CPNP-PC Practice Questions 2026 | PNCB
Exam Prep & Study Guide
Description:
Ace your Pediatric Primary Care NP certification with our targeted CPNP-PC Practice
Questions 2026. This essential study tool is meticulously crafted for students across the USA
preparing for the PNCB certification exam. Inside, you'll find a vast bank of practice test
questions mirroring the actual exam's format, each with detailed rationales that explain both
correct and incorrect answers. Our guide covers all key domains, including growth and
development, health promotion, and disease management, ensuring you're prepared for every
section. Updated to the latest 2026 guidelines, this resource is your key to identifying knowledge
gaps, building confidence, and mastering the material.
Stop just studying—start mastering. Download your key to certification success today!
, CPNP-PC Exam Questions 2026: Practice Test Bank
1. A family is moving to a region without water fluoridation. Their 2-month-old infant will require
fluoride supplementation. According to AAP guidelines, at what age should 0.25 mg/day
fluoride supplementation begin?
A. 3 months
B. 6 months
C. 1 year
D. 3 years
Answer: B. 6 months
Explanation: The American Academy of Pediatrics (AAP) recommends initiating fluoride
supplementation at 6 months of age in areas where water fluoridation is insufficient.
Supplementation is not required for the first 6 months of life. The daily dose from 6 months to 3
years is 0.25 mg.
2. When managing a child prone to seizures, which pediatric anatomical feature is the primary
concern for potential airway obstruction?
A. Smaller circulating blood volume
B. Large tongue relative to the oropharynx
C. A thin cranium
D. Large head-to-body ratio
Answer: B. Large tongue relative to the oropharynx
Explanation: A child's tongue is proportionally larger compared to the oropharynx. During a
seizure, this can easily lead to airway obstruction and subsequent oxygen loss, which is a more
immediate and severe risk than the other listed anatomical considerations.
3. A newborn weighed 9 lbs at birth. What is the expected weight at the 2-week check-up,
assuming normal progression?
A. 8 lbs
B. 8 lbs 5 oz
, C. 9 lbs
D. 9 lbs 10 oz
Answer: C. 9 lbs
Explanation: Infants typically lose up to 10% of their birth weight in the first few days of life
but regain it by 10-14 days. Therefore, by 2 weeks, the baby's weight should be approximately
back to the birth weight of 9 lbs.
4. The Denver II developmental screening tool assesses all of the following areas EXCEPT:
A. Personal-social skills
B. Language
C. Fine motor-adaptive skills
D. Intelligence
Answer: D. Intelligence
Explanation: The Denver II is a screening tool designed to identify potential developmental
delays in personal-social, fine motor-adaptive, language, and gross motor skills. It is not an
intelligence test like an IQ test.
5. A 7-month-old infant babbles, crawls, picks up objects, and responds to her name. Which
additional milestone is expected for this age?
A. Supports weight on feet
B. Holds head steady
C. Equal coordination of hands
D. Plays independently for extended periods
Answer: A. Supports weight on feet
Explanation: Between 6-9 months, a child developing typically can often bear weight on their
legs when held in a standing position. Holding the head steady is achieved earlier (2-4 months),
while equal hand coordination and independent play are later milestones (10-12 months).
, 6. Which interview technique is LEAST suitable when conducting a parent interview for a 6 -
month-old's check-up?
A. Using culturally sensitive phrasing for health concerns
B. Pausing the assessment to clarify the parents' expressed concerns
C. Using exclusively open-ended questions to maintain a nonjudgmental atmosphere
D. Using play to engage the infant, pausing as needed for responses
Answer: C. Using exclusively open-ended questions to maintain a nonjudgmental atmosphere
Explanation: While a nonjudgmental approach is always essential, questions during a pediatric
history should be both open and direct to ensure all critical health and safety information is
obtained efficiently. Relying solely on open-ended questions can lead to missing key details.
7. Which factor does NOT typically contribute to thermoregulation challenges in children?
A. Limited subcutaneous tissue with increased evaporative heat loss
B. Higher body surface area to mass ratio
C. Thinner skin
D. Increased metabolic rate and energy expenditure
Answer: A. Limited subcutaneous tissue with increased evaporative heat loss
Explanation: Children have limited, not increased, subcutaneous tissue, which contributes to
heat loss. The other options are correct: a higher body surface area to mass ratio, thinner skin,
and increased energy expenditure for growth all make temperature stability more difficult for
children.
8. A toddler can correctly point to his elbow when asked. His mother says he just started
identifying body parts last week. If he is meeting milestones appropriately, his most likely age is:
A. 13 months
B. 18 months
C. 20 months
D. 2 years
Answer: B. 18 months
Exam Prep & Study Guide
Description:
Ace your Pediatric Primary Care NP certification with our targeted CPNP-PC Practice
Questions 2026. This essential study tool is meticulously crafted for students across the USA
preparing for the PNCB certification exam. Inside, you'll find a vast bank of practice test
questions mirroring the actual exam's format, each with detailed rationales that explain both
correct and incorrect answers. Our guide covers all key domains, including growth and
development, health promotion, and disease management, ensuring you're prepared for every
section. Updated to the latest 2026 guidelines, this resource is your key to identifying knowledge
gaps, building confidence, and mastering the material.
Stop just studying—start mastering. Download your key to certification success today!
, CPNP-PC Exam Questions 2026: Practice Test Bank
1. A family is moving to a region without water fluoridation. Their 2-month-old infant will require
fluoride supplementation. According to AAP guidelines, at what age should 0.25 mg/day
fluoride supplementation begin?
A. 3 months
B. 6 months
C. 1 year
D. 3 years
Answer: B. 6 months
Explanation: The American Academy of Pediatrics (AAP) recommends initiating fluoride
supplementation at 6 months of age in areas where water fluoridation is insufficient.
Supplementation is not required for the first 6 months of life. The daily dose from 6 months to 3
years is 0.25 mg.
2. When managing a child prone to seizures, which pediatric anatomical feature is the primary
concern for potential airway obstruction?
A. Smaller circulating blood volume
B. Large tongue relative to the oropharynx
C. A thin cranium
D. Large head-to-body ratio
Answer: B. Large tongue relative to the oropharynx
Explanation: A child's tongue is proportionally larger compared to the oropharynx. During a
seizure, this can easily lead to airway obstruction and subsequent oxygen loss, which is a more
immediate and severe risk than the other listed anatomical considerations.
3. A newborn weighed 9 lbs at birth. What is the expected weight at the 2-week check-up,
assuming normal progression?
A. 8 lbs
B. 8 lbs 5 oz
, C. 9 lbs
D. 9 lbs 10 oz
Answer: C. 9 lbs
Explanation: Infants typically lose up to 10% of their birth weight in the first few days of life
but regain it by 10-14 days. Therefore, by 2 weeks, the baby's weight should be approximately
back to the birth weight of 9 lbs.
4. The Denver II developmental screening tool assesses all of the following areas EXCEPT:
A. Personal-social skills
B. Language
C. Fine motor-adaptive skills
D. Intelligence
Answer: D. Intelligence
Explanation: The Denver II is a screening tool designed to identify potential developmental
delays in personal-social, fine motor-adaptive, language, and gross motor skills. It is not an
intelligence test like an IQ test.
5. A 7-month-old infant babbles, crawls, picks up objects, and responds to her name. Which
additional milestone is expected for this age?
A. Supports weight on feet
B. Holds head steady
C. Equal coordination of hands
D. Plays independently for extended periods
Answer: A. Supports weight on feet
Explanation: Between 6-9 months, a child developing typically can often bear weight on their
legs when held in a standing position. Holding the head steady is achieved earlier (2-4 months),
while equal hand coordination and independent play are later milestones (10-12 months).
, 6. Which interview technique is LEAST suitable when conducting a parent interview for a 6 -
month-old's check-up?
A. Using culturally sensitive phrasing for health concerns
B. Pausing the assessment to clarify the parents' expressed concerns
C. Using exclusively open-ended questions to maintain a nonjudgmental atmosphere
D. Using play to engage the infant, pausing as needed for responses
Answer: C. Using exclusively open-ended questions to maintain a nonjudgmental atmosphere
Explanation: While a nonjudgmental approach is always essential, questions during a pediatric
history should be both open and direct to ensure all critical health and safety information is
obtained efficiently. Relying solely on open-ended questions can lead to missing key details.
7. Which factor does NOT typically contribute to thermoregulation challenges in children?
A. Limited subcutaneous tissue with increased evaporative heat loss
B. Higher body surface area to mass ratio
C. Thinner skin
D. Increased metabolic rate and energy expenditure
Answer: A. Limited subcutaneous tissue with increased evaporative heat loss
Explanation: Children have limited, not increased, subcutaneous tissue, which contributes to
heat loss. The other options are correct: a higher body surface area to mass ratio, thinner skin,
and increased energy expenditure for growth all make temperature stability more difficult for
children.
8. A toddler can correctly point to his elbow when asked. His mother says he just started
identifying body parts last week. If he is meeting milestones appropriately, his most likely age is:
A. 13 months
B. 18 months
C. 20 months
D. 2 years
Answer: B. 18 months
