C-NPT Exam Blueprint: Format, Domains & Weights

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The Neonatal Pediatric Transport exam from NCC is built for the whole
transport team. Here’s the format and how the content is weighted.

Exam format

Item Detail
Questions 125 (100 scored, 25 unscored)
Time 2 hours
Format Multiple choice, single best answer
Type Multidisciplinary subspecialty certification

The three content areas

Area Weight
Transport Core Knowledge 48%
Clinical Knowledge in Neonatal Transport 26%
Clinical Knowledge in Pediatric Transport 26%

What’s in each area?

Transport Core Knowledge (48%) is the biggest slice: transport physiology
(altitude and gas laws, stressors of transport), safety, team roles, communication, and
equipment. Neonatal (26%) covers stabilization of the sick newborn —
thermoregulation, glucose, airway, and conditions like prematurity and congenital lesions.
Pediatric (26%) covers the older child — airway sizing, respiratory
failure, shock, trauma, and age-specific assessment.

What this means for studying

Nearly half the exam is core transport knowledge that applies to every patient, so start
there — especially transport physiology, which shows up constantly. Then split the rest
between neonatal and pediatric clinical content.

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Sources & references

The exam facts on this page are drawn from official certifying-body materials, reviewed 2026-06-18 by the DrCertifications exam-prep team (10+ years in exam preparation and publishing).