PNCB Acute Care Certification Practice Test With
150 questions and Correct Answers with
Rationales/ PNCB Acute Care Practice Exam
(New)
Save
Terms in this set (150)
B. Respiratory distress
(Characterized by weakness and fatigue of skeletal
In a child with myasthenia muscle tissue that results from autoimmune
gravis, which of the destruction of acetylcholine receptors (AchR). A crisis
following symptoms event, or myasthenic crisis, is an acute exacerbation of
would be MOST indicative the disease process that results in severe weakness
of a myasthenic crisis? from dysfunction of the neuromuscular junctions. It is
A. Eye drooling characterized by respiratory failure due to weakness
B. Respiratory distress of the airway or respiratory muscles.
C. Excessive salivation A cholinergic crisis, is a severe weakness caused by
D. Muscle fasciculation overtreatment with cholinergic medications used to
treat MG & crisis present with excessive salivation,
excessive lacrimation, diarrhea, sweating, pupillary
constriction, and muscle fasciculation.
,A child with a history of D. Propranolol (Inderal)
congenital heart disease
fell while playing and (Decreases heart rate, myocardial contractility, blood
presents with a closed pressure, and myocardial oxygen demand. Adverse
fracture of the humerus. effects include bradycardia, hypotension, and
Physical exam reveals mild atrioventricular conduction disturbances)
bradycardia and a
moderate pain score.
Which of the following
medications would MOST
likely explain this child's
bradycardia?
A. Enalapril (Vasotec)
B. Furosemide (Lasix)
C. Levothyroxine
(Synthroid)
D. Propranolol (Inderal)
Enteral nutrition is initiated A. Phosphate 3.0 ml/dL & potassium 2.8 mEq/L
in a child with severe
malnutrition. Laboratory (Refeeding syndrome occurs when malnourished
values indicative of patients are refed too aggressively leading. It can
refeeding syndrome occur within 1-3 days after reinstitution of nutrition.
include a magnesium level The major manifestations include fluid overload,
of 1.5 mg/dL, and: hypophosphatemia (phosphate less than 3.5 mg/dL),
A. Phosphate 3.0 ml/dL & hypokalemia (potassium less than 3.5 mEq/L),
potassium 2.8 mEq/L hypomagnesemia (magnesium less than 1.8 mg/dL),
B. Phosphate 3.0 ml/dL & and thiamine deficiency. Complications include heart
potassium 6 mEq/L failure, dysrhythmias, respiratory muscle weakness,
C. Phosphate 7.0 ml/dL & seizures,
potassium 2.8 mEq/L
D. Phosphate 7.0 ml/dL &
potassium 6 mEq/L
,When informing a family A. Focus on the child's well being
that a report is being
made to Child Protective
Services for suspected
abuse, it is MOST
important to
A. Focus on the child's
well being
B. Identify the suspected
perpetrator
C. Identify legal
requirements for
mandatory reporting
D. Share details with family
to avoid misunderstanding
Manifestations of C. Delayed 8-36 hours after exposure
abdominal injuries
secondary to a blast (Blast attack, as seen in explosions, causes extensive
mechanism are typically: compression and distortion of the gastrointestinal (GI)
A. Acute & immediately tract & other air-filled organs. Manifestations generally
apparent delayed, presenting 8-36 hours after exposure.)
B. Observed less than 6
hours after exposure
C. Delayed 8-36 hours
after exposure
D. Chronic & slow to
develop
, A previously healthy D. Administer a fluid bolus & consult oncology
preschooler who is fully
immunized, presents with (The combination of leukocytosis, thrombocytopenia,
a history of fever, URI and anemia should raise red flags for an oncologic
symptoms, & joint pain process, most likely leukemia. After initial laboratory
over the past several days. values are obtained, the child should receive
Physical exam reveals aggressive hydration.)
petechiae and
hepatosplenomegaly. Vital
signs include HR 156, RR
32, temp 101.6 (38.7), BP
86/44 & O2 98% on RA.
Lab results include Na+
132, K+ 6, Glucose 100, Ca+
0.95, Phos 6.3, WBC
105,000, Hgb 6.1 & Plt
10,000. Which is the BEST
course of action?
A. Obtain LFTS & type &
cross for blood products
B. Administer calcium
gluconate & consult
nephrology
C. Obtain blood cultures &
administer IV Ceftriaxone
D. Administer a fluid bolus
& consult oncology
150 questions and Correct Answers with
Rationales/ PNCB Acute Care Practice Exam
(New)
Save
Terms in this set (150)
B. Respiratory distress
(Characterized by weakness and fatigue of skeletal
In a child with myasthenia muscle tissue that results from autoimmune
gravis, which of the destruction of acetylcholine receptors (AchR). A crisis
following symptoms event, or myasthenic crisis, is an acute exacerbation of
would be MOST indicative the disease process that results in severe weakness
of a myasthenic crisis? from dysfunction of the neuromuscular junctions. It is
A. Eye drooling characterized by respiratory failure due to weakness
B. Respiratory distress of the airway or respiratory muscles.
C. Excessive salivation A cholinergic crisis, is a severe weakness caused by
D. Muscle fasciculation overtreatment with cholinergic medications used to
treat MG & crisis present with excessive salivation,
excessive lacrimation, diarrhea, sweating, pupillary
constriction, and muscle fasciculation.
,A child with a history of D. Propranolol (Inderal)
congenital heart disease
fell while playing and (Decreases heart rate, myocardial contractility, blood
presents with a closed pressure, and myocardial oxygen demand. Adverse
fracture of the humerus. effects include bradycardia, hypotension, and
Physical exam reveals mild atrioventricular conduction disturbances)
bradycardia and a
moderate pain score.
Which of the following
medications would MOST
likely explain this child's
bradycardia?
A. Enalapril (Vasotec)
B. Furosemide (Lasix)
C. Levothyroxine
(Synthroid)
D. Propranolol (Inderal)
Enteral nutrition is initiated A. Phosphate 3.0 ml/dL & potassium 2.8 mEq/L
in a child with severe
malnutrition. Laboratory (Refeeding syndrome occurs when malnourished
values indicative of patients are refed too aggressively leading. It can
refeeding syndrome occur within 1-3 days after reinstitution of nutrition.
include a magnesium level The major manifestations include fluid overload,
of 1.5 mg/dL, and: hypophosphatemia (phosphate less than 3.5 mg/dL),
A. Phosphate 3.0 ml/dL & hypokalemia (potassium less than 3.5 mEq/L),
potassium 2.8 mEq/L hypomagnesemia (magnesium less than 1.8 mg/dL),
B. Phosphate 3.0 ml/dL & and thiamine deficiency. Complications include heart
potassium 6 mEq/L failure, dysrhythmias, respiratory muscle weakness,
C. Phosphate 7.0 ml/dL & seizures,
potassium 2.8 mEq/L
D. Phosphate 7.0 ml/dL &
potassium 6 mEq/L
,When informing a family A. Focus on the child's well being
that a report is being
made to Child Protective
Services for suspected
abuse, it is MOST
important to
A. Focus on the child's
well being
B. Identify the suspected
perpetrator
C. Identify legal
requirements for
mandatory reporting
D. Share details with family
to avoid misunderstanding
Manifestations of C. Delayed 8-36 hours after exposure
abdominal injuries
secondary to a blast (Blast attack, as seen in explosions, causes extensive
mechanism are typically: compression and distortion of the gastrointestinal (GI)
A. Acute & immediately tract & other air-filled organs. Manifestations generally
apparent delayed, presenting 8-36 hours after exposure.)
B. Observed less than 6
hours after exposure
C. Delayed 8-36 hours
after exposure
D. Chronic & slow to
develop
, A previously healthy D. Administer a fluid bolus & consult oncology
preschooler who is fully
immunized, presents with (The combination of leukocytosis, thrombocytopenia,
a history of fever, URI and anemia should raise red flags for an oncologic
symptoms, & joint pain process, most likely leukemia. After initial laboratory
over the past several days. values are obtained, the child should receive
Physical exam reveals aggressive hydration.)
petechiae and
hepatosplenomegaly. Vital
signs include HR 156, RR
32, temp 101.6 (38.7), BP
86/44 & O2 98% on RA.
Lab results include Na+
132, K+ 6, Glucose 100, Ca+
0.95, Phos 6.3, WBC
105,000, Hgb 6.1 & Plt
10,000. Which is the BEST
course of action?
A. Obtain LFTS & type &
cross for blood products
B. Administer calcium
gluconate & consult
nephrology
C. Obtain blood cultures &
administer IV Ceftriaxone
D. Administer a fluid bolus
& consult oncology
