8/24/25, 11:32 PM PNCB Acute Care questions
PNCB Acute Care questions test bank exam
2025-2026 complete questions and accurate
detailed answers \latest update
A previously healthy D. Administer a fluid bolus & consult oncology
preschooler who is fully
immunized, presents with a (The combination of leukocytosis, thrombocytopenia,
history of fever, URI and anemia should raise red flags for an oncologic
symptoms, & joint pain over process, most likely leukemia. After initial laboratory
the past several days. values are obtained, the child should receive
Physical exam reveals aggressive hydration.)
petechiae and
hepatosplenomegaly. Vital
signs include HR 156, RR
32, temp 101.6 (38.7), BP
86/44 & O2 98% on RA.
Lab
results include Na+ 132, K+ 6,
Glucose 100,
Ca+ 0.95, Phos 6.3, WBC
105,000, Hgb 6.1 &
Plt 10,000. Which is the BEST
course of action?
A. Obtain LFTS & type &
cross for blood products
B. Administer calcium
gluconate & consult
nephrology
C. Obtain blood cultures &
administer IV Ceftriaxone
D. Administer a fluid
bolus & consult
oncology
1/115
,8/24/25, 11:32 PM PNCB Acute Care questions
An adolescent presents with C. Patellofemoral pain syndrome
bilateral knee pain that has
occurred for several months, (Type of idiopathic anterior knee pain, common in
exacerbated with activities adolescents. This type of knee pain worsens with
such as climbing stairs and activity, especially going up and down stairs, and when
running. Pain is also sitting in one position for a prolonged period of time.
worsened by sitting with Treatment involves an exercise program focusing on hip
the knees flexed for an girdle and vastus medialis strengthening with lower
extended time and is extremity flexibility)
described as a grinding
sensation under the
kneecaps. No joint swelling
is noted on examination. The
MOST likely diagnosis is:
A. Osgood-Schlatter disease
B. Osteochondritis dissecans
C. Patellofemoral pain
syndrome
D. Popliteal cyst (Baker's cyst)
A toddler presents with D. Ensure adequate airway protection
vomiting and altered
mental status after an
ingestion of a large amount
of aspirin about 45
minutes ago. Prior to the
administration of activated
charcoal, the PRIORITY is
to:
A. Obtain a urine drug screen
B. Ensure IV access
C. Obtain and EKG
D. Ensure adequate airway
protection
2/115
,8/24/25, 11:32 PM PNCB Acute Care questions
Which of the following B. Infant intubated for respiratory failure receiving a morphine
children is MOST at risk for infusion for 6 days
opiate withdrawal?
(Opiate withdrawal should be suspected in any child
A. Infant intubated for
who has received opioids for a minimum of 3 days. After
respiratory failure
5 days, approximately 50% of children are expected to
receiving
experience some withdrawal symptoms. When opiates
Dexmedetomidine
are administered for >10 days, withdrawal should be
(Precedex) infusion for 5
expected in 100% of patients)
days
B. Infant intubated for
respiratory failure
receiving a morphine
infusion for 6 days
C. Adolescent post-posterior
spinal fusion receiving
hydromorphone via PCA
for 3 days
D. Adolescent post-
cardiac surgery
receiving PO oxycodone
PRN for 2 days
Following an episode of C. PT & OT
gastroenteritis, a child is
diagnosed with reactive (Maintain joint range of motion and strength of
inflammatory arthritis that is associated muscle groups, to decrease pain, and to
affecting joints in the lower prevent contractures and deformities, all of which
extremities. To maximize maximize the potential to return to the previous
return to the previous level level of activity).
of mobility, the treatment
plan should include:
A. Weight-bearing exercise
plan
B. Administration of
corticosteroids
C. PT & OT
D. Calcium & vitamin D
supplementation
3/115
, 8/24/25, 11:32 PM PNCB Acute Care questions
Which of the following is D. Frequent temper tantrums
the MOST likely
presentation of behavioral
and psychiatric disorders
in a preschooler?
A. Fear of the dark
B. Issues with identity
formation
C. Learning disabilities
D. Frequent temper tantrums
4/115
PNCB Acute Care questions test bank exam
2025-2026 complete questions and accurate
detailed answers \latest update
A previously healthy D. Administer a fluid bolus & consult oncology
preschooler who is fully
immunized, presents with a (The combination of leukocytosis, thrombocytopenia,
history of fever, URI and anemia should raise red flags for an oncologic
symptoms, & joint pain over process, most likely leukemia. After initial laboratory
the past several days. values are obtained, the child should receive
Physical exam reveals aggressive hydration.)
petechiae and
hepatosplenomegaly. Vital
signs include HR 156, RR
32, temp 101.6 (38.7), BP
86/44 & O2 98% on RA.
Lab
results include Na+ 132, K+ 6,
Glucose 100,
Ca+ 0.95, Phos 6.3, WBC
105,000, Hgb 6.1 &
Plt 10,000. Which is the BEST
course of action?
A. Obtain LFTS & type &
cross for blood products
B. Administer calcium
gluconate & consult
nephrology
C. Obtain blood cultures &
administer IV Ceftriaxone
D. Administer a fluid
bolus & consult
oncology
1/115
,8/24/25, 11:32 PM PNCB Acute Care questions
An adolescent presents with C. Patellofemoral pain syndrome
bilateral knee pain that has
occurred for several months, (Type of idiopathic anterior knee pain, common in
exacerbated with activities adolescents. This type of knee pain worsens with
such as climbing stairs and activity, especially going up and down stairs, and when
running. Pain is also sitting in one position for a prolonged period of time.
worsened by sitting with Treatment involves an exercise program focusing on hip
the knees flexed for an girdle and vastus medialis strengthening with lower
extended time and is extremity flexibility)
described as a grinding
sensation under the
kneecaps. No joint swelling
is noted on examination. The
MOST likely diagnosis is:
A. Osgood-Schlatter disease
B. Osteochondritis dissecans
C. Patellofemoral pain
syndrome
D. Popliteal cyst (Baker's cyst)
A toddler presents with D. Ensure adequate airway protection
vomiting and altered
mental status after an
ingestion of a large amount
of aspirin about 45
minutes ago. Prior to the
administration of activated
charcoal, the PRIORITY is
to:
A. Obtain a urine drug screen
B. Ensure IV access
C. Obtain and EKG
D. Ensure adequate airway
protection
2/115
,8/24/25, 11:32 PM PNCB Acute Care questions
Which of the following B. Infant intubated for respiratory failure receiving a morphine
children is MOST at risk for infusion for 6 days
opiate withdrawal?
(Opiate withdrawal should be suspected in any child
A. Infant intubated for
who has received opioids for a minimum of 3 days. After
respiratory failure
5 days, approximately 50% of children are expected to
receiving
experience some withdrawal symptoms. When opiates
Dexmedetomidine
are administered for >10 days, withdrawal should be
(Precedex) infusion for 5
expected in 100% of patients)
days
B. Infant intubated for
respiratory failure
receiving a morphine
infusion for 6 days
C. Adolescent post-posterior
spinal fusion receiving
hydromorphone via PCA
for 3 days
D. Adolescent post-
cardiac surgery
receiving PO oxycodone
PRN for 2 days
Following an episode of C. PT & OT
gastroenteritis, a child is
diagnosed with reactive (Maintain joint range of motion and strength of
inflammatory arthritis that is associated muscle groups, to decrease pain, and to
affecting joints in the lower prevent contractures and deformities, all of which
extremities. To maximize maximize the potential to return to the previous
return to the previous level level of activity).
of mobility, the treatment
plan should include:
A. Weight-bearing exercise
plan
B. Administration of
corticosteroids
C. PT & OT
D. Calcium & vitamin D
supplementation
3/115
, 8/24/25, 11:32 PM PNCB Acute Care questions
Which of the following is D. Frequent temper tantrums
the MOST likely
presentation of behavioral
and psychiatric disorders
in a preschooler?
A. Fear of the dark
B. Issues with identity
formation
C. Learning disabilities
D. Frequent temper tantrums
4/115
