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Free NPS Exam Prep

Neonatal/Pediatric Respiratory Care Specialist (RRT-NPS)

Prepare for the NPS exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.

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Your Study Path

NPS NBRC Respiratory Care Credentials License: Complete Roadmap

Follow this path to organize your licensing and exam preparation

1

Phase 1You are here

Build the shared neonatal and pediatric assessment foundation: history, exam, imaging, pathophysiology.

30
hours
2

Phase 2

Drill airway, equipment, medications, NRP, protocols, and team communication competencies.

40
hours
3

Phase 3

Master critical-care ventilation, HFOV, iNO, surfactant, ECMO criteria, and end-of-life care.

40
hours
4

Phase 4

Take timed full-length sessions, review weak domains, and finalize PSI logistics.

20
hours
Estimated total study time
130 hours
That's about 13 weeks at 10 hours/week

Can You Take the NPS Exam?

Check if you meet the basic eligibility requirements

Age
Education
Hold the active NBRC Registered Respiratory Therapist (RRT) credential
Experience
Clinical practice in neonatal or pediatric respiratory care is strongly recommended although not formally required by NBRC
Additional Requirements
  • Apply through NBRC before scheduling at PSI
  • Follow the NBRC specialty exam attempt and waiting policy for retakes
  • Complete identification and testing protocols required by PSI

NPS Quick Facts

Time to Get Licensed

10-14 weeks for most working RRTs

From start to license in hand

Exam Provider

PSI

In-Person Only
Schedule Your Exam

Retake Policy

NBRC specialty exam policy permits two initial attempts without waiting; subsequent reattempts require a 180-day waiting period.

Total Cost Breakdown

Exam Fee$250 initial / $220 reapplicant
Total Estimated Cost$210-$470 depending on AARC discount, study materials, and any reattempts
Why Choose Us

Free NPS Prep Tools

Reported exam pass rate: NBRC publishes annual NPS pass rates in the Exams in Review report; consult the most recent edition for first-time and repeat candidate percentages.. These figures describe exam candidates, not OpenExamPrep user outcomes. Check the exam sponsor’s website for published statistics.

125 Practice Questions

Practice spans both major domains in the NBRC NPS October 2025 detailed content outline.

AI-Powered Learning

Adaptive feedback strengthens neonatal resuscitation, ventilation, and critical-care decisions.

2026 Updated

Aligned to current NBRC NPS outline, fees, and PSI delivery policy.

Free Access

Begin RRT-NPS prep free before paying NBRC application fees.

Compare:
Kaplan $300+Achievable $200+OpenExamPrep $0

What You'll Study

12 chapters covering the exam topics in this guide

NPS Exam Details

Neonatal/Pediatric Respiratory Care Specialist (RRT-NPS)

Administered by National Board for Respiratory Care (NBRC)

Official Source
NBRC sets the cut score using a published low-cut standard-setting method; the numeric NPS cut score is not publicly listed.
Passing Score
170
Questions
4
Hours
$250 new applicant; $220 reapplicant
Exam Fee
Study time: NBRC does not publish an official study-hour target for the NPS examination
Prerequisites: Must hold the NBRC Registered Respiratory Therapist (RRT) credential before applying for the NPS examination.
Valid for: 5 years (NBRC Credential Maintenance Program cycle)

Exam Content Breakdown

Based on the official National Board for Respiratory Care (NBRC) content outline

Competencies Shared Between Critical and General Care of Neonatal or Pediatric Patients53%

Assess information, recognize mechanisms of respiratory compromise, evaluate pulmonary status, manage airways, equipment, procedures, medications, diagnostics, nutrition, resuscitation, protocols, team interaction, and patient and family education.

Competencies Specific to Critical Care of Neonatal or Pediatric Patients47%

Evaluate critical-care information, manage specialty gases, manage ventilation and oxygenation (including HFOV, conventional, NAVA and weaning), facilitate critical-care procedures, manage medication effects, and support end-of-life care.

What's Included

12 Chapters

Complete exam coverage

Practice Quizzes

With detailed explanations

Free to Start

No credit card required

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Why It's Free

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Through all these exams, one thing became clear: exam prep is expensive. But with AI, we can change that. Quality preparation can now be free for everyone.

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What's Next After the NPS?

After passing the NPS, you can pursue these career paths

RRT-ACCS

Add the Adult Critical Care Specialist credential to broaden critical-care scope to adult ICU practice.

Coming Soon

RRT-SDS

Pair NPS with the Sleep Disorders Specialty credential when serving pediatric sleep populations.

Coming Soon

CPFT

Layer the Certified Pulmonary Function Technologist credential to add pediatric diagnostic testing depth.

NPS Exam FAQ

Official National Board for Respiratory Care (NBRC) Resources

Verify information with these official sources

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