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Canadian Paediatric Society

NRP Online Exam FAQs

Where can I access the online exam?

You can find the online exam here.

Is the online exam available in English and French?

Yes, the online exam is available in English and French. 

What is the cost of the online exam?

Individual purchases
An individual access for the 7th edition is $ 28.50 USD. There is no charge for current Instructors. 

Bulk purchases
If your institution is purchasing exams in bulk, the cost will be determined by the number of exams purchased (see below for guidelines) for specific pricing contact your Institution or educator.

7th edition

Prices are in USDIndividual 
50 Exams
51-100 Exams101-500
Over 500
  Individual Purchaser    $28.50    
  Current NRP     Instructor  No Charge    
  Bulk purchases    $28.50   $ 27.00  $ 25.50  $ 24.00

What is the format of the new online exam? (New)

The 7th edition exam has been designed into two parts: lessons 1-5 and lessons 6-11. All exam lessons are now mandatory for all learners and NRP Instructors.

How long do I have to take the online exam?

7th edition
Learners have an unlimited amount of time to complete the exam.

What happens if I fail the online exam?                                      

7th edition
The exam allows for unlimited attempts which means that learners cannot fail the exam. 

How many times can I retake the exam?

7th edition
Learners can retake the exam as many times as needed.

Is the online exam an “open book” exam? 

Yes, the online exam is an “open book” test.   Taking the NRP exam online prior to the course encourages participants to be responsible for their own learning and lays the groundwork for successful completion of the other components of the face-to-face course. The exam is not timed (other than requiring completion within 14 days of initial log-on) and there is no requirement to be proctored while taking the exam.  Self-directed learners will take the online exam in a manner that enhances their understanding of the clinical content.

What is the passing mark for the online exam?

Learners must receive a minimum passing score of 80% in each lesson.

Will the Instructors take the same test as Providers?

Yes, Providers and Instructors will complete the same examination; however, because the examination questions are drawn from a pool of questions, and the order of questions and responses are randomized, the content of each examination will vary.

Do current Instructors need to pay for the exam?

Current NRP Instructors receive complimentary access to the NRP Online Exam, 7th edition. NRP Providers seeking to become Instructors and lapsed NRP Instructors will need to purchase the online examination.

Is there an alternative method of payment for online exam?

At this moment in time, we do not have an alternative payment for the online exam.  Only major Credit Cards are accepted.

I forgot to print my receipt, who do I contact for a re-print?

Your receipt can be found under your healthstream profile (please review the self-registration instructions) or you can also request a re-print of your receipt from the HealthStream Customer Support at 1-800-521-0574, or by email at

How many continuing education credits will I receive for the online exam?

Physicians, nurses, respiratory therapists and emergency medical technicians are eligible for up to 10 hours of continuing education credit. Actual credit assigned will depend on the number of lessons completed.

When do I need to teach my courses using the 7th edition online examination?

Yes, the 6th edition is no longer in use.

When should I take the online exam?

The learner preparing for an NRP course should take the exam during the 30 days before the scheduled course.

Will I receive confirmation after completing the exam?

Yes, upon successful completion of the online exam, learners will receive an online examination verification certificate indicating the date and successful completion.  They may also choose to print the certificate of continuing education (CME) document. Both of these documents are valid for admission to an NRP course within 30 days of completion.

How do I prove that I have successfully completed the online exam?

Upon successful completion of the online exam, learners will receive an online examination verification and CME certificate. Either are proof of completion and at least one must be printed and brought to the scheduled course.

What if something unexpected happens online during testing?

HealthStream Customer Service is available from 7 a.m. to 7 p.m. CST, Monday through Friday (except major holidays) at

Who has to take the online exam?

All learners using the Neonatal Resuscitation Program, 7th Edition are required to take the NRP Online Exam, 7th edition. Providers are required to take the online exam within 30 days before their scheduled NRP Provider Course. Instructor trainers and Instructors are required to complete the online exam within 30 days of their renewal date.

What if the learner comes to the NRP course without taking the online exam? 

Participants of a course should all be made aware of the requirement for successful completion of the online exam prior to attending the face-to-face course, and as such, providers coming to the course without completing the exam should be an exception rather than a common occurrence. 

In such cases, the Instructor should use his or her discretion based on the individual circumstances.  Should the Instructor deem that the participant has not prepared adequately for the course and / or has limited background and experience in perinatal or neonatal care, it would be entirely appropriate to not admit them to the course.  If the Instructor is satisfied that the individual has prepared for the course and there were extenuating circumstances for not completing the online exam, they may use discretion in allowing them into the course.  In such cases, the learner cannot be entered onto the course roster or be eligible for registration as a Provider with the CPS until proof of successful completion is provided to the Instructor.  Verification must follow no later than 1 month after the course and may be sooner if directed by the Instructor.

 What should I do if a Provider fails the online exam? 

7th edition
The exam has unlimited attempts; therefore they should be able to complete it prior to attending the course.

Last updated: Jan 24 2018