NR572 Pediatric Primary Care — Original Latest Version Study Set

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Sample questions from NR572 Pediatric Primary Care — Original Latest Version Study Set

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.Which finding in a 2-month-old infant is most concerning for a developmental delay requiring further evaluation?

   • A.Does not walk while holding furniture
   • B.Does not yet roll from back to abdomen
   • C.Does not briefly lift the head when placed prone
   • D.Does not use a pincer grasp

   Rationale: By about 2 months, an infant is expected to briefly lift the head while prone, so its absence warrants assessment of motor development and related factors. Rolling, a pincer grasp, and cruising are expected later in infancy. Developmental milestones are screening guides; an abnormal finding calls for further assessment rather than a diagnosis based on one milestone alone.

2. 2.The parent of a 9-month-old asks which behaviors are expected at this age. Select all that apply.

   • A.Sits without support
   • B.Uses a few meaningful two-word phrases
   • C.Looks for a toy after it is hidden under a cloth
   • D.Walks independently across a room
   • E.Uses a raking grasp to pick up small objects

   Rationale: Searching for a hidden toy reflects developing object permanence, and a raking grasp and unsupported sitting are common around 9 months. Independent walking and two-word phrases are generally later milestones, so they are not expected at this age. Milestone ranges vary, and screening should consider the child's overall pattern of skills.

3. 3.During a well-child visit, a 3-year-old says, "I goed to the park." Which response best supports language development?

   • A."Let's not talk about the park until your parent arrives."
   • B."You went to the park? What did you do there?"
   • C."You should wait until you can say the sentence correctly."
   • D."That is wrong; say, 'I went to the park.'"

   Rationale: Repeating the child's meaning with the correct grammar models language without interrupting communication or shaming the child. Preschoolers commonly make grammatical overgeneralizations as they learn language rules. Correcting every error or discouraging speech is less supportive than responding conversationally and expanding on what the child says.

4. 4.Which activity is most appropriate for a hospitalized 5-year-old who is anxious about an upcoming procedure?

   • A.A detailed written explanation of the procedure
   • B.A competitive board game with older children
   • C.An abstract discussion of possible long-term outcomes
   • D.Therapeutic play with a doll and safe medical equipment

   Answer and rationale are in the full material.

5. 5.At a community visit, the parent of a 2-year-old asks how to support healthy development at home. Which recommendations are appropriate? Select all that apply.

   • A.Read together and name pictures in the child's language
   • B.Offer simple choices, such as which of two shirts to wear
   • C.Use consistent limits and brief, calm explanations
   • D.Provide frequent screen time to teach advanced vocabulary
   • E.Expect the child to share every toy without protest

   Answer and rationale are in the full material.