PNCB CPN Exam (2025) Exam Questions & Answers | Latest Already
Graded A+ UPDATE 2025|2026!!
Ruptured Appendicitis - ANSWER- Peritonitis; sudden relief of pain followed
by diffuse pain; SURGICAL EMERGENCY
Celiac Disease - ANSWER- steatorhea (fatty stools)
Encopresis - ANSWER- fecal incontinence or soiling in child >4 years who was
previously continent;
self-induced constipation
Neonatal Jaundice - ANSWER- Peaks at 4 days then decreases
concern if seen at 1 week well baby appt
When drawing blood on jaundice baby - ANSWER- TURN OFF
PHOTOTHERAPY LIGHTS! blood exposed to light shows falsely low results
Biliary Atresia - ANSWER- Pruritis (itching) if irritable give antihistimine
caused by decrease in absorption of fat soluable vitamins
NG Tubes - ANSWER- document pH and color of aspirate with initial
placement, use to confirm placement
Acetaminophen administration - ANSWER- Dose: 10-15mg/kg per dose q4h
below is non-therapuetic
overdose: liver damage
,Use of sterile saline for suctioning - ANSWER- No longer used routinely as it
removes normal flora, but is still used for plugs or near-plugs
Evidenced Based Practice (EBP) - ANSWER- answer to question can be found
in literature ie is has already been researched
QI - ANSWER- making sure EBP is being following (monitoring)
research - ANSWER- question without answer. answer to a question can not be
found in literature ie research has not yet been done. purpose is to produce new
knowledge. RN job is to identify clinical questions and collect data
State nurse practice act - ANSWER- defines what you can and can not do
(Scope of Practice).
HIPAA exceptions - ANSWER- 3- danger to self, danger to others, actively
being harmed
Consent - ANSWER- informed decision to accept treatment or participate in
research. Parents consent for children <18 years old
,Assent - ANSWER- in RESEARCH ONLY- children 7 or older must give
assent in adjunct to parents consent in order to participate
Growth Chart measurements 0-36 months - ANSWER- measure in length (laid
down to measure) Under 2 years old MUST lay down to measure
Growth Chart measurements 2-18 years - ANSWER- measure height (stand up
to measure)
Mental Age - ANSWER- Should interact with patients based on mental age
Weight at 6 months - ANSWER- double birth weight (minimum)
weight at One year - ANSWER- triple birth weight (minimum)
BMI 85% + - ANSWER- overweight
BMI <85% - ANSWER- Healthy Weight
BMI <5% - ANSWER- underweight, cause for concern
Kids close to edge of healthy/overweight line - ANSWER- focus on prevention
average birth length - ANSWER- 20 inches
Length at 4 years - ANSWER- roughly double birth length
avg growth in 1st year - ANSWER- 10 inches
, avg growth in 2nd year - ANSWER- 5 inches
Falling off the growth curve - ANSWER- RED FLAG!! drop from established
growth % cure to a lower % plot
Red Flags followup - ANSWER- recheck measurements accuracy, plotting
accuracy
notify MD, nutritionist
Patient-family edu
How many words can baby speak by end of 1st year - ANSWER- 5
Baby Milestones: 2 months - ANSWER- lifts head, posterior fontanel closes
baby milestones: 3 months - ANSWER- raises head, notices hands
Baby milestones: 4 months - ANSWER- rakes objects, begins to roll over (front
to back)
Baby Milestones: 5-6 months - ANSWER- rolls back to front, sits with support,
pushes up to hands and knees and rocks back and forth
Baby Milestones: 8 months - ANSWER- sits without support
Baby Milestones: 9 months - ANSWER- pincer grasp, crawl
Baby Milestones: 12-15 months - ANSWER- Walking
Graded A+ UPDATE 2025|2026!!
Ruptured Appendicitis - ANSWER- Peritonitis; sudden relief of pain followed
by diffuse pain; SURGICAL EMERGENCY
Celiac Disease - ANSWER- steatorhea (fatty stools)
Encopresis - ANSWER- fecal incontinence or soiling in child >4 years who was
previously continent;
self-induced constipation
Neonatal Jaundice - ANSWER- Peaks at 4 days then decreases
concern if seen at 1 week well baby appt
When drawing blood on jaundice baby - ANSWER- TURN OFF
PHOTOTHERAPY LIGHTS! blood exposed to light shows falsely low results
Biliary Atresia - ANSWER- Pruritis (itching) if irritable give antihistimine
caused by decrease in absorption of fat soluable vitamins
NG Tubes - ANSWER- document pH and color of aspirate with initial
placement, use to confirm placement
Acetaminophen administration - ANSWER- Dose: 10-15mg/kg per dose q4h
below is non-therapuetic
overdose: liver damage
,Use of sterile saline for suctioning - ANSWER- No longer used routinely as it
removes normal flora, but is still used for plugs or near-plugs
Evidenced Based Practice (EBP) - ANSWER- answer to question can be found
in literature ie is has already been researched
QI - ANSWER- making sure EBP is being following (monitoring)
research - ANSWER- question without answer. answer to a question can not be
found in literature ie research has not yet been done. purpose is to produce new
knowledge. RN job is to identify clinical questions and collect data
State nurse practice act - ANSWER- defines what you can and can not do
(Scope of Practice).
HIPAA exceptions - ANSWER- 3- danger to self, danger to others, actively
being harmed
Consent - ANSWER- informed decision to accept treatment or participate in
research. Parents consent for children <18 years old
,Assent - ANSWER- in RESEARCH ONLY- children 7 or older must give
assent in adjunct to parents consent in order to participate
Growth Chart measurements 0-36 months - ANSWER- measure in length (laid
down to measure) Under 2 years old MUST lay down to measure
Growth Chart measurements 2-18 years - ANSWER- measure height (stand up
to measure)
Mental Age - ANSWER- Should interact with patients based on mental age
Weight at 6 months - ANSWER- double birth weight (minimum)
weight at One year - ANSWER- triple birth weight (minimum)
BMI 85% + - ANSWER- overweight
BMI <85% - ANSWER- Healthy Weight
BMI <5% - ANSWER- underweight, cause for concern
Kids close to edge of healthy/overweight line - ANSWER- focus on prevention
average birth length - ANSWER- 20 inches
Length at 4 years - ANSWER- roughly double birth length
avg growth in 1st year - ANSWER- 10 inches
, avg growth in 2nd year - ANSWER- 5 inches
Falling off the growth curve - ANSWER- RED FLAG!! drop from established
growth % cure to a lower % plot
Red Flags followup - ANSWER- recheck measurements accuracy, plotting
accuracy
notify MD, nutritionist
Patient-family edu
How many words can baby speak by end of 1st year - ANSWER- 5
Baby Milestones: 2 months - ANSWER- lifts head, posterior fontanel closes
baby milestones: 3 months - ANSWER- raises head, notices hands
Baby milestones: 4 months - ANSWER- rakes objects, begins to roll over (front
to back)
Baby Milestones: 5-6 months - ANSWER- rolls back to front, sits with support,
pushes up to hands and knees and rocks back and forth
Baby Milestones: 8 months - ANSWER- sits without support
Baby Milestones: 9 months - ANSWER- pincer grasp, crawl
Baby Milestones: 12-15 months - ANSWER- Walking
