SPECIALISTS EXAM
NRP PRACTICE EXAM 2025 LATEST UPDATED
1. Your team has provided face-mask PPV with chest movement for 30 sec-onds. 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 isincreasing.
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 thetarget range. ANSWER a
2. During a delivery, when and where should a person with intubation skillsbe 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 ANSWER a
SPECIALISTS EXAM
, SPECIALISTS EXAM
3. What are the primary methods of confirming endotracheal tube placementwithin the trachea?
a. Continued central cyanosis and no mist in the tube
b. Auscultation of bilateral breath sounds and no air entry heard over theabdomen
c. Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasingheart rate
d. Absence of crying and no abdominal distension ANSWER c
4. 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 thelikely reason for this?
a. The endotracheal tube is not in the trachea.
b. Excessive ventilation pressure.
c. Epinephrine contamination.
d. Low cardiac output. ANSWER d
5. According to the Textbook of Neonatal Resuscitation, 8th edition algo- rithm, at what point during resuscitation is
a cardiac monitor recommendedto 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 ANSWER b
SPECIALISTS EXAM
NRP PRACTICE EXAM 2025 LATEST UPDATED
1. Your team has provided face-mask PPV with chest movement for 30 sec-onds. 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 isincreasing.
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 thetarget range. ANSWER a
2. During a delivery, when and where should a person with intubation skillsbe 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 ANSWER a
SPECIALISTS EXAM
, SPECIALISTS EXAM
3. What are the primary methods of confirming endotracheal tube placementwithin the trachea?
a. Continued central cyanosis and no mist in the tube
b. Auscultation of bilateral breath sounds and no air entry heard over theabdomen
c. Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasingheart rate
d. Absence of crying and no abdominal distension ANSWER c
4. 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 thelikely reason for this?
a. The endotracheal tube is not in the trachea.
b. Excessive ventilation pressure.
c. Epinephrine contamination.
d. Low cardiac output. ANSWER d
5. According to the Textbook of Neonatal Resuscitation, 8th edition algo- rithm, at what point during resuscitation is
a cardiac monitor recommendedto 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 ANSWER b
SPECIALISTS EXAM
