NPS Practice Test 2026 — Free NPS Exam Prep Questions
The NBRC Neonatal/Pediatric Specialty exam is taken by registered respiratory therapists who want the RRT-NPS credential for work in NICUs, PICUs and pediatric units. Our practice set follows the NBRC detailed content outline effective October 2025, with delivery-room, NICU and PICU vignettes on assessment, airway care, ventilation, specialty gases, procedures and end-of-life care, including worked OI and heliox calculations.
A ventilated 32-week infant suddenly develops bradycardia and SpO2 of 70%. Breath sounds are reduced on the left, the heart sounds have shifted right, and transillumination shows a bright glow over the left chest. What is the most appropriate immediate action?
NPS format, scoring & key facts
Computer-based at assessment centers; forms assembled by linear-on-the-fly testing (LOFT).
Facts last verified Oct 5, 2026. Source: www.nbrc.org/wp-content/uploads/2025/08/NBRC-NPS-DCO-October-2025.pdf. Always confirm details with NBRC before your exam.
When can you take the NPS?
Plan backwards from your exam date
What the NPS covers
Every PrepBanq NPS test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Competencies Shared Between Critical and General Care of Neonatal or Pediatric PatientsAssessment, mechanisms of respiratory compromise, pulmonary status, airway management, equipment, procedures, medications, diagnostics, nutrition, resuscitation, protocols, teamwork and family education (80 scored items). | 53.3% | ~80 | 13 questions → |
Competencies Specific to Critical Care of Neonatal or Pediatric PatientsPerinatal and neonatal assessment, specialty gases, ventilation and oxygenation management, critical-care procedures, surfactant and airway medications, and end-of-life care (70 scored items). | 46.7% | ~70 | 12 questions → |
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NPS FAQ
How many questions are on the NPS?
The NPS has 170 questions (150 of them scored) and you have 4 hours to finish. Question types: Multiple choice (150 scored + 20 pretest).
How long is the NPS exam?
Testing time for the NPS is 4 hours.
What is on the NPS?
The NPS covers Competencies Shared Between Critical and General Care of Neonatal or Pediatric Patients (about 53.3%), Competencies Specific to Critical Care of Neonatal or Pediatric Patients (about 46.7%).
Who administers the NPS?
The NBRC Neonatal/Pediatric Respiratory Care Specialist (NPS) Exam is administered by NBRC. Delivery: Computer-based at assessment centers; forms assembled by linear-on-the-fly testing (LOFT).
Is there a free NPS practice test?
Yes. PrepBanq has 3 free NPS practice tests with 25 exam-style questions in the real NPS formats, and every answer is explained. No credit card is needed.
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