1
NUR 665 FINAL EXAM TEST BANK COMPLETE 550
ACTUAL EXAM QUESTIONS WITH 100%
CORRECT VERIFIED ANSWERS / GRADED A+ PRIMARY
CARE PEDIATRIC NURSE PRACTITIONER
(PC-PNP) EXAM PREPARATION 2026/2027 UPDATED
EDITION
GROWTH & DEVELOPMENT
QUESTION 1
The primary care pediatric nurse practitioner attempts to learn more about the
emotional health of an 18-month-old child through which assessment strategy?
A) Administer a standardized developmental screening test
B) Observe the child with caretakers in structured and unstructured situations
C) Interview the child directly about feelings and emotions
D) Review the child's medical records for emotional concerns
E) Ask the caretaker to complete a behavioral questionnaire
☑ CORRECT ANSWER: B) Observe the child with caretakers in structured and
unstructured situations
RATIONALE: At 18 months of age, the best way to assess emotional health is
through observation of the child with caregivers in various situations.
Toddlers cannot verbalize emotions effectively, and observation provides
the most accurate assessment of attachment, emotional regulation, and
social-emotional development.
QUESTION 2
A middle school age child is skipping school frequently and getting poor grades
since the child's father was killed while deployed in the military. How will
, 2
the primary care pediatric nurse practitioner manage this situation?
A) Recommend the child join a grief support group
B) Prescribe antidepressant medication
C) Refer the child to a mental health specialist for evaluation and treatment
D) Recommend the mother increase discipline for school attendance
E) Schedule follow-up in one month to reassess
☑ CORRECT ANSWER: C) Refer the child to a mental health specialist for
evaluation and treatment
RATIONALE: The child is exhibiting signs of unresolved grief and adjustment
disorder following the loss of a parent. Referral to a mental health
specialist is essential for comprehensive evaluation and treatment. The
child needs specialized support for trauma and grief, which is beyond the
scope of primary care management.
QUESTION 3
The parent of a 4-year-old child reports that the child seems to be having
trouble adjusting to a new daycare and reportedly is always engaging in solitary
play when the parent arrives to pick up the child. What will the primary care
pediatric nurse practitioner do?
A) Recommend the parent find a different daycare
B) Suggest the child needs more social interaction
C) Ask the parent if the child is slow to warm up to other new situations
D) Refer the child for psychological evaluation
E) Recommend the parent stay with the child at daycare
☑ CORRECT ANSWER: C) Ask the parent if the child is slow to warm up to other
new situations
, 3
RATIONALE: This child may have a "slow-to-warm-up" temperament, which is a
normal variation in temperament. The PNP should first assess whether this is a
consistent pattern for the child in new situations before recommending more
intensive interventions.
QUESTION 4
The parent of a school-age child is concerned because the child has started to
express anger about a grandparent's death even though this occurred when the
child was a toddler. What will the primary care pediatric nurse practitioner
tell the parent?
A) This is abnormal and requires immediate mental health referral
B) Children often re-grieve losses at different developmental stages as they
gain new understanding of death
C) The child is likely experiencing a mental health disorder
D) The parent should discourage the child from talking about the death
E) The child needs to see a grief counselor immediately
☑ CORRECT ANSWER: B) Children often re-grieve losses at different
developmental
stages as they gain new understanding of death
RATIONALE: It is normal for children to re-process grief and loss at different
developmental stages as their cognitive understanding of death matures. A
toddler does not fully comprehend death, but a school-age child has a more
developed understanding and may express anger or sadness as they process the
loss anew.
QUESTION 5
, 4
What is the expected weight gain for a 6-month-old infant who weighed 7 pounds
at birth?
A) 10-12 pounds
B) 14-16 pounds
C) 18-20 pounds
D) 21-23 pounds
E) 24-26 pounds
☑ CORRECT ANSWER: B) 14-16 pounds
RATIONALE: By 6 months of age, infants typically double their birth weight.
A 7-pound infant should weigh approximately 14-16 pounds at 6 months. Growth
should follow the percentile curve established at birth.
QUESTION 6
At what age should an infant be able to sit without support?
A) 4 months
B) 6 months
C) 8 months
D) 10 months
E) 12 months
☑ CORRECT ANSWER: C) 8 months
RATIONALE: Most infants can sit without support by 8 months of age. Sitting
with support typically occurs at 5-6 months, and sitting without support is a
milestone achieved around 8 months.
NUR 665 FINAL EXAM TEST BANK COMPLETE 550
ACTUAL EXAM QUESTIONS WITH 100%
CORRECT VERIFIED ANSWERS / GRADED A+ PRIMARY
CARE PEDIATRIC NURSE PRACTITIONER
(PC-PNP) EXAM PREPARATION 2026/2027 UPDATED
EDITION
GROWTH & DEVELOPMENT
QUESTION 1
The primary care pediatric nurse practitioner attempts to learn more about the
emotional health of an 18-month-old child through which assessment strategy?
A) Administer a standardized developmental screening test
B) Observe the child with caretakers in structured and unstructured situations
C) Interview the child directly about feelings and emotions
D) Review the child's medical records for emotional concerns
E) Ask the caretaker to complete a behavioral questionnaire
☑ CORRECT ANSWER: B) Observe the child with caretakers in structured and
unstructured situations
RATIONALE: At 18 months of age, the best way to assess emotional health is
through observation of the child with caregivers in various situations.
Toddlers cannot verbalize emotions effectively, and observation provides
the most accurate assessment of attachment, emotional regulation, and
social-emotional development.
QUESTION 2
A middle school age child is skipping school frequently and getting poor grades
since the child's father was killed while deployed in the military. How will
, 2
the primary care pediatric nurse practitioner manage this situation?
A) Recommend the child join a grief support group
B) Prescribe antidepressant medication
C) Refer the child to a mental health specialist for evaluation and treatment
D) Recommend the mother increase discipline for school attendance
E) Schedule follow-up in one month to reassess
☑ CORRECT ANSWER: C) Refer the child to a mental health specialist for
evaluation and treatment
RATIONALE: The child is exhibiting signs of unresolved grief and adjustment
disorder following the loss of a parent. Referral to a mental health
specialist is essential for comprehensive evaluation and treatment. The
child needs specialized support for trauma and grief, which is beyond the
scope of primary care management.
QUESTION 3
The parent of a 4-year-old child reports that the child seems to be having
trouble adjusting to a new daycare and reportedly is always engaging in solitary
play when the parent arrives to pick up the child. What will the primary care
pediatric nurse practitioner do?
A) Recommend the parent find a different daycare
B) Suggest the child needs more social interaction
C) Ask the parent if the child is slow to warm up to other new situations
D) Refer the child for psychological evaluation
E) Recommend the parent stay with the child at daycare
☑ CORRECT ANSWER: C) Ask the parent if the child is slow to warm up to other
new situations
, 3
RATIONALE: This child may have a "slow-to-warm-up" temperament, which is a
normal variation in temperament. The PNP should first assess whether this is a
consistent pattern for the child in new situations before recommending more
intensive interventions.
QUESTION 4
The parent of a school-age child is concerned because the child has started to
express anger about a grandparent's death even though this occurred when the
child was a toddler. What will the primary care pediatric nurse practitioner
tell the parent?
A) This is abnormal and requires immediate mental health referral
B) Children often re-grieve losses at different developmental stages as they
gain new understanding of death
C) The child is likely experiencing a mental health disorder
D) The parent should discourage the child from talking about the death
E) The child needs to see a grief counselor immediately
☑ CORRECT ANSWER: B) Children often re-grieve losses at different
developmental
stages as they gain new understanding of death
RATIONALE: It is normal for children to re-process grief and loss at different
developmental stages as their cognitive understanding of death matures. A
toddler does not fully comprehend death, but a school-age child has a more
developed understanding and may express anger or sadness as they process the
loss anew.
QUESTION 5
, 4
What is the expected weight gain for a 6-month-old infant who weighed 7 pounds
at birth?
A) 10-12 pounds
B) 14-16 pounds
C) 18-20 pounds
D) 21-23 pounds
E) 24-26 pounds
☑ CORRECT ANSWER: B) 14-16 pounds
RATIONALE: By 6 months of age, infants typically double their birth weight.
A 7-pound infant should weigh approximately 14-16 pounds at 6 months. Growth
should follow the percentile curve established at birth.
QUESTION 6
At what age should an infant be able to sit without support?
A) 4 months
B) 6 months
C) 8 months
D) 10 months
E) 12 months
☑ CORRECT ANSWER: C) 8 months
RATIONALE: Most infants can sit without support by 8 months of age. Sitting
with support typically occurs at 5-6 months, and sitting without support is a
milestone achieved around 8 months.
