PC-PNCB Exam 2025 | Certified Pediatric Nurse
Practitioner Primary Care (CPNP-PC) Practice
Questions And Answers Graded A+
BACKGROUND:
- 3yo boy
- abnormal stools x6mo (greasy, floating)
- Freq sinus infxn (tx = amox)
QUESTION: Which DX test?
A) Anti-transglutaminase IgA
B) Ciliary biopsy + molecular genetic testing
C) Pulm Fxn Testing
D) Sweat Chloride Testing
CORRECT ANSWER(S):
D) Sweat Chloride Test for CF (>60mEq/L)
WRONG ANSWERS:
A) Dx's celiac disease
B) Dx's primary ciliary dyskinesia
C) Dx asthma & determines lung fxn in CF
,BACKGROUND:
- IOM recommendations of NP as part of a team
QUESTION: Which is true?
A) Regulatory construct that mandates autonomy of NP
B) Leader appointed by statute
C) Laws allow full participation of team to potential of training and skill
D) NP role varies
CORRECT ANSWER(S):
D) NP role varies
WRONG ANSWERS:
A) Team-based care is not a regulatory construct
B) Should be flexible
C) Current laws prohibit this
BACKGROUND:
- 1 wk old infant
- "Clunk" with adducting legs while applying downward and lateral pressure on
knees
QUESTION: What sign is this?
A) Barlow
,B) Psoas
C) Ortolani
D) Galeazzi
CORRECT ANSWER(S):
A) Barlow --> DDH
WRONG ANSWERS:
B) Pain elicited by passively extending thigh of pt lying on side --> appendicitis
C) Hip relocation and "clunk" w/abduction of legs and lifting up on trochanters --
>DDH
D) Discrepancy in height of flexed thighs (affected limb is shortened) -->DDH
BACKGROUND:
- 25-OH Vitamin D Level of 19ng/mL
- Normal Xrays
QUESTION: What is the diagnosis?
A) Vitamin D Deficiency
B) Rickets
C) Vitamin D Insufficiency
D) Nothing, this child is normal
CORRECT ANSWER(S):
A) Vit D Deficiency levels are <20
WRONG ANSWERS:
, B) Can't be this because normal Xray
C) Vit D Insuff levels are 20-30
D) Incorrect
BACKGROUND:
- Screening test of 100 subjects
- 20 screening tests are positive (18 actually have it)
- 80 screening tests are negative (10 actually have it)
QUESTION: What probability that pt has it when test is positive?
A) 0.28
B) 0.64
C) 0.87
D) 0.90
CORRECT ANSWER(S):
D) Positive Predictive Value:
18 correct positives / 20 total positives = 0.90 % are correct positives
WRONG ANSWERS:
A) This is the Prevalence (total number of those that actually have it / total number
of subjects)
B) This is the Sensitivity (# positive tests/#people with disease)
C) Negative Predictive Value (probability that person will not have the disease if
the test is negative = 70/80)
Practitioner Primary Care (CPNP-PC) Practice
Questions And Answers Graded A+
BACKGROUND:
- 3yo boy
- abnormal stools x6mo (greasy, floating)
- Freq sinus infxn (tx = amox)
QUESTION: Which DX test?
A) Anti-transglutaminase IgA
B) Ciliary biopsy + molecular genetic testing
C) Pulm Fxn Testing
D) Sweat Chloride Testing
CORRECT ANSWER(S):
D) Sweat Chloride Test for CF (>60mEq/L)
WRONG ANSWERS:
A) Dx's celiac disease
B) Dx's primary ciliary dyskinesia
C) Dx asthma & determines lung fxn in CF
,BACKGROUND:
- IOM recommendations of NP as part of a team
QUESTION: Which is true?
A) Regulatory construct that mandates autonomy of NP
B) Leader appointed by statute
C) Laws allow full participation of team to potential of training and skill
D) NP role varies
CORRECT ANSWER(S):
D) NP role varies
WRONG ANSWERS:
A) Team-based care is not a regulatory construct
B) Should be flexible
C) Current laws prohibit this
BACKGROUND:
- 1 wk old infant
- "Clunk" with adducting legs while applying downward and lateral pressure on
knees
QUESTION: What sign is this?
A) Barlow
,B) Psoas
C) Ortolani
D) Galeazzi
CORRECT ANSWER(S):
A) Barlow --> DDH
WRONG ANSWERS:
B) Pain elicited by passively extending thigh of pt lying on side --> appendicitis
C) Hip relocation and "clunk" w/abduction of legs and lifting up on trochanters --
>DDH
D) Discrepancy in height of flexed thighs (affected limb is shortened) -->DDH
BACKGROUND:
- 25-OH Vitamin D Level of 19ng/mL
- Normal Xrays
QUESTION: What is the diagnosis?
A) Vitamin D Deficiency
B) Rickets
C) Vitamin D Insufficiency
D) Nothing, this child is normal
CORRECT ANSWER(S):
A) Vit D Deficiency levels are <20
WRONG ANSWERS:
, B) Can't be this because normal Xray
C) Vit D Insuff levels are 20-30
D) Incorrect
BACKGROUND:
- Screening test of 100 subjects
- 20 screening tests are positive (18 actually have it)
- 80 screening tests are negative (10 actually have it)
QUESTION: What probability that pt has it when test is positive?
A) 0.28
B) 0.64
C) 0.87
D) 0.90
CORRECT ANSWER(S):
D) Positive Predictive Value:
18 correct positives / 20 total positives = 0.90 % are correct positives
WRONG ANSWERS:
A) This is the Prevalence (total number of those that actually have it / total number
of subjects)
B) This is the Sensitivity (# positive tests/#people with disease)
C) Negative Predictive Value (probability that person will not have the disease if
the test is negative = 70/80)
