PNP-PC — Pediatric Nurse Practitioner
Primary Care,, WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+ (2025/2026)
Domain I: Health Maintenance and Promotion (Questions 1-30)
Question 1
A 2-week-old infant presents for a well-child visit. The mother reports that
the infant nurses every 2-3 hours and has 6-8 wet diapers daily. Which
anticipatory guidance topic is most important at this age?
A) Introduction of solid foods
B) Car seat safety and supine sleeping position
C) Toilet training readiness signs
D) Sports injury prevention
Correct ,,,,Answer,,,,: B) Car seat safety and supine sleeping position ✅
Rationale: Injury prevention for infants focuses on car seat safety (rear-
facing) and supine sleeping to reduce SIDS risk. Solid foods are
introduced at 4-6 months, toilet training at 2-3 years, and sports safety is
not relevant for newborns .
,Question 2
A 4-month-old infant's weight is at the 5th percentile, length at the 25th
percentile, and head circumference at the 50th percentile. How should
the PNP interpret these growth parameters?
A) Normal growth pattern
B) Asymmetric intrauterine growth restriction
C) Failure to thrive with possible malnutrition
D) Normal for age but requires monitoring of weight
Correct ,,,,Answer,,,,: D) Normal for age but requires monitoring of weight
✅
Rationale: Weight, length, and head circumference typically track along
similar percentiles. Disparate percentiles (weight 5th, length 25th, head
50th) suggest possible growth concerns requiring monitoring, but are not
diagnostic alone. Asymmetric IUGR presents at birth with weight
disproportionately lower than length/head .
Question 3
Which developmental screening tool is specifically validated for children
ages 1 month to 5.5 years and includes parent-completed
questionnaires?
A) M-CHAT-R/F
B) Ages and Stages Questionnaire (ASQ-3)
C) Vanderbilt Assessment Scale
D) SCARED
Correct ,,,,Answer,,,,: B) Ages and Stages Questionnaire (ASQ-3) ✅
,Rationale: The ASQ-3 is a parent-completed screening tool for children 1-
66 months, assessing communication, gross motor, fine motor, problem-
solving, and personal-social domains. M-CHAT is for autism at 16-30
months, Vanderbilt for ADHD, and SCARED for anxiety .
Question 4
According to the CDC immunization schedule, which vaccines are
recommended at the 2-month well-child visit?
A) DTaP, IPV, Hib, PCV13, HepB, RV
B) MMR, Varicella, HepA
C) Tdap, HPV, MCV4
D) DTaP, MMR, IPV, RV
Correct ,,,,Answer,,,,: A) DTaP, IPV, Hib, PCV13, HepB, RV ✅
Rationale: At 2 months, the CDC schedule recommends DTaP, IPV
(polio), Hib, PCV13 (pneumococcal), HepB (second dose), and RV
(rotavirus). MMR and varicella are given at 12-15 months. Tdap, HPV, and
MCV4 are adolescent vaccines .
Question 5
A 12-month-old infant's birth weight was 7 pounds (3.2 kg). The PNP
expects the current weight to be approximately:
A) 14 pounds (6.4 kg)
B) 21 pounds (9.5 kg)
, C) 28 pounds (12.7 kg)
D) 10 pounds (4.5 kg)
Correct ,,,,Answer,,,,: B) 21 pounds (9.5 kg) ✅
Rationale: Birth weight triples by 12 months. 7 pounds × 3 = 21 pounds.
Weight doubles by 4-5 months and triples by 12 months .
Question 6
A 15-month-old child is due for vaccines according to the CDC catch-up
schedule. The PNP should administer:
A) MMR #1 and Varicella #1
B) MMR #2 and Varicella #2
C) HepB #3 only
D) No vaccines until the next well visit at 18 months
Correct ,,,,Answer,,,,: A) MMR #1 and Varicella #1 ✅
Rationale: MMR and varicella are first recommended at 12-15 months.
The second doses are given at 4-6 years. HepB #3 is typically given at 6-18
months but is not the only vaccine due at 15 months .
Question 7
The mother of a 6-month-old infant reports that the baby has started solid
foods. Which food should the PNP advise the mother to AVOID
introducing at this age?
Primary Care,, WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+ (2025/2026)
Domain I: Health Maintenance and Promotion (Questions 1-30)
Question 1
A 2-week-old infant presents for a well-child visit. The mother reports that
the infant nurses every 2-3 hours and has 6-8 wet diapers daily. Which
anticipatory guidance topic is most important at this age?
A) Introduction of solid foods
B) Car seat safety and supine sleeping position
C) Toilet training readiness signs
D) Sports injury prevention
Correct ,,,,Answer,,,,: B) Car seat safety and supine sleeping position ✅
Rationale: Injury prevention for infants focuses on car seat safety (rear-
facing) and supine sleeping to reduce SIDS risk. Solid foods are
introduced at 4-6 months, toilet training at 2-3 years, and sports safety is
not relevant for newborns .
,Question 2
A 4-month-old infant's weight is at the 5th percentile, length at the 25th
percentile, and head circumference at the 50th percentile. How should
the PNP interpret these growth parameters?
A) Normal growth pattern
B) Asymmetric intrauterine growth restriction
C) Failure to thrive with possible malnutrition
D) Normal for age but requires monitoring of weight
Correct ,,,,Answer,,,,: D) Normal for age but requires monitoring of weight
✅
Rationale: Weight, length, and head circumference typically track along
similar percentiles. Disparate percentiles (weight 5th, length 25th, head
50th) suggest possible growth concerns requiring monitoring, but are not
diagnostic alone. Asymmetric IUGR presents at birth with weight
disproportionately lower than length/head .
Question 3
Which developmental screening tool is specifically validated for children
ages 1 month to 5.5 years and includes parent-completed
questionnaires?
A) M-CHAT-R/F
B) Ages and Stages Questionnaire (ASQ-3)
C) Vanderbilt Assessment Scale
D) SCARED
Correct ,,,,Answer,,,,: B) Ages and Stages Questionnaire (ASQ-3) ✅
,Rationale: The ASQ-3 is a parent-completed screening tool for children 1-
66 months, assessing communication, gross motor, fine motor, problem-
solving, and personal-social domains. M-CHAT is for autism at 16-30
months, Vanderbilt for ADHD, and SCARED for anxiety .
Question 4
According to the CDC immunization schedule, which vaccines are
recommended at the 2-month well-child visit?
A) DTaP, IPV, Hib, PCV13, HepB, RV
B) MMR, Varicella, HepA
C) Tdap, HPV, MCV4
D) DTaP, MMR, IPV, RV
Correct ,,,,Answer,,,,: A) DTaP, IPV, Hib, PCV13, HepB, RV ✅
Rationale: At 2 months, the CDC schedule recommends DTaP, IPV
(polio), Hib, PCV13 (pneumococcal), HepB (second dose), and RV
(rotavirus). MMR and varicella are given at 12-15 months. Tdap, HPV, and
MCV4 are adolescent vaccines .
Question 5
A 12-month-old infant's birth weight was 7 pounds (3.2 kg). The PNP
expects the current weight to be approximately:
A) 14 pounds (6.4 kg)
B) 21 pounds (9.5 kg)
, C) 28 pounds (12.7 kg)
D) 10 pounds (4.5 kg)
Correct ,,,,Answer,,,,: B) 21 pounds (9.5 kg) ✅
Rationale: Birth weight triples by 12 months. 7 pounds × 3 = 21 pounds.
Weight doubles by 4-5 months and triples by 12 months .
Question 6
A 15-month-old child is due for vaccines according to the CDC catch-up
schedule. The PNP should administer:
A) MMR #1 and Varicella #1
B) MMR #2 and Varicella #2
C) HepB #3 only
D) No vaccines until the next well visit at 18 months
Correct ,,,,Answer,,,,: A) MMR #1 and Varicella #1 ✅
Rationale: MMR and varicella are first recommended at 12-15 months.
The second doses are given at 4-6 years. HepB #3 is typically given at 6-18
months but is not the only vaccine due at 15 months .
Question 7
The mother of a 6-month-old infant reports that the baby has started solid
foods. Which food should the PNP advise the mother to AVOID
introducing at this age?
