WGU D119 Pediatric Primary OA Latest Actual Exam
And Practice Exam 2026-2027 With Complete
Questions And Correct Detailed Answers| Brand New
Version!
The parent of a four-year-old child points to a picture and says, "That's
your sister." The child responds by saying, "No! It's my baby!"
Which type of thinking does this response indicate?
A. Realism
B. Animism
C. Egocentrism
D. Artificialism - ANSWER-A. Realism is a concept of thinking that
embraces fact and reality. Viewing the sister as the baby embraces the
reality of the baby's placement in the family unit and how the parents
refer to the sister.
You perform a developmental assessment on a 32-month-old child. The
child's parent reports that approximately 70% of the child's speech is
intelligible. You observe that the child has difficulty pronouncing t, c, d,
k, and g sounds.
What should you do?
1|Page
,A. Obtain a hearing evaluation.
B. Refer the child to a speech therapist.
C. Reassure the parent that this is normal.
D. Evaluate the child's cognitive abilities. - ANSWER-C. Intelligibility of
speech reaches approximately 66% between the ages of 24 and 36
months. Tongue-contact sounds are more intelligible by age five. This
child exhibits normal speech for the child's age.
A primary care pediatric nurse practitioner is evaluating a two-year-old
with a documented speech delay. The screenings to assess motor skills
and cognition are normal, and the child passed a recent hearing test.
What should the pediatric nurse practitioner do next?
A. Suggest that the parents purchase age-appropriate music videos
B. Ask the child's parents if they read to the child
C. Refer the child to an early intervention program
D. Give the parents educational materials to encourage speech -
ANSWER-B. Language development requires oral-motor ability, auditory
perception, and cognitive ability, which this child has demonstrated.
Language also requires a psychosocial-cultural environment to motivate
the child to engage in language use. Your initial step should be to
determine whether the parents provide such an environment.
2|Page
,Educational materials may be used after it is determined that these are
useful. Early intervention may be used if the speech delay persists.
A child has failed kindergarten screening and is brought to you for
evaluation. The child has not had any medical care since the 18-month
well visit. On your examination, you note the child cannot balance on
one foot, draw a circle, count to three, or name colors.
What should you do?
A. Refer the child for occupational therapy.
B. Counsel the parent on the need for regular checkups to detect
delays, and refer the child to a developmental specialist.
C. Assure the parent that the child will catch up.
D. Recommend the child wait a year to take the screening again. -
ANSWER-B. Because of the child's significant developmental delays, you
should refer the child to specialists for additional testing. You should
also provide parental counseling. Both are an important part of the
initial treatment for this child.
The father of a three-year-old child presents with concerns about his
child's behavior. He expresses concern that after he and his spouse had
a minor argument the child began hitting the family dog with a toy and
poked at its eyes despite the dog yelping in pain. After he got the dog
away from the child, the child began hitting himself. The father states
3|Page
, the argument was a minor disagreement that did not become loud or
physical.
What is the most appropriate action for you to take?
A. Make a referral to children's protective services.
B. Provide the father with guidance on nonviolent discipline methods.
C. Immediately refer the child for psychological evaluation.
D. Reassure the father that children do not understand the
consequences of their actions and the child did not intend to hurt the
animal. - ANSWER-C. Children who display cruelty to animals or engage
in self-harm behaviors should be referred for immediate evaluation.
The father of a three-year-old child takes the child to a play group once
a week. He expresses concern that the child plays with toys but does
not interact with the other toddlers.
What counsel should you give the father?
A. The toddler may have a language delay that interferes with
socialization with other children.
B. Toddlers may be interested in other children, but they usually do not
engage in interactive play.
C. The toddler is probably very shy but will outgrow this tendency with
repeated exposure to other children.
4|Page
And Practice Exam 2026-2027 With Complete
Questions And Correct Detailed Answers| Brand New
Version!
The parent of a four-year-old child points to a picture and says, "That's
your sister." The child responds by saying, "No! It's my baby!"
Which type of thinking does this response indicate?
A. Realism
B. Animism
C. Egocentrism
D. Artificialism - ANSWER-A. Realism is a concept of thinking that
embraces fact and reality. Viewing the sister as the baby embraces the
reality of the baby's placement in the family unit and how the parents
refer to the sister.
You perform a developmental assessment on a 32-month-old child. The
child's parent reports that approximately 70% of the child's speech is
intelligible. You observe that the child has difficulty pronouncing t, c, d,
k, and g sounds.
What should you do?
1|Page
,A. Obtain a hearing evaluation.
B. Refer the child to a speech therapist.
C. Reassure the parent that this is normal.
D. Evaluate the child's cognitive abilities. - ANSWER-C. Intelligibility of
speech reaches approximately 66% between the ages of 24 and 36
months. Tongue-contact sounds are more intelligible by age five. This
child exhibits normal speech for the child's age.
A primary care pediatric nurse practitioner is evaluating a two-year-old
with a documented speech delay. The screenings to assess motor skills
and cognition are normal, and the child passed a recent hearing test.
What should the pediatric nurse practitioner do next?
A. Suggest that the parents purchase age-appropriate music videos
B. Ask the child's parents if they read to the child
C. Refer the child to an early intervention program
D. Give the parents educational materials to encourage speech -
ANSWER-B. Language development requires oral-motor ability, auditory
perception, and cognitive ability, which this child has demonstrated.
Language also requires a psychosocial-cultural environment to motivate
the child to engage in language use. Your initial step should be to
determine whether the parents provide such an environment.
2|Page
,Educational materials may be used after it is determined that these are
useful. Early intervention may be used if the speech delay persists.
A child has failed kindergarten screening and is brought to you for
evaluation. The child has not had any medical care since the 18-month
well visit. On your examination, you note the child cannot balance on
one foot, draw a circle, count to three, or name colors.
What should you do?
A. Refer the child for occupational therapy.
B. Counsel the parent on the need for regular checkups to detect
delays, and refer the child to a developmental specialist.
C. Assure the parent that the child will catch up.
D. Recommend the child wait a year to take the screening again. -
ANSWER-B. Because of the child's significant developmental delays, you
should refer the child to specialists for additional testing. You should
also provide parental counseling. Both are an important part of the
initial treatment for this child.
The father of a three-year-old child presents with concerns about his
child's behavior. He expresses concern that after he and his spouse had
a minor argument the child began hitting the family dog with a toy and
poked at its eyes despite the dog yelping in pain. After he got the dog
away from the child, the child began hitting himself. The father states
3|Page
, the argument was a minor disagreement that did not become loud or
physical.
What is the most appropriate action for you to take?
A. Make a referral to children's protective services.
B. Provide the father with guidance on nonviolent discipline methods.
C. Immediately refer the child for psychological evaluation.
D. Reassure the father that children do not understand the
consequences of their actions and the child did not intend to hurt the
animal. - ANSWER-C. Children who display cruelty to animals or engage
in self-harm behaviors should be referred for immediate evaluation.
The father of a three-year-old child takes the child to a play group once
a week. He expresses concern that the child plays with toys but does
not interact with the other toddlers.
What counsel should you give the father?
A. The toddler may have a language delay that interferes with
socialization with other children.
B. Toddlers may be interested in other children, but they usually do not
engage in interactive play.
C. The toddler is probably very shy but will outgrow this tendency with
repeated exposure to other children.
4|Page
