PNCB CPN Exam PRACTICE QUESTIONS
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
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1.
A nurse is assessing a 2-month-old infant. Which finding requires the
most immediate follow-up?
A. Moro reflex present
B. Heart rate 138/min
C. Respiratory rate 62/min with nasal flaring
D. Weight gain of 25 g/day
Answer: C. Respiratory rate 62/min with nasal flaring
Persistent tachypnea accompanied by nasal flaring indicates
increased work of breathing and possible respiratory distress. The
other findings can be normal for a 2-month-old.
2.
Which developmental milestone is expected in most infants around 6
months of age?
A. Walking independently
B. Sitting without support
C. Using two-word phrases
D. Copying a circle
Answer: B. Sitting without support
,Independent sitting typically develops around 6 months. Walking,
two-word phrases, and copying shapes occur substantially later.
3.
A 9-month-old infant is brought to the clinic. Which behavior is
developmentally expected?
A. Separation anxiety
B. Cooperative parallel play
C. Abstract reasoning
D. Riding a tricycle
Answer: A. Separation anxiety
Separation anxiety commonly emerges during late infancy as the
infant develops object permanence and stronger attachment to
caregivers.
4.
Which developmental achievement is most characteristic of a 2-year-
old child?
A. Hopping on one foot
B. Using two-word phrases
C. Reading simple words
D. Tying shoelaces
Answer: B. Using two-word phrases
Two-word combinations such as “more juice” are expected during the
second year of life.
5.
,The nurse is assessing a preschool-age child. Which activity is most
appropriate for evaluating fine-motor development?
A. Asking the child to jump
B. Asking the child to draw a person
C. Asking the child to run down a hallway
D. Asking the child to throw a ball
Answer: B. Asking the child to draw a person
Drawing requires fine-motor coordination and visual-motor
integration, which develop significantly during the preschool period.
6.
Which approach is best when beginning a physical examination of a
toddler?
A. Immediately place the child on the examination table
B. Separate the child from the caregiver
C. Allow the child to remain with the caregiver initially
D. Perform the most invasive procedure first
Answer: C. Allow the child to remain with the caregiver initially
Toddlers commonly experience stranger anxiety. Keeping the child
near the caregiver promotes trust and cooperation.
7.
A 4-year-old tells the nurse, “I caused my brother's illness because I
was mad at him.” Which concept is demonstrated?
A. Conservation
B. Magical thinking
C. Formal operational reasoning
D. Object permanence
, Answer: B. Magical thinking
Preschool children may believe that thoughts, wishes, or behaviors
can directly cause events.
8.
Which statement by a school-age child demonstrates concrete
operational thinking?
A. “If I wish hard enough, my illness will disappear.”
B. “I understand that the medicine can help even though I don't feel
sick.”
C. “Everything happens because of my thoughts.”
D. “Rules can never change.”
Answer: B. “I understand that the medicine can help even though I
don't feel sick.”
School-age children increasingly understand cause and effect and can
reason logically about concrete situations.
9.
Which developmental behavior is most expected in an adolescent?
A. Egocentric thinking exclusively
B. Development of abstract reasoning
C. Parallel play
D. Stranger anxiety
Answer: B. Development of abstract reasoning
Adolescents develop formal operational thinking, allowing
increasingly abstract, hypothetical, and future-oriented reasoning.
|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF
1.
A nurse is assessing a 2-month-old infant. Which finding requires the
most immediate follow-up?
A. Moro reflex present
B. Heart rate 138/min
C. Respiratory rate 62/min with nasal flaring
D. Weight gain of 25 g/day
Answer: C. Respiratory rate 62/min with nasal flaring
Persistent tachypnea accompanied by nasal flaring indicates
increased work of breathing and possible respiratory distress. The
other findings can be normal for a 2-month-old.
2.
Which developmental milestone is expected in most infants around 6
months of age?
A. Walking independently
B. Sitting without support
C. Using two-word phrases
D. Copying a circle
Answer: B. Sitting without support
,Independent sitting typically develops around 6 months. Walking,
two-word phrases, and copying shapes occur substantially later.
3.
A 9-month-old infant is brought to the clinic. Which behavior is
developmentally expected?
A. Separation anxiety
B. Cooperative parallel play
C. Abstract reasoning
D. Riding a tricycle
Answer: A. Separation anxiety
Separation anxiety commonly emerges during late infancy as the
infant develops object permanence and stronger attachment to
caregivers.
4.
Which developmental achievement is most characteristic of a 2-year-
old child?
A. Hopping on one foot
B. Using two-word phrases
C. Reading simple words
D. Tying shoelaces
Answer: B. Using two-word phrases
Two-word combinations such as “more juice” are expected during the
second year of life.
5.
,The nurse is assessing a preschool-age child. Which activity is most
appropriate for evaluating fine-motor development?
A. Asking the child to jump
B. Asking the child to draw a person
C. Asking the child to run down a hallway
D. Asking the child to throw a ball
Answer: B. Asking the child to draw a person
Drawing requires fine-motor coordination and visual-motor
integration, which develop significantly during the preschool period.
6.
Which approach is best when beginning a physical examination of a
toddler?
A. Immediately place the child on the examination table
B. Separate the child from the caregiver
C. Allow the child to remain with the caregiver initially
D. Perform the most invasive procedure first
Answer: C. Allow the child to remain with the caregiver initially
Toddlers commonly experience stranger anxiety. Keeping the child
near the caregiver promotes trust and cooperation.
7.
A 4-year-old tells the nurse, “I caused my brother's illness because I
was mad at him.” Which concept is demonstrated?
A. Conservation
B. Magical thinking
C. Formal operational reasoning
D. Object permanence
, Answer: B. Magical thinking
Preschool children may believe that thoughts, wishes, or behaviors
can directly cause events.
8.
Which statement by a school-age child demonstrates concrete
operational thinking?
A. “If I wish hard enough, my illness will disappear.”
B. “I understand that the medicine can help even though I don't feel
sick.”
C. “Everything happens because of my thoughts.”
D. “Rules can never change.”
Answer: B. “I understand that the medicine can help even though I
don't feel sick.”
School-age children increasingly understand cause and effect and can
reason logically about concrete situations.
9.
Which developmental behavior is most expected in an adolescent?
A. Egocentric thinking exclusively
B. Development of abstract reasoning
C. Parallel play
D. Stranger anxiety
Answer: B. Development of abstract reasoning
Adolescents develop formal operational thinking, allowing
increasingly abstract, hypothetical, and future-oriented reasoning.
