NURS 5220 Exam (Module's 1-4 & Case Study's,
Midterm) Practice Questions and Correct
Answers plus Rationale | Already Graded A+ |
New Update 2026-2027 | UTA
PEDIATRICS: DEVELOPMENTAL MILESTONES
Question 1
A healthy 3 year old child is in your office for well-child care. What would you
expect this child to be able to do?
A. Tie their own shoes
B. Alternate feet when climbing stairs
C. Speak in 2 word phrases
D. Name five colors
Correct Answer: B. Alternate feet when climbing stairs
Rationale: By age 3, a typically developing child can alternate feet when climbing
stairs. Tying shoes (A) typically occurs at 6-7 years. Speaking in 2-word phrases (C)
is expected at 2 years, not 3. Naming five colors (D) is expected at age 4-5. At 3
years, children can walk up and down stairs with alternating feet, ride a tricycle,
and use 3-4 word sentences.
Question 2
You are examining an 18 month old boy who is not speaking any discernible
words. He has not said "mama" or "dada" yet. What do you do?
A. Encourage the mother to enroll her son in day care to increase his socialization
B. Order audiogram and tympanometry
C. Reassure the parent that delayed speech is common in boys
D. Conduct further evaluations of milestone attainment
,Correct Answer: D. Conduct further evaluations of milestone attainment
Rationale: At 18 months, a child should have a vocabulary of at least 10-20 words,
including "mama" and "dada." The absence of speech at this age warrants further
evaluation. While hearing assessment (B) may be part of the workup, the
immediate step is to conduct a comprehensive evaluation of milestone
attainment, including developmental screening (e.g., M-CHAT) and assessment of
other domains. Reassurance (C) is inappropriate at this age.
Question 3
Which of the following ages in a healthy infant's life is parental anticipatory
guidance about teething most helpful?
A. 1-2 months
B. 4-6 months
C. 6-8 months
D. 2-4 months
Correct Answer: B. 4-6 months
Rationale: Teething typically begins around 4-6 months of age, with the eruption
of the central incisors. Anticipatory guidance about teething is most helpful during
this period. Parents should be educated about signs of teething (drooling,
irritability, gum swelling), safe teething remedies (teething rings, cold washcloths),
and avoidance of topical anesthetics containing benzocaine in infants.
Question 4
At which age is anticipatory guidance about toilet training readiness most
helpful?
A. 24 months
B. 18 months
C. 12 months
D. 15 months
Correct Answer: B. 18 months
,Rationale: Anticipatory guidance about toilet training readiness is most helpful
at 18 months. While toilet training typically begins between 18-30 months,
readiness signs include staying dry for 2 hours, awareness of bowel/bladder urges,
ability to follow simple instructions, and interest in the potty. At 18 months,
parents should be educated about signs of readiness and how to approach toilet
training without pressure.
Question 5
What is recommended total daily screen time for a young child?
A. 1-2 hours
B. 3-4 hours
C. 0-30 min
D. 2-3 hours
Correct Answer: A. 1-2 hours
Rationale: The American Academy of Pediatrics (AAP) recommends no more than
1-2 hours of total daily screen time for young children (ages 2-5). For children
under 18 months, screen time should be avoided except for video chatting. For
children 2-5 years, screen time should be limited to 1 hour per day of high-quality
programming. Quality of content matters, and parents should co-view when
possible.
Question 6
Which of the following is a red flag symptom and warrants further evaluation?
A. No response to name at 12 months
B. Does not sit without support at 3 months
C. Does not use a spoon at 12 months
D. No meaningful three-word phrases in a 2 year old
Correct Answer: A. No response to name at 12 months
Rationale: No response to name at 12 months is a red flag for possible hearing
impairment, autism spectrum disorder, or developmental delay and warrants
, further evaluation. Not sitting without support at 3 months (B) is not a red flag—
sitting without support is expected at 6-8 months. Not using a spoon at 12 months
(C) is developmentally appropriate—children typically use a spoon at 18-24
months. Three-word phrases (D) are expected at age 3, not 2.
Question 7
At what age should a child be able to tie their shoes?
A. Age 5-6
B. Age 3-4
C. Age 6-7
D. Age 8-9
Correct Answer: C. Age 6-7
Rationale: Most children develop the fine motor skills to tie their shoes by age 6-
7. This requires bilateral coordination, finger dexterity, and sequencing ability. At
3-4 years (B), children are still developing basic fine motor skills. At 5-6 years (A),
some children may be able to tie shoes but it is typically later. Delayed shoe-tying
beyond 7 years may warrant fine motor assessment.
Question 8
How many word phrases should a 5 year old be able to speak?
A. 3 words
B. 5 words
C. 4 words
D. 6 words
Correct Answer: B. 5 words
Rationale: By age 5, a child should be able to speak in 5-word phrases and
sentences. Language milestones: 2 years = 2-word phrases, 3 years = 3-4 word
sentences, 4 years = 4-5 word sentences, 5 years = 5-6 word sentences. By age 5,
children can use complex sentences, tell stories, and understand most grammar
rules.
Midterm) Practice Questions and Correct
Answers plus Rationale | Already Graded A+ |
New Update 2026-2027 | UTA
PEDIATRICS: DEVELOPMENTAL MILESTONES
Question 1
A healthy 3 year old child is in your office for well-child care. What would you
expect this child to be able to do?
A. Tie their own shoes
B. Alternate feet when climbing stairs
C. Speak in 2 word phrases
D. Name five colors
Correct Answer: B. Alternate feet when climbing stairs
Rationale: By age 3, a typically developing child can alternate feet when climbing
stairs. Tying shoes (A) typically occurs at 6-7 years. Speaking in 2-word phrases (C)
is expected at 2 years, not 3. Naming five colors (D) is expected at age 4-5. At 3
years, children can walk up and down stairs with alternating feet, ride a tricycle,
and use 3-4 word sentences.
Question 2
You are examining an 18 month old boy who is not speaking any discernible
words. He has not said "mama" or "dada" yet. What do you do?
A. Encourage the mother to enroll her son in day care to increase his socialization
B. Order audiogram and tympanometry
C. Reassure the parent that delayed speech is common in boys
D. Conduct further evaluations of milestone attainment
,Correct Answer: D. Conduct further evaluations of milestone attainment
Rationale: At 18 months, a child should have a vocabulary of at least 10-20 words,
including "mama" and "dada." The absence of speech at this age warrants further
evaluation. While hearing assessment (B) may be part of the workup, the
immediate step is to conduct a comprehensive evaluation of milestone
attainment, including developmental screening (e.g., M-CHAT) and assessment of
other domains. Reassurance (C) is inappropriate at this age.
Question 3
Which of the following ages in a healthy infant's life is parental anticipatory
guidance about teething most helpful?
A. 1-2 months
B. 4-6 months
C. 6-8 months
D. 2-4 months
Correct Answer: B. 4-6 months
Rationale: Teething typically begins around 4-6 months of age, with the eruption
of the central incisors. Anticipatory guidance about teething is most helpful during
this period. Parents should be educated about signs of teething (drooling,
irritability, gum swelling), safe teething remedies (teething rings, cold washcloths),
and avoidance of topical anesthetics containing benzocaine in infants.
Question 4
At which age is anticipatory guidance about toilet training readiness most
helpful?
A. 24 months
B. 18 months
C. 12 months
D. 15 months
Correct Answer: B. 18 months
,Rationale: Anticipatory guidance about toilet training readiness is most helpful
at 18 months. While toilet training typically begins between 18-30 months,
readiness signs include staying dry for 2 hours, awareness of bowel/bladder urges,
ability to follow simple instructions, and interest in the potty. At 18 months,
parents should be educated about signs of readiness and how to approach toilet
training without pressure.
Question 5
What is recommended total daily screen time for a young child?
A. 1-2 hours
B. 3-4 hours
C. 0-30 min
D. 2-3 hours
Correct Answer: A. 1-2 hours
Rationale: The American Academy of Pediatrics (AAP) recommends no more than
1-2 hours of total daily screen time for young children (ages 2-5). For children
under 18 months, screen time should be avoided except for video chatting. For
children 2-5 years, screen time should be limited to 1 hour per day of high-quality
programming. Quality of content matters, and parents should co-view when
possible.
Question 6
Which of the following is a red flag symptom and warrants further evaluation?
A. No response to name at 12 months
B. Does not sit without support at 3 months
C. Does not use a spoon at 12 months
D. No meaningful three-word phrases in a 2 year old
Correct Answer: A. No response to name at 12 months
Rationale: No response to name at 12 months is a red flag for possible hearing
impairment, autism spectrum disorder, or developmental delay and warrants
, further evaluation. Not sitting without support at 3 months (B) is not a red flag—
sitting without support is expected at 6-8 months. Not using a spoon at 12 months
(C) is developmentally appropriate—children typically use a spoon at 18-24
months. Three-word phrases (D) are expected at age 3, not 2.
Question 7
At what age should a child be able to tie their shoes?
A. Age 5-6
B. Age 3-4
C. Age 6-7
D. Age 8-9
Correct Answer: C. Age 6-7
Rationale: Most children develop the fine motor skills to tie their shoes by age 6-
7. This requires bilateral coordination, finger dexterity, and sequencing ability. At
3-4 years (B), children are still developing basic fine motor skills. At 5-6 years (A),
some children may be able to tie shoes but it is typically later. Delayed shoe-tying
beyond 7 years may warrant fine motor assessment.
Question 8
How many word phrases should a 5 year old be able to speak?
A. 3 words
B. 5 words
C. 4 words
D. 6 words
Correct Answer: B. 5 words
Rationale: By age 5, a child should be able to speak in 5-word phrases and
sentences. Language milestones: 2 years = 2-word phrases, 3 years = 3-4 word
sentences, 4 years = 4-5 word sentences, 5 years = 5-6 word sentences. By age 5,
children can use complex sentences, tell stories, and understand most grammar
rules.
