FOCUSED PRACTICE TEST * 2026/2027
NR602
Pediatric Preventive Care
& Immunizations
100-Question Focused Practice Test
Well-child care, screening, immunizations, anticipatory guidance, injury prevention, adolescent preventive
care, and vaccine safety.
100 A-D 100
Practice Questions Multiple Choice Immediate Explanations
Original study and revision material * Clean print-ready format
, NR602 Pediatric Preventive Care & Immunizations
100 original questions with the answer and explanation immediately after every question.
Instructions: Select the best answer for each question. The correct answer and detailed explanation appear immediately
after every item. Questions are original and cover preventive visits, screening, immunizations, anticipatory guidance,
safety, adolescent health, and vaccine-related clinical reasoning. Clinical note: vaccine and screening guidance can
change; use the current CDC/AAP schedule for real patient care.
Focused Preventive Care Review
At a routine well-child visit, which activity should occur at every age to help detect
1 developmental concerns early?
A Developmental surveillance
B Formal autism screening
C Fasting lipid testing
D Tuberculosis testing
Answer: A. Developmental surveillance
Explanation: Developmental surveillance is incorporated into every health supervision visit. Standardized developmental
screening is added at specific ages or whenever surveillance raises concern.
According to AAP recommendations, standardized developmental screening is routinely
2 performed at which ages?
A 6, 12, and 24 months
B 9, 18, and 30 months
C 12, 24, and 36 months
D 18, 30, and 48 months
Answer: B. 9, 18, and 30 months
Explanation: AAP guidance recommends standardized developmental screening at 9, 18, and 30 months. Screening should also
occur whenever a parent or clinician has a developmental concern.
Specific autism spectrum disorder screening is routinely recommended at which
3 well-child visits?
A 9 and 12 months
B 12 and 15 months
C 18 and 24 months
D 30 and 36 months
Answer: C. 18 and 24 months
Explanation: Autism-specific screening is recommended at 18 and 24 months. Earlier or additional evaluation is appropriate
when surveillance identifies concerning signs.
NR602 * Pediatric Preventive Care & Immunizations * 100 Questions Page 2
, NR602 Pediatric Preventive Care & Immunizations
100 original questions with the answer and explanation immediately after every question.
A parent raises a new concern about a 20-month-old child's loss of previously acquired
4 words. What is the best primary-care response?
A Wait until the 30-month screening visit
B Reassure the parent because regression is normal
C Repeat the history at the next annual visit
D Evaluate promptly and initiate appropriate developmental referral
Answer: D. Evaluate promptly and initiate appropriate developmental referral
Explanation: Loss of previously acquired skills is a developmental red flag. Concerns should be addressed promptly rather than
waiting for the next routine screening age.
Which statement best describes the purpose of a pediatric preventive visit?
5
A To promote health, assess growth and development, provide screening and anticipatory guidance, and
update immunizations
B To treat only acute infections
C To replace all specialist care
D To provide vaccines without any other assessment
Answer: A. To promote health, assess growth and development, provide screening and anticipatory
guidance, and update immunizations
Explanation: Preventive visits combine health promotion, history and physical examination, growth and developmental
assessment, screening, immunization review, and age-appropriate counseling.
For most children, blood pressure measurement becomes a routine annual part of
6 preventive care beginning at approximately what age?
A Birth
B 3 years
C 8 years
D 12 years
Answer: B. 3 years
Explanation: Routine blood pressure measurement generally begins at age 3 years, with earlier measurement when specific
risk factors or conditions are present.
Which growth measure is especially important during preventive visits in children
7 younger than 2 years?
A Waist circumference
B Body mass index only
C Head circumference
D Arm span
Answer: C. Head circumference
Explanation: Head circumference is routinely tracked in infancy and early toddlerhood because it provides information about
brain and skull growth. Weight and length are also followed closely.
NR602 * Pediatric Preventive Care & Immunizations * 100 Questions Page 3
NR602
Pediatric Preventive Care
& Immunizations
100-Question Focused Practice Test
Well-child care, screening, immunizations, anticipatory guidance, injury prevention, adolescent preventive
care, and vaccine safety.
100 A-D 100
Practice Questions Multiple Choice Immediate Explanations
Original study and revision material * Clean print-ready format
, NR602 Pediatric Preventive Care & Immunizations
100 original questions with the answer and explanation immediately after every question.
Instructions: Select the best answer for each question. The correct answer and detailed explanation appear immediately
after every item. Questions are original and cover preventive visits, screening, immunizations, anticipatory guidance,
safety, adolescent health, and vaccine-related clinical reasoning. Clinical note: vaccine and screening guidance can
change; use the current CDC/AAP schedule for real patient care.
Focused Preventive Care Review
At a routine well-child visit, which activity should occur at every age to help detect
1 developmental concerns early?
A Developmental surveillance
B Formal autism screening
C Fasting lipid testing
D Tuberculosis testing
Answer: A. Developmental surveillance
Explanation: Developmental surveillance is incorporated into every health supervision visit. Standardized developmental
screening is added at specific ages or whenever surveillance raises concern.
According to AAP recommendations, standardized developmental screening is routinely
2 performed at which ages?
A 6, 12, and 24 months
B 9, 18, and 30 months
C 12, 24, and 36 months
D 18, 30, and 48 months
Answer: B. 9, 18, and 30 months
Explanation: AAP guidance recommends standardized developmental screening at 9, 18, and 30 months. Screening should also
occur whenever a parent or clinician has a developmental concern.
Specific autism spectrum disorder screening is routinely recommended at which
3 well-child visits?
A 9 and 12 months
B 12 and 15 months
C 18 and 24 months
D 30 and 36 months
Answer: C. 18 and 24 months
Explanation: Autism-specific screening is recommended at 18 and 24 months. Earlier or additional evaluation is appropriate
when surveillance identifies concerning signs.
NR602 * Pediatric Preventive Care & Immunizations * 100 Questions Page 2
, NR602 Pediatric Preventive Care & Immunizations
100 original questions with the answer and explanation immediately after every question.
A parent raises a new concern about a 20-month-old child's loss of previously acquired
4 words. What is the best primary-care response?
A Wait until the 30-month screening visit
B Reassure the parent because regression is normal
C Repeat the history at the next annual visit
D Evaluate promptly and initiate appropriate developmental referral
Answer: D. Evaluate promptly and initiate appropriate developmental referral
Explanation: Loss of previously acquired skills is a developmental red flag. Concerns should be addressed promptly rather than
waiting for the next routine screening age.
Which statement best describes the purpose of a pediatric preventive visit?
5
A To promote health, assess growth and development, provide screening and anticipatory guidance, and
update immunizations
B To treat only acute infections
C To replace all specialist care
D To provide vaccines without any other assessment
Answer: A. To promote health, assess growth and development, provide screening and anticipatory
guidance, and update immunizations
Explanation: Preventive visits combine health promotion, history and physical examination, growth and developmental
assessment, screening, immunization review, and age-appropriate counseling.
For most children, blood pressure measurement becomes a routine annual part of
6 preventive care beginning at approximately what age?
A Birth
B 3 years
C 8 years
D 12 years
Answer: B. 3 years
Explanation: Routine blood pressure measurement generally begins at age 3 years, with earlier measurement when specific
risk factors or conditions are present.
Which growth measure is especially important during preventive visits in children
7 younger than 2 years?
A Waist circumference
B Body mass index only
C Head circumference
D Arm span
Answer: C. Head circumference
Explanation: Head circumference is routinely tracked in infancy and early toddlerhood because it provides information about
brain and skull growth. Weight and length are also followed closely.
NR602 * Pediatric Preventive Care & Immunizations * 100 Questions Page 3
