NRP Pre Test Example Quiz & Answers

Take a shot at our 30 question NRP practice quiz below. If you score at least 80% (24 out of 30), you’ll win a coupon good for 30% OFF our NRP Certification or Renewal. You’re welcome to take the quiz as many times as you’d like.

NRP Practice Quiz

1. The air that fills the baby's alveoli during normal transition contains _______ oxygen.*
- 15%
- 21%
- 30%
- 40%
2. Which of the following are problems that might disrupt normal transition after birth?*
- The lungs may not fill with air even when spontaneous respirations are present.
- The expected increase in blood pressure may not occur.
- The pulmonary arterioles may remain constricted after birth.
- All of the above
3. Functional closure of the ductus arteriosus may not occur until _______ hours after birth.*
- 1 to 2
- 6 to 8
- 10 to 12
- 12 to 24
4. What percentage of newborns will require extensive resuscitation to survive?*
- 1%
- 5%
- 10%
- 15%
5. What is the most important and most effective action that can be taken in neonatal resuscitation?*
- Chest compressions
- Epinephrine administration
- Ventilation
- Intubation
6. Restoration of adequate ventilation will usually result in a ________ improvement in heart rate.*
- Slow
- Gradual
- Rapid
7. If a baby does not begin breathing in response to stimulation, you should assume they are in _______ apnea.*
- Primary
- Secondary
- Terminal
- None of the above
8. While resuscitating a newborn with adequate ventilation, what is the most appropriate next step if the baby's heart rate falls below 60 bpm?*
- Intubate the baby.
- Start chest compressions.
- Administer epinephrine.
- None of the above
9. If a high-risk delivery is anticipated, what is the least number of skilled persons, whose only responsibility is resuscitation and the management of the baby, who should be present at the delivery?*
- 1
- 2
- 3
- 4
10. If a newborn has copious secretions coming from the mouth, how should they be cleared?*
- Bulb syringe
- Intubation and tracheal suction
- Passing of an orogastric tube and applying suction
- Any of the above
11. Which device should be readily available as a backup wherever resuscitation may be needed, in case a compressed gas source fails?*
- Self-inflating bag
- Flow-inflating bag
- T-piece resuscitator
- All of the above
12. Advantages of the flow-inflating bag include which of the following?*
- It can deliver up to 100% oxygen.
- It can be used to deliver free-flow oxygen at concentrations up to 100%.
- All of the above
- It is easy to determine when there is a seal on the baby's face.
13. After performing the ventilation corrective sequence and making appropriate adjustments, if you are unable to obtain a rising heart rate or bilateral breath sounds or see chest movement with positive pressure ventilation, what will you usually have to insert?*
- Oropharyngeal airway
- Orogastric tube
- Umbilical venous catheter
- Endotracheal tube or laryngeal mask airway (LMA)
14. Where should pressure be applied when performing compressions on the newborn?*
- Lower third of the sternum
- Upper third of the sternum
- Over the xiphoid process
- Any of the above sites are acceptable.
15. What is possible complication from using an LMA?*
- Soft-tissue trauma
- Laryngospasm
- Gastric distention
- All of the above
16. During resuscitation of a newborn, you've establish adequate ventilation with an endotracheal tube and your colleague has begun chest compressions for a heart rate under 60 bpm. Nevertheless, after 60 seconds, the heart rate has not increased. What is the most appropriate next step in management?*
- Administer epinephrine.
- Discontinue chest compressions.
- Start dopamine infusion.
- Stimulate the newborn.
17. Fewer than _______ of newborns requiring resuscitative efforts will need epinephrine to stimulate their hearts.*
- 1%
- 5%
- 10%
- 20%
18. Air that leaks from inside the lung and collects in the pleural space is called a ________.*
- Pulmonary edema
- Pneumothorax
- Pericardial effusion
- Diaphragmatic hernia
19. What suction catheter sizes must be available for suctioning of the endotracheal tube?*
- 5F or 6F
- 8F or 10F
- 12F or 14F
- None of the above
20. True or False: If a pneumothorax causes significant respiratory distress, it should be relieved by placing a percutaneous catheter or needle into the pleural space and evacuating the air.*
- True
- False
21. If you place the endotracheal tube in too far, where is it most likely to end up?*
- Left mainstem bronchus
- Right mainstem bronchus
- Left upper lobe
- Right upper lobe
22. Fewer than _______ of newborns requiring resuscitative efforts will need epinephrine to stimulate their hearts.*
- 1%
- 5%
- 10%
- 20%
23. Which of the following is NOT an indicator of correct endotracheal tube placement?*
- Condensation on inside of tube during exhalation
- Audible breath sounds over stomach
- Even chest movement with each breath
- Lack of gastric distention with ventilation
24. If positive pressure ventilation is required, what level of inflation pressure should you use?*
- Highest tolerable level
- Lowest effective level
- Normal level of 25 to 30 mm Hg
- None of the above
25. If low blood pressure and perfusion persist after blood transfusion, an infusion of _________ should be considered.*
- Nitroglycerin
- Dopamine
- Naloxone
- Sodium bicarbonate
26. Pulmonary hypoplasia is most commonly caused by which of the following conditions?*
- Severe oligohydramnios
- Congenital pneumonia
- Maternal narcotics use
- Cystic hygroma
27. Which of the following is an indication of CPAP if the baby is spontaneously breathing and has a heart rate above 100 bpm?*
- Cyanosis
- Labored respiration
- Low SPO2
- All of the above
28. What is the targeted pre-ductal SPO2 level 5 minutes after birth?*
- 60% to 65%
- 70% to 75%
- 80% to 85%
- 90% to 95%
29. True or False: Narcotics given to the laboring mother to relieve pain may inhibit the respiratory drive and activity in the newborn.*
- True
- False
30. The pulmonary blood vessels in babies who were hypoxemic and/or academic around the time of birth may remain constricted. What is this condition called?*
- Pulmonary hypoplasia
- Persistent pulmonary hypertension of the newborn
- Congenital diaphragmatic hernia
- Pulmonary fibrosis
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NRP Practice Quiz