BARKLEY PNP DRT 2 EXAM ACTUAL EXAM
2026 | ALL QUESTIONS AND CORRECT
ANSWERS | VERIFIED ANSWERS |
BRAND NEW VERSION!
1. A 4-month-old infant should be able to:
A. Roll back to stomach
B. Sit without support
C. Bring hands to midline
D. Say “mama/dada”
Correct: C
Rationale: Bringing hands to midline is a 3–4 month milestone; rolling
back-to-stomach is usually 5–6 months, sitting unsupported 6–8 months,
and saying mama/dada 9–12 months.
2. A 9-month-old typically demonstrates:
A. Pincer grasp
B. Riding a tricycle
C. Hopping on one foot
D. Drawing a circle
Correct: A
Rationale: A pincer grasp develops around 9–10 months; the other skills
are much later.
3. A 2-year-old is expected to:
A. Kick a ball
B. Tie shoelaces
C. Write name
D. Skip
Correct: A
, Rationale: Kicking a ball is a 2-year motor milestone; shoelace tying,
name writing, and skipping occur later.
4. A 3-year-old usually can:
A. Ride a tricycle
B. Button small buttons
C. Count to 50
D. Read simple words
Correct: A
Rationale: Tricycle riding is typical at 3 years; fine motor and academic
skills listed are more advanced.
5. A 5-year-old’s speech should be:
A. Understandable to strangers most of the time
B. Only understood by parents
C. Limited to 2-word phrases
D. Absent
Correct: A
Rationale: By 5 years, speech should be largely intelligible to unfamiliar
listeners.
6. Which is a red flag for autism spectrum disorder at 18 months?
A. No pointing to show interest
B. Using 10 words
C. Walking independently
D. Stacking 2 blocks
Correct: A
Rationale: Lack of joint attention/pointing is a red flag; the other
findings can be normal at 18 months.
7. Tanner stage 2 breast budding in females usually begins around:
A. 2–4 years
B. 8–10 years
C. 14–16 years
, D. 16–18 years
Correct: B
Rationale: Breast budding typically begins around 8–10 years; earlier
may suggest precocious puberty.
8. Formal operational thinking typically emerges in:
A. Infancy
B. Preschool
C. Adolescence
D. Toddlerhood
Correct: C
Rationale: Piaget’s formal operational stage begins in adolescence and
involves abstract reasoning.
9. Magical thinking is most characteristic of:
A. Preschoolers
B. Newborns
C. Adolescents
D. Older adults
Correct: A
Rationale: Preschoolers often use magical thinking and imagination.
10.Stranger anxiety normally peaks at:
A. 1–2 months
B. 6–12 months
C. 3–4 years
D. 10–12 years
Correct: B
Rationale: Stranger anxiety commonly peaks around 6–12 months.
11.Newborn screening classically includes testing for:
A. Phenylketonuria
B. Appendicitis
C. Asthma
, D. ADHD
Correct: A
Rationale: PKU is a classic newborn screening disorder; the others are
not newborn metabolic screens.
12.Lead screening is especially important at:
A. 12 months
B. 25 years
C. 40 years
D. Only if symptomatic
Correct: A
Rationale: Blood lead screening is commonly recommended around 12
months and again at 24 months in at-risk children.
13.Hemoglobin screening for anemia is commonly done at:
A. Birth only
B. 12 months
C. 18 years only
D. Never
Correct: B
Rationale: Hemoglobin/hematocrit screening is typically done around
12 months.
14.A child with BMI at the 90th percentile is classified as:
A. Underweight
B. Normal weight
C. Overweight
D. Obese
Correct: C
Rationale: BMI 85th–94th percentile is overweight; ≥95th percentile is
obese.
15.Vision screening is generally recommended starting at:
A. 3–5 years
2026 | ALL QUESTIONS AND CORRECT
ANSWERS | VERIFIED ANSWERS |
BRAND NEW VERSION!
1. A 4-month-old infant should be able to:
A. Roll back to stomach
B. Sit without support
C. Bring hands to midline
D. Say “mama/dada”
Correct: C
Rationale: Bringing hands to midline is a 3–4 month milestone; rolling
back-to-stomach is usually 5–6 months, sitting unsupported 6–8 months,
and saying mama/dada 9–12 months.
2. A 9-month-old typically demonstrates:
A. Pincer grasp
B. Riding a tricycle
C. Hopping on one foot
D. Drawing a circle
Correct: A
Rationale: A pincer grasp develops around 9–10 months; the other skills
are much later.
3. A 2-year-old is expected to:
A. Kick a ball
B. Tie shoelaces
C. Write name
D. Skip
Correct: A
, Rationale: Kicking a ball is a 2-year motor milestone; shoelace tying,
name writing, and skipping occur later.
4. A 3-year-old usually can:
A. Ride a tricycle
B. Button small buttons
C. Count to 50
D. Read simple words
Correct: A
Rationale: Tricycle riding is typical at 3 years; fine motor and academic
skills listed are more advanced.
5. A 5-year-old’s speech should be:
A. Understandable to strangers most of the time
B. Only understood by parents
C. Limited to 2-word phrases
D. Absent
Correct: A
Rationale: By 5 years, speech should be largely intelligible to unfamiliar
listeners.
6. Which is a red flag for autism spectrum disorder at 18 months?
A. No pointing to show interest
B. Using 10 words
C. Walking independently
D. Stacking 2 blocks
Correct: A
Rationale: Lack of joint attention/pointing is a red flag; the other
findings can be normal at 18 months.
7. Tanner stage 2 breast budding in females usually begins around:
A. 2–4 years
B. 8–10 years
C. 14–16 years
, D. 16–18 years
Correct: B
Rationale: Breast budding typically begins around 8–10 years; earlier
may suggest precocious puberty.
8. Formal operational thinking typically emerges in:
A. Infancy
B. Preschool
C. Adolescence
D. Toddlerhood
Correct: C
Rationale: Piaget’s formal operational stage begins in adolescence and
involves abstract reasoning.
9. Magical thinking is most characteristic of:
A. Preschoolers
B. Newborns
C. Adolescents
D. Older adults
Correct: A
Rationale: Preschoolers often use magical thinking and imagination.
10.Stranger anxiety normally peaks at:
A. 1–2 months
B. 6–12 months
C. 3–4 years
D. 10–12 years
Correct: B
Rationale: Stranger anxiety commonly peaks around 6–12 months.
11.Newborn screening classically includes testing for:
A. Phenylketonuria
B. Appendicitis
C. Asthma
, D. ADHD
Correct: A
Rationale: PKU is a classic newborn screening disorder; the others are
not newborn metabolic screens.
12.Lead screening is especially important at:
A. 12 months
B. 25 years
C. 40 years
D. Only if symptomatic
Correct: A
Rationale: Blood lead screening is commonly recommended around 12
months and again at 24 months in at-risk children.
13.Hemoglobin screening for anemia is commonly done at:
A. Birth only
B. 12 months
C. 18 years only
D. Never
Correct: B
Rationale: Hemoglobin/hematocrit screening is typically done around
12 months.
14.A child with BMI at the 90th percentile is classified as:
A. Underweight
B. Normal weight
C. Overweight
D. Obese
Correct: C
Rationale: BMI 85th–94th percentile is overweight; ≥95th percentile is
obese.
15.Vision screening is generally recommended starting at:
A. 3–5 years
