CPNP-PC CERTIFIED PEDIATRIC
PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM
CPNP-PC CERTIFIED PEDIATRIC
PRIMARY CARE NURSE PRACTITIONER
BOARD EXAM PREP 2025/2026
COMPLETE 450 QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||BRAND NEW!!!
Good communication among families, schools, & primary care providers is an example of which
ecological concept?
a. Microsystem
b. Mesosystem
c. Exosystem
d. Macrosystem
b. Mesosystem
(A mesosystem is the link or relationship between the various settings (microsystems) w/in which a
child exists (i.e., home, school, day care, etc.).)
Which of the following findings would most likely
be associated w/asymmetric intrauterine growth retardation?
a. Weight, length, & head circumference ranging from 3rd - 5th percentile
b. Heavy maternal smoking throughout pregnancy
c. Weight at 3rd percentile & length at 25th
d. Gestational diabetes
c. Weight at 3rd percentile & length at 25th
(The weight & length are at significantly different percentiles; if the IUGR were symmetrical, these
would be at the same percentile.)
Early reflexive responses that are not r/t survival include all but:
a. Babinski
b. Moro
A+ TEST BANK 1
, CPNP-PC CERTIFIED PEDIATRIC
PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM
c. Swimming
d. Rooting
d. Rooting
(Rooting (i.e., moving the head to locate the nipple) is a key survival reflex.)
The most likely weight of a 1-year-old child whose weight @ birth was 6 pounds would be:
a. 19-20 pounds
b. 13-14 pounds
c. 25-26 pounds
d. Impossible to estimate
a. 19-20 pounds
(An infant's weight should approximately triple by the age of 1 year.)
One of the major psychosocial tasks of infancy is:
a. Development of secure attachment
b. Separation-individuation
c. Symbiosis
d. Regulation
a. Development of secure attachment
(The development of an infant-caregiver bond is key to the prevention of long-term psychological
effects associated w/deprivation and/or failure to develop secure, stable bonds.)
Which developmental theory best explains the multifactorial etiology of failure to thrive?
a. Organismic-maturational theory
b. Social learning theory
c. Transactional theory
d. Psychoanalytic theory
c. Transactional theory
(Transactional theory explains risks and protective factors associated w/resilience & vulnerability. It
may explain some of the environmental factors associated w/FTT.)
Most healthy infants are able to reach, grasp, & hold on to a rattle or other small toy by about:
a. 2 months
b. 6 months
c. 8 months
d. 10 months
b. 6 months
(These are gross developmental norms associated w/the 6 mo child.)
A+ TEST BANK 2
, CPNP-PC CERTIFIED PEDIATRIC
PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM
The pincer grasp is a fine motor skill that involves the ability to pick up a small object such as a raisin
or piece of cereal w/the thumb & forefinger & that usually is mastered around:
a. 4 months
b. 6 months
c. 9 months
d. 16 months
c. 9 months
(This is a developmental norm for a child of 9 months.)
You would be concerned about the language development of a child who:
a. Repeats simple phrases at 32 months
b. Stutters when excited or tired at the age of 7 years
c. Has a vocabulary of 10 words at 12 months
d. Pronounces words that are not understandable at 24 months
b. Stutters when excited or tired at the age of 7 years
(Stuttering associated w/fatigue or excitement is not unusual in a preschooler but may indicate a
more pervasive problem in a 7-year-old.)
The most common temperament profile is:
a. Easy
b. Difficult
c. Slow-to-warm-up
d. Intermediate
a. Easy
(p. 36 Approximately 40% of children are described as having an easy (rhythmic, approachable,
adaptive) temperament.)
The underlying emotion of an insecurely attached (avoidant) relationship is:
a. Ambivalence
b. Deprivation
c. Anger
d. Conditional love
A+ TEST BANK 3
, CPNP-PC CERTIFIED PEDIATRIC
PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM
c. Anger
(Attachment is the bond that develops throughout the first year of life; underlying anger
characterizes avoidance or an insecure bond.)
The stage of cognitive development that Piaget described as characteristic of the way preschoolers
think is the:
a. Preoperational stage
b. Mental combinations stage
c. Tertiary circular function stage
d. Sensorimotor stage
a. Preoperational stage
(Piaget characterizes preschoolers as preoperational thinkers.)
A preschool boy whose parents have separated & are beginning divorce procedures:
a. May think that he caused the divorce by misbehaving
b. Should not be told of the impending divorce until the parents are sure of their decision
c. Is likely to experience gender identity confusion
d. Should be able to make a decision about which parent he prefers living with
a. May think that he caused the divorce by misbehaving
(Preschoolers are characterized by egocentrism; they think the world revolves around them & that
everything that happens is because they did or did not do something.)
Which behavior would you expect to decrease during the preschool years?
a. Rough-and-tumble play
b. Instrumental aggression
c. Hostile aggression
d. Cooperative play
b. Instrumental aggression
(Preschoolers strongly defend what is "theirs," be it a toy or a space or a special privilege; this
aggression wanes as they begin to understand sharing & appropriate impulse control).
A preschool child who says that the sky is blue b/c it is his favorite color is illustrating the concept of:
a. Symbolic thinking
b. Egocentrism
A+ TEST BANK 4
PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM
CPNP-PC CERTIFIED PEDIATRIC
PRIMARY CARE NURSE PRACTITIONER
BOARD EXAM PREP 2025/2026
COMPLETE 450 QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||BRAND NEW!!!
Good communication among families, schools, & primary care providers is an example of which
ecological concept?
a. Microsystem
b. Mesosystem
c. Exosystem
d. Macrosystem
b. Mesosystem
(A mesosystem is the link or relationship between the various settings (microsystems) w/in which a
child exists (i.e., home, school, day care, etc.).)
Which of the following findings would most likely
be associated w/asymmetric intrauterine growth retardation?
a. Weight, length, & head circumference ranging from 3rd - 5th percentile
b. Heavy maternal smoking throughout pregnancy
c. Weight at 3rd percentile & length at 25th
d. Gestational diabetes
c. Weight at 3rd percentile & length at 25th
(The weight & length are at significantly different percentiles; if the IUGR were symmetrical, these
would be at the same percentile.)
Early reflexive responses that are not r/t survival include all but:
a. Babinski
b. Moro
A+ TEST BANK 1
, CPNP-PC CERTIFIED PEDIATRIC
PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM
c. Swimming
d. Rooting
d. Rooting
(Rooting (i.e., moving the head to locate the nipple) is a key survival reflex.)
The most likely weight of a 1-year-old child whose weight @ birth was 6 pounds would be:
a. 19-20 pounds
b. 13-14 pounds
c. 25-26 pounds
d. Impossible to estimate
a. 19-20 pounds
(An infant's weight should approximately triple by the age of 1 year.)
One of the major psychosocial tasks of infancy is:
a. Development of secure attachment
b. Separation-individuation
c. Symbiosis
d. Regulation
a. Development of secure attachment
(The development of an infant-caregiver bond is key to the prevention of long-term psychological
effects associated w/deprivation and/or failure to develop secure, stable bonds.)
Which developmental theory best explains the multifactorial etiology of failure to thrive?
a. Organismic-maturational theory
b. Social learning theory
c. Transactional theory
d. Psychoanalytic theory
c. Transactional theory
(Transactional theory explains risks and protective factors associated w/resilience & vulnerability. It
may explain some of the environmental factors associated w/FTT.)
Most healthy infants are able to reach, grasp, & hold on to a rattle or other small toy by about:
a. 2 months
b. 6 months
c. 8 months
d. 10 months
b. 6 months
(These are gross developmental norms associated w/the 6 mo child.)
A+ TEST BANK 2
, CPNP-PC CERTIFIED PEDIATRIC
PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM
The pincer grasp is a fine motor skill that involves the ability to pick up a small object such as a raisin
or piece of cereal w/the thumb & forefinger & that usually is mastered around:
a. 4 months
b. 6 months
c. 9 months
d. 16 months
c. 9 months
(This is a developmental norm for a child of 9 months.)
You would be concerned about the language development of a child who:
a. Repeats simple phrases at 32 months
b. Stutters when excited or tired at the age of 7 years
c. Has a vocabulary of 10 words at 12 months
d. Pronounces words that are not understandable at 24 months
b. Stutters when excited or tired at the age of 7 years
(Stuttering associated w/fatigue or excitement is not unusual in a preschooler but may indicate a
more pervasive problem in a 7-year-old.)
The most common temperament profile is:
a. Easy
b. Difficult
c. Slow-to-warm-up
d. Intermediate
a. Easy
(p. 36 Approximately 40% of children are described as having an easy (rhythmic, approachable,
adaptive) temperament.)
The underlying emotion of an insecurely attached (avoidant) relationship is:
a. Ambivalence
b. Deprivation
c. Anger
d. Conditional love
A+ TEST BANK 3
, CPNP-PC CERTIFIED PEDIATRIC
PRIMARY CARE NURSE
PRACTITIONER BOARD EXAM
c. Anger
(Attachment is the bond that develops throughout the first year of life; underlying anger
characterizes avoidance or an insecure bond.)
The stage of cognitive development that Piaget described as characteristic of the way preschoolers
think is the:
a. Preoperational stage
b. Mental combinations stage
c. Tertiary circular function stage
d. Sensorimotor stage
a. Preoperational stage
(Piaget characterizes preschoolers as preoperational thinkers.)
A preschool boy whose parents have separated & are beginning divorce procedures:
a. May think that he caused the divorce by misbehaving
b. Should not be told of the impending divorce until the parents are sure of their decision
c. Is likely to experience gender identity confusion
d. Should be able to make a decision about which parent he prefers living with
a. May think that he caused the divorce by misbehaving
(Preschoolers are characterized by egocentrism; they think the world revolves around them & that
everything that happens is because they did or did not do something.)
Which behavior would you expect to decrease during the preschool years?
a. Rough-and-tumble play
b. Instrumental aggression
c. Hostile aggression
d. Cooperative play
b. Instrumental aggression
(Preschoolers strongly defend what is "theirs," be it a toy or a space or a special privilege; this
aggression wanes as they begin to understand sharing & appropriate impulse control).
A preschool child who says that the sky is blue b/c it is his favorite color is illustrating the concept of:
a. Symbolic thinking
b. Egocentrism
A+ TEST BANK 4
