10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The C-NPT exam has 125 questions and runs 2 hours.
These 10 free C-NPT questions are organized by exam domain, so you can see how each part of the Certified - Neonatal Pediatric Transport blueprint is tested. Reveal the answer and explanation under each question.
Shortly after intubation for status asthmaticus, an 8-year-old's blood pressure falls from 104/62 to 68/36 mm Hg. The endotracheal tube is patent, breath sounds are equally diminished, and expiratory flow continues when each new ventilator breath begins. The set rate is 28/min. Which maneuver directly addresses the likely cause of the hypotension?
Correct answer: C - Briefly disconnect the circuit, then ventilate at a lower rate.
After a child's stretcher is lowered, the arterial-line display changes from 92/54 to 70/32 mm Hg. The pressure transducer remains on a fixed pole above the chest. The waveform is still crisp; pulse quality, skin temperature, and heart rate are unchanged, and a correctly sized cuff reads 94/56 mm Hg. How should the discrepancy be resolved?
Correct answer: D - Relevel at the right atrium and reassess.
An intubated 3-week-old is breathing synchronously with the ventilator until a fentanyl bolus is inadvertently administered rapidly. Within seconds, the thorax and abdomen become rigid and delivered tidal volumes fall. A suction catheter passes through the tube, tube depth is unchanged, and no circuit obstruction is found. The combination is most consistent with:
Correct answer: A - Opioid-induced chest-wall rigidity.
At a term birth, the newborn remains apneic. After 30 seconds of ventilation through an endotracheal tube with visible chest movement, the ECG heart rate has risen from 48 to 82/min. Exhaled CO2 is present. The next resuscitation step is to:
Correct answer: B - Continue positive-pressure ventilation and reassess the heart rate.
For an air transfer, oxygen must cover 15 minutes of loading and unloading plus a 40-minute flight. A cylinder reads 2,000 psi; the service retains a 200-psi reserve, and the cylinder factor is 0.28 L/psi. At the current settings, the ventilator draws 8 L/min from the cylinder and its bias flow draws another 4 L/min. There is no other oxygen source until arrival. Which supply assessment should determine departure?
Correct answer: D - 42 minutes; obtain additional oxygen before departing.
A 5-day-old who passed newborn pulse-oximetry screening returns with poor feeding and mottled legs. Right-arm blood pressure is 84/50 mm Hg; leg pressure is 46/28 mm Hg. Brachial pulses are strong, femoral pulses are barely palpable, and lactate is 6.8 mmol/L. Findings persist after an initial 10 mL/kg crystalloid bolus. Antibiotics have been started and cardiac transfer accepted, but echocardiography is unavailable. Which treatment should be added before departure?
Correct answer: A - Begin alprostadil to restore ductal flow.
A 3.0-kg newborn has recurrent hypoglycemia despite an uninterrupted dextrose infusion. After treating the current episode, the neonatologist prescribes a glucose infusion rate of 8 mg/kg/min and limits this infusion to 80 mL/kg/day. A centrally positioned venous catheter is available, and pharmacy can supply each concentration below. Which preparation meets both requirements?
Correct answer: C - 15% dextrose at 9.6 mL/hour.
At 4 hours of age, a 39-week infant is referred after placental abruption. Cord pH was 7.09 with a base deficit of 13 mmol/L; positive-pressure ventilation continued for 14 minutes after birth. The infant now breathes without assistance but remains lethargic and hypotonic with a weak suck. Glucose is normal, and no sedatives have been given. The transport team has servo-controlled cooling equipment. Which plan is justified by the eligibility criteria?
Correct answer: A - Start controlled cooling to 33-34 °C during transfer.
At pickup, a previously healthy 4-month-old with a first episode of bronchiolitis is alert and consolable. Nasal suctioning has reduced retractions; SpO2 is 95% on 0.5 L/min oxygen, respiratory rate is 46/min, and no apnea has occurred. Diffuse crackles and an expiratory wheeze remain. Which respiratory plan fits this reassessment?
Correct answer: B - Continue low-flow oxygen with suctioning as needed.
An alert 6-month-old develops an abrupt, regular tachycardia at 252/min. QRS duration is 0.06 second, and P waves are not discernible. Blood pressure is 86/52 mm Hg, capillary refill is 2 seconds, and a cold stimulus to the face has not altered the rhythm. IV access is functioning. Which intervention is indicated?
Correct answer: D - Adenosine 0.1 mg/kg by rapid IV push and flush.
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