FNP Pediatric Exam Quiz Bank 2025/2026 - 100
Questions & Answers
SECTION A: GROWTH & DEVELOPMENT (20 Q)
1. Infant Milestone (SATA)
At 6-month well visit, which motor milestones are expected? (Choose 3)
☐ A. Rolls both ways
☐ B. Sits without support
☐ C. Bears weight on legs
☐ D. Transfers objects hand-to-hand
☐ E. Pincer grasp
Answer: A, C, D - Sitting without support (B) appears 7-9 mo; pincer grasp (E) 9-12 mo.
Rationale: 2025 AAP/CDC milestones; early identification of delays triggers referral.
2. Growth Chart Interpretation
18-month girl: weight 11 kg (50th %ile), length 81 cm (75th %ile). Next action:
A. Reassure parents
B. Nutrition consult
C. Endocrine referral
D. Repeat in 1 month
Answer: A - Normal growth velocity; no intervention needed.
Rationale: Single set of measurements within normal percentiles = reassuring.
3. Developmental Screening Tool
M-CHAT is administered at which visits?
A. 9 and 18 months
B. 12 and 24 months
C. 18 and 24 months
D. 24 and 30 months
,Answer: C - Standard autism-specific screening ages.
Rationale: 2025 AAP schedule; earlier screening if risk factors.
4. Red Flag Milestone
Most concerning for 18-month-old:
A. Not walking independently
B. No single words
C. Not pointing
D. All of the above
Answer: D - All are 18-month red flags requiring referral.
Rationale: Delays in motor, language, social communication warrant early intervention
evaluation.
5. Pubertal Staging
Tanner Stage 2 in girls is defined by:
A. Breast budding
B. Menarche
C. Pubic hair spread
D. Growth spurt peak
Answer: A - Breast budding (thelarche) = Tanner 2.
Rationale: Tanner staging guides puberty assessment; menarche usually Tanner 4.
6. Adolescent Development (SATA)
Normal adolescent behaviors: (Choose 3)
☐ A. Risk-taking experimentation
☐ B. Identity exploration
☐ C. Complete emotional stability
☐ D. Peer influence increase
☐ E. Parental detachment
Answer: A, B, D - Emotional volatility (C) is normal; detachment (E) is too
strong—autonomy seeking.
, Rationale: Understanding normal vs pathologic adolescent development.
7. School Performance
8-year-old falling grades, can't sit still, interrupts class. First step:
A. ADHD evaluation
B. Vision screening
C. Hearing test
D. Developmental assessment
Answer: B - Rule out sensory deficits before behavioral evaluation.
Rationale: AAP guidelines: sensory screening precedes behavioral diagnosis.
8. Speech Evaluation
24-month-old with vocabulary <50 words. Next action:
A. Reassure - boys talk later
B. Speech therapy referral
C. Hearing test
D. Autism screening
Answer: C - Hearing evaluation is first step for language delay.
Rationale: 2025 update: hearing loss must be excluded before speech/autism referral.
9. Gross Motor Delay
12-month-old not pulling to stand. Appropriate:
A. Observe until 15 months
B. Physical therapy referral
C. Developmental evaluation
D. Hip ultrasound
Answer: C - Pull-to-stand expected by 12 months; delay warrants evaluation.
Rationale: Early intervention (<18 mo) most effective for motor delays.
10. Social-Emotional (SATA)
18-month social-emotional red flags: (Choose 3)
☐ A. No pretend play
☐ B. No stranger anxiety
Questions & Answers
SECTION A: GROWTH & DEVELOPMENT (20 Q)
1. Infant Milestone (SATA)
At 6-month well visit, which motor milestones are expected? (Choose 3)
☐ A. Rolls both ways
☐ B. Sits without support
☐ C. Bears weight on legs
☐ D. Transfers objects hand-to-hand
☐ E. Pincer grasp
Answer: A, C, D - Sitting without support (B) appears 7-9 mo; pincer grasp (E) 9-12 mo.
Rationale: 2025 AAP/CDC milestones; early identification of delays triggers referral.
2. Growth Chart Interpretation
18-month girl: weight 11 kg (50th %ile), length 81 cm (75th %ile). Next action:
A. Reassure parents
B. Nutrition consult
C. Endocrine referral
D. Repeat in 1 month
Answer: A - Normal growth velocity; no intervention needed.
Rationale: Single set of measurements within normal percentiles = reassuring.
3. Developmental Screening Tool
M-CHAT is administered at which visits?
A. 9 and 18 months
B. 12 and 24 months
C. 18 and 24 months
D. 24 and 30 months
,Answer: C - Standard autism-specific screening ages.
Rationale: 2025 AAP schedule; earlier screening if risk factors.
4. Red Flag Milestone
Most concerning for 18-month-old:
A. Not walking independently
B. No single words
C. Not pointing
D. All of the above
Answer: D - All are 18-month red flags requiring referral.
Rationale: Delays in motor, language, social communication warrant early intervention
evaluation.
5. Pubertal Staging
Tanner Stage 2 in girls is defined by:
A. Breast budding
B. Menarche
C. Pubic hair spread
D. Growth spurt peak
Answer: A - Breast budding (thelarche) = Tanner 2.
Rationale: Tanner staging guides puberty assessment; menarche usually Tanner 4.
6. Adolescent Development (SATA)
Normal adolescent behaviors: (Choose 3)
☐ A. Risk-taking experimentation
☐ B. Identity exploration
☐ C. Complete emotional stability
☐ D. Peer influence increase
☐ E. Parental detachment
Answer: A, B, D - Emotional volatility (C) is normal; detachment (E) is too
strong—autonomy seeking.
, Rationale: Understanding normal vs pathologic adolescent development.
7. School Performance
8-year-old falling grades, can't sit still, interrupts class. First step:
A. ADHD evaluation
B. Vision screening
C. Hearing test
D. Developmental assessment
Answer: B - Rule out sensory deficits before behavioral evaluation.
Rationale: AAP guidelines: sensory screening precedes behavioral diagnosis.
8. Speech Evaluation
24-month-old with vocabulary <50 words. Next action:
A. Reassure - boys talk later
B. Speech therapy referral
C. Hearing test
D. Autism screening
Answer: C - Hearing evaluation is first step for language delay.
Rationale: 2025 update: hearing loss must be excluded before speech/autism referral.
9. Gross Motor Delay
12-month-old not pulling to stand. Appropriate:
A. Observe until 15 months
B. Physical therapy referral
C. Developmental evaluation
D. Hip ultrasound
Answer: C - Pull-to-stand expected by 12 months; delay warrants evaluation.
Rationale: Early intervention (<18 mo) most effective for motor delays.
10. Social-Emotional (SATA)
18-month social-emotional red flags: (Choose 3)
☐ A. No pretend play
☐ B. No stranger anxiety
