NR602 PEDIATRIC MIDTERM EXAM
(CHAMBERLAIN) – QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES |
GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS
1. Growth and Development Milestones
2. Pediatric Health History and Physical Examination
3. Immunizations and Preventive Care
4. Common Pediatric Acute Illnesses
5. Pediatric Pharmacology and Prescribing
6. Developmental and Behavioral Pediatrics
7. Pediatric Nutrition and Feeding
8. Pediatric Dermatology and Infectious Rashes
9. Pediatric Respiratory and ENT Disorders
10. Pediatric Gastrointestinal and Genitourinary Disorders
INTRODUCTION
The NR602 Pediatric Midterm Exam assesses the knowledge and clinical reasoning
skills required for advanced practice nursing students to provide comprehensive
primary care to infants, children, and adolescents. The examination covers growth
and development, health supervision, immunizations, common acute and chronic
pediatric conditions, pharmacologic management, and family-centered care. The
multiple-choice and scenario-based structure emphasizes real-world application,
clinical decision-making, and evidence-based practice. This assessment prepares
candidates for the responsibilities of pediatric primary care diagnosis,
management, and health promotion across the pediatric lifespan.
SECTION ONE: QUESTIONS 1–100
,Question 1
The mother of a 2-month-old infant reports that the baby has started to smile
responsively and can lift the head briefly when prone. These findings are:
A. Delayed for age
B. Appropriate for age
C. Advanced for age
D. Concerning for hypotonia
Correct answer:
B. Appropriate for age
RATIONALE:
A social smile typically emerges at 6–8 weeks, and head lifting when prone is
expected by 2 months. These are appropriate developmental milestones for a 2-
month-old infant.
Question 2
At what age does a typically developing infant typically achieve independent sitting
without support?
A. 4 months
B. 6 months
C. 8 months
D. 10 months
Correct answer:
C. 8 months
RATIONALE:
Independent sitting without support is typically achieved by 8 months of age. A 6-
month-old may sit with support, and by 8 months most infants can sit steadily
without assistance.
,Question 3
A 15-month-old toddler is brought for a well-child visit. Which of the following
language milestones should the nurse practitioner expect?
A. Two-word phrases
B. Three-word sentences
C. Vocabulary of 50 words
D. Able to follow two-step commands
Correct answer:
A. Two-word phrases
RATIONALE:
By 15 months, toddlers typically use 2–3 words in combination (e.g., "more milk")
and have a vocabulary of 4–6 words. Three-word sentences and a 50-word
vocabulary are expected around 2 years.
Question 4
A 4-year-old child is unable to hop on one foot or copy a circle. These findings
suggest:
A. Normal variation
B. Fine motor delay
C. Gross motor and fine motor delay
D. Cognitive delay
Correct answer:
C. Gross motor and fine motor delay
RATIONALE:
Hopping on one foot is a gross motor milestone expected by 4 years. Copying a
circle is a fine motor milestone also expected by 4 years. Inability to perform both
suggests delays in both domains that warrant further evaluation.
, Question 5
The nurse practitioner is assessing a 6-month-old infant. Which primitive reflex
should have disappeared by this age?
A. Moro reflex
B. Rooting reflex
C. Palmar grasp
D. All of the above
Correct answer:
D. All of the above
RATIONALE:
The Moro, rooting, and palmar grasp reflexes are all primitive reflexes that typically
disappear by 4–6 months of age. Persistence beyond 6 months may indicate
neurological abnormality.
Question 6
A 10-year-old child is brought in for a sports physical. Which of the following is the
most appropriate approach to the health history?
A. Direct all questions to the parent
B. Interview the child alone for sensitive topics
C. Obtain history only from the child
D. Skip the history if the child is healthy
Correct answer:
B. Interview the child alone for sensitive topics
RATIONALE:
School-age children and adolescents should be interviewed privately for sensitive
topics such as mood, safety, substance use, and sexual health. This ensures
confidentiality and encourages honest disclosure.
(CHAMBERLAIN) – QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES |
GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS
1. Growth and Development Milestones
2. Pediatric Health History and Physical Examination
3. Immunizations and Preventive Care
4. Common Pediatric Acute Illnesses
5. Pediatric Pharmacology and Prescribing
6. Developmental and Behavioral Pediatrics
7. Pediatric Nutrition and Feeding
8. Pediatric Dermatology and Infectious Rashes
9. Pediatric Respiratory and ENT Disorders
10. Pediatric Gastrointestinal and Genitourinary Disorders
INTRODUCTION
The NR602 Pediatric Midterm Exam assesses the knowledge and clinical reasoning
skills required for advanced practice nursing students to provide comprehensive
primary care to infants, children, and adolescents. The examination covers growth
and development, health supervision, immunizations, common acute and chronic
pediatric conditions, pharmacologic management, and family-centered care. The
multiple-choice and scenario-based structure emphasizes real-world application,
clinical decision-making, and evidence-based practice. This assessment prepares
candidates for the responsibilities of pediatric primary care diagnosis,
management, and health promotion across the pediatric lifespan.
SECTION ONE: QUESTIONS 1–100
,Question 1
The mother of a 2-month-old infant reports that the baby has started to smile
responsively and can lift the head briefly when prone. These findings are:
A. Delayed for age
B. Appropriate for age
C. Advanced for age
D. Concerning for hypotonia
Correct answer:
B. Appropriate for age
RATIONALE:
A social smile typically emerges at 6–8 weeks, and head lifting when prone is
expected by 2 months. These are appropriate developmental milestones for a 2-
month-old infant.
Question 2
At what age does a typically developing infant typically achieve independent sitting
without support?
A. 4 months
B. 6 months
C. 8 months
D. 10 months
Correct answer:
C. 8 months
RATIONALE:
Independent sitting without support is typically achieved by 8 months of age. A 6-
month-old may sit with support, and by 8 months most infants can sit steadily
without assistance.
,Question 3
A 15-month-old toddler is brought for a well-child visit. Which of the following
language milestones should the nurse practitioner expect?
A. Two-word phrases
B. Three-word sentences
C. Vocabulary of 50 words
D. Able to follow two-step commands
Correct answer:
A. Two-word phrases
RATIONALE:
By 15 months, toddlers typically use 2–3 words in combination (e.g., "more milk")
and have a vocabulary of 4–6 words. Three-word sentences and a 50-word
vocabulary are expected around 2 years.
Question 4
A 4-year-old child is unable to hop on one foot or copy a circle. These findings
suggest:
A. Normal variation
B. Fine motor delay
C. Gross motor and fine motor delay
D. Cognitive delay
Correct answer:
C. Gross motor and fine motor delay
RATIONALE:
Hopping on one foot is a gross motor milestone expected by 4 years. Copying a
circle is a fine motor milestone also expected by 4 years. Inability to perform both
suggests delays in both domains that warrant further evaluation.
, Question 5
The nurse practitioner is assessing a 6-month-old infant. Which primitive reflex
should have disappeared by this age?
A. Moro reflex
B. Rooting reflex
C. Palmar grasp
D. All of the above
Correct answer:
D. All of the above
RATIONALE:
The Moro, rooting, and palmar grasp reflexes are all primitive reflexes that typically
disappear by 4–6 months of age. Persistence beyond 6 months may indicate
neurological abnormality.
Question 6
A 10-year-old child is brought in for a sports physical. Which of the following is the
most appropriate approach to the health history?
A. Direct all questions to the parent
B. Interview the child alone for sensitive topics
C. Obtain history only from the child
D. Skip the history if the child is healthy
Correct answer:
B. Interview the child alone for sensitive topics
RATIONALE:
School-age children and adolescents should be interviewed privately for sensitive
topics such as mood, safety, substance use, and sexual health. This ensures
confidentiality and encourages honest disclosure.
