Barkley Pediatrics Practice ACTUAL EXAM
ALL QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% VERIFIED SOLUTIONS |
UPDATED PER LATEST GUIDELINES |
GRADED A+
Questions 1–25: Growth, Development & Well-Child Care
1. A 2-month-old infant is brought for a well-child visit. Which developmental finding is
expected?
A. Walking independently
B. Social smiling
C. Using two-word phrases
D. Sitting without support
Answer: B. Social smiling
Rationale: By approximately 2 months, infants typically begin social smiling, cooing, and
demonstrating improved head control. Independent walking and two-word phrases occur much
later.
2. Which developmental milestone is expected in a 6-month-old?
A. Sitting with support
B. Walking independently
C. Using three-word sentences
D. Hopping on one foot
Answer: A. Sitting with support
Rationale: Around 6 months, infants commonly sit with support, roll over, transfer objects
between hands, and babble.
,3. Which milestone is most characteristic of a 9-month-old?
A. Pulling to stand
B. Riding a tricycle
C. Using four-word sentences
D. Skipping
Answer: A. Pulling to stand
Rationale: Around 9 months, many infants can sit independently, crawl, pull to stand, and use
repetitive consonant sounds.
4. Which developmental milestone is expected around 12 months?
A. Walking with assistance
B. Reading simple words
C. Riding a bicycle
D. Writing their name
Answer: A. Walking with assistance
Rationale: Many 12-month-old children pull to stand and may walk while holding onto furniture
or with assistance.
5. A 15-month-old should generally be able to:
A. Take several independent steps
B. Read simple sentences
C. Ride a bicycle
D. Draw a recognizable person
Answer: A. Take several independent steps
Rationale: Independent walking commonly emerges around 12–15 months.
6. Which milestone is expected in a 2-year-old?
A. Two-word phrases
B. Walking with assistance
,C. Moro reflex
D. Cooing
Answer: A. Two-word phrases
Rationale: By approximately age 2, children commonly combine two or more words and have
an expanding vocabulary.
7. Which finding in a 2-year-old requires further developmental evaluation?
A. Running
B. Using two-word phrases
C. Loss of previously acquired language skills
D. Parallel play
Answer: C. Loss of previously acquired language skills
Rationale: Developmental regression is never considered a normal developmental variant and
requires prompt evaluation.
8. Which behavior is typical of a 3-year-old?
A. Cooperative play with peers is beginning to emerge
B. Complete abstract reasoning
C. Independent financial decision-making
D. Newborn reflexes
Answer: A. Cooperative play with peers is beginning to emerge
Rationale: Preschool children increasingly engage in interactive and cooperative play, although
parallel play may still occur.
9. Which developmental behavior is expected in a 4-year-old?
A. Hopping on one foot
B. Crawling
C. Using only single words
D. Needing complete assistance with feeding
Answer: A. Hopping on one foot
, Rationale: By age 4, children typically demonstrate improved gross and fine motor skills,
including hopping on one foot.
10. A 5-year-old cannot copy a simple geometric shape and has significant difficulty with fine-
motor tasks. What should the NP do?
A. Ignore the finding
B. Perform further developmental assessment
C. Diagnose autism immediately
D. Wait until adolescence
Answer: B. Perform further developmental assessment
Rationale: Developmental concerns should prompt additional assessment rather than
immediate diagnosis based on a single finding.
11. Which growth pattern is most concerning?
A. Weight consistently tracking along the child's established percentile
B. Crossing downward through multiple major growth percentiles
C. Temporary variation during an illness
D. Stable height and weight
Answer: B
Rationale: Significant downward crossing of growth percentiles can indicate inadequate
nutrition, chronic disease, endocrine disorders, or other pathology.
12. Which measurement is particularly important in children younger than 2 years?
A. Head circumference
B. Waist-to-hip ratio
C. Arm span only
D. Chest circumference only
Answer: A. Head circumference
Rationale: Head circumference provides important information about brain and skull growth
during infancy and early childhood.
ALL QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% VERIFIED SOLUTIONS |
UPDATED PER LATEST GUIDELINES |
GRADED A+
Questions 1–25: Growth, Development & Well-Child Care
1. A 2-month-old infant is brought for a well-child visit. Which developmental finding is
expected?
A. Walking independently
B. Social smiling
C. Using two-word phrases
D. Sitting without support
Answer: B. Social smiling
Rationale: By approximately 2 months, infants typically begin social smiling, cooing, and
demonstrating improved head control. Independent walking and two-word phrases occur much
later.
2. Which developmental milestone is expected in a 6-month-old?
A. Sitting with support
B. Walking independently
C. Using three-word sentences
D. Hopping on one foot
Answer: A. Sitting with support
Rationale: Around 6 months, infants commonly sit with support, roll over, transfer objects
between hands, and babble.
,3. Which milestone is most characteristic of a 9-month-old?
A. Pulling to stand
B. Riding a tricycle
C. Using four-word sentences
D. Skipping
Answer: A. Pulling to stand
Rationale: Around 9 months, many infants can sit independently, crawl, pull to stand, and use
repetitive consonant sounds.
4. Which developmental milestone is expected around 12 months?
A. Walking with assistance
B. Reading simple words
C. Riding a bicycle
D. Writing their name
Answer: A. Walking with assistance
Rationale: Many 12-month-old children pull to stand and may walk while holding onto furniture
or with assistance.
5. A 15-month-old should generally be able to:
A. Take several independent steps
B. Read simple sentences
C. Ride a bicycle
D. Draw a recognizable person
Answer: A. Take several independent steps
Rationale: Independent walking commonly emerges around 12–15 months.
6. Which milestone is expected in a 2-year-old?
A. Two-word phrases
B. Walking with assistance
,C. Moro reflex
D. Cooing
Answer: A. Two-word phrases
Rationale: By approximately age 2, children commonly combine two or more words and have
an expanding vocabulary.
7. Which finding in a 2-year-old requires further developmental evaluation?
A. Running
B. Using two-word phrases
C. Loss of previously acquired language skills
D. Parallel play
Answer: C. Loss of previously acquired language skills
Rationale: Developmental regression is never considered a normal developmental variant and
requires prompt evaluation.
8. Which behavior is typical of a 3-year-old?
A. Cooperative play with peers is beginning to emerge
B. Complete abstract reasoning
C. Independent financial decision-making
D. Newborn reflexes
Answer: A. Cooperative play with peers is beginning to emerge
Rationale: Preschool children increasingly engage in interactive and cooperative play, although
parallel play may still occur.
9. Which developmental behavior is expected in a 4-year-old?
A. Hopping on one foot
B. Crawling
C. Using only single words
D. Needing complete assistance with feeding
Answer: A. Hopping on one foot
, Rationale: By age 4, children typically demonstrate improved gross and fine motor skills,
including hopping on one foot.
10. A 5-year-old cannot copy a simple geometric shape and has significant difficulty with fine-
motor tasks. What should the NP do?
A. Ignore the finding
B. Perform further developmental assessment
C. Diagnose autism immediately
D. Wait until adolescence
Answer: B. Perform further developmental assessment
Rationale: Developmental concerns should prompt additional assessment rather than
immediate diagnosis based on a single finding.
11. Which growth pattern is most concerning?
A. Weight consistently tracking along the child's established percentile
B. Crossing downward through multiple major growth percentiles
C. Temporary variation during an illness
D. Stable height and weight
Answer: B
Rationale: Significant downward crossing of growth percentiles can indicate inadequate
nutrition, chronic disease, endocrine disorders, or other pathology.
12. Which measurement is particularly important in children younger than 2 years?
A. Head circumference
B. Waist-to-hip ratio
C. Arm span only
D. Chest circumference only
Answer: A. Head circumference
Rationale: Head circumference provides important information about brain and skull growth
during infancy and early childhood.
