NURS 6541 Midterm Exam Actual Exam
2026/2027 – Complete Primary Care of
Adolescents & Children Questions with Detailed
Rationales | 100% Verified | Pass Guaranteed –
A+ Graded
Section A: Growth & Developmental Milestones Across Pediatric Populations
Q1: A mother brings her 2-month-old infant for a well-child visit. She is concerned that
her baby does not yet reach for toys. Which developmental milestone is most
appropriate for a 2-month-old?
A. Reaching for toys with both hands
B. Rolling from front to back
C. Social smile and cooing [CORRECT]
D. Sitting without support
Correct Answer: C
Rationale: By 2 months, infants typically demonstrate a social smile and coo. Reaching
(option A) and rolling front to back (option B) emerge around 4 months, and sitting
without support (option D) is a 9-month milestone.
Q2: During a 6-month well-child visit, the parents ask what motor skills their infant
should have. Which finding is consistent with normal development at this age?
A. Walks alone
B. Sits with support and babbles [CORRECT]
C. Uses a pincer grasp
D. Walks up and down stairs
Correct Answer: B
Rationale: At 6 months, infants sit with support and babble. Walking alone (option A)
occurs at 15 months, pincer grasp (option C) at 9 months, and stair walking (option D)
at 2 years.
,Q3: A 9-month-old infant is evaluated during a routine check-up. Which developmental
milestone would the nurse practitioner expect to find?
A. Says 3–4 word sentences
B. Sits without support, crawls, and uses pincer grasp [CORRECT]
C. Runs and feeds self with a spoon
D. Copies a circle
Correct Answer: B
Rationale: At 9 months, infants sit without support, crawl, and use a pincer grasp. Three-
to four-word sentences (option A) occur at 3 years, running and self-feeding (option C)
at 18 months, and copying a circle (option D) at 3 years.
Q4: At a 12-month well-child visit, which developmental milestone is most appropriate?
A. Walks alone and uses 10–20 words
B. Stands, walks with support, and says 1–2 words [CORRECT]
C. Skips and prints letters
D. Rides a tricycle and uses 3-word sentences
Correct Answer: B
Rationale: By 12 months, infants typically stand, walk with support, and say 1–2 words.
Walking alone (option A) is a 15-month milestone, skipping and printing (option C) occur
at 5 years, and tricycle riding (option D) at 3 years.
Q5: A 15-month-old toddler is seen for a routine visit. Which behavior is expected at this
age?
A. Walks alone and points to objects [CORRECT]
B. Runs and uses a spoon
C. Hops on one foot
D. Ties shoelaces
Correct Answer: A
Rationale: At 15 months, toddlers walk alone and point to objects of interest. Running
and spoon use (option B) occur at 18 months, hopping (option C) at 4 years, and tying
shoelaces (option D) at 5–6 years.
Q6: During an 18-month well-child visit, the parents report their child can run and feeds
himself with a spoon. How many words should this toddler typically use?
A. 1–2 words
B. 3–5 words
, C. 10–20 words [CORRECT]
D. 50+ words
Correct Answer: C
Rationale: An 18-month-old typically uses 10–20 words. One to two words (option A)
are expected at 12 months, 3–5 words (option B) at 15 months, and 50+ words (option
D) at 2 years.
Q7: A 2-year-old is seen for a routine physical. Which developmental milestone is most
consistent with this age?
A. Walks alone and points
B. Runs and feeds self with a spoon
C. Walks up and down stairs, uses 2-word phrases, and engages in parallel play
[CORRECT]
D. Hops, climbs, and tells stories
Correct Answer: C
Rationale: At 2 years, children walk up/down stairs, use 2-word phrases, and engage in
parallel play. Option A is 15 months, option B is 18 months, and option D is 4 years.
Q8: A 3-year-old is evaluated in the clinic. Which developmental skill is expected at this
age?
A. Copies a circle and rides a tricycle [CORRECT]
B. Skips and prints numbers
C. Ties shoelaces and rides a bicycle
D. Uses 2-word phrases and parallel play
Correct Answer: A
Rationale: Three-year-olds copy circles and ride tricycles. Skipping and printing (option
B) occur at 5 years, tying shoelaces (option C) at 5–6 years, and 2-word phrases (option
D) at 2 years.
Q9: A 4-year-old child is seen for a preschool physical. Which developmental milestone
is most appropriate?
A. Copies a circle
B. Hops, climbs, uses 4–5 word sentences, and tells stories [CORRECT]
C. Skips and prints letters
D. Rides a tricycle and copies a circle
Correct Answer: B
2026/2027 – Complete Primary Care of
Adolescents & Children Questions with Detailed
Rationales | 100% Verified | Pass Guaranteed –
A+ Graded
Section A: Growth & Developmental Milestones Across Pediatric Populations
Q1: A mother brings her 2-month-old infant for a well-child visit. She is concerned that
her baby does not yet reach for toys. Which developmental milestone is most
appropriate for a 2-month-old?
A. Reaching for toys with both hands
B. Rolling from front to back
C. Social smile and cooing [CORRECT]
D. Sitting without support
Correct Answer: C
Rationale: By 2 months, infants typically demonstrate a social smile and coo. Reaching
(option A) and rolling front to back (option B) emerge around 4 months, and sitting
without support (option D) is a 9-month milestone.
Q2: During a 6-month well-child visit, the parents ask what motor skills their infant
should have. Which finding is consistent with normal development at this age?
A. Walks alone
B. Sits with support and babbles [CORRECT]
C. Uses a pincer grasp
D. Walks up and down stairs
Correct Answer: B
Rationale: At 6 months, infants sit with support and babble. Walking alone (option A)
occurs at 15 months, pincer grasp (option C) at 9 months, and stair walking (option D)
at 2 years.
,Q3: A 9-month-old infant is evaluated during a routine check-up. Which developmental
milestone would the nurse practitioner expect to find?
A. Says 3–4 word sentences
B. Sits without support, crawls, and uses pincer grasp [CORRECT]
C. Runs and feeds self with a spoon
D. Copies a circle
Correct Answer: B
Rationale: At 9 months, infants sit without support, crawl, and use a pincer grasp. Three-
to four-word sentences (option A) occur at 3 years, running and self-feeding (option C)
at 18 months, and copying a circle (option D) at 3 years.
Q4: At a 12-month well-child visit, which developmental milestone is most appropriate?
A. Walks alone and uses 10–20 words
B. Stands, walks with support, and says 1–2 words [CORRECT]
C. Skips and prints letters
D. Rides a tricycle and uses 3-word sentences
Correct Answer: B
Rationale: By 12 months, infants typically stand, walk with support, and say 1–2 words.
Walking alone (option A) is a 15-month milestone, skipping and printing (option C) occur
at 5 years, and tricycle riding (option D) at 3 years.
Q5: A 15-month-old toddler is seen for a routine visit. Which behavior is expected at this
age?
A. Walks alone and points to objects [CORRECT]
B. Runs and uses a spoon
C. Hops on one foot
D. Ties shoelaces
Correct Answer: A
Rationale: At 15 months, toddlers walk alone and point to objects of interest. Running
and spoon use (option B) occur at 18 months, hopping (option C) at 4 years, and tying
shoelaces (option D) at 5–6 years.
Q6: During an 18-month well-child visit, the parents report their child can run and feeds
himself with a spoon. How many words should this toddler typically use?
A. 1–2 words
B. 3–5 words
, C. 10–20 words [CORRECT]
D. 50+ words
Correct Answer: C
Rationale: An 18-month-old typically uses 10–20 words. One to two words (option A)
are expected at 12 months, 3–5 words (option B) at 15 months, and 50+ words (option
D) at 2 years.
Q7: A 2-year-old is seen for a routine physical. Which developmental milestone is most
consistent with this age?
A. Walks alone and points
B. Runs and feeds self with a spoon
C. Walks up and down stairs, uses 2-word phrases, and engages in parallel play
[CORRECT]
D. Hops, climbs, and tells stories
Correct Answer: C
Rationale: At 2 years, children walk up/down stairs, use 2-word phrases, and engage in
parallel play. Option A is 15 months, option B is 18 months, and option D is 4 years.
Q8: A 3-year-old is evaluated in the clinic. Which developmental skill is expected at this
age?
A. Copies a circle and rides a tricycle [CORRECT]
B. Skips and prints numbers
C. Ties shoelaces and rides a bicycle
D. Uses 2-word phrases and parallel play
Correct Answer: A
Rationale: Three-year-olds copy circles and ride tricycles. Skipping and printing (option
B) occur at 5 years, tying shoelaces (option C) at 5–6 years, and 2-word phrases (option
D) at 2 years.
Q9: A 4-year-old child is seen for a preschool physical. Which developmental milestone
is most appropriate?
A. Copies a circle
B. Hops, climbs, uses 4–5 word sentences, and tells stories [CORRECT]
C. Skips and prints letters
D. Rides a tricycle and copies a circle
Correct Answer: B
