Barkley Pediatric Nurse Practitioner
(PNP) Review PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
Section I — Growth, Development & Preventive Care
1. A 2-month-old infant is brought for a well-child visit. Which
developmental milestone is most appropriate for this age?
A. Sits without support
B. Uses pincer grasp
C. Smiles responsively
D. Walks independently
Answer: C. Smiles responsively
By approximately 2 months, infants typically begin social smiling and
responding to faces and voices. Sitting independently and using a
pincer grasp occur later.
2. Which gross motor milestone is expected in a typically
developing 6-month-old infant?
A. Walks independently
B. Runs
C. Sits with minimal support
D. Climbs stairs
,Answer: C. Sits with minimal support
Most infants can sit with support or begin sitting independently
around 6 months. Independent walking generally occurs around 12–
15 months.
3. A 9-month-old infant is evaluated during a well-child visit. Which
finding is most concerning for developmental delay?
A. Stranger anxiety
B. Babbles
C. Transfers objects between hands
D. Unable to sit independently
Answer: D. Unable to sit independently
Independent sitting is generally expected by approximately 9 months.
Failure to achieve this milestone warrants further developmental
evaluation.
4. Which developmental skill is expected in a 12-month-old child?
A. Hops on one foot
B. Uses three-word sentences
C. Pulls to stand and cruises
D. Copies a triangle
Answer: C. Pulls to stand and cruises
At approximately 12 months, children commonly pull to stand, cruise
along furniture, use a pincer grasp, and may take a few independent
steps.
,5. A 15-month-old child uses only one word but understands simple
commands and points to desired objects. What is the most
appropriate initial approach?
A. Diagnose autism spectrum disorder
B. Diagnose intellectual disability
C. Assess hearing and continue developmental surveillance
D. Start speech therapy immediately without further assessment
Answer: C. Assess hearing and continue developmental surveillance
Expressive language varies considerably. Hearing assessment is
appropriate when speech is delayed, while the child's receptive
language and social communication are reassuring.
6. Which milestone is expected by approximately 18 months?
A. Reads simple words
B. Skips
C. Uses approximately 10–20 words
D. Ties shoelaces
Answer: C. Uses approximately 10–20 words
By 18 months, children generally have an expanding expressive
vocabulary and can follow simple commands.
7. A 2-year-old child is evaluated for language development. Which
finding is most concerning?
A. Uses two-word phrases
B. Follows two-step commands
C. Runs well
D. Has no meaningful words
Answer: D. Has no meaningful words
, Absence of meaningful speech at age 2 is concerning and warrants
developmental evaluation, including assessment for hearing
impairment and autism spectrum disorder.
8. Which developmental behavior is characteristic of a typical 3-
year-old?
A. Cannot separate from caregiver
B. Engages in imaginative play
C. Uses only single words
D. Cannot climb stairs
Answer: B. Engages in imaginative play
Preschool children commonly engage in pretend and imaginative
play, develop increasingly complex language, and interact more
cooperatively with peers.
9. Which developmental achievement is expected around age 4
years?
A. Cannot draw a person
B. Uses only two-word phrases
C. Hops on one foot
D. Cannot follow simple rules
Answer: C. Hops on one foot
By approximately 4 years, children commonly hop on one foot, use
increasingly complex sentences, and participate in cooperative play.
10. Which behavior is most characteristic of a 5-year-old child?
A. Parallel play only
B. Can follow rules in games
(PNP) Review PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
Section I — Growth, Development & Preventive Care
1. A 2-month-old infant is brought for a well-child visit. Which
developmental milestone is most appropriate for this age?
A. Sits without support
B. Uses pincer grasp
C. Smiles responsively
D. Walks independently
Answer: C. Smiles responsively
By approximately 2 months, infants typically begin social smiling and
responding to faces and voices. Sitting independently and using a
pincer grasp occur later.
2. Which gross motor milestone is expected in a typically
developing 6-month-old infant?
A. Walks independently
B. Runs
C. Sits with minimal support
D. Climbs stairs
,Answer: C. Sits with minimal support
Most infants can sit with support or begin sitting independently
around 6 months. Independent walking generally occurs around 12–
15 months.
3. A 9-month-old infant is evaluated during a well-child visit. Which
finding is most concerning for developmental delay?
A. Stranger anxiety
B. Babbles
C. Transfers objects between hands
D. Unable to sit independently
Answer: D. Unable to sit independently
Independent sitting is generally expected by approximately 9 months.
Failure to achieve this milestone warrants further developmental
evaluation.
4. Which developmental skill is expected in a 12-month-old child?
A. Hops on one foot
B. Uses three-word sentences
C. Pulls to stand and cruises
D. Copies a triangle
Answer: C. Pulls to stand and cruises
At approximately 12 months, children commonly pull to stand, cruise
along furniture, use a pincer grasp, and may take a few independent
steps.
,5. A 15-month-old child uses only one word but understands simple
commands and points to desired objects. What is the most
appropriate initial approach?
A. Diagnose autism spectrum disorder
B. Diagnose intellectual disability
C. Assess hearing and continue developmental surveillance
D. Start speech therapy immediately without further assessment
Answer: C. Assess hearing and continue developmental surveillance
Expressive language varies considerably. Hearing assessment is
appropriate when speech is delayed, while the child's receptive
language and social communication are reassuring.
6. Which milestone is expected by approximately 18 months?
A. Reads simple words
B. Skips
C. Uses approximately 10–20 words
D. Ties shoelaces
Answer: C. Uses approximately 10–20 words
By 18 months, children generally have an expanding expressive
vocabulary and can follow simple commands.
7. A 2-year-old child is evaluated for language development. Which
finding is most concerning?
A. Uses two-word phrases
B. Follows two-step commands
C. Runs well
D. Has no meaningful words
Answer: D. Has no meaningful words
, Absence of meaningful speech at age 2 is concerning and warrants
developmental evaluation, including assessment for hearing
impairment and autism spectrum disorder.
8. Which developmental behavior is characteristic of a typical 3-
year-old?
A. Cannot separate from caregiver
B. Engages in imaginative play
C. Uses only single words
D. Cannot climb stairs
Answer: B. Engages in imaginative play
Preschool children commonly engage in pretend and imaginative
play, develop increasingly complex language, and interact more
cooperatively with peers.
9. Which developmental achievement is expected around age 4
years?
A. Cannot draw a person
B. Uses only two-word phrases
C. Hops on one foot
D. Cannot follow simple rules
Answer: C. Hops on one foot
By approximately 4 years, children commonly hop on one foot, use
increasingly complex sentences, and participate in cooperative play.
10. Which behavior is most characteristic of a 5-year-old child?
A. Parallel play only
B. Can follow rules in games
