PNCB COMPREHENSIVE TEST PAPER 2026
COMPLETE ANSWERS ACCURATE
⫸ A school-aged child's father, who had been terminally ill, has died.
The mother is seeking guidance related to the funeral service and
supporting the child initially through this loss. Which of the following
advice is the MOST appropriate?
A. Work to maintain neutral emotions around the child.
B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific
questions. Answer: C
⫸ The parent of a 2 month old who is formula fed is concerned that the
infant spits up after every feeding. Weight gain in the past month has
averaged 60 grams (2 oz) per day. What is the MOST appropriate next
step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine Answer: C
⫸ For a 6 year old with asthma, a LABA is FIRST considered when
,A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
D. Symptoms are allergy-induced Answer: A
⫸ A mother expresses concern that her 6 month old is awakening q2h
during the night to breastfeed. The BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. Answer: A
⫸ A child who received an incorrect vaccine experienced no adverse
consequences. No additional care was required and an incident report
was completed. Which of the following actions is MOST appropriate?
A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event Answer: B
, ⫸ An afebrile 6 year old presents with unilateral knee and anterior thigh
pain without a hx of trauma. On exam, there is an antalgic gait, leg-
length discrepancy, limited abduction, and internal rotation of the hip on
the affected side. Which dx is the MOST likely?
A. Legg-Calve-Perthes disease
B. Juvenile idiopathic arthritis
C. Septic arthritis
D. Slipped capital femoral epiphysis Answer: A
⫸ A school aged child has a blood pressure of 166/88 mmHg, which
has also been elevated on two previous visits. Which of the following is
MOST appropriate next?
A. Order UA
B. Counsel on reducing sodium intake
C. Refer to cardiology
D. Start antihypertensive medication Answer: A
⫸ An otherwise healthy adolescent male presents with bilateral breast
enlargement for the past 6 months and small masses palpable below the
nipples. The BEST next step is to
A. Obtain thyroid, testosterone, and estradiol levels.
B. Discuss expected resolution within 2 years.
COMPLETE ANSWERS ACCURATE
⫸ A school-aged child's father, who had been terminally ill, has died.
The mother is seeking guidance related to the funeral service and
supporting the child initially through this loss. Which of the following
advice is the MOST appropriate?
A. Work to maintain neutral emotions around the child.
B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific
questions. Answer: C
⫸ The parent of a 2 month old who is formula fed is concerned that the
infant spits up after every feeding. Weight gain in the past month has
averaged 60 grams (2 oz) per day. What is the MOST appropriate next
step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine Answer: C
⫸ For a 6 year old with asthma, a LABA is FIRST considered when
,A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
D. Symptoms are allergy-induced Answer: A
⫸ A mother expresses concern that her 6 month old is awakening q2h
during the night to breastfeed. The BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. Answer: A
⫸ A child who received an incorrect vaccine experienced no adverse
consequences. No additional care was required and an incident report
was completed. Which of the following actions is MOST appropriate?
A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event Answer: B
, ⫸ An afebrile 6 year old presents with unilateral knee and anterior thigh
pain without a hx of trauma. On exam, there is an antalgic gait, leg-
length discrepancy, limited abduction, and internal rotation of the hip on
the affected side. Which dx is the MOST likely?
A. Legg-Calve-Perthes disease
B. Juvenile idiopathic arthritis
C. Septic arthritis
D. Slipped capital femoral epiphysis Answer: A
⫸ A school aged child has a blood pressure of 166/88 mmHg, which
has also been elevated on two previous visits. Which of the following is
MOST appropriate next?
A. Order UA
B. Counsel on reducing sodium intake
C. Refer to cardiology
D. Start antihypertensive medication Answer: A
⫸ An otherwise healthy adolescent male presents with bilateral breast
enlargement for the past 6 months and small masses palpable below the
nipples. The BEST next step is to
A. Obtain thyroid, testosterone, and estradiol levels.
B. Discuss expected resolution within 2 years.
