PNCB CPN LATEST 2026 TEST COMPREHENSIVE
QUESTIONS AND SOLUTIONS RATED A+
✔✔Acetaminophen administration - ✔✔Dose: 10-15mg/kg per dose q4h
below is non-therapuetic
overdose: liver damage
✔✔Codeine alternatives - ✔✔Codeine metabolizes in liver and converts to morphine,
genetic mutation causes too high dose, not recommended,
alternatives: hydrocodone/acetaminophen
oxy/acetaminophen
morphine
fentanyl
demorol
✔✔Assessing ear - ✔✔under 3 pull down
over 3 pull up
✔✔RSV - ✔✔severe infection under 1 year significant risk factor for developing asthma
✔✔Carbon monoxide poisoning symptoms - ✔✔Dull headache
dizziness
weakness
nausea
loss of consciousness
death
✔✔HiB Vaccine - ✔✔Preventis Epliglottitis
✔✔Dried bean aspiration - ✔✔absorbs moisture and enlarges
✔✔peanut aspiration - ✔✔causes immediate emphysema reaction
✔✔Foreign body aspiration - ✔✔unilateral diminished breath sounds
✔✔Tonsillitis post-op - ✔✔side-lying to promote drainage
clear, cool fluids
nothing red
✔✔Tonsillitis post-op signs of hemorrhage - ✔✔frequent swallowing
✔✔Cystic Fibrosis - ✔✔increase viscosity of bronchial mucus with decreased ciliary
action
, ✔✔CF infection organism - ✔✔pseudomonas aeruginosa
Burkholderia cepacia
S. aureus
H. influenzae
E. coli
Klebsiella pneumonia
✔✔CF management - ✔✔pancreatic enzyme, extra enzymes for high fats foods
✔✔CF diet and nutrition - ✔✔high protein, high calorie
✔✔Amblyopia - ✔✔Lazy Eye
✔✔Cerebral Palsy - ✔✔Intellectual disability seen in <1/2 of kids with CP
Small Oral Cavity and protruding tongue -> use small, straight handled spoon to push
food toward the side and back of the mouth
communicate with child based on mental age rather than chronological
✔✔Seizure disorder/epilepsy - ✔✔two or more unprovoked seizures
✔✔Seizure Diet - ✔✔Starvation stops seizure, unsure why
no carbs, no sugar.
EGGS and CHEESE (keto)
most effective in pre- and school-age kids
✔✔activities to avoid with ICP - ✔✔those that increase ICP:
pain, seizure, fever, stress, crying, coughing, straining, nontherapeutic touch
✔✔Hydrocephalus post-op - ✔✔immediate: measure head circumference
strict I/O with fluid restrictions
skin care of incision site
✔✔Second impact syndrome - ✔✔Rapid swelling of the brain
if concussion not completely healed before resuming activities, another head trauma
could result in SIS leading to sudden death
✔✔Concussion symptoms - ✔✔headache
dizziness
vision problems
changes in emotions/behaviors
sleep disturbances
difficulty remembering
vomiting
✔✔Concussion treatment - ✔✔Brain Rest (until symptoms subside)
QUESTIONS AND SOLUTIONS RATED A+
✔✔Acetaminophen administration - ✔✔Dose: 10-15mg/kg per dose q4h
below is non-therapuetic
overdose: liver damage
✔✔Codeine alternatives - ✔✔Codeine metabolizes in liver and converts to morphine,
genetic mutation causes too high dose, not recommended,
alternatives: hydrocodone/acetaminophen
oxy/acetaminophen
morphine
fentanyl
demorol
✔✔Assessing ear - ✔✔under 3 pull down
over 3 pull up
✔✔RSV - ✔✔severe infection under 1 year significant risk factor for developing asthma
✔✔Carbon monoxide poisoning symptoms - ✔✔Dull headache
dizziness
weakness
nausea
loss of consciousness
death
✔✔HiB Vaccine - ✔✔Preventis Epliglottitis
✔✔Dried bean aspiration - ✔✔absorbs moisture and enlarges
✔✔peanut aspiration - ✔✔causes immediate emphysema reaction
✔✔Foreign body aspiration - ✔✔unilateral diminished breath sounds
✔✔Tonsillitis post-op - ✔✔side-lying to promote drainage
clear, cool fluids
nothing red
✔✔Tonsillitis post-op signs of hemorrhage - ✔✔frequent swallowing
✔✔Cystic Fibrosis - ✔✔increase viscosity of bronchial mucus with decreased ciliary
action
, ✔✔CF infection organism - ✔✔pseudomonas aeruginosa
Burkholderia cepacia
S. aureus
H. influenzae
E. coli
Klebsiella pneumonia
✔✔CF management - ✔✔pancreatic enzyme, extra enzymes for high fats foods
✔✔CF diet and nutrition - ✔✔high protein, high calorie
✔✔Amblyopia - ✔✔Lazy Eye
✔✔Cerebral Palsy - ✔✔Intellectual disability seen in <1/2 of kids with CP
Small Oral Cavity and protruding tongue -> use small, straight handled spoon to push
food toward the side and back of the mouth
communicate with child based on mental age rather than chronological
✔✔Seizure disorder/epilepsy - ✔✔two or more unprovoked seizures
✔✔Seizure Diet - ✔✔Starvation stops seizure, unsure why
no carbs, no sugar.
EGGS and CHEESE (keto)
most effective in pre- and school-age kids
✔✔activities to avoid with ICP - ✔✔those that increase ICP:
pain, seizure, fever, stress, crying, coughing, straining, nontherapeutic touch
✔✔Hydrocephalus post-op - ✔✔immediate: measure head circumference
strict I/O with fluid restrictions
skin care of incision site
✔✔Second impact syndrome - ✔✔Rapid swelling of the brain
if concussion not completely healed before resuming activities, another head trauma
could result in SIS leading to sudden death
✔✔Concussion symptoms - ✔✔headache
dizziness
vision problems
changes in emotions/behaviors
sleep disturbances
difficulty remembering
vomiting
✔✔Concussion treatment - ✔✔Brain Rest (until symptoms subside)
