NRNP 6541 COMPREHENSIVE EXAMINATION
TEST 2026 COMPLETE QUESTIONS AND
SOLUTIONS
a. Congenital cytomegalovirus
infection
b. Down syndrome
c. Glycogen storage disease type II
d. Congenital
e. Craniopharyngioma . Answer: a. Congenital cytomegalovirus
infection
◍ You receive a phone call from the mother of a 2-vear-old. She states
her child has sleep refusal. You suggest that the child should be able to:
a. set his own bedtime based on his internal clock.
b. protest when he goes to bed, but the parents should not pick him up or
give him any attention
c. put himselt to sleep somewhere other than his own bed and the parents
should move him to the bed once he is asleep.
d. Make multiple requests. but the parents should only respond to every
third request. . Answer: a. set his own bedtime based on his internal
clock.
, ◍ I like to use my pincer grasp that involves the ability to pick up a
small object such as a raisin or piece of cereal with the thumb and
forefinger, and that is mastered around what age? . Answer: 9 months
◍ I can walk well on tiptoes, my speech is 50% understandable, I know
six body parts, but I cannot balance on one foot for 1 second. I am:
a.2 years old (24months)
b.2½ years old (30months)
c.3 years old (36months)
d.4 years old . Answer: b. 2 1/2 years old
◍ The first sign of the onset of female puberty is usually:
A. Sparsely distributed fine, pale public hair
B. Breast buds
C. Menarche
D. Peak height growth velocity . Answer: B. Breast buds
◍ A mother of a 6-month-old asks you about normal sleep patterns for
an infant this age. The best response is.
a. 10 hours at night and 1-2 hours during the day
b. 10 hours at night and 3-4 hours during the day
TEST 2026 COMPLETE QUESTIONS AND
SOLUTIONS
a. Congenital cytomegalovirus
infection
b. Down syndrome
c. Glycogen storage disease type II
d. Congenital
e. Craniopharyngioma . Answer: a. Congenital cytomegalovirus
infection
◍ You receive a phone call from the mother of a 2-vear-old. She states
her child has sleep refusal. You suggest that the child should be able to:
a. set his own bedtime based on his internal clock.
b. protest when he goes to bed, but the parents should not pick him up or
give him any attention
c. put himselt to sleep somewhere other than his own bed and the parents
should move him to the bed once he is asleep.
d. Make multiple requests. but the parents should only respond to every
third request. . Answer: a. set his own bedtime based on his internal
clock.
, ◍ I like to use my pincer grasp that involves the ability to pick up a
small object such as a raisin or piece of cereal with the thumb and
forefinger, and that is mastered around what age? . Answer: 9 months
◍ I can walk well on tiptoes, my speech is 50% understandable, I know
six body parts, but I cannot balance on one foot for 1 second. I am:
a.2 years old (24months)
b.2½ years old (30months)
c.3 years old (36months)
d.4 years old . Answer: b. 2 1/2 years old
◍ The first sign of the onset of female puberty is usually:
A. Sparsely distributed fine, pale public hair
B. Breast buds
C. Menarche
D. Peak height growth velocity . Answer: B. Breast buds
◍ A mother of a 6-month-old asks you about normal sleep patterns for
an infant this age. The best response is.
a. 10 hours at night and 1-2 hours during the day
b. 10 hours at night and 3-4 hours during the day