PNCB EXAM SET QUESTIONS 2025
|GUARANTEED ACCURATE
ANSWERS |VERIFIED
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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE
ANSWERS✔✔ b) refer the infant for further evaluation
,During a 2-month-old well child visit you note that the red reflex in one
eye seems paler than in the other. What is the most appropriate follow-
up step for this observation?
a) assess and document a normal corneal light reflex in that eye
b) preform the cover/uncover test
c) re-evaluate the red re-screening test in 2 weeks
d) refer the infant to a pediatric ophthalmologist immediately -
ACCURATE ANSWERS✔✔ d) refer the infant to a pediatric
ophthalmologist immediately
Primary dentition erupts between:
a) 6-11 years
b) 6-30 months
c) 1-5 years
d) 12-24 months - ACCURATE ANSWERS✔✔ b) 6-30 months
The parent of a 4-year-old points to a picture and says "That's your
sister!". The child responds by saying "No! It's my baby!". This is an
example of which type of thinking in preschool-age children?
a) animism
b) artificialism
c) egocentrism
d) realism - ACCURATE ANSWERS✔✔ d) realism
,The primary care PNP performs a developmental assessment on a 32-
month-old child. The child's parent reports that about 70% of the child's
speech is intelligible. The pediatric nurse practitioner observes that the
child has difficulty pronouncing "t" "d" "k" and "g". Which action is
correct?
a) evaluate the child's cognitive abilities
b) obtain a hearing evaluation
c) reassure the parent that this is normal
d) refer the child to a speech therapist - ACCURATE ANSWERS✔✔ c)
reassure the parent that this is normal
The primary care PNP is offering anticipatory guidance to the parents of
a 12-month-old child. The parents are bilingual in Spanish and English
and have many Spanish-speaking relatives nearby. They are resisting
exposing the child to Spanish out of concern that the child will not learn
English well. What will the PNP tell the parents?
a) children who learn two languages simultaneously often confuse them
in conversation
b) children with multi-language proficiency do not understand that
others cannot do this
c) learning two languages at an early age prevents children from
development a dominant language
d) most bilingual children are able to shift from one language to another
when appropriate - ACCURATE ANSWERS✔✔ d) most bilingual
children are able to shift from one language to another when appropriate
, The parents of a 3-year-old child are concerns that the child has begun
refusing usual foods and wants to eat mashed potatoes and chicken strips
at every meal and snack. The child's rate of weight has slowed, but the
child remains at the same percentile for weight on a growth chart. What
will the PNP tell the parents to do>
a) allow the child to choose foods for meals to improve caloric intake
b) place a variety of nutritious foods on the child's plate at each meal
c) prepare masked potatoes and chicken strips for the child at mealtimes
d) suggest cutting out snacks to improve the child's appetite at mealtimes
- ACCURATE ANSWERS✔✔ b) place a variety of nutritious foods on
the child's plate at each meal
The PC-PNP is evaluating a 2-year-old with a documented speech delay.
Screening s to assess motor skills and cognition are normal, and the
child passed a recent hearing test. What will the PNP do next?
a) ask the child's parents whether they read to the child
b) give parents educational materials to encourage speech
c) refer the child to and early intervention program
d) suggest that they purchase age-appropriate music videos -
ACCURATE ANSWERS✔✔ a) ask the child's parents whether they
read to the child
|GUARANTEED ACCURATE
ANSWERS |VERIFIED
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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE
ANSWERS✔✔ b) refer the infant for further evaluation
,During a 2-month-old well child visit you note that the red reflex in one
eye seems paler than in the other. What is the most appropriate follow-
up step for this observation?
a) assess and document a normal corneal light reflex in that eye
b) preform the cover/uncover test
c) re-evaluate the red re-screening test in 2 weeks
d) refer the infant to a pediatric ophthalmologist immediately -
ACCURATE ANSWERS✔✔ d) refer the infant to a pediatric
ophthalmologist immediately
Primary dentition erupts between:
a) 6-11 years
b) 6-30 months
c) 1-5 years
d) 12-24 months - ACCURATE ANSWERS✔✔ b) 6-30 months
The parent of a 4-year-old points to a picture and says "That's your
sister!". The child responds by saying "No! It's my baby!". This is an
example of which type of thinking in preschool-age children?
a) animism
b) artificialism
c) egocentrism
d) realism - ACCURATE ANSWERS✔✔ d) realism
,The primary care PNP performs a developmental assessment on a 32-
month-old child. The child's parent reports that about 70% of the child's
speech is intelligible. The pediatric nurse practitioner observes that the
child has difficulty pronouncing "t" "d" "k" and "g". Which action is
correct?
a) evaluate the child's cognitive abilities
b) obtain a hearing evaluation
c) reassure the parent that this is normal
d) refer the child to a speech therapist - ACCURATE ANSWERS✔✔ c)
reassure the parent that this is normal
The primary care PNP is offering anticipatory guidance to the parents of
a 12-month-old child. The parents are bilingual in Spanish and English
and have many Spanish-speaking relatives nearby. They are resisting
exposing the child to Spanish out of concern that the child will not learn
English well. What will the PNP tell the parents?
a) children who learn two languages simultaneously often confuse them
in conversation
b) children with multi-language proficiency do not understand that
others cannot do this
c) learning two languages at an early age prevents children from
development a dominant language
d) most bilingual children are able to shift from one language to another
when appropriate - ACCURATE ANSWERS✔✔ d) most bilingual
children are able to shift from one language to another when appropriate
, The parents of a 3-year-old child are concerns that the child has begun
refusing usual foods and wants to eat mashed potatoes and chicken strips
at every meal and snack. The child's rate of weight has slowed, but the
child remains at the same percentile for weight on a growth chart. What
will the PNP tell the parents to do>
a) allow the child to choose foods for meals to improve caloric intake
b) place a variety of nutritious foods on the child's plate at each meal
c) prepare masked potatoes and chicken strips for the child at mealtimes
d) suggest cutting out snacks to improve the child's appetite at mealtimes
- ACCURATE ANSWERS✔✔ b) place a variety of nutritious foods on
the child's plate at each meal
The PC-PNP is evaluating a 2-year-old with a documented speech delay.
Screening s to assess motor skills and cognition are normal, and the
child passed a recent hearing test. What will the PNP do next?
a) ask the child's parents whether they read to the child
b) give parents educational materials to encourage speech
c) refer the child to and early intervention program
d) suggest that they purchase age-appropriate music videos -
ACCURATE ANSWERS✔✔ a) ask the child's parents whether they
read to the child
