2026 UPDATED QUESTIONS DOWNLOAD
NURS 5432 Family I Midterm Prep High-Yield Practice Questions & Detailed Rationales | FNP
Board-Style (2024-2026 Edition)
Master the NURS 5432 Family Nurse Practitioner (FNP) I Midterm with this comprehensive bank of
400+ high-yield practice questions covering primary care management of pediatrics, adults, and
women's health. This study guide features detailed rationales in italics and verified answers in bold,
focusing on the latest clinical guidelines for hypertension (ACC/AHA), diabetes (ADA), and common
acute illnesses. Perfect for graduate nursing students seeking to sharpen their diagnostic reasoning and
pass the midterm with confidence using evidence-based treatment plans.
1. A 12-month-old infant is brought in for a well-child visit. Which vocalization milestone
is expected at this age?
A. Cooing
B. Simple vowel sounds
C. Babbling reaches its peak
D. Using 3-word sentences
Answer: C. Babbling reaches its peak
Rationale: Babbling typically peaks at 12 months. Cooing begins at 2 months, and 3-word
sentences are expected around age 3.
2. At what age should a child be able to walk backwards and stack 3–4 blocks?
A. 12 months
B. 15 months
C. 18 months
D. 24 months
Answer: C. 18 months
Rationale: Gross motor skills at 18 months include walking backwards and throwing a ball; fine
motor skills include stacking 3–4 blocks.
3. What is the daily caloric requirement for an infant from birth to 6 months of age?
A. 80 kcal/kg/day
B. 100 kcal/kg/day
C. 120 kcal/kg/day
D. 150 kcal/kg/day
, 2026 UPDATED QUESTIONS DOWNLOAD
Answer: C. 120 kcal/kg/day
Rationale: Infants from birth to 6 months require approximately 120 kcal/kg/day to support rapid
growth.
4. A mother asks when she should start giving her 2-month-old infant Vitamin D. What is
the correct recommendation?
A. Wait until 6 months of age.
B. 400 IU daily starting now.
C. Only if the infant is exclusively breastfed.
D. Vitamin D is not needed if the infant gets sunlight.
Answer: B. 400 IU daily starting now.
Rationale: The AAP recommends 400 IU of Vitamin D daily for all infants (breastfed or formula-
fed) starting at 2 months of age.
5. During an eye exam, an absent red reflex is noted in a 4-month-old. This finding is
highly suspicious for:
A. Strabismus
B. Conjunctivitis
C. Retinoblastoma or Congenital Cataracts
D. Normal developmental lag
Answer: C. Retinoblastoma or Congenital Cataracts
Rationale: An absent red reflex (leukocoria) is a medical emergency that requires immediate
referral to rule out intraocular tumors or cataracts.
6. At what age is a child's speech typically 75% understandable to a stranger?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
Answer: B. 3 years
Rationale: By age 3, speech is 75% intelligible; it should be 100% intelligible by age 4.
7. Tanner Stage 1 for both males and females is characterized by:
A. Sparse growth of long, downy hair
B. Elevation of the breast and papilla
C. Pre-pubertal state with no pubic hair
D. Enlargement of the scrotum and testes
Answer: C. Pre-pubertal state with no pubic hair
Rationale: Tanner Stage 1 represents the pre-pubertal phase where no secondary sexual
characteristics or pubic hair are present.
8. Which reflex is elicited by turning a newborn's head to one side, causing the arm on
that side to extend?
, 2026 UPDATED QUESTIONS DOWNLOAD
A. Moro reflex
B. Rooting reflex
C. Tonic Neck (Fencing) reflex
D. Palmar grasp
Answer: C. Tonic Neck (Fencing) reflex
Rationale: The Tonic Neck reflex appears around 2–3 months and is a precursor to hand-eye
coordination.
9. A toddler should be able to feed themselves with fingers and begin using a spoon by:
A. 9–12 months
B. 13–18 months
C. 24 months
D. 3 years
Answer: B. 13–18 months
Rationale: Self-feeding milestones involve finger foods and initial spoon use between 13 and 18
months.
10. What is the recommended dose for the first flu vaccine in a 6-month-old child?
A. 0.25 mL IM
B. 0.5 mL IM
C. 1.0 mL IM
D. Flu vaccine is not given until age 2
Answer: A. 0.25 mL IM
Rationale: For children aged 6–35 months, the standard flu vaccine dose is 0.25 mL IM.
11. By what age should an infant double their birth weight?
A. 4 months
B. 6 months
C. 9 months
D. 12 months
Answer: B. 6 months
Rationale: Infants typically double their birth weight by 6 months and triple it by 12 months.
12. When does the anterior fontanel typically close?
A. 2–3 months
B. 6–9 months
C. 12–18 months
D. 24 months
Answer: C. 12–18 months
Rationale: The posterior fontanel closes by 2 months, while the anterior fontanel closes
between 12 and 18 months.
, 2026 UPDATED QUESTIONS DOWNLOAD
13. A 4-year-old child should be able to perform which fine motor task?
A. Tie shoelaces
B. Draw a person with at least 3 body parts
C. Use a knife to cut meat
D. Write their full name
Answer: B. Draw a person with at least 3 body parts
Rationale: By age 4, children can typically draw a simple cross and a person with 3 body parts.
Tying shoelaces is usually a 5-year-old milestone.
14. What is the priority assessment for a newborn with a disconjugate gaze?
A. Immediate referral to ophthalmology
B. Patching the stronger eye
C. Documenting it as a normal finding
D. Testing for cranial nerve III palsy
Answer: C. Documenting it as a normal finding
Rationale: A disconjugate gaze is considered a normal finding in newborns and typically
resolves as eye muscles strengthen.
15. Iron supplementation of 1 mg/kg/day is recommended for which group?
A. All infants starting at birth
B. Formula-fed infants only
C. Exclusively breastfed infants starting at 4 months
D. Adolescents during growth spurts only
Answer: C. Exclusively breastfed infants starting at 4 months
Rationale: Breastfed infants require iron supplementation starting around 4 months as their
natural iron stores begin to deplete.
16. Which vaccine is contraindicated in a pregnant woman?
A. Tdap
B. Inactivated Influenza
C. MMR
D. Hepatitis B
Answer: C. MMR
Rationale: MMR is a live attenuated vaccine and is contraindicated during pregnancy due to the
theoretical risk to the fetus.
17. A child is able to pedal a tricycle and jump forward. What is their likely age?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
NURS 5432 Family I Midterm Prep High-Yield Practice Questions & Detailed Rationales | FNP
Board-Style (2024-2026 Edition)
Master the NURS 5432 Family Nurse Practitioner (FNP) I Midterm with this comprehensive bank of
400+ high-yield practice questions covering primary care management of pediatrics, adults, and
women's health. This study guide features detailed rationales in italics and verified answers in bold,
focusing on the latest clinical guidelines for hypertension (ACC/AHA), diabetes (ADA), and common
acute illnesses. Perfect for graduate nursing students seeking to sharpen their diagnostic reasoning and
pass the midterm with confidence using evidence-based treatment plans.
1. A 12-month-old infant is brought in for a well-child visit. Which vocalization milestone
is expected at this age?
A. Cooing
B. Simple vowel sounds
C. Babbling reaches its peak
D. Using 3-word sentences
Answer: C. Babbling reaches its peak
Rationale: Babbling typically peaks at 12 months. Cooing begins at 2 months, and 3-word
sentences are expected around age 3.
2. At what age should a child be able to walk backwards and stack 3–4 blocks?
A. 12 months
B. 15 months
C. 18 months
D. 24 months
Answer: C. 18 months
Rationale: Gross motor skills at 18 months include walking backwards and throwing a ball; fine
motor skills include stacking 3–4 blocks.
3. What is the daily caloric requirement for an infant from birth to 6 months of age?
A. 80 kcal/kg/day
B. 100 kcal/kg/day
C. 120 kcal/kg/day
D. 150 kcal/kg/day
, 2026 UPDATED QUESTIONS DOWNLOAD
Answer: C. 120 kcal/kg/day
Rationale: Infants from birth to 6 months require approximately 120 kcal/kg/day to support rapid
growth.
4. A mother asks when she should start giving her 2-month-old infant Vitamin D. What is
the correct recommendation?
A. Wait until 6 months of age.
B. 400 IU daily starting now.
C. Only if the infant is exclusively breastfed.
D. Vitamin D is not needed if the infant gets sunlight.
Answer: B. 400 IU daily starting now.
Rationale: The AAP recommends 400 IU of Vitamin D daily for all infants (breastfed or formula-
fed) starting at 2 months of age.
5. During an eye exam, an absent red reflex is noted in a 4-month-old. This finding is
highly suspicious for:
A. Strabismus
B. Conjunctivitis
C. Retinoblastoma or Congenital Cataracts
D. Normal developmental lag
Answer: C. Retinoblastoma or Congenital Cataracts
Rationale: An absent red reflex (leukocoria) is a medical emergency that requires immediate
referral to rule out intraocular tumors or cataracts.
6. At what age is a child's speech typically 75% understandable to a stranger?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
Answer: B. 3 years
Rationale: By age 3, speech is 75% intelligible; it should be 100% intelligible by age 4.
7. Tanner Stage 1 for both males and females is characterized by:
A. Sparse growth of long, downy hair
B. Elevation of the breast and papilla
C. Pre-pubertal state with no pubic hair
D. Enlargement of the scrotum and testes
Answer: C. Pre-pubertal state with no pubic hair
Rationale: Tanner Stage 1 represents the pre-pubertal phase where no secondary sexual
characteristics or pubic hair are present.
8. Which reflex is elicited by turning a newborn's head to one side, causing the arm on
that side to extend?
, 2026 UPDATED QUESTIONS DOWNLOAD
A. Moro reflex
B. Rooting reflex
C. Tonic Neck (Fencing) reflex
D. Palmar grasp
Answer: C. Tonic Neck (Fencing) reflex
Rationale: The Tonic Neck reflex appears around 2–3 months and is a precursor to hand-eye
coordination.
9. A toddler should be able to feed themselves with fingers and begin using a spoon by:
A. 9–12 months
B. 13–18 months
C. 24 months
D. 3 years
Answer: B. 13–18 months
Rationale: Self-feeding milestones involve finger foods and initial spoon use between 13 and 18
months.
10. What is the recommended dose for the first flu vaccine in a 6-month-old child?
A. 0.25 mL IM
B. 0.5 mL IM
C. 1.0 mL IM
D. Flu vaccine is not given until age 2
Answer: A. 0.25 mL IM
Rationale: For children aged 6–35 months, the standard flu vaccine dose is 0.25 mL IM.
11. By what age should an infant double their birth weight?
A. 4 months
B. 6 months
C. 9 months
D. 12 months
Answer: B. 6 months
Rationale: Infants typically double their birth weight by 6 months and triple it by 12 months.
12. When does the anterior fontanel typically close?
A. 2–3 months
B. 6–9 months
C. 12–18 months
D. 24 months
Answer: C. 12–18 months
Rationale: The posterior fontanel closes by 2 months, while the anterior fontanel closes
between 12 and 18 months.
, 2026 UPDATED QUESTIONS DOWNLOAD
13. A 4-year-old child should be able to perform which fine motor task?
A. Tie shoelaces
B. Draw a person with at least 3 body parts
C. Use a knife to cut meat
D. Write their full name
Answer: B. Draw a person with at least 3 body parts
Rationale: By age 4, children can typically draw a simple cross and a person with 3 body parts.
Tying shoelaces is usually a 5-year-old milestone.
14. What is the priority assessment for a newborn with a disconjugate gaze?
A. Immediate referral to ophthalmology
B. Patching the stronger eye
C. Documenting it as a normal finding
D. Testing for cranial nerve III palsy
Answer: C. Documenting it as a normal finding
Rationale: A disconjugate gaze is considered a normal finding in newborns and typically
resolves as eye muscles strengthen.
15. Iron supplementation of 1 mg/kg/day is recommended for which group?
A. All infants starting at birth
B. Formula-fed infants only
C. Exclusively breastfed infants starting at 4 months
D. Adolescents during growth spurts only
Answer: C. Exclusively breastfed infants starting at 4 months
Rationale: Breastfed infants require iron supplementation starting around 4 months as their
natural iron stores begin to deplete.
16. Which vaccine is contraindicated in a pregnant woman?
A. Tdap
B. Inactivated Influenza
C. MMR
D. Hepatitis B
Answer: C. MMR
Rationale: MMR is a live attenuated vaccine and is contraindicated during pregnancy due to the
theoretical risk to the fetus.
17. A child is able to pedal a tricycle and jump forward. What is their likely age?
A. 2 years
B. 3 years
C. 4 years
D. 5 years
