, Pediatric cMS coMPrehenSive exaMination | ati teSting |
acadeMic Year 2026/2027 | coMPrehenSive Proctored
exaMination | 100 verified QueStionS and correct anSwer
rationaleS | | verified bY exPertS .
DOMAIN 1: GROWTH AND DEVELOPMENT
Question 1
A nurse is assessing a 2-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
A. Rolling from back to front
B. Lifting the head and chest when prone
C. Sitting without support
D. Transferring objects from hand to hand
correct anSwer: B ✓
rationale: By 2 months of age, infants can lift their head and chest when positioned prone.
Rolling over typically occurs around 4–6 months. Sitting without support occurs around 8
months. Transferring objects from hand to hand occurs around 6–7 months.
Question 2
A nurse is providing anticipatory guidance to the parents of a 4-month-old infant. Which
developmental milestone should the nurse discuss?
A. The infant will begin to roll from back to front
B. The infant will begin to walk independently
C. The infant will begin to use a pincer grasp
D. The infant will begin to say single words
correct anSwer: A ✓
rationale: Rolling from back to front typically occurs around 4–6 months of age. Walking
independently occurs around 12–15 months. The pincer grasp develops around 9–10 months.
Single words emerge around 12 months.
Question 3
A nurse is assessing a 9-month-old infant. Which finding should the nurse report to the
provider?
,A. The infant has a positive Babinski reflex
B. The infant is unable to sit without support
C. The infant exhibits stranger anxiety
D. The infant has a decreased heart rate when sleeping
correct anSwer: B ✓
rationale: By 8–9 months, infants should be able to sit without support. Inability to sit without
support at 9 months may indicate developmental delay. The Babinski reflex is normal until about
12 months. Stranger anxiety is expected at 6–8 months. A decreased heart rate during sleep is
normal.
Question 4
A nurse is providing developmental guidance to the parents of a 12-month-old toddler. Which
statement by the parent indicates an understanding of toddler development?
A. "My child should be able to walk up stairs independently."
B. "My child should be able to feed themselves with a spoon."
C. "My child should be able to say 10–15 words."
D. "My child should be able to draw a circle."
correct anSwer: C ✓
rationale: By 12 months, toddlers typically have a vocabulary of 10–15 words. Walking up
stairs independently occurs around 18–24 months. Self-feeding with a spoon occurs around 15–
18 months. Drawing a circle occurs around 3–4 years.
Question 5
A nurse is assessing a 2-year-old toddler. Which behavior is developmentally appropriate?
A. Parallel play
B. Cooperative play
C. Associative play
D. Solitary play
correct anSwer: A ✓
rationale: Parallel play (playing alongside but not with other children) is developmentally
appropriate for toddlers ages 2–3 years. Cooperative play (playing with others in organized
activities) occurs in school-age children. Associative play (playing with others but without
organization) occurs in preschoolers. Solitary play is typical for infants.
Question 6
A nurse is assessing a 4-year-old preschooler. Which fine motor skill should the nurse expect
the child to be able to perform?
, A. Tying shoelaces
B. Copying a square
C. Using scissors to cut out shapes
D. Drawing a person with six body parts
correct anSwer: B ✓
rationale: By 4 years of age, children can typically copy a square. Tying shoelaces is a fine
motor skill expected around 5–6 years. Using scissors to cut out shapes occurs around 5–6
years. Drawing a person with six body parts occurs around 5–6 years.
Question 7
A nurse is providing education to the parents of a 5-year-old child about gross motor
development. Which activity should the nurse include as developmentally appropriate?
A. Skipping with alternating feet
B. Riding a two-wheeled bicycle
C. Standing on one foot for 10 seconds
D. Walking backward heel-to-toe
correct anSwer: A ✓
rationale: Skipping with alternating feet typically develops around 5 years of age. Riding a
two-wheeled bicycle occurs around 6–7 years. Standing on one foot for 10 seconds occurs
around 5–6 years. Walking backward heel-to-toe occurs around 3–4 years.
Question 8
A nurse is assessing an 8-year-old child. According to Erikson's theory of psychosocial
development, which developmental task should the nurse expect the child to be working on?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
correct anSwer: D ✓
rationale: According to Erikson, school-age children (6–12 years) are in the stage of Industry
vs. Inferiority. They develop a sense of competence and achievement through school and
activities. Trust vs. Mistrust is infancy (0–1 year). Autonomy vs. Shame and Doubt is
toddlerhood (1–3 years). Initiative vs. Guilt is preschool (3–6 years).
Question 9
A nurse is providing anticipatory guidance to the parents of a 10-year-old child. Which statement
should the nurse include regarding physical development?
acadeMic Year 2026/2027 | coMPrehenSive Proctored
exaMination | 100 verified QueStionS and correct anSwer
rationaleS | | verified bY exPertS .
DOMAIN 1: GROWTH AND DEVELOPMENT
Question 1
A nurse is assessing a 2-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
A. Rolling from back to front
B. Lifting the head and chest when prone
C. Sitting without support
D. Transferring objects from hand to hand
correct anSwer: B ✓
rationale: By 2 months of age, infants can lift their head and chest when positioned prone.
Rolling over typically occurs around 4–6 months. Sitting without support occurs around 8
months. Transferring objects from hand to hand occurs around 6–7 months.
Question 2
A nurse is providing anticipatory guidance to the parents of a 4-month-old infant. Which
developmental milestone should the nurse discuss?
A. The infant will begin to roll from back to front
B. The infant will begin to walk independently
C. The infant will begin to use a pincer grasp
D. The infant will begin to say single words
correct anSwer: A ✓
rationale: Rolling from back to front typically occurs around 4–6 months of age. Walking
independently occurs around 12–15 months. The pincer grasp develops around 9–10 months.
Single words emerge around 12 months.
Question 3
A nurse is assessing a 9-month-old infant. Which finding should the nurse report to the
provider?
,A. The infant has a positive Babinski reflex
B. The infant is unable to sit without support
C. The infant exhibits stranger anxiety
D. The infant has a decreased heart rate when sleeping
correct anSwer: B ✓
rationale: By 8–9 months, infants should be able to sit without support. Inability to sit without
support at 9 months may indicate developmental delay. The Babinski reflex is normal until about
12 months. Stranger anxiety is expected at 6–8 months. A decreased heart rate during sleep is
normal.
Question 4
A nurse is providing developmental guidance to the parents of a 12-month-old toddler. Which
statement by the parent indicates an understanding of toddler development?
A. "My child should be able to walk up stairs independently."
B. "My child should be able to feed themselves with a spoon."
C. "My child should be able to say 10–15 words."
D. "My child should be able to draw a circle."
correct anSwer: C ✓
rationale: By 12 months, toddlers typically have a vocabulary of 10–15 words. Walking up
stairs independently occurs around 18–24 months. Self-feeding with a spoon occurs around 15–
18 months. Drawing a circle occurs around 3–4 years.
Question 5
A nurse is assessing a 2-year-old toddler. Which behavior is developmentally appropriate?
A. Parallel play
B. Cooperative play
C. Associative play
D. Solitary play
correct anSwer: A ✓
rationale: Parallel play (playing alongside but not with other children) is developmentally
appropriate for toddlers ages 2–3 years. Cooperative play (playing with others in organized
activities) occurs in school-age children. Associative play (playing with others but without
organization) occurs in preschoolers. Solitary play is typical for infants.
Question 6
A nurse is assessing a 4-year-old preschooler. Which fine motor skill should the nurse expect
the child to be able to perform?
, A. Tying shoelaces
B. Copying a square
C. Using scissors to cut out shapes
D. Drawing a person with six body parts
correct anSwer: B ✓
rationale: By 4 years of age, children can typically copy a square. Tying shoelaces is a fine
motor skill expected around 5–6 years. Using scissors to cut out shapes occurs around 5–6
years. Drawing a person with six body parts occurs around 5–6 years.
Question 7
A nurse is providing education to the parents of a 5-year-old child about gross motor
development. Which activity should the nurse include as developmentally appropriate?
A. Skipping with alternating feet
B. Riding a two-wheeled bicycle
C. Standing on one foot for 10 seconds
D. Walking backward heel-to-toe
correct anSwer: A ✓
rationale: Skipping with alternating feet typically develops around 5 years of age. Riding a
two-wheeled bicycle occurs around 6–7 years. Standing on one foot for 10 seconds occurs
around 5–6 years. Walking backward heel-to-toe occurs around 3–4 years.
Question 8
A nurse is assessing an 8-year-old child. According to Erikson's theory of psychosocial
development, which developmental task should the nurse expect the child to be working on?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
correct anSwer: D ✓
rationale: According to Erikson, school-age children (6–12 years) are in the stage of Industry
vs. Inferiority. They develop a sense of competence and achievement through school and
activities. Trust vs. Mistrust is infancy (0–1 year). Autonomy vs. Shame and Doubt is
toddlerhood (1–3 years). Initiative vs. Guilt is preschool (3–6 years).
Question 9
A nurse is providing anticipatory guidance to the parents of a 10-year-old child. Which statement
should the nurse include regarding physical development?
