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BARKLEY PNP-PC DIAGNOSTIC READINESS
TEST (DRT) #2 \100 Practice Questions with
Verified Answers & Rationales
SECTION 1: GROWTH & DEVELOPMENT (1–15)
1. A 9-month-old infant is in the clinic for a well-child visit. The
mother reports the baby can sit alone, transfers objects from hand to
hand, and has begun to pull to stand. Which gross motor milestone
should the PNP expect at this age?
A. Rolls from back to abdomen
B. Crawls on hands and knees
C. Walks independently
D. Sits without support
: Correct Answer : B
Rationale: Pulling to stand typically occurs at 9–10 months; many 9-
month-olds are crawling or beginning to crawl. Rolling back to
abdomen is a 6-month skill; sitting without support occurs by 8 months;
walking independently is a 12–15 month skill.
2. A 4-year-old child is brought to the clinic for a preschool physical.
The child can hop on one foot, draw a person with three parts, and
speak in sentences of 5 words. Which of the following is a language
milestone expected at this age?
A. 10-word vocabulary
B. Tells stories and uses past tense
C. Says "mama" and "dada" specifically
D. Uses two-word sentences
pg. 1
,2
: Correct Answer : B
Rationale: At 4 years, children can tell stories, use past tense, and have
a vocabulary of ~1500 words. They can speak in complete sentences.
The other options are milestones for younger children (12–24 months).
3. A 2-month-old infant is being evaluated. The PNP notes a positive
Moro reflex and palmar grasp. The mother asks when these reflexes
should disappear. The PNP responds:
A. 1 month
B. 3–6 months
C. 9–12 months
D. 18 months
: Correct Answer : B
Rationale: The Moro reflex disappears by 4–6 months; the palmar grasp
by 5–6 months. Persistence beyond 6 months may indicate neurological
dysfunction.
4. A healthy 12-month-old has doubled his birth weight and grown 10
inches in length. According to normal growth patterns, the PNP
should expect the child to triple birth weight by what age?
A. 6 months
B. 12 months
C. 18 months
D. 24 months
: Correct Answer : B
Rationale: Infants typically double birth weight by 4–6 months and
triple it by 12 months. Length increases by 50% by 12 months.
pg. 2
,3
5. The mother of a 15-month-old is concerned because her child
"walks but looks bowlegged." The PNP explains that physiologic
bowing of the legs:
A. Is abnormal and requires orthopedic referral
B. Typically resolves by 3 years without treatment
C. Indicates vitamin D deficiency
D. Is caused by early walking
: Correct Answer : B
Rationale: Physiologic genu varum (bowlegs) is common in toddlers and
usually resolves by 2–3 years as the child grows. It is not a sign of
rickets unless other signs or risk factors are present.
6. At what age does an infant usually develop stranger anxiety?
A. 2 months
B. 4 months
C. 8 months
D. 12 months
: Correct Answer : C
Rationale: Stranger anxiety typically emerges around 8 months and
peaks at 10–18 months, coinciding with object permanence and
attachment to primary caregivers.
7. A 3-year-old child should be able to perform which fine motor task?
A. Tie shoelaces
B. Copy a circle
C. Print first name
D. Cut with scissors
pg. 3
, 4
: Correct Answer : B
Rationale: At 3 years, a child can copy a circle and build a tower of 9–10
cubes. Tying shoes and printing name are 5–6 year skills; cutting with
scissors is 4 years.
8. A 5-year-old boy has a vocabulary of 2000 words, can count to 10,
and knows his colors. He also engages in cooperative play. This is
consistent with which developmental stage according to Erikson?
A. Trust vs. mistrust
B. Autonomy vs. shame/doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
: Correct Answer : C
Rationale: The initiative vs. guilt stage (ages 3–6) is characterized by
exploration, imagination, and cooperative play. Industry vs. inferiority
begins at school age (6–12 years).
9. A mother brings her 18-month-old to the clinic for a well-child visit.
She is concerned because the child is not yet toilet trained. The PNP
responds:
A. This is a significant delay; refer to urology
B. Most children achieve daytime control by 18 months
C. Readiness signs usually appear between 18 and 30 months; it is not
delayed
D. Toilet training should be completed by 24 months
: Correct Answer : C
Rationale: Toilet training readiness emerges between 18–30 months,
pg. 4
BARKLEY PNP-PC DIAGNOSTIC READINESS
TEST (DRT) #2 \100 Practice Questions with
Verified Answers & Rationales
SECTION 1: GROWTH & DEVELOPMENT (1–15)
1. A 9-month-old infant is in the clinic for a well-child visit. The
mother reports the baby can sit alone, transfers objects from hand to
hand, and has begun to pull to stand. Which gross motor milestone
should the PNP expect at this age?
A. Rolls from back to abdomen
B. Crawls on hands and knees
C. Walks independently
D. Sits without support
: Correct Answer : B
Rationale: Pulling to stand typically occurs at 9–10 months; many 9-
month-olds are crawling or beginning to crawl. Rolling back to
abdomen is a 6-month skill; sitting without support occurs by 8 months;
walking independently is a 12–15 month skill.
2. A 4-year-old child is brought to the clinic for a preschool physical.
The child can hop on one foot, draw a person with three parts, and
speak in sentences of 5 words. Which of the following is a language
milestone expected at this age?
A. 10-word vocabulary
B. Tells stories and uses past tense
C. Says "mama" and "dada" specifically
D. Uses two-word sentences
pg. 1
,2
: Correct Answer : B
Rationale: At 4 years, children can tell stories, use past tense, and have
a vocabulary of ~1500 words. They can speak in complete sentences.
The other options are milestones for younger children (12–24 months).
3. A 2-month-old infant is being evaluated. The PNP notes a positive
Moro reflex and palmar grasp. The mother asks when these reflexes
should disappear. The PNP responds:
A. 1 month
B. 3–6 months
C. 9–12 months
D. 18 months
: Correct Answer : B
Rationale: The Moro reflex disappears by 4–6 months; the palmar grasp
by 5–6 months. Persistence beyond 6 months may indicate neurological
dysfunction.
4. A healthy 12-month-old has doubled his birth weight and grown 10
inches in length. According to normal growth patterns, the PNP
should expect the child to triple birth weight by what age?
A. 6 months
B. 12 months
C. 18 months
D. 24 months
: Correct Answer : B
Rationale: Infants typically double birth weight by 4–6 months and
triple it by 12 months. Length increases by 50% by 12 months.
pg. 2
,3
5. The mother of a 15-month-old is concerned because her child
"walks but looks bowlegged." The PNP explains that physiologic
bowing of the legs:
A. Is abnormal and requires orthopedic referral
B. Typically resolves by 3 years without treatment
C. Indicates vitamin D deficiency
D. Is caused by early walking
: Correct Answer : B
Rationale: Physiologic genu varum (bowlegs) is common in toddlers and
usually resolves by 2–3 years as the child grows. It is not a sign of
rickets unless other signs or risk factors are present.
6. At what age does an infant usually develop stranger anxiety?
A. 2 months
B. 4 months
C. 8 months
D. 12 months
: Correct Answer : C
Rationale: Stranger anxiety typically emerges around 8 months and
peaks at 10–18 months, coinciding with object permanence and
attachment to primary caregivers.
7. A 3-year-old child should be able to perform which fine motor task?
A. Tie shoelaces
B. Copy a circle
C. Print first name
D. Cut with scissors
pg. 3
, 4
: Correct Answer : B
Rationale: At 3 years, a child can copy a circle and build a tower of 9–10
cubes. Tying shoes and printing name are 5–6 year skills; cutting with
scissors is 4 years.
8. A 5-year-old boy has a vocabulary of 2000 words, can count to 10,
and knows his colors. He also engages in cooperative play. This is
consistent with which developmental stage according to Erikson?
A. Trust vs. mistrust
B. Autonomy vs. shame/doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
: Correct Answer : C
Rationale: The initiative vs. guilt stage (ages 3–6) is characterized by
exploration, imagination, and cooperative play. Industry vs. inferiority
begins at school age (6–12 years).
9. A mother brings her 18-month-old to the clinic for a well-child visit.
She is concerned because the child is not yet toilet trained. The PNP
responds:
A. This is a significant delay; refer to urology
B. Most children achieve daytime control by 18 months
C. Readiness signs usually appear between 18 and 30 months; it is not
delayed
D. Toilet training should be completed by 24 months
: Correct Answer : C
Rationale: Toilet training readiness emerges between 18–30 months,
pg. 4
