NRP Practice Exam Questions and
Correct Answers
Your team has provided face-mask PPV with chest movement for 30 seconds. 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 is increasing.
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 the target range.
a
During a delivery, when and where should a person with intubation skills be 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
a
What are the primary methods of confirming endotracheal tube placement within the trachea?
a. Continued central cyanosis and no mist in the tube
b. Auscultation of bilateral breath sounds and no air entry heard over the abdomen
c. Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
d. Absence of crying and no abdominal distension
, c
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 the likely reason for this?
a. The endotracheal tube is not in the trachea.
b. Excessive ventilation pressure.
c. Epinephrine contamination.
d. Low cardiac output.
d
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what point
during resuscitation is a cardiac monitor recommended to 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
b
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 32 weeks (estimated birth weight of 1.4 kg)?
a. 2
b. 1
c. 0
Correct Answers
Your team has provided face-mask PPV with chest movement for 30 seconds. 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 is increasing.
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 the target range.
a
During a delivery, when and where should a person with intubation skills be 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
a
What are the primary methods of confirming endotracheal tube placement within the trachea?
a. Continued central cyanosis and no mist in the tube
b. Auscultation of bilateral breath sounds and no air entry heard over the abdomen
c. Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
d. Absence of crying and no abdominal distension
, c
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 the likely reason for this?
a. The endotracheal tube is not in the trachea.
b. Excessive ventilation pressure.
c. Epinephrine contamination.
d. Low cardiac output.
d
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what point
during resuscitation is a cardiac monitor recommended to 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
b
What size laryngoscope blade is recommended to intubate a preterm newborn with an
estimated gestational age of 32 weeks (estimated birth weight of 1.4 kg)?
a. 2
b. 1
c. 0
