Nursing PNCB Study Set Exam V3 | Verified
Questions with Correct Answers and Rationales
Caregiver educati0n f0r an infant with cr0up includes that urgent medical re-evaluati0n is needed
if the infant has:
A. audible strid0r when calm
B. barky c0ugh in the m0rning
C. fever 0f 102˚ F (38.9˚ C) 0r higher
D. retracti0ns between ribs with crying
A. audible strid0r when calm
A presch00ler is evaluated f0r a hist0ry 0f fever and intermittent b0ne pain and is n0ted t0 have an
abd0minal mass. Which is the M0ST likely diagn0sis?
A. neur0blast0ma
B. n0n-H0dgkin's lymph0ma
C. 0ste0genic sarc0ma
D. Wilms tum0r
A. neur0blast0ma
The median age at diagn0sis is 22 m0nths, and appr0ximately 90% 0f cases have been diagn0sed
by 5 years 0f age.
Signs and sympt0ms reflect the tum0r site and extent 0f disease, but may include fever, failure t0
thrive, b0ne pain, cyt0penia, 0rbital pr0pt0sis, masses, b0wel 0bstructi0n, 0r spinal c0rd
c0mpressi0n.
Wilms tum0r is an embry0nal malignancy 0f the kidney that can als0 present with an abd0minal
mass. Sarc0mas 0f the extremities are m0re likely t0 0ccur in 0lder children.
, PNCB study set Exam V3 | Questi0ns and Verified
Answers with Rati0nales| Latest 2025/ 2026 Update
|100% C0rrect Elab0rati0ns (verified Answers)
An ad0lescent presenting f0r a pre-c0llege physical describes herself as a sexually active lesbian.
Which is the M0ST immediate acti0n?
A. assess f0r p0tential psych0s0cial difficulties
B. ensure human papill0ma virus vaccinati0n is up-t0-date
C. pr0vide c0nfidential and n0njudgmental care
D. c0unsel ab0ut sexually transmitted infecti0ns and c0ntracepti0n
D. c0unsel ab0ut sexually transmitted infecti0ns and c0ntracepti0n
Ad0lescent lesbian and bisexual females are m0re likely t0 have been pregnant when c0mpared
t0 their heter0sexual peers
LGB ad0lescents and y0ung adults are at greater risk f0r unplanned pregnancy and, it is
imp0rtant t0 c0unsel ab0ut accidental pregnancy even with females wh0 have sex with females.
Pr0viding sexual and repr0ductive health educati0n that includes inf0rmati0n ab0ut abstinence,
c0ntracepti0n, and sexually transmitted infecti0ns (STIs) is necessary f0r all ad0lescents and
y0ung adults. Additi0nally, inf0rmati0n ab0ut c0ntracepti0n sh0uld be 0ffered t0 all females
regardless 0f their sexual 0rientati0n.
Pre-c0llege visits present an excellent 0pp0rtunity t0 ensure that all immunizati0ns are current,
n0t just the human papill0ma virus vaccine. Ad0lescents and y0ung adults, including th0se wh0
kn0w 0r are unsure ab0ut their sexuality, may have psych0s0cial c0ncerns. Pr0viding care that is
, PNCB study set Exam V3 | Questi0ns and Verified
Answers with Rati0nales| Latest 2025/ 2026 Update
|100% C0rrect Elab0rati0ns (verified Answers)
c0nfidential, current, factual, and n0njudgmental is required with all patients, regardless 0f their
sexual 0rientati0n.
While s0me characteristics 0f an Individualized Educati0n Plan (IEP) and 504 Plan are similar,
the IEP differs in that it uniquely requires
A. a specific medical diagn0sis f0r eligibility.
B. a m0dificati0n in curriculum t0 meet the student's needs.
C. an evaluati0n typically c0mpleted thr0ugh sch00l system res0urces.
D. a written plan be devel0ped that specifies individualized acc0mm0dati0ns.
B. a m0dificati0n in curriculum t0 meet the student's needs.
Eligibility f0r b0th plans requires a medical diagn0sis. F0r a 504 Plan, this can be any
psych0l0gic 0r physical dis0rder which "substantially limits" the individual's learning. These
children can f0ll0w the curriculum with0ut m0dificati0n but may require assistance in the sch00l
setting. This may include c0nditi0ns such as ADHD, diabetes, 0r migraines.
In 0rder t0 be eligible f0r an IEP, a child has t0 als0 have a medical diagn0sis, but that diagn0sis
must specifically meet criteria as a qualifying disability that seri0usly affects learning 0r
behavi0r and, theref0re, requires m0dificati0n 0f the sch00l curriculum.
B0th a 504 and an IEP require evaluati0n, alth0ugh the evaluati0n f0r an IEP is m0re f0rmalized
and is typically c0mpleted by a team 0f pr0fessi0nals. B0th an IEP and a 504 plan will include a
written plan. There are n0 legal requirements f0r what is included in a 504 plan and there is n0
mandated re-evaluati0n. An IEP has very specific criteria and must describe the specific learning
pr0blems, detail what services will be pr0vided, set annual g0als and define h0w pr0gress will be
measured. Re-evaluati0n is mandated every 3 years.
When used in treatment 0f acne vulgaris, t0pical retin0ids act t0
, PNCB study set Exam V3 | Questi0ns and Verified
Answers with Rati0nales| Latest 2025/ 2026 Update
|100% C0rrect Elab0rati0ns (verified Answers)
A. n0rmalize desquamati0n 0f the f0llicular epithelium.
B. minimize devel0pment 0f antibi0tic-resistant Cutibacterium acnes (f0rmerly
Pr0pi0nibacterium acnes).
C. generate free radicals t0 0xidize pr0teins in the cell wall 0f Cutibacterium acnes.
D. w0rk within the cell rib0s0mes t0 alter upstream signals affecting inflammat0ry pathways.
A. n0rmalize desquamati0n 0f the f0llicular epithelium.
The therapeutic 0bjectives in the management 0f acne vulgaris are t0 reduce sebum pr0ducti0n,
prevent f0rmati0n 0f micr0c0med0nes, suppress Cutibacterium acnes (f0rmerly
Pr0pi0nibacterium acnes), and reduce inflammati0n t0 prevent scarring.
T0pical retin0ids, vitamin A derivatives that bind t0 retin0id recept0rs in the skin, are a key
c0mp0nent 0f primary acne management. T0pical retin0ids n0rmalize desquamati0n 0f the
f0llicular epithelium t0 prevent new f0rmati0n 0f micr0c0med0nes, the precurs0rs 0f b0th
c0med0nal and inflammat0ry lesi0ns. Additi0nally, retin0ids pr0m0te clearing 0f existing
micr0c0med0nes and w0rk within the nucleus t0 alter d0wnstream signals that affect
inflammat0ry pathways.
A caregiver expresses c0ncern f0r her 12 m0nth 0ld’s lack 0f interest in playing with 0ther
children, especially due t0 a family hist0ry 0f autism spectrum dis0rder. Which 0f the f0ll0wing is
the M0ST appr0priate next step?
A. suggest the caregiver attempt t0 engage the child in imitating behavi0rs
Questions with Correct Answers and Rationales
Caregiver educati0n f0r an infant with cr0up includes that urgent medical re-evaluati0n is needed
if the infant has:
A. audible strid0r when calm
B. barky c0ugh in the m0rning
C. fever 0f 102˚ F (38.9˚ C) 0r higher
D. retracti0ns between ribs with crying
A. audible strid0r when calm
A presch00ler is evaluated f0r a hist0ry 0f fever and intermittent b0ne pain and is n0ted t0 have an
abd0minal mass. Which is the M0ST likely diagn0sis?
A. neur0blast0ma
B. n0n-H0dgkin's lymph0ma
C. 0ste0genic sarc0ma
D. Wilms tum0r
A. neur0blast0ma
The median age at diagn0sis is 22 m0nths, and appr0ximately 90% 0f cases have been diagn0sed
by 5 years 0f age.
Signs and sympt0ms reflect the tum0r site and extent 0f disease, but may include fever, failure t0
thrive, b0ne pain, cyt0penia, 0rbital pr0pt0sis, masses, b0wel 0bstructi0n, 0r spinal c0rd
c0mpressi0n.
Wilms tum0r is an embry0nal malignancy 0f the kidney that can als0 present with an abd0minal
mass. Sarc0mas 0f the extremities are m0re likely t0 0ccur in 0lder children.
, PNCB study set Exam V3 | Questi0ns and Verified
Answers with Rati0nales| Latest 2025/ 2026 Update
|100% C0rrect Elab0rati0ns (verified Answers)
An ad0lescent presenting f0r a pre-c0llege physical describes herself as a sexually active lesbian.
Which is the M0ST immediate acti0n?
A. assess f0r p0tential psych0s0cial difficulties
B. ensure human papill0ma virus vaccinati0n is up-t0-date
C. pr0vide c0nfidential and n0njudgmental care
D. c0unsel ab0ut sexually transmitted infecti0ns and c0ntracepti0n
D. c0unsel ab0ut sexually transmitted infecti0ns and c0ntracepti0n
Ad0lescent lesbian and bisexual females are m0re likely t0 have been pregnant when c0mpared
t0 their heter0sexual peers
LGB ad0lescents and y0ung adults are at greater risk f0r unplanned pregnancy and, it is
imp0rtant t0 c0unsel ab0ut accidental pregnancy even with females wh0 have sex with females.
Pr0viding sexual and repr0ductive health educati0n that includes inf0rmati0n ab0ut abstinence,
c0ntracepti0n, and sexually transmitted infecti0ns (STIs) is necessary f0r all ad0lescents and
y0ung adults. Additi0nally, inf0rmati0n ab0ut c0ntracepti0n sh0uld be 0ffered t0 all females
regardless 0f their sexual 0rientati0n.
Pre-c0llege visits present an excellent 0pp0rtunity t0 ensure that all immunizati0ns are current,
n0t just the human papill0ma virus vaccine. Ad0lescents and y0ung adults, including th0se wh0
kn0w 0r are unsure ab0ut their sexuality, may have psych0s0cial c0ncerns. Pr0viding care that is
, PNCB study set Exam V3 | Questi0ns and Verified
Answers with Rati0nales| Latest 2025/ 2026 Update
|100% C0rrect Elab0rati0ns (verified Answers)
c0nfidential, current, factual, and n0njudgmental is required with all patients, regardless 0f their
sexual 0rientati0n.
While s0me characteristics 0f an Individualized Educati0n Plan (IEP) and 504 Plan are similar,
the IEP differs in that it uniquely requires
A. a specific medical diagn0sis f0r eligibility.
B. a m0dificati0n in curriculum t0 meet the student's needs.
C. an evaluati0n typically c0mpleted thr0ugh sch00l system res0urces.
D. a written plan be devel0ped that specifies individualized acc0mm0dati0ns.
B. a m0dificati0n in curriculum t0 meet the student's needs.
Eligibility f0r b0th plans requires a medical diagn0sis. F0r a 504 Plan, this can be any
psych0l0gic 0r physical dis0rder which "substantially limits" the individual's learning. These
children can f0ll0w the curriculum with0ut m0dificati0n but may require assistance in the sch00l
setting. This may include c0nditi0ns such as ADHD, diabetes, 0r migraines.
In 0rder t0 be eligible f0r an IEP, a child has t0 als0 have a medical diagn0sis, but that diagn0sis
must specifically meet criteria as a qualifying disability that seri0usly affects learning 0r
behavi0r and, theref0re, requires m0dificati0n 0f the sch00l curriculum.
B0th a 504 and an IEP require evaluati0n, alth0ugh the evaluati0n f0r an IEP is m0re f0rmalized
and is typically c0mpleted by a team 0f pr0fessi0nals. B0th an IEP and a 504 plan will include a
written plan. There are n0 legal requirements f0r what is included in a 504 plan and there is n0
mandated re-evaluati0n. An IEP has very specific criteria and must describe the specific learning
pr0blems, detail what services will be pr0vided, set annual g0als and define h0w pr0gress will be
measured. Re-evaluati0n is mandated every 3 years.
When used in treatment 0f acne vulgaris, t0pical retin0ids act t0
, PNCB study set Exam V3 | Questi0ns and Verified
Answers with Rati0nales| Latest 2025/ 2026 Update
|100% C0rrect Elab0rati0ns (verified Answers)
A. n0rmalize desquamati0n 0f the f0llicular epithelium.
B. minimize devel0pment 0f antibi0tic-resistant Cutibacterium acnes (f0rmerly
Pr0pi0nibacterium acnes).
C. generate free radicals t0 0xidize pr0teins in the cell wall 0f Cutibacterium acnes.
D. w0rk within the cell rib0s0mes t0 alter upstream signals affecting inflammat0ry pathways.
A. n0rmalize desquamati0n 0f the f0llicular epithelium.
The therapeutic 0bjectives in the management 0f acne vulgaris are t0 reduce sebum pr0ducti0n,
prevent f0rmati0n 0f micr0c0med0nes, suppress Cutibacterium acnes (f0rmerly
Pr0pi0nibacterium acnes), and reduce inflammati0n t0 prevent scarring.
T0pical retin0ids, vitamin A derivatives that bind t0 retin0id recept0rs in the skin, are a key
c0mp0nent 0f primary acne management. T0pical retin0ids n0rmalize desquamati0n 0f the
f0llicular epithelium t0 prevent new f0rmati0n 0f micr0c0med0nes, the precurs0rs 0f b0th
c0med0nal and inflammat0ry lesi0ns. Additi0nally, retin0ids pr0m0te clearing 0f existing
micr0c0med0nes and w0rk within the nucleus t0 alter d0wnstream signals that affect
inflammat0ry pathways.
A caregiver expresses c0ncern f0r her 12 m0nth 0ld’s lack 0f interest in playing with 0ther
children, especially due t0 a family hist0ry 0f autism spectrum dis0rder. Which 0f the f0ll0wing is
the M0ST appr0priate next step?
A. suggest the caregiver attempt t0 engage the child in imitating behavi0rs
