PNCB PC-PNP Exam Drill questions and answers A+
Grade 2026\2027
A preschooler presents with a low-grade fever, respirations 36, spO2 94% in room air. Physical exam
reveals crackles and decreased breath sounds in the left lower lobe. Which of the following is the MOST
appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
D. Order a CXR
- correct answer A
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.
- correct 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
- correct 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
- correct 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.
- correct 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
- correct answer B
Grade 2026\2027
A preschooler presents with a low-grade fever, respirations 36, spO2 94% in room air. Physical exam
reveals crackles and decreased breath sounds in the left lower lobe. Which of the following is the MOST
appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
D. Order a CXR
- correct answer A
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.
- correct 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
- correct 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
- correct 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.
- correct 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
- correct answer B
