Certified Nurse Practitioner — Pediatric
Primary Care practice test exam
1. A 4-month-old infant can hold the head steady, coo, and
bring hands to mouth. Which developmental milestone is the
infant demonstrating?
A) Social smile
B) Head control
C) Rolling over
D) Sitting without support
Answer: B
Rationale: Head control is a 4-month milestone. Social smile is 2
months, rolling over is 5-6 months, and sitting without support
is 8 months.
2. A 2-year-old can say 50 or more words, use two-word
phrases, and follow simple instructions. Which developmental
milestone is the child demonstrating?
,A) Language development appropriate for age
B) Delayed language development
C) Advanced language development
D) No concerns
Answer: A
Rationale: By 2 years, children typically have 50 or more words
and use two-word phrases. This child is meeting expected
milestones.
3. A 6-month-old can sit with support, babble, and reach for
objects. Which milestone is the infant demonstrating?
A) Sitting without support
B) Babbling and reaching
C) Walking independently
D) Using pincer grasp
Answer: B
Rationale: At 6 months, infants can sit with support, babble,
and reach for objects. Sitting without support is 8 months,
walking is 12 months, and pincer grasp is 9 months.
,4. A 4-year-old can hop on one foot, draw a circle, and speak in
sentences of 4-5 words. Is this development appropriate?
A) Yes, appropriate for age
B) No, delayed development
C) No, advanced development
D) Cannot determine from information given
Answer: A
Rationale: Hopping on one foot, drawing a circle, and speaking
in 4-5 word sentences are all appropriate for a 4-year-old.
5. A 10-year-old is experiencing rapid growth and begins to
show signs of puberty. What is this stage called?
A) Infancy
B) Early childhood
C) School age
D) Preadolescence
, Answer: D
Rationale: Preadolescence (ages 9-12) is characterized by rapid
growth and early signs of puberty.
6. The first physical sign indicating the onset of female puberty
is:
A) Sparsely distributed pubic hairs
B) Breast buds
C) Menarche
D) Peak height velocity
Answer: B
Rationale: The first sign of female puberty is breast buds,
closely followed by pubic hair development. Menarche typically
occurs 2-2.5 years after thelarche.
7. A preschool child who says the sky is blue because it is his
favorite color is illustrating which concept?
A) Symbolic thinking
B) Egocentrism
Primary Care practice test exam
1. A 4-month-old infant can hold the head steady, coo, and
bring hands to mouth. Which developmental milestone is the
infant demonstrating?
A) Social smile
B) Head control
C) Rolling over
D) Sitting without support
Answer: B
Rationale: Head control is a 4-month milestone. Social smile is 2
months, rolling over is 5-6 months, and sitting without support
is 8 months.
2. A 2-year-old can say 50 or more words, use two-word
phrases, and follow simple instructions. Which developmental
milestone is the child demonstrating?
,A) Language development appropriate for age
B) Delayed language development
C) Advanced language development
D) No concerns
Answer: A
Rationale: By 2 years, children typically have 50 or more words
and use two-word phrases. This child is meeting expected
milestones.
3. A 6-month-old can sit with support, babble, and reach for
objects. Which milestone is the infant demonstrating?
A) Sitting without support
B) Babbling and reaching
C) Walking independently
D) Using pincer grasp
Answer: B
Rationale: At 6 months, infants can sit with support, babble,
and reach for objects. Sitting without support is 8 months,
walking is 12 months, and pincer grasp is 9 months.
,4. A 4-year-old can hop on one foot, draw a circle, and speak in
sentences of 4-5 words. Is this development appropriate?
A) Yes, appropriate for age
B) No, delayed development
C) No, advanced development
D) Cannot determine from information given
Answer: A
Rationale: Hopping on one foot, drawing a circle, and speaking
in 4-5 word sentences are all appropriate for a 4-year-old.
5. A 10-year-old is experiencing rapid growth and begins to
show signs of puberty. What is this stage called?
A) Infancy
B) Early childhood
C) School age
D) Preadolescence
, Answer: D
Rationale: Preadolescence (ages 9-12) is characterized by rapid
growth and early signs of puberty.
6. The first physical sign indicating the onset of female puberty
is:
A) Sparsely distributed pubic hairs
B) Breast buds
C) Menarche
D) Peak height velocity
Answer: B
Rationale: The first sign of female puberty is breast buds,
closely followed by pubic hair development. Menarche typically
occurs 2-2.5 years after thelarche.
7. A preschool child who says the sky is blue because it is his
favorite color is illustrating which concept?
A) Symbolic thinking
B) Egocentrism
