1
Page | 1
Pediatric Primary Care Test Bank Based
on Burns' Pediatric Primary Care (7th
Edition) Topics Custom NCLEX-Style
Questions with Rationales | 2025–2026
Academic Edition
, 2
Topic 1: Growth and Development (Infancy to Adolescence)
Page | 2
1. A 6-month-old infant is brought in for a well-child visit. The nurse expects the infant
to be able to:
A) Sit unsupported
B) Say two-word phrases
C) ✓✓✓ Roll from back to front
D) Stand with support
Rationale: At 6 months, most infants can roll from back to front. Sitting unsupported usually
occurs around 8 months.
2. During a routine checkup, a provider notes a 4-year-old has frequent temper tantrums
and refuses to follow directions. This is considered:
A) Pathologic behavior
B) Attention deficit disorder
C) ✓✓✓ Normal development
D) Oppositional defiance
Rationale: Testing boundaries is developmentally appropriate at this age.
3. Which milestone is expected for an 18-month-old child?
, 3
A) Walking upstairs with alternating feet
B) ✓✓✓ Saying 10 or more words
C) Drawing a stick figure
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D) Riding a tricycle
Rationale: At 18 months, toddlers typically have a vocabulary of at least 10 words.
4. A nurse teaches parents about fine motor development in toddlers. Which activity
demonstrates appropriate skill development for a 2-year-old?
A) Copying a triangle
B) Drawing a complete face
C) ✓✓✓ Building a tower of 6 blocks
D) Holding scissors properly
Rationale: Building towers with blocks is a typical developmental milestone at age 2.
5. At what age should a child be able to hop on one foot?
A) 2 years
B) 3 years
C) ✓✓✓ 4 years
D) 5 years
Rationale: Hopping on one foot is typically achieved by age 4.
, 4
6. What is the most appropriate toy for a 10-month-old infant?
Page | 4
A) Crayons and coloring book
B) ✓✓✓ Stacking rings
C) Board games
D) Picture books with sentences
Rationale: Stacking rings promote fine motor development and are suitable for infants
around 10 months.
7. A child begins to show parallel play. What age is this most commonly seen?
A) 6 months
B) ✓✓✓ 2 years
C) 4 years
D) 5 years
Rationale: Parallel play is common in toddlers, especially around 2 years of age.
8. By what age should a child be able to use two-word sentences?
A) 12 months
B) ✓✓✓ 24 months
Page | 1
Pediatric Primary Care Test Bank Based
on Burns' Pediatric Primary Care (7th
Edition) Topics Custom NCLEX-Style
Questions with Rationales | 2025–2026
Academic Edition
, 2
Topic 1: Growth and Development (Infancy to Adolescence)
Page | 2
1. A 6-month-old infant is brought in for a well-child visit. The nurse expects the infant
to be able to:
A) Sit unsupported
B) Say two-word phrases
C) ✓✓✓ Roll from back to front
D) Stand with support
Rationale: At 6 months, most infants can roll from back to front. Sitting unsupported usually
occurs around 8 months.
2. During a routine checkup, a provider notes a 4-year-old has frequent temper tantrums
and refuses to follow directions. This is considered:
A) Pathologic behavior
B) Attention deficit disorder
C) ✓✓✓ Normal development
D) Oppositional defiance
Rationale: Testing boundaries is developmentally appropriate at this age.
3. Which milestone is expected for an 18-month-old child?
, 3
A) Walking upstairs with alternating feet
B) ✓✓✓ Saying 10 or more words
C) Drawing a stick figure
Page | 3
D) Riding a tricycle
Rationale: At 18 months, toddlers typically have a vocabulary of at least 10 words.
4. A nurse teaches parents about fine motor development in toddlers. Which activity
demonstrates appropriate skill development for a 2-year-old?
A) Copying a triangle
B) Drawing a complete face
C) ✓✓✓ Building a tower of 6 blocks
D) Holding scissors properly
Rationale: Building towers with blocks is a typical developmental milestone at age 2.
5. At what age should a child be able to hop on one foot?
A) 2 years
B) 3 years
C) ✓✓✓ 4 years
D) 5 years
Rationale: Hopping on one foot is typically achieved by age 4.
, 4
6. What is the most appropriate toy for a 10-month-old infant?
Page | 4
A) Crayons and coloring book
B) ✓✓✓ Stacking rings
C) Board games
D) Picture books with sentences
Rationale: Stacking rings promote fine motor development and are suitable for infants
around 10 months.
7. A child begins to show parallel play. What age is this most commonly seen?
A) 6 months
B) ✓✓✓ 2 years
C) 4 years
D) 5 years
Rationale: Parallel play is common in toddlers, especially around 2 years of age.
8. By what age should a child be able to use two-word sentences?
A) 12 months
B) ✓✓✓ 24 months
