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.
Quick Facts
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NPS NBRC Respiratory Care Credentials License: Complete Roadmap
Follow this path to organize your licensing and exam preparation
Phase 1You are here
Build the shared neonatal and pediatric assessment foundation: history, exam, imaging, pathophysiology.
Phase 2
Drill airway, equipment, medications, NRP, protocols, and team communication competencies.
Phase 3
Master critical-care ventilation, HFOV, iNO, surfactant, ECMO criteria, and end-of-life care.
Phase 4
Take timed full-length sessions, review weak domains, and finalize PSI logistics.
Can You Take the NPS Exam?
Check if you meet the basic eligibility 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
Retake Policy
NBRC specialty exam policy permits two initial attempts without waiting; subsequent reattempts require a 180-day waiting period.
Total Cost Breakdown
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.
What You'll Study
12 chapters covering the exam topics in this guide
Chapter 1: Neonatal and Pediatric Patient Assessment
6 sections
Chapter 2: Diagnostic Evaluation & Gas Exchange Monitoring
6 sections
Chapter 3: Airway Management & Secretion Clearance
6 sections
Chapter 4: Pharmacology & Medical Gas Therapy
6 sections
Chapter 5: Shared Neonatal & Pediatric Pulmonary Disorders
6 sections
Chapter 6: Resuscitation, Emergency Protocols & Patient Safety
6 sections
Chapter 7: Noninvasive & Conventional Mechanical Ventilation
8 sections
Chapter 8: High-Frequency Ventilation & Advanced Modes
6 sections
Chapter 9: Specialty Inhaled Gases & Exogenous Surfactant Therapy
6 sections
Chapter 10: Pediatric ARDS & Parenchymal Critical Illness
6 sections
Chapter 11: Congenital Heart Disease & Hemodynamic Management
6 sections
Chapter 12: Advanced Critical Care: ECMO, Neurotrauma & Palliative Care
6 sections
NPS Exam Details
Neonatal/Pediatric Respiratory Care Specialist (RRT-NPS)
Administered by National Board for Respiratory Care (NBRC)
Exam Content Breakdown
Based on the official National Board for Respiratory Care (NBRC) content outline
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.
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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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.
RRT-SDS
Pair NPS with the Sleep Disorders Specialty credential when serving pediatric sleep populations.
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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Ready to Start Your Free NPS Prep?
Review the study guide, practice key concepts, and use the free tools at your own pace.
