CPNP-PC (Certified Pediatric Nurse Practitioner
Primary Care ) Final Exam 2025-2026 Questions
And Answers With Rationale Graded A+
Which of the following does not commonly impact temperature stability &
regulation in a child?
A. Increased subcutaneous tissue w/increased evaporative heat loss
B. Decreased body surface area to mass ratio
C. Thinner skin
D. Increased energy expenditure
A. Increased subcutaneous tissue w/increased evaporative heat loss
(Temp stability in children is commonly impacted by their limited, no increased,
SQ tissue w/evaporative heat loss, as well as a smaller BSA to mass ratio, thinner
skin, & increased energy expenditure. D/t the fact that more energy is needed to
facilitate proper growth, less energy is available for thermoregulation. These
factors are important b/c they put children @ an increased risk of hypothermia.)
,You ask Samuel, a toddler, to point to one body part & he points directly to his
elbow. Samuel's mother states that he just started correctly pointing to body parts
last week. If Samuel is properly reaching expected developmental milestones, he
would most likely be:
A. About 13 months old
B. About 18 months old
C. About 20 months old
D. About 2 years old
B. About 18 months old
(A properly developing toddler would be expected to point to his body parts @ 15-
18 months old. A 13 month old can typically walk & understand a few words, but
would not be expected to point to body parts. A 20 month old & a 2 year old would
already be expected to be able to properly indicate parts of their body.)
Holly, age 4, is at a WCE. During the visit, her weight is recorded as being 40 lb.
Assuming expected growth parameters, how much will Holly most likely weigh in
2 years?
A. 60 lb
B. 52 lb
C. 45 lb
D. 42 lb
B. 52 lb
(School age children typically gain around 5-7 lbs annually. Therefore 40 + 10 =
50 & 40 + 12 = 52 so closest answer is B - 52 lbs.)
,All of the following accurately reflect the typical WCE except:
A. After age 4 years, a child should have a WCE yearly
B. Children on ADHD medication should see a physician or NP q6m
C. WCE are arranged around immunizations schedules, which are the key purpose
of the visit
D. If the parents are experienced, their newborn does not commonly need to have a
check-up until 1-2 weeks after birth
C. WCE are arranged around immunizations schedules, which are the key purpose
of the visit
(WCE commonly include PE to assess the physical well-being of a child;
preventive care (immunizations).. communication w/the parents, developmental
tracking, & personal family issues are all equally important aspects of the WCE. If
no complications they should have a WCE yearly after age 4, if taking ADHD
meds then they s/be seen q6m, after birth, it is recommended that the newborn be
seen in 2-4 days unless the parents are experienced.)
Most stage-based theories of development focus primarily on:
a. The continuity of development
, b. The discontinuity of development
c. Persistence of inherent personality characteristics
d. The influence of context on development
b. The discontinuity of development
(These theories address deviations from developmental progress norms.)
The common practice of using "time-outs" w/young children is a direct application
of:
a. Operant conditioning
b. Classical conditioning
c. Separation-individuation
d. Maturational reinforcement
a. Operant conditioning
(Time-out is a practice of behavioral modification as promulgated by B. F.
Skinner's model of operant conditioning w/a negative consequence for an
unacceptable behavior.)
Good communication among families, schools, & primary care providers is an
example of which ecological concept?
a. Microsystem
b. Mesosystem
c. Exosystem
Primary Care ) Final Exam 2025-2026 Questions
And Answers With Rationale Graded A+
Which of the following does not commonly impact temperature stability &
regulation in a child?
A. Increased subcutaneous tissue w/increased evaporative heat loss
B. Decreased body surface area to mass ratio
C. Thinner skin
D. Increased energy expenditure
A. Increased subcutaneous tissue w/increased evaporative heat loss
(Temp stability in children is commonly impacted by their limited, no increased,
SQ tissue w/evaporative heat loss, as well as a smaller BSA to mass ratio, thinner
skin, & increased energy expenditure. D/t the fact that more energy is needed to
facilitate proper growth, less energy is available for thermoregulation. These
factors are important b/c they put children @ an increased risk of hypothermia.)
,You ask Samuel, a toddler, to point to one body part & he points directly to his
elbow. Samuel's mother states that he just started correctly pointing to body parts
last week. If Samuel is properly reaching expected developmental milestones, he
would most likely be:
A. About 13 months old
B. About 18 months old
C. About 20 months old
D. About 2 years old
B. About 18 months old
(A properly developing toddler would be expected to point to his body parts @ 15-
18 months old. A 13 month old can typically walk & understand a few words, but
would not be expected to point to body parts. A 20 month old & a 2 year old would
already be expected to be able to properly indicate parts of their body.)
Holly, age 4, is at a WCE. During the visit, her weight is recorded as being 40 lb.
Assuming expected growth parameters, how much will Holly most likely weigh in
2 years?
A. 60 lb
B. 52 lb
C. 45 lb
D. 42 lb
B. 52 lb
(School age children typically gain around 5-7 lbs annually. Therefore 40 + 10 =
50 & 40 + 12 = 52 so closest answer is B - 52 lbs.)
,All of the following accurately reflect the typical WCE except:
A. After age 4 years, a child should have a WCE yearly
B. Children on ADHD medication should see a physician or NP q6m
C. WCE are arranged around immunizations schedules, which are the key purpose
of the visit
D. If the parents are experienced, their newborn does not commonly need to have a
check-up until 1-2 weeks after birth
C. WCE are arranged around immunizations schedules, which are the key purpose
of the visit
(WCE commonly include PE to assess the physical well-being of a child;
preventive care (immunizations).. communication w/the parents, developmental
tracking, & personal family issues are all equally important aspects of the WCE. If
no complications they should have a WCE yearly after age 4, if taking ADHD
meds then they s/be seen q6m, after birth, it is recommended that the newborn be
seen in 2-4 days unless the parents are experienced.)
Most stage-based theories of development focus primarily on:
a. The continuity of development
, b. The discontinuity of development
c. Persistence of inherent personality characteristics
d. The influence of context on development
b. The discontinuity of development
(These theories address deviations from developmental progress norms.)
The common practice of using "time-outs" w/young children is a direct application
of:
a. Operant conditioning
b. Classical conditioning
c. Separation-individuation
d. Maturational reinforcement
a. Operant conditioning
(Time-out is a practice of behavioral modification as promulgated by B. F.
Skinner's model of operant conditioning w/a negative consequence for an
unacceptable behavior.)
Good communication among families, schools, & primary care providers is an
example of which ecological concept?
a. Microsystem
b. Mesosystem
c. Exosystem
