1
NURS 5432 FNP 1 | NURS 5432 FAMILY 1 MIDTERM AND FINAL EXAM
UNIVERSITY OF TEXAS AT ARLINGTON (UTA) THIS EXAM INCLUDES
MODULES 1-6 ACTUAL EXAM 2026/2027
1. A 3-year-old child is brought to the primary-care clinic for a routine wellness
examination. The parents report that the child is toilet trained during the
daytime, can speak in understandable sentences, and enjoys playing with
other children. When evaluating expected developmental milestones, which
ability would be most appropriate for the FNP to anticipate at this age?
A. Tying shoelaces independently using a double knot
B. Alternating feet while climbing stairs
C. Reading simple paragraphs independently
D. Riding a two-wheel bicycle without assistance
Answer: B
2. A healthy infant is brought to the clinic for anticipatory guidance. The
parents ask when they should expect the first primary teeth to begin
erupting and what symptoms are commonly associated with teething.
Which age range is most appropriate for the FNP to discuss as the usual
beginning of primary tooth eruption?
A. Birth to 2 months
B. 2 to 3 months
C. 3 to 4 months
D. Approximately 4 to 6 months
Answer: D
3. A 6-month-old infant is evaluated during a well-child visit. The infant can sit
with support, transfers objects between hands, babbles, and demonstrates
social interaction with caregivers. The parents ask which developmental
behavior would be expected to emerge as the infant approaches the later
part of the first year. Which response is most appropriate?
A. Drawing a recognizable person
B. Speaking in complete sentences
C. Beginning to use a pincer grasp and transferring objects intentionally
,2
D. Hopping on one foot
Answer: C
4. A 12-month-old child is evaluated for developmental progress. The child
pulls to stand, cruises along furniture, uses a few meaningful words, and
demonstrates stranger anxiety. Which additional finding would be most
consistent with expected development at approximately this age?
A. Walking independently or beginning independent steps
B. Reading several words
C. Skipping with alternating feet
D. Speaking in four-word sentences consistently
Answer: A
5. A 2-year-old child is brought for a preventive examination. The parent
reports that the child frequently says “no,” attempts to perform activities
independently, and can combine words into short phrases. Which
developmental behavior should the FNP recognize as appropriate for this
age?
A. Using two-word phrases
B. Writing their full name
C. Tying shoelaces
D. Copying a complex geometric figure
Answer: A
6. A parent asks the FNP when toilet-training readiness should generally be
discussed. The child is approximately 18 months old, demonstrates
awareness of wet diapers, can follow simple instructions, and can
communicate basic needs. Which guidance is most appropriate?
A. Toilet training should always begin before 12 months
B. Toilet training should be postponed until school age
C. Readiness signs can be assessed around the second year of life
D. Toilet training should begin immediately regardless of developmental
readiness
Answer: C
,3
7. A 4-year-old child is evaluated during a wellness visit. The child can hop on
one foot, use scissors, draw a person with several body parts, and speak
clearly enough for strangers to understand most of the time. Which
developmental domain is being primarily assessed when the FNP evaluates
the child's ability to hop and balance?
A. Fine motor development
B. Gross motor development
C. Receptive language development
D. Social-emotional development
Answer: B
8. A 5-year-old child presents for a kindergarten physical examination. The
parent reports that the child dresses independently, copies simple shapes,
counts objects, and participates in cooperative play. Which developmental
finding would be most concerning and warrant additional evaluation?
A. Occasional fear of unfamiliar situations
B. Preference for imaginative play
C. Difficulty writing cursive letters
D. Inability to speak in understandable sentences
Answer: D
9. A healthy newborn is being discharged after an uncomplicated birth. The
parents ask the FNP about safe sleep practices because the infant
frequently falls asleep while being held. Which recommendation is most
appropriate?
A. Place the infant prone on a soft pillow
B. Place the infant supine on a firm sleep surface without loose bedding
C. Place the infant in an adult bed with several blankets
D. Place the infant on the side with a positioning device
Answer: B
10. A 2-month-old infant presents for routine preventive care and
immunization. The infant is healthy, growing appropriately, and has no
contraindications to vaccination. Which preventive intervention should the
, 4
FNP prioritize during this visit?
A. Routine childhood immunization according to the recommended
schedule
B. Screening colonoscopy
C. Mammography
D. Bone-density testing
Answer: A
11. A 9-month-old infant is brought to the clinic because the parents are
concerned that the infant has not yet begun walking independently. The
infant sits independently, crawls, pulls to stand, transfers objects, babbles,
and responds to caregivers. Which interpretation is most appropriate?
A. Failure to walk independently at 9 months is usually not concerning
B. The infant should already be running
C. The infant has definite cerebral palsy
D. Immediate neurological imaging is mandatory
Answer: A
12. A 3-year-old child presents for a wellness visit and has a BMI above the 95th
percentile for age and sex. The parents report frequent consumption of
sugar-sweetened beverages and limited physical activity. Which
intervention is most appropriate?
A. Recommend a severely restricted calorie diet
B. Begin weight-loss medication immediately
C. Focus on family-based nutrition, activity, and healthy behavior changes
D. Tell the parents the child will naturally outgrow the problem
Answer: C
13. A 6-year-old child is brought to the clinic because the parent reports that
the child frequently snores, has restless sleep, and appears sleepy during
the day. The child has enlarged tonsils and a history of behavioral difficulties
at school. Which condition should the FNP consider?
A. Obstructive sleep apnea
B. Narcolepsy
NURS 5432 FNP 1 | NURS 5432 FAMILY 1 MIDTERM AND FINAL EXAM
UNIVERSITY OF TEXAS AT ARLINGTON (UTA) THIS EXAM INCLUDES
MODULES 1-6 ACTUAL EXAM 2026/2027
1. A 3-year-old child is brought to the primary-care clinic for a routine wellness
examination. The parents report that the child is toilet trained during the
daytime, can speak in understandable sentences, and enjoys playing with
other children. When evaluating expected developmental milestones, which
ability would be most appropriate for the FNP to anticipate at this age?
A. Tying shoelaces independently using a double knot
B. Alternating feet while climbing stairs
C. Reading simple paragraphs independently
D. Riding a two-wheel bicycle without assistance
Answer: B
2. A healthy infant is brought to the clinic for anticipatory guidance. The
parents ask when they should expect the first primary teeth to begin
erupting and what symptoms are commonly associated with teething.
Which age range is most appropriate for the FNP to discuss as the usual
beginning of primary tooth eruption?
A. Birth to 2 months
B. 2 to 3 months
C. 3 to 4 months
D. Approximately 4 to 6 months
Answer: D
3. A 6-month-old infant is evaluated during a well-child visit. The infant can sit
with support, transfers objects between hands, babbles, and demonstrates
social interaction with caregivers. The parents ask which developmental
behavior would be expected to emerge as the infant approaches the later
part of the first year. Which response is most appropriate?
A. Drawing a recognizable person
B. Speaking in complete sentences
C. Beginning to use a pincer grasp and transferring objects intentionally
,2
D. Hopping on one foot
Answer: C
4. A 12-month-old child is evaluated for developmental progress. The child
pulls to stand, cruises along furniture, uses a few meaningful words, and
demonstrates stranger anxiety. Which additional finding would be most
consistent with expected development at approximately this age?
A. Walking independently or beginning independent steps
B. Reading several words
C. Skipping with alternating feet
D. Speaking in four-word sentences consistently
Answer: A
5. A 2-year-old child is brought for a preventive examination. The parent
reports that the child frequently says “no,” attempts to perform activities
independently, and can combine words into short phrases. Which
developmental behavior should the FNP recognize as appropriate for this
age?
A. Using two-word phrases
B. Writing their full name
C. Tying shoelaces
D. Copying a complex geometric figure
Answer: A
6. A parent asks the FNP when toilet-training readiness should generally be
discussed. The child is approximately 18 months old, demonstrates
awareness of wet diapers, can follow simple instructions, and can
communicate basic needs. Which guidance is most appropriate?
A. Toilet training should always begin before 12 months
B. Toilet training should be postponed until school age
C. Readiness signs can be assessed around the second year of life
D. Toilet training should begin immediately regardless of developmental
readiness
Answer: C
,3
7. A 4-year-old child is evaluated during a wellness visit. The child can hop on
one foot, use scissors, draw a person with several body parts, and speak
clearly enough for strangers to understand most of the time. Which
developmental domain is being primarily assessed when the FNP evaluates
the child's ability to hop and balance?
A. Fine motor development
B. Gross motor development
C. Receptive language development
D. Social-emotional development
Answer: B
8. A 5-year-old child presents for a kindergarten physical examination. The
parent reports that the child dresses independently, copies simple shapes,
counts objects, and participates in cooperative play. Which developmental
finding would be most concerning and warrant additional evaluation?
A. Occasional fear of unfamiliar situations
B. Preference for imaginative play
C. Difficulty writing cursive letters
D. Inability to speak in understandable sentences
Answer: D
9. A healthy newborn is being discharged after an uncomplicated birth. The
parents ask the FNP about safe sleep practices because the infant
frequently falls asleep while being held. Which recommendation is most
appropriate?
A. Place the infant prone on a soft pillow
B. Place the infant supine on a firm sleep surface without loose bedding
C. Place the infant in an adult bed with several blankets
D. Place the infant on the side with a positioning device
Answer: B
10. A 2-month-old infant presents for routine preventive care and
immunization. The infant is healthy, growing appropriately, and has no
contraindications to vaccination. Which preventive intervention should the
, 4
FNP prioritize during this visit?
A. Routine childhood immunization according to the recommended
schedule
B. Screening colonoscopy
C. Mammography
D. Bone-density testing
Answer: A
11. A 9-month-old infant is brought to the clinic because the parents are
concerned that the infant has not yet begun walking independently. The
infant sits independently, crawls, pulls to stand, transfers objects, babbles,
and responds to caregivers. Which interpretation is most appropriate?
A. Failure to walk independently at 9 months is usually not concerning
B. The infant should already be running
C. The infant has definite cerebral palsy
D. Immediate neurological imaging is mandatory
Answer: A
12. A 3-year-old child presents for a wellness visit and has a BMI above the 95th
percentile for age and sex. The parents report frequent consumption of
sugar-sweetened beverages and limited physical activity. Which
intervention is most appropriate?
A. Recommend a severely restricted calorie diet
B. Begin weight-loss medication immediately
C. Focus on family-based nutrition, activity, and healthy behavior changes
D. Tell the parents the child will naturally outgrow the problem
Answer: C
13. A 6-year-old child is brought to the clinic because the parent reports that
the child frequently snores, has restless sleep, and appears sleepy during
the day. The child has enlarged tonsils and a history of behavioral difficulties
at school. Which condition should the FNP consider?
A. Obstructive sleep apnea
B. Narcolepsy
