10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
These 10 free ALC questions are organized by exam domain, so you can see how each part of the Accredited Land Consultant blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Land 101: Fundamentals of Land Brokerage
Question 1
Four months after delivery, a mother asks whether she can rely on the lactational amenorrhea method for contraception. Menstruation has not returned, and her infant receives only breast milk. The infant nurses every two to three hours during the day but now sleeps eight hours overnight without breastfeeding or expression. Which assessment of her contraceptive protection is correct?
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Correct answer: B - The criteria are not met because nighttime feeding intervals exceed six hours.
Domain 2: Transitional Land Real Estate
Question 2
At a five-month visit, a healthy term infant weighs 7.5 kg and receives almost all feeds as breast milk. The pediatrician orders preventive elemental iron at 1 mg/kg daily. The supplement label lists 75 mg of ferrous sulfate per mL, equivalent to 15 mg of elemental iron per mL. The infant has just begun taking a few tastes of cereal. Which instruction correctly applies the order and addresses the new complementary food?
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Correct answer: C - Give 0.50 mL daily; continue until dietary iron intake is adequate.
Domain 3: Land Investment Analysis
Question 3
Five weeks postpartum, a mother whose infant transfers milk well starts pumping after every feed to build a freezer supply. Several days later, she develops a tender, mildly red area of one breast. Symptoms began this morning; she has no fever, chills, or malaise, and milk still flows readily from that breast. Which change addresses the most likely driver of the swelling?
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Correct answer: C - Reduce the added pumping, maintain responsive breastfeeding, and apply cold for swelling.
Question 4
Latch correction has resolved pain during feeds for a mother three weeks postpartum, but burning pain continues afterward. The nipple is rounded when the infant releases it, then turns white in a cool room, becomes purple, and returns to pink as the pain subsides. Warm covering reduces the episodes. There is no scaling, fissuring, or breast erythema. Which diagnosis best accounts for this pattern?
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Correct answer: D - Nipple vasospasm
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Question 5
An infant born at 35 weeks 4 days is now 18 days old and receives breastfeeds plus expressed-milk supplements. Weight gain has averaged 13 g/day over the past week. Today's observed feed is comfortable, the mother positions the infant independently, and the LATCH score is 9/10. The infant is alert and clinically stable. The mother asks whether the supplements can stop now that the latch looks better. How should the score influence that decision?
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Correct answer: A - Do not taper yet; reassess milk transfer and revise the intake plan.
Question 6
At a prenatal visit, a patient says, 'My mother discarded the first milk, and I am considering doing the same.' She has not explained why. Before discussing colostrum, the consultant wants to elicit the patient's explanatory model using Kleinman's approach. Which question serves that purpose?
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Correct answer: D - What do you believe the first milk would do to your baby?
Question 7
'My milk must be drying up,' says the mother of a ten-week-old. Her breasts feel softer, leaking has decreased, and feeds now last about eight minutes rather than twenty. She expresses only 12 mL immediately after a breastfeed. Serial weights continue along the infant's established growth curve, urine output is unchanged, and frequent swallowing is observed. What do these findings indicate?
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Correct answer: B - Intake appears adequate despite changes in breast fullness and feeding duration.
Question 8
A caregiver prepares powdered infant formula at noon for a healthy term four-month-old, follows the container instructions, and leaves the bottle at room temperature (23°C). Feeding begins at 1:30 p.m. After a pause, the caregiver is about to offer the same bottle again at 2:15 p.m. Under CDC guidance, how should the remainder be handled?
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Correct answer: A - Discard the remainder; the two-hour limit from preparation has already elapsed.
Question 9
During a day-5 telephone follow-up, a father says the baby has become 'easier' because the infant now sleeps through feeds. The infant is 11.5% below birth weight, has had two small wet diapers and one dark stool in 24 hours, and barely wakes during diaper changes. Jaundice has increased. The mother's milk volume rose this morning, and the family hopes intake will improve without further intervention. What should the consultant arrange now?
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Correct answer: C - Immediate pediatric emergency assessment for possible dehydration and associated complications.
Question 10
Thirty-six hours after a cesarean birth involving substantial intravenous fluids, a mother has marked areolar edema. Her infant roots and opens widely but slips off as the swollen areola flattens the nipple. Colostrum can be hand expressed. What maneuver is most useful immediately before another latch attempt?
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Correct answer: A - Apply gentle inward fingertip pressure around the nipple base to soften the areola.
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