PNCB CPN LATEST 2026 END OF COURSE QUESTIONS AND
SOLUTIONS RATED A+
✔✔An 18-month-old presents with a rash faint but covering the face, trunk, and
extremities. Prior to getting the rash, the child had a 103F temperature "for a few days"
that "all of a sudden went away". The most likely diagnosis is:
a) hand-foot-and-mouth disease
b) erythema infectiosum
c) roseola infantum
d) scarlet fever - ✔✔c) roseola infantum
✔✔A 6-year-old boy presents a rash that started on his face then appeared on his arms.
The rash on his arms is lacy in appearance. The child is well-hydrated, and afebrile. The
most likely diagnosis is:
a) hand-foot-and-mouth disease
b) erythema infectiosum
c) herpetic gingivostomatitis
d) scarlet fever - ✔✔b) erythema infectiosum
✔✔A 2-year-old girl presents with erythematous, macules, and papules on her hands
and feet in addition to oral ulcerations with erythematous bases. The child is irritable,
well-hydrated, and afebrile. The most likely diagnosis is:
a) hand-foot-and-mouth disease
b) aphthous stomatitis
c) herpetic gingivostomatitis
d) scarlet fever - ✔✔a) hand-foot-and-mouth disease
✔✔The parent of a 10-year-old boy tells the PNP that the child doesn't appear to have
any interest in girls and spends most of his time with a couple other boys. The parents
is worried about the child's sexual identity. The PNP will tell the parent:
a) children at this age have a tendency toward homosexuality
b) in this stage the child's erogenous zone is the genital region of the same gender
c) attachment to other same-gender children is how the child learns to interact with
others
d) children at this age are experimenting with sexuality to later decide orientation - ✔✔c)
attachment to other same-gender children is how the child learns to interact with others
✔✔The following accurately reflects typical health supervision visits for all middle
childhood except:
a) complete physical examination
b) measure and compare height, weight, blood pressure to norms
c) sexual maturity rating
d) calculated BMI - ✔✔c) sexual maturity rating
,✔✔Cody, an 8-year-old boy, is at an annual visit. During the visit his weight is recorded
as 50lbs. How much will Cody likely weight in 2 years
a) 55lbs
b) 70lbs
c) 62lbs
d) 72lbs - ✔✔c) 62lbs
✔✔at the health supervision visit of 6-year-old Megan's BMI is >85th percentile. In
addition to encouraging increased physical activity, the PNP recommends that Megan:
a) limit fruit juice to 1/2 cup per day
b) drink no more than 2 cups of whole milk per day
c) drink only diet and caffeine free sodas
d) increase fruit and veggies, avoid snacks - ✔✔a) limit fruit juice to 1/2 cup per day
✔✔A first priority for each middle childhood supervision visit is:
a) providing anticipatory guidance
b) attending to parent concerns
c) administering screenings
d) address school attendance - ✔✔b) attending to parent concerns
✔✔Universal vision and hearing screening is typically included as a part of each middle
childhood supervision visit.
a) true
b) false - ✔✔b) false
✔✔The parent of a 6-year-old child expresses concern that the child may have ADHD.
Which screening tool will the PNP use to evaluate this possibility?
a) Conner's 3 parents and teacher rating scale
b) pediatric symptom checklist
c) parent's evaluation of developmental status - developmental milestones
d) behaviour assessment of children - ✔✔a) Conner's 3 parents and teacher rating
scale
✔✔Which of the following would be a concern of basic 1st grade school readiness:
a) dresses and undresses with little help, separates easily from parent
b) copies shapes, prints some letters
c) counts to 10, names 4 colours
d) hops using both feet, balances on 1 foot for 3-5 seconds - ✔✔d) hops using both
feet, balances on 1 foot for 3-5 seconds
✔✔The PNP is examining 7-year-old Kari who complains of frequent stomach pain and
headaches. Dad reports that the child misses several days of school each month. The
child has a normal exam. Before proceeding with further diagnostic tests, what will the
PNP initially ask the parent?
, a) about timing of the symptoms each day and during the week
b) if there is a family history of mental illness
c) whether the child has had a recurrent vision and hearing screening
d) is the child involved in extracurricular activities - ✔✔a) about timing of the symptoms
each day and during the week
✔✔The PNP is examining an 8-year-old girl at her annual health supervision visit and
notes the patient has breast buds. What information will the PNP include in the
anticipatory guidance for this patient.
a) discuss sexually transmitted diseases
b) discuss sexual attractions and relationships
c) discuss pregnancy prevention
d) discuss sexual maturing and menstrual periods - ✔✔d) discuss sexual maturing and
menstrual periods
✔✔Which of the following health supervision visit activities is NOT essential to do at
each well-child visit from birth through to school age?
a) immunization review
b) vision and hearing screening, either through gross assessment and parent report or
with the use of a vision cart and an audiometer
c) laboratory tests
d) height and weight measurements, with use of growth charts to track growth over time
- ✔✔c) laboratory tests
✔✔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
SOLUTIONS RATED A+
✔✔An 18-month-old presents with a rash faint but covering the face, trunk, and
extremities. Prior to getting the rash, the child had a 103F temperature "for a few days"
that "all of a sudden went away". The most likely diagnosis is:
a) hand-foot-and-mouth disease
b) erythema infectiosum
c) roseola infantum
d) scarlet fever - ✔✔c) roseola infantum
✔✔A 6-year-old boy presents a rash that started on his face then appeared on his arms.
The rash on his arms is lacy in appearance. The child is well-hydrated, and afebrile. The
most likely diagnosis is:
a) hand-foot-and-mouth disease
b) erythema infectiosum
c) herpetic gingivostomatitis
d) scarlet fever - ✔✔b) erythema infectiosum
✔✔A 2-year-old girl presents with erythematous, macules, and papules on her hands
and feet in addition to oral ulcerations with erythematous bases. The child is irritable,
well-hydrated, and afebrile. The most likely diagnosis is:
a) hand-foot-and-mouth disease
b) aphthous stomatitis
c) herpetic gingivostomatitis
d) scarlet fever - ✔✔a) hand-foot-and-mouth disease
✔✔The parent of a 10-year-old boy tells the PNP that the child doesn't appear to have
any interest in girls and spends most of his time with a couple other boys. The parents
is worried about the child's sexual identity. The PNP will tell the parent:
a) children at this age have a tendency toward homosexuality
b) in this stage the child's erogenous zone is the genital region of the same gender
c) attachment to other same-gender children is how the child learns to interact with
others
d) children at this age are experimenting with sexuality to later decide orientation - ✔✔c)
attachment to other same-gender children is how the child learns to interact with others
✔✔The following accurately reflects typical health supervision visits for all middle
childhood except:
a) complete physical examination
b) measure and compare height, weight, blood pressure to norms
c) sexual maturity rating
d) calculated BMI - ✔✔c) sexual maturity rating
,✔✔Cody, an 8-year-old boy, is at an annual visit. During the visit his weight is recorded
as 50lbs. How much will Cody likely weight in 2 years
a) 55lbs
b) 70lbs
c) 62lbs
d) 72lbs - ✔✔c) 62lbs
✔✔at the health supervision visit of 6-year-old Megan's BMI is >85th percentile. In
addition to encouraging increased physical activity, the PNP recommends that Megan:
a) limit fruit juice to 1/2 cup per day
b) drink no more than 2 cups of whole milk per day
c) drink only diet and caffeine free sodas
d) increase fruit and veggies, avoid snacks - ✔✔a) limit fruit juice to 1/2 cup per day
✔✔A first priority for each middle childhood supervision visit is:
a) providing anticipatory guidance
b) attending to parent concerns
c) administering screenings
d) address school attendance - ✔✔b) attending to parent concerns
✔✔Universal vision and hearing screening is typically included as a part of each middle
childhood supervision visit.
a) true
b) false - ✔✔b) false
✔✔The parent of a 6-year-old child expresses concern that the child may have ADHD.
Which screening tool will the PNP use to evaluate this possibility?
a) Conner's 3 parents and teacher rating scale
b) pediatric symptom checklist
c) parent's evaluation of developmental status - developmental milestones
d) behaviour assessment of children - ✔✔a) Conner's 3 parents and teacher rating
scale
✔✔Which of the following would be a concern of basic 1st grade school readiness:
a) dresses and undresses with little help, separates easily from parent
b) copies shapes, prints some letters
c) counts to 10, names 4 colours
d) hops using both feet, balances on 1 foot for 3-5 seconds - ✔✔d) hops using both
feet, balances on 1 foot for 3-5 seconds
✔✔The PNP is examining 7-year-old Kari who complains of frequent stomach pain and
headaches. Dad reports that the child misses several days of school each month. The
child has a normal exam. Before proceeding with further diagnostic tests, what will the
PNP initially ask the parent?
, a) about timing of the symptoms each day and during the week
b) if there is a family history of mental illness
c) whether the child has had a recurrent vision and hearing screening
d) is the child involved in extracurricular activities - ✔✔a) about timing of the symptoms
each day and during the week
✔✔The PNP is examining an 8-year-old girl at her annual health supervision visit and
notes the patient has breast buds. What information will the PNP include in the
anticipatory guidance for this patient.
a) discuss sexually transmitted diseases
b) discuss sexual attractions and relationships
c) discuss pregnancy prevention
d) discuss sexual maturing and menstrual periods - ✔✔d) discuss sexual maturing and
menstrual periods
✔✔Which of the following health supervision visit activities is NOT essential to do at
each well-child visit from birth through to school age?
a) immunization review
b) vision and hearing screening, either through gross assessment and parent report or
with the use of a vision cart and an audiometer
c) laboratory tests
d) height and weight measurements, with use of growth charts to track growth over time
- ✔✔c) laboratory tests
✔✔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
