NRP PRACTICE EXAM QUESTIONS AND

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NRP PRACTICE EXAM QUESTIONS AND

ANSWERS ALL SOLVED SOLUTION

Question 1: Your team has provided face-mask PPV with chest

movement for 30 seconds. When is placement of an endotracheal tube strongly recommended?

• The baby's heart rate remains less than 100 bpm and is not

increasing.

• The baby's heart rate is between 60 and 100 bpm and the heart

rate is increasing.

• The baby's heart rate is >100 bpm and the baby is beginning

to breathe.

• The baby's heart rate is >100 bpm and oxygen saturation is

less than the target range.

CORRECT ANSWER: a

Question 2: During a delivery, when and where should a person

with intubation skills be available?

• In the hospital and immediately available
• In the delivery room or operating room at every birth
• Available on call at home
• Available on call from a remote area of the hospital

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CORRECT ANSWER : a

Question 3: What are the primary methods of confirming

endotracheal tube placement within the trachea?

• Continued central cyanosis and no mist in the tube
• Auscultation of bilateral breath sounds and no air entry heard

over the abdomen

• Demonstration of exhaled carbon dioxide (CO2) and a rapidly

increasing heart rate

• Absence of crying and no abdominal distension

CORRECT ANSWER : c

Question 4: 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?

• The endotracheal tube is not in the trachea.

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• Excessive ventilation pressure.
• Epinephrine contamination.
• Low cardiac output.

CORRECT ANSWER : d

Question 5: 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?

• After chest compressions are performed for at least 2 minutes
• When an alternative airway is inserted
• Immediately after epinephrine is administered
• Anytime pulse oximetry is used to assess oxygen saturation

CORRECT ANSWER : b

Question 6: 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)?

• 2

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• 1
• 0
• 00

CORRECT ANSWER : c

Question 7: Even brief interruptions of chest compressions may

significantly reduce their effectiveness, but it is also important to assess the need to continue chest compressions. What is the preferred way to assess the heart rate during chest compressions?

• Briefly interrupt chest compressions every 30 seconds to

auscultate the heart rate.

• Briefly interrupt chest compressions and palpate the brachial

pulse.

• Briefly interrupt chest compressions every 60 seconds to

assess the heart rate using the cardiac monitor.

• Briefly interrupt chest compressions to palpate the umbilical

cord.

CORRECT ANSWER : c