PEDIATRIC NURSING CERTIFICATION BOARD {PNCB} ACTUAL EXAM 2026 LATEST VERSION WITH
180 QUESTIONS
AND CORRECT ANSWERS GRADED A+ all you need to pass PNCB exam
You are seeing a 4-week old infant whose mother states that the child's right eye is wet all the
time and sometime there is thick mucus on the lashes. There has been no fever and the baby is
feeding well. Eye exam reveals a normal red reflex bilaterally with no evidence of purulent
drainage, conjunctival erythema, or cloudiness over the cornea. You suspect:
a) adenovirus conjunctivits
b) nasolacrimal stenosis
c) chlamydial conjunctivitis
d) congenital cataract - CORRECT ANSWER-b) nasolacrimal duct stenosis
A 9-month-old infant who was born at 32-weeks reaches for a block with only the left hand. The
right arm remains still at the side of her body. The PNP would:
a) record these findings as normal for a premature infant
b) refer the infant for further evaluation
c) refer the child for a muscle biopsy
d) record that the child will likely be left-handed - CORRECT ANSWER-b) refer the infant for further
evaluation
The PNP is examining an 8-year-old girl at her annual health supervision visit and notes the patient
has breast buds. What information will the PNP include in the anticipatory guidance for this
patient. a) discuss sexually transmitted diseases
b) discuss sexual attractions and relationships
c) discuss pregnancy prevention
d) discuss sexual maturing and menstrual periods - CORRECT ANSWER-d) discuss sexual maturing
and menstrual periods
Which of the following health supervision visit activities is NOT essential to do at each well-child visit
from birth through to school age?
a) immunization review
,PEDIATRIC NURSING CERTIFICATION BOARD {PNCB} ACTUAL EXAM 2026 LATEST VERSION WITH
180 QUESTIONS
AND CORRECT ANSWERS GRADED A+ all you need to pass PNCB exam
b) vision and hearing screening, either through gross assessment and parent report or with the use
of a vision cart and an audiometer
c) laboratory tests
d) height and weight measurements, with use of growth charts to track growth over time - CORRECT
ANSWER-c) laboratory tests
During the clinic visit, Pedro tells the PNP that while at his locker at school, 2 boys come up behind
him and grabs his rear end and laughs before walking away. This is a form of: a) cyber bullying
b) social bullying
c) physical bullying
d) verbal bullying - CORRECT ANSWER-c) physical bullying
In middle childhood, growing pains is a benign self-limiting disorder that may occur intermittently
and are usually more noticeable in the evening or night. a) true
b) false - CORRECT ANSWER-a) true
One of the most important roles of the PNP who provides care for a child with special health care
needs who sees several specialists and receives community and school-based services is:
a) ordering medications and durable equipment
b) assuring the parents adhere to the treatment plan
c) assess the parents ability to perform home care tasks
d) coordinate services to ensure continuity of care - CORRECT ANSWER-d) coordinate services to
ensure continuity of care
During adolescence, MSK injuries frequently occur during periods of peak growth velocity due to: a)
limited participation in sports
b) the change in bone mineral content
c) increased range of motion
d) decreased muscle mass - CORRECT ANSWER-b) the change in bone mineral content
Which condition is common during adolescence that results in objects being "blurry" from a
distance?
a) myopia
,PEDIATRIC NURSING CERTIFICATION BOARD {PNCB} ACTUAL EXAM 2026 LATEST VERSION WITH
180 QUESTIONS
AND CORRECT ANSWERS GRADED A+ all you need to pass PNCB exam
b) extropia
c) esotropia
d) amblyopia - CORRECT ANSWER-a) myopia
Appropriate management of gynecomastia in a 12-year-old male is:
a) refer to endocrinology for a work-up
b) give testosterone supplements for a year
c) refer to pediatric plastic surgeon
d) reassure that this is a temporary condition and will likely resolve without treatment - CORRECT
ANSWER-d) reassure that this is a temporary condition and will likely resolve without treatment
An 11-year old male is being seen for a wellness visit with no abnormal findings identified. When
discussing the screenings that will be ordered at the current visit, the PNP notes the patient had a
hearing and vision screening last year and no other screenings were noted. Which screening will be
ordered?
a) depression
b) dyslipidemia
c) vision
d) STI - CORRECT ANSWER-b) dyslipidemia
Concerning Erikson's psychosocial development theory, what is the likely result of an adolescent not
successfully achieving a sense of self?
a) they will be confused about their future
b) they will fail to trust others
c) they will be unable to think abstractly
d) they will movement into the intimacy vs isolation phase - CORRECT ANSWER-a) they will be
confused about their future
The first physical sign is indicating the onset of female puberty is:
a) sparsely distributed fine, pale pubic hairs
b) breast buds
c) menarche
d) peak height velocity - CORRECT ANSWER-b) breast buds
, PEDIATRIC NURSING CERTIFICATION BOARD {PNCB} ACTUAL EXAM 2026 LATEST VERSION WITH
180 QUESTIONS
AND CORRECT ANSWERS GRADED A+ all you need to pass PNCB exam
The first physical sign is indicating the onset of male puberty:
a) sparsely distributed fine, pale pubic hairs
b) testicular enlargement
c) spermarche
d) peak height velocity - CORRECT ANSWER-b) testicular enlargement
Providing reassurance of "normalcy" during the course of an exam would be most important for: a.
preschool children
b. young school aged children
c. older school aged children
d. adolescents - CORRECT ANSWER-d. adolescents
While interviewing a 16-year-old, all of the following statements are made. Which one contains
information that should not be kept confidential?
a) "I have been sexually active with three of my boyfriends"
b) "I sometimes smoke marijuana"
c) "I want to get pregnant"
d) "sometimes I feel I want to end my life" - CORRECT ANSWER-d) "sometimes I feel I want to end
my life"
Which of the following children should NOT receive a live vaccine?
a) a 1-year-old who has not been exposed to eggs because his mother seems to be allergic to eggs
b) an otherwise healthy child with otitis media and a temperature of 100.6F
c) a child who develop injection site pain, was fretful, would not eat, and had a temperature of 101F
for 24hours following the last dosage of a vaccine he/she is to receive today
d) a child with cancer remission whose last chemotherapy treatment was 35 days ago - CORRECT
ANSWER-d) a child with cancer remission whose last chemotherapy treatment was 35 days ago
A 15-year-old female received the first dose of HPV-9 at 11 years of age and has not received any
other vaccinations since that time. She is asking how many more HPV shots she will have to receive
to complete the series. The correct response is:
a) one
180 QUESTIONS
AND CORRECT ANSWERS GRADED A+ all you need to pass PNCB exam
You are seeing a 4-week old infant whose mother states that the child's right eye is wet all the
time and sometime there is thick mucus on the lashes. There has been no fever and the baby is
feeding well. Eye exam reveals a normal red reflex bilaterally with no evidence of purulent
drainage, conjunctival erythema, or cloudiness over the cornea. You suspect:
a) adenovirus conjunctivits
b) nasolacrimal stenosis
c) chlamydial conjunctivitis
d) congenital cataract - CORRECT ANSWER-b) nasolacrimal duct stenosis
A 9-month-old infant who was born at 32-weeks reaches for a block with only the left hand. The
right arm remains still at the side of her body. The PNP would:
a) record these findings as normal for a premature infant
b) refer the infant for further evaluation
c) refer the child for a muscle biopsy
d) record that the child will likely be left-handed - CORRECT ANSWER-b) refer the infant for further
evaluation
The PNP is examining an 8-year-old girl at her annual health supervision visit and notes the patient
has breast buds. What information will the PNP include in the anticipatory guidance for this
patient. a) discuss sexually transmitted diseases
b) discuss sexual attractions and relationships
c) discuss pregnancy prevention
d) discuss sexual maturing and menstrual periods - CORRECT ANSWER-d) discuss sexual maturing
and menstrual periods
Which of the following health supervision visit activities is NOT essential to do at each well-child visit
from birth through to school age?
a) immunization review
,PEDIATRIC NURSING CERTIFICATION BOARD {PNCB} ACTUAL EXAM 2026 LATEST VERSION WITH
180 QUESTIONS
AND CORRECT ANSWERS GRADED A+ all you need to pass PNCB exam
b) vision and hearing screening, either through gross assessment and parent report or with the use
of a vision cart and an audiometer
c) laboratory tests
d) height and weight measurements, with use of growth charts to track growth over time - CORRECT
ANSWER-c) laboratory tests
During the clinic visit, Pedro tells the PNP that while at his locker at school, 2 boys come up behind
him and grabs his rear end and laughs before walking away. This is a form of: a) cyber bullying
b) social bullying
c) physical bullying
d) verbal bullying - CORRECT ANSWER-c) physical bullying
In middle childhood, growing pains is a benign self-limiting disorder that may occur intermittently
and are usually more noticeable in the evening or night. a) true
b) false - CORRECT ANSWER-a) true
One of the most important roles of the PNP who provides care for a child with special health care
needs who sees several specialists and receives community and school-based services is:
a) ordering medications and durable equipment
b) assuring the parents adhere to the treatment plan
c) assess the parents ability to perform home care tasks
d) coordinate services to ensure continuity of care - CORRECT ANSWER-d) coordinate services to
ensure continuity of care
During adolescence, MSK injuries frequently occur during periods of peak growth velocity due to: a)
limited participation in sports
b) the change in bone mineral content
c) increased range of motion
d) decreased muscle mass - CORRECT ANSWER-b) the change in bone mineral content
Which condition is common during adolescence that results in objects being "blurry" from a
distance?
a) myopia
,PEDIATRIC NURSING CERTIFICATION BOARD {PNCB} ACTUAL EXAM 2026 LATEST VERSION WITH
180 QUESTIONS
AND CORRECT ANSWERS GRADED A+ all you need to pass PNCB exam
b) extropia
c) esotropia
d) amblyopia - CORRECT ANSWER-a) myopia
Appropriate management of gynecomastia in a 12-year-old male is:
a) refer to endocrinology for a work-up
b) give testosterone supplements for a year
c) refer to pediatric plastic surgeon
d) reassure that this is a temporary condition and will likely resolve without treatment - CORRECT
ANSWER-d) reassure that this is a temporary condition and will likely resolve without treatment
An 11-year old male is being seen for a wellness visit with no abnormal findings identified. When
discussing the screenings that will be ordered at the current visit, the PNP notes the patient had a
hearing and vision screening last year and no other screenings were noted. Which screening will be
ordered?
a) depression
b) dyslipidemia
c) vision
d) STI - CORRECT ANSWER-b) dyslipidemia
Concerning Erikson's psychosocial development theory, what is the likely result of an adolescent not
successfully achieving a sense of self?
a) they will be confused about their future
b) they will fail to trust others
c) they will be unable to think abstractly
d) they will movement into the intimacy vs isolation phase - CORRECT ANSWER-a) they will be
confused about their future
The first physical sign is indicating the onset of female puberty is:
a) sparsely distributed fine, pale pubic hairs
b) breast buds
c) menarche
d) peak height velocity - CORRECT ANSWER-b) breast buds
, PEDIATRIC NURSING CERTIFICATION BOARD {PNCB} ACTUAL EXAM 2026 LATEST VERSION WITH
180 QUESTIONS
AND CORRECT ANSWERS GRADED A+ all you need to pass PNCB exam
The first physical sign is indicating the onset of male puberty:
a) sparsely distributed fine, pale pubic hairs
b) testicular enlargement
c) spermarche
d) peak height velocity - CORRECT ANSWER-b) testicular enlargement
Providing reassurance of "normalcy" during the course of an exam would be most important for: a.
preschool children
b. young school aged children
c. older school aged children
d. adolescents - CORRECT ANSWER-d. adolescents
While interviewing a 16-year-old, all of the following statements are made. Which one contains
information that should not be kept confidential?
a) "I have been sexually active with three of my boyfriends"
b) "I sometimes smoke marijuana"
c) "I want to get pregnant"
d) "sometimes I feel I want to end my life" - CORRECT ANSWER-d) "sometimes I feel I want to end
my life"
Which of the following children should NOT receive a live vaccine?
a) a 1-year-old who has not been exposed to eggs because his mother seems to be allergic to eggs
b) an otherwise healthy child with otitis media and a temperature of 100.6F
c) a child who develop injection site pain, was fretful, would not eat, and had a temperature of 101F
for 24hours following the last dosage of a vaccine he/she is to receive today
d) a child with cancer remission whose last chemotherapy treatment was 35 days ago - CORRECT
ANSWER-d) a child with cancer remission whose last chemotherapy treatment was 35 days ago
A 15-year-old female received the first dose of HPV-9 at 11 years of age and has not received any
other vaccinations since that time. She is asking how many more HPV shots she will have to receive
to complete the series. The correct response is:
a) one
