NRP Study Guide 2026

Everything you need to pass the NRP exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

NRP exam key facts

The NRP Online Learning Assessment does not have a fixed question count and varies in length based on candidate performance using adaptive learning. Source
NRP Provider eCards are active for 2 years and expire at the end of the month in which the course was completed. Source

Start the Timed NRP Mock Exam →

📋 NRP Exam Format at a Glance

Questions

90 min

Time Limit

80%

Passing Score

Take a Full NRP Exam Simulation →

📚 NRP Topics to Study (46)

Ethical Considerations · 11 cards Medication Administration · 11 cards Thermoregulation and Temperature Management · 7 cards Thermoregulation and Temperature Management · 7 cards Thermoregulation and Temperature Management · 7 cards Airway Management and Intubation · 6 cards Airway Management and Intubation · 6 cards Airway Management and Intubation · 6 cards Chest Compressions and Cardiac Resuscitation · 6 cards Chest Compressions and Cardiac Resuscitation · 6 cards Chest Compressions and Cardiac Resuscitation · 6 cards Documentation and Family Communication · 6 cards Documentation and Family Communication · 6 cards Ethical Considerations in Neonatal Resuscitation · 6 cards Ethical Considerations in Neonatal Resuscitation · 6 cards Initial Assessment and Stabilization · 6 cards Initial Assessment and Stabilization · 6 cards Initial Assessment and Stabilization · 6 cards Medication Administration · 6 cards Medication Administration · 6 cards Neonatal Physiology and Birth Transition · 6 cards Neonatal Physiology and Birth Transition · 6 cards Neonatal Physiology and Birth Transition · 6 cards Ethical Considerations in Neonatal Resuscitation 1 · 6 cards Oxygen Administration and Monitoring · 6 cards Oxygen Administration and Monitoring · 6 cards Positive Pressure Ventilation · 6 cards Positive Pressure Ventilation · 6 cards Positive Pressure Ventilation · 6 cards Post-Resuscitation Care and NICU Stabilization · 6 cards

See all 46 topics as flashcards →

✍️ Sample NRP Questions & Answers

1. What is the endotracheal dose of epinephrine if IV/IO access is unavailable during neonatal resuscitation?

✓ 0.05–0.1 mg/kg (0.5–1 mL/kg of 1:10,000 solution)

The endotracheal dose of epinephrine is 0.05–0.1 mg/kg (0.5–1 mL/kg of 1:10,000 solution) — significantly higher than the IV/IO dose — because absorption via the pulmonary route is unreliable.

2. What is the normal fetal oxygen saturation (SpO2) via pulse oximetry in the minutes immediately after birth for a term infant?

✓ SpO2 of 60–65% at 1 minute, rising gradually to 85–95% by 10 minutes

NRP provides target SpO2 ranges for the first 10 minutes of life. At 1 minute, 60–65% is normal; it rises gradually as pulmonary circulation is established, reaching 85–95% by 10 minutes.

3. What device is used to precisely control the fraction of inspired oxygen (FiO2) delivered during neonatal resuscitation?

✓ Oxygen blender

An oxygen blender allows precise mixing of oxygen and air to deliver any FiO2 from 21–100%, enabling titration based on pulse oximetry during resuscitation.

4. Why is 100% oxygen harmful in neonatal resuscitation, and what specific risk does it pose?

✓ 100% oxygen generates excess reactive oxygen species (free radicals), causing oxidative injury to organs including the brain and lungs

Hyperoxia generates excess reactive oxygen species (free radicals), leading to oxidative stress that can injure immature tissues including the brain, lungs, and retina. This is particularly harmful in preterm infants whose antioxidant defenses are underdeveloped.

5. What is the primary physiological change that must occur in the lungs immediately after birth for successful transition to extrauterine life?

✓ Replacement of lung fluid with air and establishment of functional residual capacity

At birth, the fluid-filled lungs must be cleared and air must replace the fluid to establish functional residual capacity (FRC), enabling effective gas exchange for the first time.

6. In which clinical scenario would it be appropriate to use 100% oxygen during neonatal resuscitation despite NRP's standard recommendation to start at lower FiO2?

✓ An infant receiving CPR for heart rate below 60 bpm despite PPV

NRP recommends considering 100% oxygen during active CPR for heart rate below 60 bpm, as the priority in cardiac arrest is maximizing oxygen delivery. Wean as quickly as possible once circulation is restored.

🎯 Free NRP Practice Tests

Medication Administration · 11 questions Ethical Considerations · 11 questions Thermoregulation and Temperature Management · 7 questions Thermoregulation and Temperature Management · 7 questions Thermoregulation and Temperature Management · 7 questions Post-Resuscitation Care and NICU Stabilization · 6 questions Initial Assessment and Stabilization · 6 questions Initial Assessment and Stabilization · 6 questions Chest Compressions and Cardiac Resuscitation · 6 questions Initial Assessment and Stabilization · 6 questions

📖 NRP Guides & Articles

Your NRP Study Path

1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

🃏 NRP Flashcards (284)🏆 NRP Exam Simulation

What Practice Test Geeks adds beyond an AI chat for NRP

An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:

A timed, full-length NRP mock exam — 35 questions in 90 minutes with a 80% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
A fixed NRP question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
A printable NRP cheat sheet you can print or save as a PDF.
NRP flashcards built from the same question bank.
Free NRP practice tests with the correct answer shown after each question.

Start the Timed NRP Mock Exam →

Was this helpful?

How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

downloads.aap.org — Exam information · verified Nov 2026
rqipartners.com — Test delivery · verified Oct 2026
aap.org — Exam format, registration deadline, renewal, score release, test dates, score validity, fees, eligibility · verified Oct 2026