PNCB CPNP Exam Preparation 2026 | Comprehensive Pediatric Nurse Practitioner Questions
& Answers with Expert Rationales
Cystic fibrosis is more commonly seen in which ancenstry? - (ANSWER)Eastern European
Common signs and symptoms of Hodgkin's disease include: - (ANSWER)- Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes
Pulmonary hypertension causes: - (ANSWER)- Increased blood pressure in the pulmonary artery, vein
and capillaries
- Causes shortness of breath and dizziness
An 18-month old is brought in and her nail beds are softening. What is this a sign of? -
(ANSWER)Clubbing
- Clubbing is a sign of a congenital heart defect
For the patient who has recently undergone a kidney transplant, what anticipatory guidance regarding
immunosuppressives should be given? - (ANSWER)- The need for immunosuppressives is lifelong
- Immunosuppressives are required after surgery to prevent organ rejection
- Continue taking immunosuppressives even during illness
- Immunosuppressives should be taken on a strict schedule
What is the importance of hydration in treating sickle cell disease? - (ANSWER)Adequate hydration
promotes hemodilution and circulation of red blood cells
Understanding "no" is expected in the 10-month-old. True or False. - (ANSWER)True
Characteristics of active listening: - (ANSWER)- Maintaining eye contact
- Asking open-ended questions
,PNCB CPNP Exam Preparation 2026 | Comprehensive Pediatric Nurse Practitioner Questions
& Answers with Expert Rationales
- Reflecting back what the speaker has said
Signs of pain in an infant: - (ANSWER)- Grimacing
- Crying
- Restlessness
- Thrashing
- Flailing
Classic symptom of scabies: - (ANSWER)Itching that is worse at night
A patient with primary case of scabies was probably infected how long ago? - (ANSWER)3 to 4 weeks ago
- 3 to 4 weeks is the incubation period for scabies
Management of vulvovaginitis: - (ANSWER)- Discontinue bubble baths
- Keep perineal area clean
- Have the child wear cotton or cotton-lined underwear
Do PPO plan members need authorizations to visit specialists? - (ANSWER)No
Do HMO plan members need authorizations for services and visits to specialists? - (ANSWER)Yes
Patients that come in with frequent urination, that is mostly water, will be diagnosed with: -
(ANSWER)Diabetes Insipidus
What assessment findings confirm Osgood-Schlatter Disease? - (ANSWER)- Pain worsens with quadricep
contraction
- There is swelling of the tibial tubercle
, PNCB CPNP Exam Preparation 2026 | Comprehensive Pediatric Nurse Practitioner Questions
& Answers with Expert Rationales
Signs of Rotavirus include: - (ANSWER)- Vomiting
- Diarrhea
- Fever
- *typically affects children between 6mos and 2yo
A patient is given Vancomycin IV. What would cause Red Man Syndrome? - (ANSWER)Pushing the
infusion too fast/ Rapid infusion
One of the indications of muscular dystrophy is the child's difficulty in rising to a standing position. The
child has to "walk" up his legs using his hands. What is this called? - (ANSWER)Gower's sign
Management of a brown recluse spider bite: - (ANSWER)- Ice pack and elevation of extremity to
decrease edema
- Immobilize the area
- Give tetanus toxoid
- Antihistamines to reduce swelling and itching
- PO Augmentin x 14 days
Pharmacologic management of brown recluse spider bites include: - (ANSWER)Amoxicillin-clavulanate
(AUGMENTIN) PO x 14 days
Birth length usually doubles by: - (ANSWER)4 years of age
HIPAA - (ANSWER)- Health Information Portability and Accountability Act (1996)
- Governs the privacy and disclosure of health information as well as electronic transfer of information
What is the pharmacologic treatment of choice for a 17yo pregnant female with a UTI? -
(ANSWER)Nitrofurantoin (Macrodantin)
& Answers with Expert Rationales
Cystic fibrosis is more commonly seen in which ancenstry? - (ANSWER)Eastern European
Common signs and symptoms of Hodgkin's disease include: - (ANSWER)- Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes
Pulmonary hypertension causes: - (ANSWER)- Increased blood pressure in the pulmonary artery, vein
and capillaries
- Causes shortness of breath and dizziness
An 18-month old is brought in and her nail beds are softening. What is this a sign of? -
(ANSWER)Clubbing
- Clubbing is a sign of a congenital heart defect
For the patient who has recently undergone a kidney transplant, what anticipatory guidance regarding
immunosuppressives should be given? - (ANSWER)- The need for immunosuppressives is lifelong
- Immunosuppressives are required after surgery to prevent organ rejection
- Continue taking immunosuppressives even during illness
- Immunosuppressives should be taken on a strict schedule
What is the importance of hydration in treating sickle cell disease? - (ANSWER)Adequate hydration
promotes hemodilution and circulation of red blood cells
Understanding "no" is expected in the 10-month-old. True or False. - (ANSWER)True
Characteristics of active listening: - (ANSWER)- Maintaining eye contact
- Asking open-ended questions
,PNCB CPNP Exam Preparation 2026 | Comprehensive Pediatric Nurse Practitioner Questions
& Answers with Expert Rationales
- Reflecting back what the speaker has said
Signs of pain in an infant: - (ANSWER)- Grimacing
- Crying
- Restlessness
- Thrashing
- Flailing
Classic symptom of scabies: - (ANSWER)Itching that is worse at night
A patient with primary case of scabies was probably infected how long ago? - (ANSWER)3 to 4 weeks ago
- 3 to 4 weeks is the incubation period for scabies
Management of vulvovaginitis: - (ANSWER)- Discontinue bubble baths
- Keep perineal area clean
- Have the child wear cotton or cotton-lined underwear
Do PPO plan members need authorizations to visit specialists? - (ANSWER)No
Do HMO plan members need authorizations for services and visits to specialists? - (ANSWER)Yes
Patients that come in with frequent urination, that is mostly water, will be diagnosed with: -
(ANSWER)Diabetes Insipidus
What assessment findings confirm Osgood-Schlatter Disease? - (ANSWER)- Pain worsens with quadricep
contraction
- There is swelling of the tibial tubercle
, PNCB CPNP Exam Preparation 2026 | Comprehensive Pediatric Nurse Practitioner Questions
& Answers with Expert Rationales
Signs of Rotavirus include: - (ANSWER)- Vomiting
- Diarrhea
- Fever
- *typically affects children between 6mos and 2yo
A patient is given Vancomycin IV. What would cause Red Man Syndrome? - (ANSWER)Pushing the
infusion too fast/ Rapid infusion
One of the indications of muscular dystrophy is the child's difficulty in rising to a standing position. The
child has to "walk" up his legs using his hands. What is this called? - (ANSWER)Gower's sign
Management of a brown recluse spider bite: - (ANSWER)- Ice pack and elevation of extremity to
decrease edema
- Immobilize the area
- Give tetanus toxoid
- Antihistamines to reduce swelling and itching
- PO Augmentin x 14 days
Pharmacologic management of brown recluse spider bites include: - (ANSWER)Amoxicillin-clavulanate
(AUGMENTIN) PO x 14 days
Birth length usually doubles by: - (ANSWER)4 years of age
HIPAA - (ANSWER)- Health Information Portability and Accountability Act (1996)
- Governs the privacy and disclosure of health information as well as electronic transfer of information
What is the pharmacologic treatment of choice for a 17yo pregnant female with a UTI? -
(ANSWER)Nitrofurantoin (Macrodantin)
