NRNP 6541 EXAM PAPER 2026 FULL
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◍ Developmental milestones for a 12-month-old . Answer: Stands alone,
pincer grasp, says 'mama/dada', waves bye.
◍ Recommended ages for standardized developmental screenings .
Answer: 9, 18, 30 months per AAP.
◍ Anticipatory guidance for toddlers vs. adolescents . Answer: Toddlers:
safety, tantrums, potty training. Adolescents: risk behavior, mental
health.
◍ Normal sleep expectations for a 6-month-old . Answer: 12-16 hrs.
◍ Normal sleep expectations for a 5-year-old . Answer: 10-13 hrs.
◍ Normal sleep expectations for a 14-year-old . Answer: 8-10 hrs.
, ◍ Recommended immunization schedule for a child from birth to age 18
. Answer: Follow CDC schedule: DTaP, IPV, MMR, Varicella, HepA/B,
Hib, PCV, HPV, MCV.
◍ Vaccines required at the 4-month well-child visit . Answer: DTaP,
IPV, Hib, PCV, RV.
◍ Vaccines required at the 11-year well-child visit . Answer: Tdap,
MCV, HPV.
◍ Vaccines required at the 16-year well-child visit . Answer: MCV
booster.
◍ Catch-up schedule for a 7-year-old who missed MMR and varicella .
Answer: Give 2 doses of MMR and 2 doses of varicella, >=4 weeks
apart.
◍ Vaccine contraindicated in immunocompromised children . Answer:
Live vaccines: MMR, varicella, intranasal flu.
◍ Anticipatory guidance at a 2-year-old well-child visit . Answer: Safety
(drowning, choking), discipline, language development, toilet training.
◍ Approach to medical history-taking with a school-age child . Answer:
Use both parent and child input, ask about school, friends, and activities.
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◍ Developmental milestones for a 12-month-old . Answer: Stands alone,
pincer grasp, says 'mama/dada', waves bye.
◍ Recommended ages for standardized developmental screenings .
Answer: 9, 18, 30 months per AAP.
◍ Anticipatory guidance for toddlers vs. adolescents . Answer: Toddlers:
safety, tantrums, potty training. Adolescents: risk behavior, mental
health.
◍ Normal sleep expectations for a 6-month-old . Answer: 12-16 hrs.
◍ Normal sleep expectations for a 5-year-old . Answer: 10-13 hrs.
◍ Normal sleep expectations for a 14-year-old . Answer: 8-10 hrs.
, ◍ Recommended immunization schedule for a child from birth to age 18
. Answer: Follow CDC schedule: DTaP, IPV, MMR, Varicella, HepA/B,
Hib, PCV, HPV, MCV.
◍ Vaccines required at the 4-month well-child visit . Answer: DTaP,
IPV, Hib, PCV, RV.
◍ Vaccines required at the 11-year well-child visit . Answer: Tdap,
MCV, HPV.
◍ Vaccines required at the 16-year well-child visit . Answer: MCV
booster.
◍ Catch-up schedule for a 7-year-old who missed MMR and varicella .
Answer: Give 2 doses of MMR and 2 doses of varicella, >=4 weeks
apart.
◍ Vaccine contraindicated in immunocompromised children . Answer:
Live vaccines: MMR, varicella, intranasal flu.
◍ Anticipatory guidance at a 2-year-old well-child visit . Answer: Safety
(drowning, choking), discipline, language development, toilet training.
◍ Approach to medical history-taking with a school-age child . Answer:
Use both parent and child input, ask about school, friends, and activities.
