Page 1 of 241
PNCB ACUTE CARE EXAM NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 400 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIIED ANSWERS) GRADED A+| ACUTE CARE PNCB
EXAM PREP 2025 (MOST RECENT!!)
In a child with myasthenia gravis, which of the following
symptoms would be MOST indicative of a myasthenic crisis?
A. Eye drooling
B. Respiratory distress
C. Excessive salivation
D. Muscle fasciculation
.....ANSWER..... B. Respiratory distress
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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) .....ANSWER..... D. Propranolol (Inderal)
(Decreases heart rate, myocardial contractility, blood pressure,
and myocardial oxygen demand. Adverse effects include
bradycardia, hypotension, and atrioventricular conduction
disturbances)
Enteral nutrition is initiated in a child with severe malnutrition.
Laboratory values indicative of refeeding syndrome include a
magnesium level of 1.5 mg/dL, and:
A. Phosphate 3.0 ml/dL & potassium 2.8 mEq/L
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B. Phosphate 3.0 ml/dL & potassium 6 mEq/L
C. Phosphate 7.0 ml/dL & potassium 2.8 mEq/L
D. Phosphate 7.0 ml/dL & potassium 6 mEq/L .....ANSWER..... A.
Phosphate 3.0 ml/dL & potassium 2.8 mEq/L
(Refeeding syndrome occurs when malnourished patients are
refed too aggressively leading. It can occur within 1-3 days
after reinstitution of nutrition.
The major manifestations include fluid overload,
hypophosphatemia (phosphate less than 3.5 mg/dL),
hypokalemia (potassium less than 3.5 mEq/L), hypomagnesemia
(magnesium less than 1.8 mg/dL), and thiamine deficiency.
Complications include heart failure, dysrhythmias, respiratory
muscle weakness, seizures,
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When informing a family 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
.....ANSWER..... A. Focus on the child's well being
Manifestations of abdominal injuries secondary to a blast
mechanism are typically:
A. Acute & immediately apparent
B. Observed less than 6 hours after exposure
C. Delayed 8-36 hours after exposure
D. Chronic & slow to develop .....ANSWER..... C. Delayed 8-36
hours after exposure
PNCB ACUTE CARE EXAM NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 400 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIIED ANSWERS) GRADED A+| ACUTE CARE PNCB
EXAM PREP 2025 (MOST RECENT!!)
In a child with myasthenia gravis, which of the following
symptoms would be MOST indicative of a myasthenic crisis?
A. Eye drooling
B. Respiratory distress
C. Excessive salivation
D. Muscle fasciculation
.....ANSWER..... B. Respiratory distress
,Page 2 of 241
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) .....ANSWER..... D. Propranolol (Inderal)
(Decreases heart rate, myocardial contractility, blood pressure,
and myocardial oxygen demand. Adverse effects include
bradycardia, hypotension, and atrioventricular conduction
disturbances)
Enteral nutrition is initiated in a child with severe malnutrition.
Laboratory values indicative of refeeding syndrome include a
magnesium level of 1.5 mg/dL, and:
A. Phosphate 3.0 ml/dL & potassium 2.8 mEq/L
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B. Phosphate 3.0 ml/dL & potassium 6 mEq/L
C. Phosphate 7.0 ml/dL & potassium 2.8 mEq/L
D. Phosphate 7.0 ml/dL & potassium 6 mEq/L .....ANSWER..... A.
Phosphate 3.0 ml/dL & potassium 2.8 mEq/L
(Refeeding syndrome occurs when malnourished patients are
refed too aggressively leading. It can occur within 1-3 days
after reinstitution of nutrition.
The major manifestations include fluid overload,
hypophosphatemia (phosphate less than 3.5 mg/dL),
hypokalemia (potassium less than 3.5 mEq/L), hypomagnesemia
(magnesium less than 1.8 mg/dL), and thiamine deficiency.
Complications include heart failure, dysrhythmias, respiratory
muscle weakness, seizures,
, Page 4 of 241
When informing a family 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
.....ANSWER..... A. Focus on the child's well being
Manifestations of abdominal injuries secondary to a blast
mechanism are typically:
A. Acute & immediately apparent
B. Observed less than 6 hours after exposure
C. Delayed 8-36 hours after exposure
D. Chronic & slow to develop .....ANSWER..... C. Delayed 8-36
hours after exposure
