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PNCB Pediatric Nurse Practitioner (CPNP-PC) Final Exam Review 2025–2026 – Complete Study Guide with 100% Pass Guarantee

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This comprehensive exam review is tailored for the 2025–2026 Pediatric Nurse Practitioner – Primary Care (CPNP-PC) certification through the Pediatric Nursing Certification Board (PNCB). It includes detailed Q&A covering diagnostic criteria, health promotion, disease management, growth and development, pharmacology, differential diagnosis, anticipatory guidance, and evidence-based practice. Designed to reflect the most current exam content outline, this guide supports a full-spectrum review to ensure exam readinessCPNP-PC exam 2025

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PNCB Pediatric Nurse Practitioner CPNP-PC
Final 2025-2026 Exam Review 100% pass



The PNP knows that assessing weight, length, and head circumference
are part of which domain of growth and development?
a) Physical domain
b) Cognitive domain
c) Psychosocial domain - Answer>> a pg. 5

The PNP is assessing a 6 month old patient. He knows that Tiffany
will grow in an orderly manner. How will Tiffany grow? A) Proximal
to Distal
b) Cephalo to Caudal
c) Both A & B - Answer>> c pg. 5

Jackie is in for her 4-month check up. She eats 4 oz of formula every 3
hours. The PNP knows that the calorie count for a child this age is
a) 70 to 100 kcal/kg/day
b) 100 kcal/kg/day
c) 120 kcal/kg/day - Answer>> c pg.5

The PNP knows that a child who is 6 months old or less has nutritional
requirements of 120 kcal/kg/day. What would are a child who is 7
months old to 12 months old nutritional requirements?
a) 70 to 100 kcal/kg/day
b) 100 kcal/kg/day
c) 110 kcal/kg/day - Answer>> b pg. 5

,The PNP is seeing Jackson who is 17 years old. He is worried that he is
continuing to gain weight even though he practices a healthy lifestyle.
Jackson is currently 85kg and 182cm. What does the PNP educate
Jackson as the maximum amount of kcal/day he should eat?
a) 2,210 kcal/day
b) 5,950 kcal/day
c) 3,825 kcal/day - Answer>> c pg. 5 As an adolescent, he should a
maximum of 45 kcal/kg/day.

The PNP is planning a nutritional class for parents of school age
children. She wants to ensure that the parents know if their child is
meeting their nutritional requirements. How many kcal/kg/day should
a child this age take in? A) 120 kcal/kg/day
b) 70 kcal/kg/day
c) 45 kcal/kg/day - Answer>> b pg. 5 Children 2 to 10 years old require
70 to 100 kcal/kg/day.

The PNP is educating an expectant mother about feeding choices for
her baby. The mother asks about why breastfeeding is considered the
best option vs. Formula feeding. Which of the following does the PNP
state?
a) With formula feeding, the baby is more likely to gastrointestinal
problems such as GERD.
b) With formula feeding, the baby receive maternal antibodies that
help prevent infection and decrease allergies
c) Formula is a duplicate breast milk, and the baby will receive the
same benefits. - Answer>> a pg. 5-6

Megan is here for her 2-week check up. Her mom asks the PNP how
long she should consider breastfeeding before switching to formula.
Which of the following does the PNP say to educate the mother?

,a. "After 2-months breast feeding does not provide nutritional
value."
b. "The baby should be ok to switch to formula whenever you
want."
c. "It is suggested that your baby be exclusively breastfed for 6
months." - Answer>> c pg. 6

When educated a prenatal class about the benefits of breastfeeding,
the PNP states which of the following?
a. Breastfeeding during painful procedures provides analgesia.
b. The longer a child is breastfed, the more a chance a child will be
overweight.
c. Children who are breastfed experience more food allergies. -
Answer>> a pg. 6

The PNP is seeing a 2 month old patient. How much weight should the
baby be gaining to confirm adequate nutritional intake? A. 15 to
20g/day
b. 30g/day
c. 40g/day - Answer>> b pg. 6 Infants <3 months old should gain
30g/day (1oz/day).

Allie is here for her 4-month well child appointment. Her mom is
concerned that she is not gaining enough weight because she is
smaller than her cousin who is the same age. How much weight
should Allie be gaining? A. 15 to 20g/day
b. 30g/day
c. 40g/day - Answer>> a pg. 6 After 3 months of age, infants should
gain 15 to 20g/day for the next 3 months.

, Oliver is here for his 2-month well child appointment and scheduled
immunizations. His mother is a vegetarian and strictly breastfeeds
Oliver. What nutritional education should the PNP provide?
a. Vitamin A supplements should be started at 400 IU per day
b. Vitamin B6 supplements should be given
c. Vitamin B12 supplements should be given. - Answer>> c pg. 6 Infants
of strictly breastfed mothers should be given Vitamin B12 to prevent
neurological abnormalities.

The PNP is seeing Riley for his 4-month well child appointment. What
supplement should all breastfed infants receive at 2-months of age?
a. Vitamin A
b. Vitamin B
c. Vitamin D - Answer>> c pg. 6 At age 2 months old infants should be
started on Vitamin D 400 IU/day.

Savannah is here for her 6-month check up. She is exclusively breastfed
and has not started baby foods yet. What nutritional education should
the PNP provide?
a. Because she is breastfed, Savannah does not need to start baby
foods until she is 12 months old.
b. Savannah can start iron-fortified foods such as baby oatmeal.
c. Savannah can stop her Vitamin D supplement when she starts table
foods. - Answer>> b pg. 6 Exclusively breastfed babies should receive
1mg/kg/day of iron after 6 months old. Ideally iron comes from iron-
fortified foods.

Savannah is in for her 9-month well child appointment. She weighs
6.8kg and is 68cm long. Her mom is concerned that she is pale because
she is not getting enough iron. How much iron is recommended for a
child of Savannah? A. 6.8mg/day
b. 10.2mg/day

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