PEDIATRIC CMS EXAM 2026/2027 |
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Section 1: Growth & Development (Qs 1–30)
1. At what age does an infant typically double their birth weight?
a. 2 months
b. 4 months
c. 6 months
d. 12 months
Infants usually double birth weight by 4–5 months and triple by 12 months
The correct answer is: 4 months
2. Which reflex is expected to disappear by 4 months of age?
a. Babinski
b. Moro (startle)
c. Patellar
d. Plantar grasp
Moro reflex disappears by 3–4 months; persistence beyond indicates neurologic
issues
The correct answer is: Moro (startle)
3. A 2-year-old child is able to do which of the following gross motor skills?
a. Ride a tricycle
b. Walk up stairs with two feet per step
c. Hop on one foot
d. Stand on tiptoes
By 24 months, a toddler can walk up stairs with help, using both feet on each step
The correct answer is: Walk up stairs with two feet per step
4. At what age does separation anxiety typically peak?
a. 4–6 months
,b. 10–18 months
c. 24–30 months
d. 3 years
Separation anxiety peaks between 10–18 months and gradually decreases
The correct answer is: 10–18 months
5. According to Piaget, a 6-month-old infant is in which stage of cognitive
development?
a. Preoperational
b. Sensorimotor
c. Concrete operational
d. Formal operational
Sensorimotor stage (birth–2 years) involves learning through senses and actions
The correct answer is: Sensorimotor
6. The anterior fontanelle typically closes by what age?
a. 2–3 months
b. 6–8 months
c. 12–18 months
d. 24–30 months
Anterior fontanelle closes between 12–18 months; posterior closes by 2–3 months
The correct answer is: 12–18 months
7. A preschooler (4 years) is most likely to have which fear?
a. Darkness and monsters
b. Separation from parents
c. School performance
d. Body integrity
Preschoolers have vivid imaginations and fear dark, monsters, and loud noises
The correct answer is: Darkness and monsters
8. At what age does object permanence develop?
a. Birth to 2 months
b. 4–7 months
c. 8–12 months
d. 18–24 months
Object permanence (knowing objects exist when out of sight) emerges around 8–12
months
The correct answer is: 8–12 months
,9. According to Erikson, the primary psychosocial conflict for toddlers (1–3 years)
is:
a. Trust vs. mistrust
b. Autonomy vs. shame/doubt
c. Initiative vs. guilt
d. Industry vs. inferiority
Toddlers assert independence; "No" is a favorite word
The correct answer is: Autonomy vs. shame/doubt
10. A 3-year-old can do which fine motor skill?
a. Draw a circle
b. Copy a square
c. Tie shoelaces
d. Use a fork properly
By age 3, a child can copy a circle; squares come at age 4–5
The correct answer is: Draw a circle
11. The pincer grasp (using thumb and forefinger) develops around:
a. 4 months
b. 6 months
c. 9–10 months
d. 12 months
Pincer grasp appears at 9–10 months, allowing picking up small objects
The correct answer is: 9–10 months
12. Which weight is appropriate for a 12-month-old who weighed 7 lb at birth?
a. 14 lb
b. 17 lb
c. 21 lb
d. 28 lb
*Birth weight triples by 12 months: 7 × 3 = 21 lb*
The correct answer is: 21 lb
13. A school-age child (7–11 years) is in which stage of Piaget's cognitive
development?
a. Sensorimotor
b. Preoperational
c. Concrete operational
d. Formal operational
, Concrete operational stage (7–11 years) involves logical thinking about concrete
events
The correct answer is: Concrete operational
14. Which vaccination is typically given at birth?
a. MMR
b. Hepatitis B (first dose)
c. Varicella
d. DTaP
Hepatitis B vaccine is given within 24 hours of birth
The correct answer is: Hepatitis B (first dose)
15. At what age does an infant begin to sit without support?
a. 4 months
b. 6 months
c. 8 months
d. 10 months
Most infants sit unsupported by 8 months
The correct answer is: 8 months
16. A 15-month-old child is expected to have how many words in their
vocabulary?
a. 1–2 words
b. 4–6 words
c. 10–15 words
d. 20–30 words
By 15 months, average vocabulary is 4–6 words; by 18 months, 10–15 words
The correct answer is: 4–6 words
17. The palmar grasp reflex disappears around:
a. 2 months
b. 4 months
c. 6 months
d. 8 months
Palmar grasp (curling fingers around object) disappears by 4–6 months
The correct answer is: 6 months
18. Which developmental milestone is expected by 4 months?
a. Rolls front to back
b. Transfers object hand to hand
CLINICAL MANAGEMENT SYSTEM Verified
Questions & Answers with Detailed Rationales |
ATI Nursing Pediatric Proctored Prep | Get
HighScore | Instant Download
Section 1: Growth & Development (Qs 1–30)
1. At what age does an infant typically double their birth weight?
a. 2 months
b. 4 months
c. 6 months
d. 12 months
Infants usually double birth weight by 4–5 months and triple by 12 months
The correct answer is: 4 months
2. Which reflex is expected to disappear by 4 months of age?
a. Babinski
b. Moro (startle)
c. Patellar
d. Plantar grasp
Moro reflex disappears by 3–4 months; persistence beyond indicates neurologic
issues
The correct answer is: Moro (startle)
3. A 2-year-old child is able to do which of the following gross motor skills?
a. Ride a tricycle
b. Walk up stairs with two feet per step
c. Hop on one foot
d. Stand on tiptoes
By 24 months, a toddler can walk up stairs with help, using both feet on each step
The correct answer is: Walk up stairs with two feet per step
4. At what age does separation anxiety typically peak?
a. 4–6 months
,b. 10–18 months
c. 24–30 months
d. 3 years
Separation anxiety peaks between 10–18 months and gradually decreases
The correct answer is: 10–18 months
5. According to Piaget, a 6-month-old infant is in which stage of cognitive
development?
a. Preoperational
b. Sensorimotor
c. Concrete operational
d. Formal operational
Sensorimotor stage (birth–2 years) involves learning through senses and actions
The correct answer is: Sensorimotor
6. The anterior fontanelle typically closes by what age?
a. 2–3 months
b. 6–8 months
c. 12–18 months
d. 24–30 months
Anterior fontanelle closes between 12–18 months; posterior closes by 2–3 months
The correct answer is: 12–18 months
7. A preschooler (4 years) is most likely to have which fear?
a. Darkness and monsters
b. Separation from parents
c. School performance
d. Body integrity
Preschoolers have vivid imaginations and fear dark, monsters, and loud noises
The correct answer is: Darkness and monsters
8. At what age does object permanence develop?
a. Birth to 2 months
b. 4–7 months
c. 8–12 months
d. 18–24 months
Object permanence (knowing objects exist when out of sight) emerges around 8–12
months
The correct answer is: 8–12 months
,9. According to Erikson, the primary psychosocial conflict for toddlers (1–3 years)
is:
a. Trust vs. mistrust
b. Autonomy vs. shame/doubt
c. Initiative vs. guilt
d. Industry vs. inferiority
Toddlers assert independence; "No" is a favorite word
The correct answer is: Autonomy vs. shame/doubt
10. A 3-year-old can do which fine motor skill?
a. Draw a circle
b. Copy a square
c. Tie shoelaces
d. Use a fork properly
By age 3, a child can copy a circle; squares come at age 4–5
The correct answer is: Draw a circle
11. The pincer grasp (using thumb and forefinger) develops around:
a. 4 months
b. 6 months
c. 9–10 months
d. 12 months
Pincer grasp appears at 9–10 months, allowing picking up small objects
The correct answer is: 9–10 months
12. Which weight is appropriate for a 12-month-old who weighed 7 lb at birth?
a. 14 lb
b. 17 lb
c. 21 lb
d. 28 lb
*Birth weight triples by 12 months: 7 × 3 = 21 lb*
The correct answer is: 21 lb
13. A school-age child (7–11 years) is in which stage of Piaget's cognitive
development?
a. Sensorimotor
b. Preoperational
c. Concrete operational
d. Formal operational
, Concrete operational stage (7–11 years) involves logical thinking about concrete
events
The correct answer is: Concrete operational
14. Which vaccination is typically given at birth?
a. MMR
b. Hepatitis B (first dose)
c. Varicella
d. DTaP
Hepatitis B vaccine is given within 24 hours of birth
The correct answer is: Hepatitis B (first dose)
15. At what age does an infant begin to sit without support?
a. 4 months
b. 6 months
c. 8 months
d. 10 months
Most infants sit unsupported by 8 months
The correct answer is: 8 months
16. A 15-month-old child is expected to have how many words in their
vocabulary?
a. 1–2 words
b. 4–6 words
c. 10–15 words
d. 20–30 words
By 15 months, average vocabulary is 4–6 words; by 18 months, 10–15 words
The correct answer is: 4–6 words
17. The palmar grasp reflex disappears around:
a. 2 months
b. 4 months
c. 6 months
d. 8 months
Palmar grasp (curling fingers around object) disappears by 4–6 months
The correct answer is: 6 months
18. Which developmental milestone is expected by 4 months?
a. Rolls front to back
b. Transfers object hand to hand
