100 questions per exam, expanded for comprehensive prep: The real Advanced Exam is only 35 fixed questions plus an adaptive OLA, which makes meaningful practice difficult. These simulations expand to 100 questions across all 11 lessons so you actually get the reps you need before sitting for the real assessment. 4-option multiple choice, single best answer, just the clinical judgment the exam actually demands.
Aligned to the current NRP edition: Built around the current edition guidelines and ILCOR-based protocols, not the retired previous edition. Heart rate thresholds, FiO2 starting concentrations, epinephrine doses, compression ratios, and meconium management all reflect the most recent updates, critical because the previous edition's values differ in several areas and can cost candidates real points.
Lesson-balanced across the full Advanced scope: Foundations, Initial Assessment, Positive Pressure Ventilation, Chest Compressions, Intubation and Airway, Medications, Special Situations, Preterm, Post-Resuscitation, and Teamwork, weighted to match where the real exam concentrates its questions.
Built around the traps the real exam sets: We intentionally included the misconceptions candidates miss most. MR SOPA sequence in the correct order (Mask, Reposition, Suction, Open mouth, Pressure, Alternative airway, not what most candidates default to), chest compression initiation threshold (HR below 60 only after 30 seconds of effective PPV, never before confirming PPV effectiveness), epinephrine concentration (1:10,000 IV or UVC, the 1:1,000 confusion is the most clinically dangerous error in the entire algorithm), oxygen concentration by gestational age (21% term, 21 to 30% preterm, 100% during compressions), updated meconium management (no routine suctioning for vigorous infants), preterm temperature management (polyethylene wrap without drying first), volume expander timing (only after suspected hypovolemia, not routine), and 2-thumb encircling versus 2-finger technique selection. If it's a common mistake, it's in here.
Application-level thinking, not memorization: The majority of questions require you to apply NRP knowledge to a real delivery scenario, gestational age, heart rate, breathing status, and choose the correct next algorithm step. That's exactly the kind of thinking the real Advanced Exam calls for.
Algorithm-supported visuals where they matter most: Embedded decision-point diagrams in approximately 10 to 15 questions, concentrated at the highest-stakes algorithm branches and preterm care sequences, so you're seeing the logic the way you'll need to apply it in the room.
Self-paced practice mode: Just like the real NRP online exam, work at your own pace with no time pressure. Minimal feedback during the exam so you're building real decision-making focus, not just checking answers. Question flagging and back-navigation enabled.
Detailed lesson analytics: After each simulation, you'll see a full performance breakdown across all NRP Advanced lesson areas so you know exactly where to focus your review.
Detailed rationales for every question: After each simulation, you'll get a full results breakdown emailed to you, including which questions you missed, the correct answers, and a clear rationale citing the specific algorithm step or current edition guideline used for classification. You're not just learning what you got wrong, you're learning why, so the same mistake doesn't catch you twice.
Certificate of completion upon passing: Hit the 80% NRP passing threshold and you'll earn a certificate to mark the milestone. You put in the work. That's worth recognizing.

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