PNCB /
Examination
/ /
Questions With Correct Answers
/ // // //
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 //- //correct //answer(s) //✔✔ //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 //- //correct //answer(s) //✔✔ //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 //- /
/correct //answer(s) //✔✔ //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 //- //correct //answer(s) //✔✔ //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 //- //correct //answer(s) //✔✔ //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 //- //correct //answer(s) //✔✔ //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 /
Examination
/ /
Questions With Correct Answers
/ // // //
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 //- //correct //answer(s) //✔✔ //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 //- //correct //answer(s) //✔✔ //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 //- /
/correct //answer(s) //✔✔ //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 //- //correct //answer(s) //✔✔ //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 //- //correct //answer(s) //✔✔ //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 //- //correct //answer(s) //✔✔ //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 /
