PNCB CPN LATEST 2026 QUESTIONS AND SOLUTIONS
RATED A+
✔✔During the clinic visit, Pedro tells the PNP that while at his locker at school, 2 boys
come up behind him and grabs his rear end and laughs before walking away. This is a
form of:
a) cyber bullying
b) social bullying
c) physical bullying
d) verbal bullying - ✔✔c) physical bullying
✔✔In middle childhood, growing pains is a benign self-limiting disorder that may occur
intermittently and are usually more noticeable in the evening or night.
a) true
b) false - ✔✔a) true
✔✔One of the most important roles of the PNP who provides care for a child with
special health care needs who sees several specialists and receives community and
school-based services is:
a) ordering medications and durable equipment
b) assuring the parents adhere to the treatment plan
c) assess the parents ability to perform home care tasks
d) coordinate services to ensure continuity of care - ✔✔d) coordinate services to ensure
continuity of care
✔✔During adolescence, MSK injuries frequently occur during periods of peak growth
velocity due to:
a) limited participation in sports
b) the change in bone mineral content
c) increased range of motion
d) decreased muscle mass - ✔✔b) the change in bone mineral content
✔✔Which condition is common during adolescence that results in objects being "blurry"
from a distance?
a) myopia
b) extropia
c) esotropia
d) amblyopia - ✔✔a) myopia
✔✔Appropriate management of gynecomastia in a 12-year-old male is:
a) refer to endocrinology for a work-up
b) give testosterone supplements for a year
c) refer to pediatric plastic surgeon
,d) reassure that this is a temporary condition and will likely resolve without treatment -
✔✔d) reassure that this is a temporary condition and will likely resolve without treatment
✔✔An 11-year old male is being seen for a wellness visit with no abnormal findings
identified. When discussing the screenings that will be ordered at the current visit, the
PNP notes the patient had a hearing and vision screening last year and no other
screenings were noted. Which screening will be ordered?
a) depression
b) dyslipidemia
c) vision
d) STI - ✔✔b) dyslipidemia
✔✔Concerning Erikson's psychosocial development theory, what is the likely result of
an adolescent not successfully achieving a sense of self?
a) they will be confused about their future
b) they will fail to trust others
c) they will be unable to think abstractly
d) they will movement into the intimacy vs isolation phase - ✔✔a) they will be confused
about their future
✔✔The first physical sign is indicating the onset of female puberty is:
a) sparsely distributed fine, pale pubic hairs
b) breast buds
c) menarche
d) peak height velocity - ✔✔b) breast buds
✔✔The first physical sign is indicating the onset of male puberty:
a) sparsely distributed fine, pale pubic hairs
b) testicular enlargement
c) spermarche
d) peak height velocity - ✔✔b) testicular enlargement
✔✔Providing reassurance of "normalcy" during the course of an exam would be most
important for:
a. preschool children
b. young school aged children
c. older school aged children
d. adolescents - ✔✔d. adolescents
✔✔While interviewing a 16-year-old, all of the following statements are made. Which
one contains information that should not be kept confidential?
a) "I have been sexually active with three of my boyfriends"
b) "I sometimes smoke marijuana"
c) "I want to get pregnant"
, d) "sometimes I feel I want to end my life" - ✔✔d) "sometimes I feel I want to end my
life"
✔✔Which of the following children should NOT receive a live vaccine?
a) a 1-year-old who has not been exposed to eggs because his mother seems to be
allergic to eggs
b) an otherwise healthy child with otitis media and a temperature of 100.6F
c) a child who develop injection site pain, was fretful, would not eat, and had a
temperature of 101F for 24hours following the last dosage of a vaccine he/she is to
receive today
d) a child with cancer remission whose last chemotherapy treatment was 35 days ago -
✔✔d) a child with cancer remission whose last chemotherapy treatment was 35 days
ago
✔✔A 15-year-old female received the first dose of HPV-9 at 11 years of age and has
not received any other vaccinations since that time. She is asking how many more HPV
shots she will have to receive to complete the series. The correct response is:
a) one
b) two
c) three
d) sine the minimal time frame has lapsed, she does not need another - ✔✔a) one
✔✔A 4-year-old received her third inactivated poliovirus (IPV) on July 18th, a week after
her fourth birthday. When can she receive her fourth IPV to complete the series?
a) Anytime after August 18th
b) 6 months after 3rd dose
c) 4 days before August 18th
d) a fourth dose is not necessary - ✔✔d) a fourth dose is not necessary
✔✔A 4-year-old has been using a low dose prescribed topical steroid BID for one week
due to a flareup of is eczema. He is in remission from Acute Lymphoblastic Leukaemia.
His last chemotherapy was 6 months ago. When may he receive his MMR and varicella
vaccines?
a) both today
b) MMR today and varicella in 4 weeks
c) in 28 days
d) as soon as the steroid has been discontinued for 2 weeks - ✔✔a) both today
✔✔A 15-month-old has received the following immunizations:
BIRTH: hep B, 6 weeks: hep b, 2 months: rotavirus, DTap, Hib, PCV, 4 months: same
as 2 months, 6 months: hep B, rotavirus, DTap, Hib, PCV, 12 months: Hib, PCV, IPV,
MMR, varicella. Which, if any, should he be given during the 15-month check-up?
a) DTaP, hep A, and influenza (if in season)
b) DTaP, hep A, MMR, and influenza (if in season)
c) DTaP and hep A
RATED A+
✔✔During the clinic visit, Pedro tells the PNP that while at his locker at school, 2 boys
come up behind him and grabs his rear end and laughs before walking away. This is a
form of:
a) cyber bullying
b) social bullying
c) physical bullying
d) verbal bullying - ✔✔c) physical bullying
✔✔In middle childhood, growing pains is a benign self-limiting disorder that may occur
intermittently and are usually more noticeable in the evening or night.
a) true
b) false - ✔✔a) true
✔✔One of the most important roles of the PNP who provides care for a child with
special health care needs who sees several specialists and receives community and
school-based services is:
a) ordering medications and durable equipment
b) assuring the parents adhere to the treatment plan
c) assess the parents ability to perform home care tasks
d) coordinate services to ensure continuity of care - ✔✔d) coordinate services to ensure
continuity of care
✔✔During adolescence, MSK injuries frequently occur during periods of peak growth
velocity due to:
a) limited participation in sports
b) the change in bone mineral content
c) increased range of motion
d) decreased muscle mass - ✔✔b) the change in bone mineral content
✔✔Which condition is common during adolescence that results in objects being "blurry"
from a distance?
a) myopia
b) extropia
c) esotropia
d) amblyopia - ✔✔a) myopia
✔✔Appropriate management of gynecomastia in a 12-year-old male is:
a) refer to endocrinology for a work-up
b) give testosterone supplements for a year
c) refer to pediatric plastic surgeon
,d) reassure that this is a temporary condition and will likely resolve without treatment -
✔✔d) reassure that this is a temporary condition and will likely resolve without treatment
✔✔An 11-year old male is being seen for a wellness visit with no abnormal findings
identified. When discussing the screenings that will be ordered at the current visit, the
PNP notes the patient had a hearing and vision screening last year and no other
screenings were noted. Which screening will be ordered?
a) depression
b) dyslipidemia
c) vision
d) STI - ✔✔b) dyslipidemia
✔✔Concerning Erikson's psychosocial development theory, what is the likely result of
an adolescent not successfully achieving a sense of self?
a) they will be confused about their future
b) they will fail to trust others
c) they will be unable to think abstractly
d) they will movement into the intimacy vs isolation phase - ✔✔a) they will be confused
about their future
✔✔The first physical sign is indicating the onset of female puberty is:
a) sparsely distributed fine, pale pubic hairs
b) breast buds
c) menarche
d) peak height velocity - ✔✔b) breast buds
✔✔The first physical sign is indicating the onset of male puberty:
a) sparsely distributed fine, pale pubic hairs
b) testicular enlargement
c) spermarche
d) peak height velocity - ✔✔b) testicular enlargement
✔✔Providing reassurance of "normalcy" during the course of an exam would be most
important for:
a. preschool children
b. young school aged children
c. older school aged children
d. adolescents - ✔✔d. adolescents
✔✔While interviewing a 16-year-old, all of the following statements are made. Which
one contains information that should not be kept confidential?
a) "I have been sexually active with three of my boyfriends"
b) "I sometimes smoke marijuana"
c) "I want to get pregnant"
, d) "sometimes I feel I want to end my life" - ✔✔d) "sometimes I feel I want to end my
life"
✔✔Which of the following children should NOT receive a live vaccine?
a) a 1-year-old who has not been exposed to eggs because his mother seems to be
allergic to eggs
b) an otherwise healthy child with otitis media and a temperature of 100.6F
c) a child who develop injection site pain, was fretful, would not eat, and had a
temperature of 101F for 24hours following the last dosage of a vaccine he/she is to
receive today
d) a child with cancer remission whose last chemotherapy treatment was 35 days ago -
✔✔d) a child with cancer remission whose last chemotherapy treatment was 35 days
ago
✔✔A 15-year-old female received the first dose of HPV-9 at 11 years of age and has
not received any other vaccinations since that time. She is asking how many more HPV
shots she will have to receive to complete the series. The correct response is:
a) one
b) two
c) three
d) sine the minimal time frame has lapsed, she does not need another - ✔✔a) one
✔✔A 4-year-old received her third inactivated poliovirus (IPV) on July 18th, a week after
her fourth birthday. When can she receive her fourth IPV to complete the series?
a) Anytime after August 18th
b) 6 months after 3rd dose
c) 4 days before August 18th
d) a fourth dose is not necessary - ✔✔d) a fourth dose is not necessary
✔✔A 4-year-old has been using a low dose prescribed topical steroid BID for one week
due to a flareup of is eczema. He is in remission from Acute Lymphoblastic Leukaemia.
His last chemotherapy was 6 months ago. When may he receive his MMR and varicella
vaccines?
a) both today
b) MMR today and varicella in 4 weeks
c) in 28 days
d) as soon as the steroid has been discontinued for 2 weeks - ✔✔a) both today
✔✔A 15-month-old has received the following immunizations:
BIRTH: hep B, 6 weeks: hep b, 2 months: rotavirus, DTap, Hib, PCV, 4 months: same
as 2 months, 6 months: hep B, rotavirus, DTap, Hib, PCV, 12 months: Hib, PCV, IPV,
MMR, varicella. Which, if any, should he be given during the 15-month check-up?
a) DTaP, hep A, and influenza (if in season)
b) DTaP, hep A, MMR, and influenza (if in season)
c) DTaP and hep A
