PNCB CPN EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS GRADED
A+
◉ Common signs and symptoms of Hodgkin's disease include:
Answer: - Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes
◉ Pulmonary hypertension causes: Answer: - Increased blood
pressure in the pulmonary artery, vein and capillaries
- Causes shortness of breath and dizziness
◉ An 18-month old is brought in and her nail beds are softening.
What is this a sign of? Answer: Clubbing
- Clubbing is a sign of a congenital heart defect
◉ For the patient who has recently undergone a kidney transplant,
what anticipatory guidance regarding immunosuppressives should be
given? Answer: - The need for immunosuppressives is lifelong
,- Immunosuppressives are required after surgery to prevent organ
rejection
- Continue taking immunosuppressives even during illness
- Immunosuppressives should be taken on a strict schedule
◉ What is the importance of hydration in treating sickle cell disease?
Answer: Adequate hydration promotes hemodilution and circulation
of red blood cells
◉ Understanding "no" is expected in the 10-month-old. True or
False. Answer: True
◉ Characteristics of active listening: Answer: - Maintaining eye
contact
- Asking open-ended questions
- Reflecting back what the speaker has said
◉ Signs of pain in an infant: Answer: - Grimacing
- Crying
- Restlessness
- Thrashing
- Flailing
◉ Classic symptom of scabies: Answer: Itching that is worse at night
, ◉ A patient with primary case of scabies was probably infected how
long ago? Answer: 3 to 4 weeks ago
- 3 to 4 weeks is the incubation period for scabies
◉ Management of vulvovaginitis: Answer: - Discontinue bubble
baths
- Keep perineal area clean
- Have the child wear cotton or cotton-lined underwear
◉ Do PPO plan members need authorizations to visit specialists?
Answer: No
◉ Do HMO plan members need authorizations for services and visits
to specialists? Answer: Yes
◉ Patients that come in with frequent urination, that is mostly
water, will be diagnosed with: Answer: Diabetes Insipidus
◉ What assessment findings confirm Osgood-Schlatter Disease?
Answer: - Pain worsens with quadricep contraction
- There is swelling of the tibial tubercle
◉ Signs of Rotavirus include: Answer: - Vomiting
, - Diarrhea
- Fever
- *typically affects children between 6mos and 2yo
◉ A patient is given Vancomycin IV. What would cause Red Man
Syndrome? Answer: Pushing the infusion too fast/ Rapid infusion
◉ One of the indications of muscular dystrophy is the child's
difficulty in rising to a standing position. The child has to "walk" up
his legs using his hands. What is this called? Answer: Gower's sign
◉ Management of a brown recluse spider bite: Answer: - Ice pack
and elevation of extremity to decrease edema
- Immobilize the area
- Give tetanus toxoid
- Antihistamines to reduce swelling and itching
- PO Augmentin x 14 days
◉ Pharmacologic management of brown recluse spider bites
include: Answer: Amoxicillin-clavulanate (AUGMENTIN) PO x 14 days
◉ Birth length usually doubles by: Answer: 4 years of age
QUESTIONS WITH ANSWERS GRADED
A+
◉ Common signs and symptoms of Hodgkin's disease include:
Answer: - Night sweats
- Weight loss
- Itchy skin
- Enlargement of the spleen and liver
- Swollen lymph nodes
◉ Pulmonary hypertension causes: Answer: - Increased blood
pressure in the pulmonary artery, vein and capillaries
- Causes shortness of breath and dizziness
◉ An 18-month old is brought in and her nail beds are softening.
What is this a sign of? Answer: Clubbing
- Clubbing is a sign of a congenital heart defect
◉ For the patient who has recently undergone a kidney transplant,
what anticipatory guidance regarding immunosuppressives should be
given? Answer: - The need for immunosuppressives is lifelong
,- Immunosuppressives are required after surgery to prevent organ
rejection
- Continue taking immunosuppressives even during illness
- Immunosuppressives should be taken on a strict schedule
◉ What is the importance of hydration in treating sickle cell disease?
Answer: Adequate hydration promotes hemodilution and circulation
of red blood cells
◉ Understanding "no" is expected in the 10-month-old. True or
False. Answer: True
◉ Characteristics of active listening: Answer: - Maintaining eye
contact
- Asking open-ended questions
- Reflecting back what the speaker has said
◉ Signs of pain in an infant: Answer: - Grimacing
- Crying
- Restlessness
- Thrashing
- Flailing
◉ Classic symptom of scabies: Answer: Itching that is worse at night
, ◉ A patient with primary case of scabies was probably infected how
long ago? Answer: 3 to 4 weeks ago
- 3 to 4 weeks is the incubation period for scabies
◉ Management of vulvovaginitis: Answer: - Discontinue bubble
baths
- Keep perineal area clean
- Have the child wear cotton or cotton-lined underwear
◉ Do PPO plan members need authorizations to visit specialists?
Answer: No
◉ Do HMO plan members need authorizations for services and visits
to specialists? Answer: Yes
◉ Patients that come in with frequent urination, that is mostly
water, will be diagnosed with: Answer: Diabetes Insipidus
◉ What assessment findings confirm Osgood-Schlatter Disease?
Answer: - Pain worsens with quadricep contraction
- There is swelling of the tibial tubercle
◉ Signs of Rotavirus include: Answer: - Vomiting
, - Diarrhea
- Fever
- *typically affects children between 6mos and 2yo
◉ A patient is given Vancomycin IV. What would cause Red Man
Syndrome? Answer: Pushing the infusion too fast/ Rapid infusion
◉ One of the indications of muscular dystrophy is the child's
difficulty in rising to a standing position. The child has to "walk" up
his legs using his hands. What is this called? Answer: Gower's sign
◉ Management of a brown recluse spider bite: Answer: - Ice pack
and elevation of extremity to decrease edema
- Immobilize the area
- Give tetanus toxoid
- Antihistamines to reduce swelling and itching
- PO Augmentin x 14 days
◉ Pharmacologic management of brown recluse spider bites
include: Answer: Amoxicillin-clavulanate (AUGMENTIN) PO x 14 days
◉ Birth length usually doubles by: Answer: 4 years of age
