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100+ Free Neonatal Resuscitation Program (NRP) Practice Questions

Pass your Neonatal Resuscitation Program (NRP) Provider — 9th Edition exam on the first try — instant access, no signup required.

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Which sign during PPV most strongly suggests the airway is not open or the mask seal is inadequate?

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Key Facts: Neonatal Resuscitation Program (NRP) Exam

9th Edition

Current NRP Edition (2021–present)

AAP/AHA

~80%

Section-Based Passing Score

AAP

60 sec

The Golden Minute

NRP 9th Edition

HR < 100

Threshold to Start PPV

NRP 9th Edition

HR < 60

Threshold to Start Compressions

NRP 9th Edition

3:1

Compression-to-Ventilation Ratio

NRP 9th Edition

0.01-0.03 mg/kg

IV Epinephrine Dose

NRP 9th Edition

100

Free Practice Questions

OpenExamPrep

The Neonatal Resuscitation Program (NRP) Provider credential — currently NRP 9th Edition (2021–present) — is administered by the American Academy of Pediatrics (AAP) with the American Heart Association (AHA). Completion has two parts: a section-based online exam (the Online Learning Assessment, requiring roughly 80% per section and overall) and an instructor-led simulation and skills evaluation. The online knowledge component is untimed and taken through AAP/HealthStream, with the online cost typically around $30-50. This free 100-question practice bank focuses on the online knowledge component — the NRP algorithm, the Golden Minute, PPV and MR. SOPA, the HR<60 chest-compression trigger and 3:1 ratio, and epinephrine 0.01-0.03 mg/kg IV — and is for healthcare professionals who attend deliveries (L&D/NICU nurses, respiratory therapists, neonatologists, and midwives). NRP Provider status is renewed every 2 years.

Sample Neonatal Resuscitation Program (NRP) Practice Questions

Try these sample questions to test your Neonatal Resuscitation Program (NRP) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Approximately what percentage of newborns require some assistance to begin breathing at birth?
A.About 10%
B.About 1%
C.About 50%
D.About 90%
Explanation: NRP teaches that roughly 10% of newborns require some assistance to begin breathing at birth, and about 1% require extensive resuscitation. This statistic underscores why every birth must be attended by someone capable of initiating resuscitation.
2During the pre-resuscitation team briefing, which four pre-birth questions should be asked of the obstetric provider?
A.Maternal age, blood type, parity, delivery method
B.Gestational age, fluid clarity, number of babies, additional risk factors
C.Apgar plan, cord gas plan, NICU bed, transport team
D.Birth weight, head circumference, sex, time of birth
Explanation: NRP's four standardized pre-birth questions are: What is the expected gestational age? Is the amniotic fluid clear? How many babies are expected? Are there additional risk factors? The answers determine equipment, personnel, and the level of preparation needed.
3What is the minimum personnel requirement at every birth according to NRP?
A.Two physicians and a respiratory therapist
B.A neonatologist on standby in the building
C.At least one qualified person whose only responsibility is the baby and who can initiate resuscitation
D.One nurse who also assists the mother
Explanation: NRP requires that at every birth there is at least one qualified person present whose only responsibility is management of the newborn and who is capable of initiating resuscitation, including positive-pressure ventilation. When resuscitation is anticipated, additional skilled team members are needed.
4Which of the following is an antepartum (maternal) risk factor that increases the likelihood of needing neonatal resuscitation?
A.A reassuring fetal heart tracing
B.Spontaneous vaginal delivery at term
C.Clear amniotic fluid
D.Maternal diabetes or hypertension
Explanation: Maternal diabetes and hypertensive disorders (including preeclampsia) are antepartum risk factors that raise the chance a newborn will require resuscitation. Identifying these factors before birth guides team composition and equipment preparation.
5When a resuscitation is anticipated for a high-risk delivery, how many qualified team members should ideally be present?
A.A full resuscitation team with members assigned to airway, compressions/monitoring, and documentation
B.One person only
C.The obstetrician alone
D.A single nurse who can call for help if needed
Explanation: For anticipated high-risk births, NRP recommends assembling a full team with clearly assigned roles—typically an airway leader, a person for compressions and monitoring, and a person for medications/documentation. Pre-assigning roles during the briefing improves performance under stress.
6Before every delivery, the radiant warmer should be:
A.Left off until the baby arrives to save energy
B.Turned on and pre-warmed
C.Set to room temperature
D.Used only for preterm infants
Explanation: The radiant warmer should be turned on and pre-warmed before every birth so the newborn can be placed under a warm environment immediately, preventing heat loss. Hypothermia worsens outcomes and complicates resuscitation.
7Which item is essential equipment to verify during the supply check before a birth?
A.A defibrillator with adult pads
B.An adult bag-mask resuscitator only
C.A functioning PPV device, appropriately sized masks, and a working suction source
D.An oral airway sized for adults
Explanation: The equipment check must confirm a functioning positive-pressure ventilation device, correctly sized masks, and a working suction source, since PPV is the cornerstone of neonatal resuscitation. Missing or malfunctioning equipment can be fatal during the Golden Minute.
8The standardized equipment check before birth is best organized using which NRP framework?
A.ABCDE primary survey
B.SAMPLE history
C.OPQRST assessment
D.Warm, Clear airway, Auscultate, Ventilate, Oxygenate, Intubate, Medicate (organized supply checklist)
Explanation: NRP organizes the pre-birth equipment check around the categories of warming, airway clearing, auscultation, ventilation, oxygenation, intubation, and medication so every supply needed along the algorithm is verified in advance. A systematic checklist prevents missing critical items.
9Why is a pre-resuscitation team briefing conducted before a high-risk delivery?
A.To assign roles, identify the leader, review the plan, and confirm equipment
B.To complete the newborn's birth certificate
C.To decide the Apgar score in advance
D.To bill the procedure correctly
Explanation: The team briefing assigns specific roles, identifies a team leader, reviews the anticipated plan, and confirms that equipment is ready. This shared mental model improves coordination and reduces errors during the high-stress resuscitation.
10For an anticipated extremely preterm birth, which additional preparation is specifically recommended?
A.Larger adult endotracheal tubes
B.A polyethylene plastic wrap/bag and a thermal mattress to prevent heat loss
C.Higher room lighting
D.A cold blanket to slow metabolism
Explanation: Extremely preterm infants lose heat very rapidly, so NRP recommends preparing a food-grade polyethylene plastic wrap or bag and a thermal (exothermic) mattress, plus raising the room temperature, to maintain normothermia during stabilization.

About the Neonatal Resuscitation Program (NRP) Exam

The Neonatal Resuscitation Program (NRP) Provider course, NRP 9th Edition, is the AAP/AHA standard for clinicians who attend deliveries. Completion requires passing the section-based online exam (Online Learning Assessment, ~80% per section) plus an instructor-led simulation and skills evaluation. This free practice bank delivers 100 selected-response knowledge questions built against the NRP 9th Edition algorithm and 2020/2025 ILCOR/AHA neonatal guidelines.

Assessment

Section-based online exam (Online Learning Assessment, ~80% to pass) plus instructor-led simulation & skills (official AAP NRP 9th Edition); this practice bank is 100 selected-response knowledge items

Time Limit

Untimed online

Passing Score

~80% (section-based)

Exam Fee

Varies (AAP/HealthStream) (American Academy of Pediatrics (AAP) with the American Heart Association (AHA))

Neonatal Resuscitation Program (NRP) Exam Content Outline

12%

Foundations & Preparation

Perinatal risk factors, equipment and supply check, pre-resuscitation team briefing, and who should attend the birth

14%

Initial Steps & Rapid Evaluation

The three questions (term? tone? breathing/crying?), warm/dry/stimulate/position the airway, the Golden Minute, and heart-rate assessment

22%

Positive-Pressure Ventilation

Indications (apnea/gasping or HR<100), the 40-60/min rate, PIP/PEEP, the MR. SOPA corrective steps, and PPV as the most important step

12%

Airway Management

Endotracheal intubation indications and depth, laryngeal mask, suctioning, and the non-vigorous infant with meconium

15%

Chest Compressions

Indication (HR<60 despite 30 s effective PPV), the 3:1 ratio, 120 events/min, two-thumb technique, and coordination with PPV and 100% oxygen

10%

Medications

Epinephrine (preferred IV/UVC route, 0.01-0.03 mg/kg IV) and volume expander (normal saline 10 mL/kg) for hypovolemia/blood loss

9%

Special Considerations

Preterm thermoregulation and CPAP, congenital anomalies, post-resuscitation care, and ethics and discontinuation

6%

Communication & Teamwork

NRP Key Behavioral Skills, closed-loop communication, situational awareness, debriefing, and speaking up

How to Pass the Neonatal Resuscitation Program (NRP) Exam

What You Need to Know

  • Passing score: ~80% (section-based)
  • Assessment: Section-based online exam (Online Learning Assessment, ~80% to pass) plus instructor-led simulation & skills (official AAP NRP 9th Edition); this practice bank is 100 selected-response knowledge items
  • Time limit: Untimed online
  • Exam fee: Varies (AAP/HealthStream)

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

Neonatal Resuscitation Program (NRP) Study Tips from Top Performers

1Memorize the exact heart-rate thresholds: PPV for HR below 100, chest compressions for HR below 60 despite 30 seconds of effective PPV
2Know the 3:1 ratio cold — about 90 compressions plus 30 breaths equals 120 events per minute, counted 'one-and-two-and-three-and-breathe'
3Master the MR. SOPA corrective steps in order: Mask, Reposition, Suction, Open mouth, Pressure increase, Airway alternative
4Lock in the epinephrine dose (0.01-0.03 mg/kg IV via UVC, 1:10,000) and the volume expander (normal saline 10 mL/kg) — dosing errors are heavily penalized
5Remember that effective positive-pressure ventilation at 40-60/min is the single most important step for a compromised newborn
6Complete all 100 practice questions and review every miss with the AI tutor before taking the online exam

Frequently Asked Questions

What is the NRP 9th Edition exam and how is it structured?

The Neonatal Resuscitation Program (NRP) Provider course, currently the 9th Edition, has two parts: a section-based online exam called the Online Learning Assessment (OLA) and an instructor-led simulation and skills evaluation. The online exam is untimed and taken through AAP/HealthStream, and each section (and the overall score) generally requires about 80% to pass. This free practice bank focuses on the online knowledge component with 100 selected-response questions.

What score do I need to pass the NRP online exam?

The NRP online exam (OLA) is section-based, and you generally need approximately 80% on each section and overall to pass. Sections can typically be retaken to reach the required score. Full NRP Provider status also requires successfully completing the instructor-led simulation and skills evaluation.

Who needs NRP certification?

NRP is required for healthcare professionals who attend deliveries, including labor and delivery and NICU nurses, respiratory therapists, neonatologists and pediatricians, certified nurse-midwives, and advanced practice providers. It is a professional clinical credential, not an academic test, and is renewed every 2 years.

How much does the NRP 9th Edition cost?

Costs vary by training center and employer. The online component (eSim and the Online Learning Assessment) is typically around $30-50 through AAP or HealthStream, and the instructor-led course has a separate fee set by the training center. Many employers cover NRP for delivery-room staff.

What is the Golden Minute in NRP?

The Golden Minute is the first 60 seconds of life, during which the initial steps (warm, dry, stimulate, position the airway) are completed and — if the newborn is apneic or gasping or the heart rate is below 100 beats per minute — effective positive-pressure ventilation is started. Prompt ventilation within the Golden Minute is the key to good outcomes and is heavily tested.

Is this free NRP practice test as good as paid prep?

Our 100 practice questions cover the full NRP 9th Edition outline — foundations, initial steps, PPV and MR. SOPA, airway, chest compressions, medications, special considerations, and teamwork — with a teaching explanation for every answer plus 10 free AI tutor interactions daily. It is built against the NRP 9th Edition algorithm and 2020/2025 ILCOR/AHA neonatal guidelines, all free forever.