Pediatric Nursing Certification Board (PNCB) Primary Care Exam V1, Pediatric Nursing Certification Board (PNCB), 2025–2026 – Practice Questions with Verified Answers and Detailed Rationales

PNCBPrimaryCareExamV1|Questionsand
VerifiedAnswers|Latest2025/2026Update|100%
CorrectElaborations(verifiedAnswers)

YouAareAseeingAaA4-
weekAoldAinfantAwhoseAmotherAstatesAthatAtheAchild'sArightAeyeAisAwetAallAtheAtimeAandAsometi
meAthereAisAthickAmucusAonAtheAlashes.AThereAhasAbeenAnoAfeverAandAtheAbabyAisAfeedingAwell.
AEyeAexamArevealsAaAnormalAredAreflexAbilaterallyAwithAnoAevidenceAofApurulent


drainage,AconjunctivalAerythema,AorAcloudinessAoverAtheAcornea.AYouAsuspect:
a) adenovirusAconjunctivits
b) nasolacrimalAstenosis

c) chlamydialAconjunctivitis

d) congenitalAcataract

b)AnasolacrimalAductAstenosis




AA9-month-oldAinfantAwhoAwasAbornAatA32-
weeksAreachesAforAaAblockAwithAonlyAtheAleftAhand.ATheArightAarmAremainsAstillAatAtheAsideAofAher
Abody.ATheAPNPAwould:



a) recordAtheseAfindingsAasAnormalAforAaAprematureAinfant
b) referAtheAinfantAforAfurtherAevaluation

c) referAtheAchildAforAaAmuscleAbiopsy

d) recordAthatAtheAchildAwillAlikelyAbeAleft-handed

b)AreferAtheAinfantAforAfurtherAevaluation




DuringAaA2-month-
oldAwellAchildAvisitAyouAnoteAthatAtheAredAreflexAinAoneAeyeAseemsApalerAthanAinAtheAother.AWhatAi
sAtheAmostAappropriateAfollow-upAstepAforAthisAobservation?
a) assessAandAdocumentAaAnormalAcornealAlightAreflexAinAthatAeye
b) preformAtheAcover/uncoverAtest
c) re-evaluateAtheAredAre-screeningAtestAinA2Aweeks

d) referAtheAinfantAtoAaApediatricAophthalmologistAimmediately

, PNCB Primary Care Exam V1 | Questions and Verifi
A A A A A A A A



ed Answers| Latest 2025/ 2026 Update |100%
A A A A A A



Correct Elaborations (verified Answers)
A A A


d)AreferAtheAinfantAtoAaApediatricAophthalmologistAimmediately




PrimaryAdentitionAeruptsAbetween:

a) 6-11Ayears

b) 6-30Amonths

c) 1-5Ayears
d) 12-24Amonths

b) 6-30Amonths




TheAparentAofAaA4-year-
oldApointsAtoAaApictureAandAsaysA"That'sAyourAsister!".ATheAchildArespondsAbyAsayingA"No!AIt'sAm
yAbaby!".AThisAisAanAexampleAofAwhichAtypeAofAthinkingAinApreschool-ageAchildren?
a) animism

b) artificialism

c) egocentrism

d) realism

d)Arealism




TheAprimaryAcareAPNPAperformsAaAdevelopmentalAassessmentAonAaA32-month-
oldAchild.ATheAchild'sAparentAreportsAthatAaboutA70%AofAtheAchild'sAspeechAisAintelligible.ATheAped
iatricAnurse
practitionerAobservesAthatAtheAchildAhasAdifficultyApronouncingA"t"A"d"A"k"AandA"g".AWhichAactio
nAisAcorrect?
a) evaluateAtheAchild'sAcognitiveAabilities
b) obtainAaAhearingAevaluation

, PNCB Primary Care Exam V1 | Questions and Verifi
A A A A A A A A



ed Answers| Latest 2025/ 2026 Update |100%
A A A A A A



Correct Elaborations (verified Answers)
A A A


c) reassureAtheAparentAthatAthisAisAnormal
d) referAtheAchildAtoAaAspeechAtherapist

c) reassureAtheAparentAthatAthisAisAnormal




TheAprimaryAcareAPNPAisAofferingAanticipatoryAguidanceAtoAtheAparentsAofAaA12-month-oldAchild.
TheAparentsAareAbilingualAinASpanishAandAEnglishAandAhaveAmanyASpanish-
speakingArelativesAnearby.ATheyAareAresistingAexposingAtheAchildAtoASpanishAoutAofAconcernAthatA
theAchildAwillAnotAlearnAEnglishAwell.AWhatAwillAtheAPNPAtellAtheAparents?
a) childrenAwhoAlearnAtwoAlanguagesAsimultaneouslyAoftenAconfuseAthemAinAconversation

b) childrenAwithAmulti-languageAproficiencyAdoAnotAunderstandAthatAothersAcannotAdoAthis

c) learningAtwoAlanguagesAatAanAearlyAageApreventsAchildrenAfromAdevelopmentAaAdomina
ntAlanguage
d) mostAbilingualAchildrenAareAableAtoAshiftAfromAoneAlanguageAtoAanotherAwhenAappropriate

d)AmostAbilingualAchildrenAareAableAtoAshiftAfromAoneAlanguageAtoAanotherAwhenAappropriate




TheAparentsAofAaA3-year-
oldAchildAareAconcernsAthatAtheAchildAhasAbegunArefusingAusualAfoodsAandAwantsAtoAeatAmashedAp
otatoesAandAchickenAstripsAatAeveryAmealAandAsnack.ATheAchild'sArateAof
weightAhasAslowed,AbutAtheAchildAremainsAatAtheAsameApercentileAforAweightAonAaAgrowthAchart.A
WhatAwillAtheAPNPAtellAtheAparentsAtoAdo>
a) allowAtheAchildAtoAchooseAfoodsAforAmealsAtoAimproveAcaloricAintake
b) placeAaAvarietyAofAnutritiousAfoodsAonAtheAchild'sAplateAatAeachAmeal

c) prepareAmaskedApotatoesAandAchickenAstripsAforAtheAchildAatAmealtimes

d) suggestAcuttingAoutAsnacksAtoAimproveAtheAchild'sAappetiteAatAmealtimes

b) placeAaAvarietyAofAnutritiousAfoodsAonAtheAchild'sAplateAatAeachAmeal

, PNCB Primary Care Exam V1 | Questions and Verifi
A A A A A A A A



ed Answers| Latest 2025/ 2026 Update |100%
A A A A A A



Correct Elaborations (verified Answers)
A A A


TheAPC-PNPAisAevaluatingAaA2-year-
oldAwithAaAdocumentedAspeechAdelay.AScreeningAsAtoAassessAmotorAskillsAandAcognitionAareAnor
mal,AandAtheAchildApassedAaArecentAhearingAtest.AWhatAwillAtheAPNPAdoAnext?
a) askAtheAchild'sAparentsAwhetherAtheyAreadAtoAtheAchild
b) giveAparentsAeducationalAmaterialsAtoAencourageAspeech

c) referAtheAchildAtoAandAearlyAinterventionAprogram

d) suggestAthatAtheyApurchaseAage-appropriateAmusicAvideos

a) askAtheAchild'sAparentsAwhetherAtheyAreadAtoAtheAchild




TheAmotherAofAaA3-year-oldAchildAtakesAtheAchildAtoAplayAgroupAonceAaAweek.ASheAexpressed
concernAthatAtheAchildAplaysAwithAtoysAbutAdoesAnotAinteractAwithAtheAotherAtoddlers.AWhatAwillAth
eAPNPAcounselAtheAmother?
a) theAchildAprobablyAisAveryAshyAbutAwillAoutgrowAthisAtendencyAwithArepeatedAexposureAtoAoth
erAchildren
b) theAtoddlerAmayAhaveAaAlanguageAdelayAthatAinterferesAwithAsocializationAwithAotherAchildren

c) toddlersAmayAbeAinterestedAinAotherAchildrenAbutAusuallyAdoAnotAengageAinAinteractiveAplay

d) toddlersAneedAmoreAstructuredAplayAtoAencourageAinteractionAandAsocializationAwithAothers

c) toddlersAmayAbeAinterestedAinAotherAchildrenAbutAusuallyAdoAnotAengageAinAinteractiveAplay




WhichAofAtheAfollowingAsetAofAsymptomsAwouldAbeAmostAconsistentAGABHSAinfection?

a) cough,AnasalAcongestion,AcervicalAlymphadenopathy
b) fever,AHA,AtenderAcervicalAlymphadenopathy

c) cough,Afever,AmacularApapularArashAtoAtrunk

d) sneezing,Arhinorrhea,AexudativeAtonsils

b) fever,AHA,AtenderAcervicalAlymphadenopathy