NR602 PEDIATRIC MIDTERM EXAM 2026/2027 –
VERIFIED PRACTICE TEST WITH ACTUAL-STYLE
QUESTIONS, CORRECT ANSWERS & DETAILED
RATIONALES | LATEST UPDATED VERSION
NR602 PEDIATRIC MIDTERM EXAM 2026/2027 – VERIFIED PRACTICE TEST
• This practice test contains 300 actual-style multiple choice questions with verified
CORRECT ANSWER and detailed EXPERT RATIONALE to help you master pediatric
primary care concepts efficiently. • Use this material by attempting each question
independently before checking the CORRECT ANSWER and EXPERT RATIONALE —
this active recall method significantly strengthens retention and exam readiness.
SECTION 1: GROWTH & DEVELOPMENT
1. A 9-month-old infant is brought to the clinic for a well-child visit. Which
developmental milestone should the nurse practitioner expect to find?
A. Walks independently
B. Says 2–3 words with meaning
C. Sits without support
D. Builds a tower of 4 blocks
E. Copies a circle
CORRECT ANSWER: C. Sits without support
EXPERT RATIONALE: By 9 months, infants should be able to sit without support. Walking
typically develops around 12 months, meaningful words around 12 months, block
towers around 18 months, and copying circles around 3 years.
2. A parent asks when their child should be able to ride a tricycle. The nurse
practitioner correctly responds that this skill is typically achieved at:
,A. 18 months
B. 2 years
C. 3 years
D. 4 years
E. 5 years
CORRECT ANSWER: C. 3 years
EXPERT RATIONALE: Most children can ride a tricycle by age 3. This is a standard gross
motor milestone for the preschool period. By age 4–5, children progress to riding a
bicycle with training wheels.
3. A 4-year-old child is observed drawing a person with 6 body parts. The nurse
practitioner should:
A. Refer to neurology for advanced development
B. Document this as age-appropriate development
C. Refer to occupational therapy
D. Screen for giftedness disorder
E. Recheck at 5 years
CORRECT ANSWER: B. Document this as age-appropriate development
EXPERT RATIONALE: Drawing a person with 6 body parts is expected by age 4–5. This
reflects normal fine motor and cognitive development. No referral is needed at this time.
4. An 18-month-old child has a vocabulary of 10 words. The nurse practitioner
should:
A. Refer immediately to speech therapy
B. Reassure the parent this is normal
,C. Order a hearing test immediately
D. Refer to early intervention
E. Screen for autism spectrum disorder
CORRECT ANSWER: B. Reassure the parent this is normal
EXPERT RATIONALE: By 18 months, children should have at least 10 words. This child is
meeting the minimum expected milestone. No referral is needed unless other concerns
arise.
5. Which reflex should have disappeared by 6 months of age?
A. Babinski reflex
B. Parachute reflex
C. Moro reflex
D. Plantar grasp reflex
E. Both C and D
CORRECT ANSWER: E. Both C and D
EXPERT RATIONALE: The Moro reflex disappears by 4–6 months and the plantar grasp
reflex by 6 months. Persistence beyond these ages may indicate neurological
abnormality. The Babinski reflex is normal until age 2.
6. A 2-year-old is using 50 words and combining 2-word phrases. The nurse
practitioner should:
A. Refer to speech therapy immediately
B. Document as appropriate development
C. Screen for hearing loss
D. Recommend language enrichment programs
, E. Order brain MRI
CORRECT ANSWER: B. Document as appropriate development
EXPERT RATIONALE: By age 2, children are expected to have at least 50 words and use
2-word combinations such as "more milk." This child is meeting developmental
expectations.
7. According to Erikson's stages of development, a toddler (ages 1–3) is
working through which conflict?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
E. Identity vs. Role Confusion
CORRECT ANSWER: B. Autonomy vs. Shame and Doubt
EXPERT RATIONALE: Erikson identified the toddler years (ages 1–3) as the stage of
Autonomy vs. Shame and Doubt, where children develop independence. Caregivers
should allow safe exploration to foster healthy autonomy.
8. Which of the following best describes object permanence and the age it
typically develops?
A. Understanding cause and effect — develops at 12 months
B. Knowing an object exists even when out of sight — develops at 8–9 months
C. Recognizing self in a mirror — develops at 6 months
D. Symbolic thinking — develops at 3 months
E. Understanding conservation — develops at 2 years
VERIFIED PRACTICE TEST WITH ACTUAL-STYLE
QUESTIONS, CORRECT ANSWERS & DETAILED
RATIONALES | LATEST UPDATED VERSION
NR602 PEDIATRIC MIDTERM EXAM 2026/2027 – VERIFIED PRACTICE TEST
• This practice test contains 300 actual-style multiple choice questions with verified
CORRECT ANSWER and detailed EXPERT RATIONALE to help you master pediatric
primary care concepts efficiently. • Use this material by attempting each question
independently before checking the CORRECT ANSWER and EXPERT RATIONALE —
this active recall method significantly strengthens retention and exam readiness.
SECTION 1: GROWTH & DEVELOPMENT
1. A 9-month-old infant is brought to the clinic for a well-child visit. Which
developmental milestone should the nurse practitioner expect to find?
A. Walks independently
B. Says 2–3 words with meaning
C. Sits without support
D. Builds a tower of 4 blocks
E. Copies a circle
CORRECT ANSWER: C. Sits without support
EXPERT RATIONALE: By 9 months, infants should be able to sit without support. Walking
typically develops around 12 months, meaningful words around 12 months, block
towers around 18 months, and copying circles around 3 years.
2. A parent asks when their child should be able to ride a tricycle. The nurse
practitioner correctly responds that this skill is typically achieved at:
,A. 18 months
B. 2 years
C. 3 years
D. 4 years
E. 5 years
CORRECT ANSWER: C. 3 years
EXPERT RATIONALE: Most children can ride a tricycle by age 3. This is a standard gross
motor milestone for the preschool period. By age 4–5, children progress to riding a
bicycle with training wheels.
3. A 4-year-old child is observed drawing a person with 6 body parts. The nurse
practitioner should:
A. Refer to neurology for advanced development
B. Document this as age-appropriate development
C. Refer to occupational therapy
D. Screen for giftedness disorder
E. Recheck at 5 years
CORRECT ANSWER: B. Document this as age-appropriate development
EXPERT RATIONALE: Drawing a person with 6 body parts is expected by age 4–5. This
reflects normal fine motor and cognitive development. No referral is needed at this time.
4. An 18-month-old child has a vocabulary of 10 words. The nurse practitioner
should:
A. Refer immediately to speech therapy
B. Reassure the parent this is normal
,C. Order a hearing test immediately
D. Refer to early intervention
E. Screen for autism spectrum disorder
CORRECT ANSWER: B. Reassure the parent this is normal
EXPERT RATIONALE: By 18 months, children should have at least 10 words. This child is
meeting the minimum expected milestone. No referral is needed unless other concerns
arise.
5. Which reflex should have disappeared by 6 months of age?
A. Babinski reflex
B. Parachute reflex
C. Moro reflex
D. Plantar grasp reflex
E. Both C and D
CORRECT ANSWER: E. Both C and D
EXPERT RATIONALE: The Moro reflex disappears by 4–6 months and the plantar grasp
reflex by 6 months. Persistence beyond these ages may indicate neurological
abnormality. The Babinski reflex is normal until age 2.
6. A 2-year-old is using 50 words and combining 2-word phrases. The nurse
practitioner should:
A. Refer to speech therapy immediately
B. Document as appropriate development
C. Screen for hearing loss
D. Recommend language enrichment programs
, E. Order brain MRI
CORRECT ANSWER: B. Document as appropriate development
EXPERT RATIONALE: By age 2, children are expected to have at least 50 words and use
2-word combinations such as "more milk." This child is meeting developmental
expectations.
7. According to Erikson's stages of development, a toddler (ages 1–3) is
working through which conflict?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
E. Identity vs. Role Confusion
CORRECT ANSWER: B. Autonomy vs. Shame and Doubt
EXPERT RATIONALE: Erikson identified the toddler years (ages 1–3) as the stage of
Autonomy vs. Shame and Doubt, where children develop independence. Caregivers
should allow safe exploration to foster healthy autonomy.
8. Which of the following best describes object permanence and the age it
typically develops?
A. Understanding cause and effect — develops at 12 months
B. Knowing an object exists even when out of sight — develops at 8–9 months
C. Recognizing self in a mirror — develops at 6 months
D. Symbolic thinking — develops at 3 months
E. Understanding conservation — develops at 2 years
