PPV, MR
SOPA, Chest Compressions & Medications
Description:
Prepare for the NRP certification exam 2026/2027 with this comprehensive study guide
featuring 120 exam-style questions and answers covering the NRP algorithm, positive
pressure ventilation, MR SOPA corrective steps, chest compressions, epinephrine
administration, and neonatal resuscitation team requirements.
Download the Complete 2026/2027 NRP Exam Prep Guide with 120 Questions & Detailed
Answers - Ace Your Certification on Your First Attempt!
, NRP Exam Prep 2026/2027: 120 Questions & Answers
Section A: Foundational Concepts and Team Requirements
Question 1
Which of the following correctly identifies the five blocks of the NRP algorithm in their
proper sequence?
A) Rapid evaluation, Airway, Breathing, Circulation, Drugs
B) Initial assessment, Ventilation, Chest compressions, Medication, Re-evaluation
C) Airway, Breathing, Circulation, Disability, Exposure
D) Primary survey, Secondary survey, Defibrillation, Medication, Transport
Answer: A
Explanation: The NRP algorithm follows a structured approach: Rapid evaluation to
determine if the baby can remain with the mother; Airway to open the airway and support
spontaneous respirations; Breathing to assist with positive pressure ventilation (PPV) if
needed; Circulation to perform chest compressions coordinated with PPV for severe
bradycardia; and Drugs to administer epinephrine if bradycardia persists despite other
interventions.
Question 2
A qualified neonatal resuscitation team must be immediately available for every birth. Which
of the following skill sets must be present within the team?
A) At least two providers skilled in the initial steps of newborn care
B) A minimum of four qualified persons skilled in endotracheal intubation, chest
compressions, emergency vascular access, and medication administration
C) One provider capable of performing all resuscitation tasks independently
D) A team comprising only neonatal intensive care unit (NICU) staff members
Answer: B
Explanation: A complete resuscitation team requires at least four qualified individuals with
specific skills: endotracheal intubation, chest compressions, emergency vascular access, and
medication administration. This ensures comprehensive coverage for all potential
resuscitation scenarios. The team composition reflects the complexity of neonatal
resuscitation and the need for simultaneous interventions.
,Question 3
What is the single most important and effective step in neonatal resuscitation?
A) Endotracheal intubation
B) Chest compressions
C) Positive pressure ventilation
D) Epinephrine administration
Answer: C
Explanation: Positive pressure ventilation is universally recognised as the most critical
intervention in neonatal resuscitation. Since newborn resuscitation typically results from
respiratory failure, effective ventilation addresses the primary pathophysiology. Mastery of
PPV technique is considered the cornerstone of successful neonatal resuscitation.
Question 4
Neonatal resuscitation is usually the result of which underlying condition?
A) Cardiac failure
B) Respiratory failure
C) Neurological impairment
D) Metabolic derangement
Answer: B
Explanation: The vast majority of newborns requiring resuscitation do so because of
respiratory failure. This is consistent with the transition from intrauterine to extrauterine life,
where establishing effective breathing is paramount. Understanding this pathophysiology
guides the clinical approach, emphasising ventilation as the primary intervention.
Question 5
Which of the following comprises the NRP quick equipment checklist?
A) A list of medications required for every delivery
B) A comprehensive list of all supplies and equipment necessary for complete resuscitation
that must be readily available and functional for every birth
C) A checklist of documentation requirements for neonatal resuscitation
D) A list of personnel roles required during neonatal resuscitation
Answer: B
Explanation: The NRP quick equipment checklist is a comprehensive inventory of all
supplies and equipment required for complete neonatal resuscitation. This checklist must be
, reviewed prior to every birth to ensure all items are present, functional, and readily accessible
at the radiant warmer.
Section B: Pre-birth Preparation and Risk Assessment
Question 6
What are the four pre-birth questions that determine appropriate team composition and
equipment preparation?
A) What is the expected gestational age? Is the amniotic fluid clear? Are there additional risk
factors? What is the umbilical cord management plan?
B) What is the maternal age? What is the baby's estimated weight? Is the mother Group B
Streptococcus positive? Is the delivery vaginal or caesarean?
C) What is the fetal heart rate? Are there meconium-stained fluids? What is the maternal
blood type? What is the parity?
D) What is the expected birth weight? Are there multiple gestations? Is there maternal
diabetes? What is the placental location?
Answer: A
Explanation: The four pre-birth questions are: expected gestational age, amniotic fluid
clarity, additional risk factors, and the umbilical cord management plan. These questions
guide the preparation of appropriate equipment and team members, ensuring readiness for
potential complications. The answers determine whether additional personnel with advanced
skills are needed at the delivery.
Question 7
When meconium-stained fluid is the only risk factor, how many qualified people should be
present exclusively to manage the baby?
A) At least one person skilled in the initial steps of newborn care
B) At least two qualified people, including one person with intubation skills
C) At least three qualified people, including a respiratory therapist
D) At least four qualified people with full resuscitation capabilities
Answer: B
Explanation: If meconium-stained fluid is present as the only risk factor, a minimum of two
qualified individuals should be dedicated exclusively to the baby's management. This team
must include at least one person skilled in endotracheal intubation, as meconium may require
airway clearance procedures.
