PNCB Pediatric Primary Care NP Exam
PRACTICE QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED
RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
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1. A 2-month-old infant is brought for a well-child visit. Which
developmental milestone is most appropriate for this age?
A. Sitting without support
B. Social smiling
C. Pulling to stand
D. Using two-word phrases
Answer: B. Social smiling
Rationale: Social smiling typically emerges around 6–8 weeks. Sitting
independently, pulling to stand, and two-word phrases occur
substantially later.
2. Which gross motor milestone is expected in a healthy 6-month-
old?
A. Walking independently
B. Running
C. Rolling from abdomen to back
D. Hopping on one foot
Answer: C. Rolling from abdomen to back
Rationale: Rolling is an expected skill during early infancy.
Independent walking, running, and hopping occur later.
,3. A 9-month-old infant is evaluated for development. Which finding
is most concerning?
A. Stranger anxiety
B. Crawling
C. Babbles with consonant sounds
D. Unable to sit independently
Answer: D. Unable to sit independently
Rationale: Independent sitting is generally expected by approximately
6–9 months. Failure to sit independently by 9 months warrants
developmental evaluation.
4. Which developmental behavior is expected of most 12-month-old
children?
A. Uses three-word sentences
B. Walks independently or cruises
C. Copies a triangle
D. Skips
Answer: B. Walks independently or cruises
Rationale: Many children begin independent walking around 12
months, although the normal range is broad.
5. A 15-month-old child should generally be able to:
A. Use several two-word sentences
B. Walk independently
C. Ride a bicycle
D. Draw a recognizable person
Answer: B. Walk independently
Rationale: Independent walking is an expected gross motor milestone
around 12–15 months.
6. Which language milestone is most appropriate for a 2-year-old?
A. No meaningful words
B. Two-word phrases
,C. Fluent four-word sentences
D. Reading simple sentences
Answer: B. Two-word phrases
Rationale: By approximately age 2, children commonly combine
words into simple two-word phrases.
7. A 3-year-old child is evaluated for language development. Which
finding is expected?
A. Speech is completely unintelligible
B. Uses only single words
C. Uses three-word sentences
D. Cannot name familiar objects
Answer: C. Uses three-word sentences
Rationale: Three-year-olds generally use short sentences and have
rapidly expanding vocabularies.
8. Which developmental task is most characteristic of Erikson's
toddler stage?
A. Trust versus mistrust
B. Autonomy versus shame and doubt
C. Initiative versus guilt
D. Industry versus inferiority
Answer: B. Autonomy versus shame and doubt
Rationale: Toddlers develop independence and self-control, making
autonomy the central psychosocial task.
9. According to Erikson, the primary psychosocial task of
preschoolers is:
A. Trust
B. Autonomy
C. Initiative
D. Identity
, Answer: C. Initiative
Rationale: Preschool children develop initiative through exploration,
imagination, and purposeful activities.
10. A school-age child is primarily working through which Eriksonian
developmental stage?
A. Industry versus inferiority
B. Identity versus role confusion
C. Trust versus mistrust
D. Intimacy versus isolation
Answer: A. Industry versus inferiority
Rationale: School-age children develop competence through learning,
achievement, and productive activities.
2. Preventive Care
11. Which intervention is most appropriate for reducing the risk of
sudden unexpected infant death?
A. Place the infant prone for sleep
B. Use a soft pillow
C. Place the infant supine on a firm sleep surface
D. Allow bed-sharing with a parent
Answer: C. Place the infant supine on a firm sleep surface
Rationale: Infants should sleep on their backs on a firm, flat surface
without loose bedding or soft objects.
12. Which recommendation should the PNP provide regarding infant
sleep?
A. Use bumper pads
B. Keep stuffed animals in the crib
C. Room-share without bed-sharing
D. Place the infant on the stomach after feeding
PRACTICE QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED
RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF
1. A 2-month-old infant is brought for a well-child visit. Which
developmental milestone is most appropriate for this age?
A. Sitting without support
B. Social smiling
C. Pulling to stand
D. Using two-word phrases
Answer: B. Social smiling
Rationale: Social smiling typically emerges around 6–8 weeks. Sitting
independently, pulling to stand, and two-word phrases occur
substantially later.
2. Which gross motor milestone is expected in a healthy 6-month-
old?
A. Walking independently
B. Running
C. Rolling from abdomen to back
D. Hopping on one foot
Answer: C. Rolling from abdomen to back
Rationale: Rolling is an expected skill during early infancy.
Independent walking, running, and hopping occur later.
,3. A 9-month-old infant is evaluated for development. Which finding
is most concerning?
A. Stranger anxiety
B. Crawling
C. Babbles with consonant sounds
D. Unable to sit independently
Answer: D. Unable to sit independently
Rationale: Independent sitting is generally expected by approximately
6–9 months. Failure to sit independently by 9 months warrants
developmental evaluation.
4. Which developmental behavior is expected of most 12-month-old
children?
A. Uses three-word sentences
B. Walks independently or cruises
C. Copies a triangle
D. Skips
Answer: B. Walks independently or cruises
Rationale: Many children begin independent walking around 12
months, although the normal range is broad.
5. A 15-month-old child should generally be able to:
A. Use several two-word sentences
B. Walk independently
C. Ride a bicycle
D. Draw a recognizable person
Answer: B. Walk independently
Rationale: Independent walking is an expected gross motor milestone
around 12–15 months.
6. Which language milestone is most appropriate for a 2-year-old?
A. No meaningful words
B. Two-word phrases
,C. Fluent four-word sentences
D. Reading simple sentences
Answer: B. Two-word phrases
Rationale: By approximately age 2, children commonly combine
words into simple two-word phrases.
7. A 3-year-old child is evaluated for language development. Which
finding is expected?
A. Speech is completely unintelligible
B. Uses only single words
C. Uses three-word sentences
D. Cannot name familiar objects
Answer: C. Uses three-word sentences
Rationale: Three-year-olds generally use short sentences and have
rapidly expanding vocabularies.
8. Which developmental task is most characteristic of Erikson's
toddler stage?
A. Trust versus mistrust
B. Autonomy versus shame and doubt
C. Initiative versus guilt
D. Industry versus inferiority
Answer: B. Autonomy versus shame and doubt
Rationale: Toddlers develop independence and self-control, making
autonomy the central psychosocial task.
9. According to Erikson, the primary psychosocial task of
preschoolers is:
A. Trust
B. Autonomy
C. Initiative
D. Identity
, Answer: C. Initiative
Rationale: Preschool children develop initiative through exploration,
imagination, and purposeful activities.
10. A school-age child is primarily working through which Eriksonian
developmental stage?
A. Industry versus inferiority
B. Identity versus role confusion
C. Trust versus mistrust
D. Intimacy versus isolation
Answer: A. Industry versus inferiority
Rationale: School-age children develop competence through learning,
achievement, and productive activities.
2. Preventive Care
11. Which intervention is most appropriate for reducing the risk of
sudden unexpected infant death?
A. Place the infant prone for sleep
B. Use a soft pillow
C. Place the infant supine on a firm sleep surface
D. Allow bed-sharing with a parent
Answer: C. Place the infant supine on a firm sleep surface
Rationale: Infants should sleep on their backs on a firm, flat surface
without loose bedding or soft objects.
12. Which recommendation should the PNP provide regarding infant
sleep?
A. Use bumper pads
B. Keep stuffed animals in the crib
C. Room-share without bed-sharing
D. Place the infant on the stomach after feeding
