PNCB PC-PNP Exam Drill Questions and Answers A+ Grade 2026/2027 |
Complete Pediatric Primary Care Nurse Practitioner Study Guide
A preschooler presents with a low-grade fever, respirations 36, spO2 94% in room air. Physical exam
reveals crackles and decreased breath sounds in the left lower lobe. Which of the following is the MOST
appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
D. Order a CXR - (ANSWER)A
A school-aged child's father, who had been terminally ill, has died. The mother is seeking guidance
related to the funeral service and supporting the child initially through this loss. Which of the following
advice is the MOST appropriate?
A. Work to maintain neutral emotions around the child.
B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific questions. - (ANSWER)C
The parent of a 2 month old who is formula fed is concerned that the infant spits up after every feeding.
Weight gain in the past month has averaged 60 grams (2 oz) per day. What is the MOST appropriate next
step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine - (ANSWER)C
,PNCB PC-PNP Exam Drill Questions and Answers A+ Grade 2026/2027 |
Complete Pediatric Primary Care Nurse Practitioner Study Guide
For a 6 year old with asthma, a LABA is FIRST considered when
A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
D. Symptoms are allergy-induced - (ANSWER)A
A mother expresses concern that her 6 month old is awakening q2h during the night to breastfeed. The
BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. - (ANSWER)A
A child who received an incorrect vaccine experienced no adverse consequences. No additional care was
required and an incident report was completed. Which of the following actions is MOST appropriate?
A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event - (ANSWER)B
An afebrile 6 year old presents with unilateral knee and anterior thigh pain without a hx of trauma. On
exam, there is an antalgic gait, leg-length discrepancy, limited abduction, and internal rotation of the hip
on the affected side. Which dx is the MOST likely?
, PNCB PC-PNP Exam Drill Questions and Answers A+ Grade 2026/2027 |
Complete Pediatric Primary Care Nurse Practitioner Study Guide
A. Legg-Calve-Perthes disease
B. Juvenile idiopathic arthritis
C. Septic arthritis
D. Slipped capital femoral epiphysis - (ANSWER)A
A school aged child has a blood pressure of 166/88 mmHg, which has also been elevated on two
previous visits. Which of the following is MOST appropriate next?
A. Order UA
B. Counsel on reducing sodium intake
C. Refer to cardiology
D. Start antihypertensive medication - (ANSWER)A
An otherwise healthy adolescent male presents with bilateral breast enlargement for the past 6 months
and small masses palpable below the nipples. The BEST next step is to
A. Obtain thyroid, testosterone, and estradiol levels.
B. Discuss expected resolution within 2 years.
C. Order a bilateral breast ultrasound.
D. Refer to an endocrinologist. - (ANSWER)B
A toddler with a hx of recurrent otitis media and PE tubes, has excessive cerumen noted bilaterally. The
MOST appropriate method for removing the cerumen is by
A. Using an ear curette.
B. Irrigating with warm water.
Complete Pediatric Primary Care Nurse Practitioner Study Guide
A preschooler presents with a low-grade fever, respirations 36, spO2 94% in room air. Physical exam
reveals crackles and decreased breath sounds in the left lower lobe. Which of the following is the MOST
appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
D. Order a CXR - (ANSWER)A
A school-aged child's father, who had been terminally ill, has died. The mother is seeking guidance
related to the funeral service and supporting the child initially through this loss. Which of the following
advice is the MOST appropriate?
A. Work to maintain neutral emotions around the child.
B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific questions. - (ANSWER)C
The parent of a 2 month old who is formula fed is concerned that the infant spits up after every feeding.
Weight gain in the past month has averaged 60 grams (2 oz) per day. What is the MOST appropriate next
step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine - (ANSWER)C
,PNCB PC-PNP Exam Drill Questions and Answers A+ Grade 2026/2027 |
Complete Pediatric Primary Care Nurse Practitioner Study Guide
For a 6 year old with asthma, a LABA is FIRST considered when
A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
D. Symptoms are allergy-induced - (ANSWER)A
A mother expresses concern that her 6 month old is awakening q2h during the night to breastfeed. The
BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. - (ANSWER)A
A child who received an incorrect vaccine experienced no adverse consequences. No additional care was
required and an incident report was completed. Which of the following actions is MOST appropriate?
A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event - (ANSWER)B
An afebrile 6 year old presents with unilateral knee and anterior thigh pain without a hx of trauma. On
exam, there is an antalgic gait, leg-length discrepancy, limited abduction, and internal rotation of the hip
on the affected side. Which dx is the MOST likely?
, PNCB PC-PNP Exam Drill Questions and Answers A+ Grade 2026/2027 |
Complete Pediatric Primary Care Nurse Practitioner Study Guide
A. Legg-Calve-Perthes disease
B. Juvenile idiopathic arthritis
C. Septic arthritis
D. Slipped capital femoral epiphysis - (ANSWER)A
A school aged child has a blood pressure of 166/88 mmHg, which has also been elevated on two
previous visits. Which of the following is MOST appropriate next?
A. Order UA
B. Counsel on reducing sodium intake
C. Refer to cardiology
D. Start antihypertensive medication - (ANSWER)A
An otherwise healthy adolescent male presents with bilateral breast enlargement for the past 6 months
and small masses palpable below the nipples. The BEST next step is to
A. Obtain thyroid, testosterone, and estradiol levels.
B. Discuss expected resolution within 2 years.
C. Order a bilateral breast ultrasound.
D. Refer to an endocrinologist. - (ANSWER)B
A toddler with a hx of recurrent otitis media and PE tubes, has excessive cerumen noted bilaterally. The
MOST appropriate method for removing the cerumen is by
A. Using an ear curette.
B. Irrigating with warm water.
