PNCB CPN LATEST 2026 STANDARD FINALS QUESTIONS
AND SOLUTIONS RATED A+
✔✔A child receiving a blood transfusion develops fluid overload. In addition to stopping
the infusion, which intervention should be anticipated FIRST?
A. positioning child upright with feet dependent
B. beginning oxygen administration per face mask
C. administering furosemide over 30 minutes
D. restarting transfusion at slower rate - ✔✔A. positioning child upright with feet
dependent
✔✔When an adolescent reports being involved in sexting, which of the following
questions is the MOST appropriate to initiate education?
A. "Are you aware that your photos can get posted on the internet?"
B. "Do you realize that sexting photos can be considered child pornography?"
C. "What have you told your parents about this?"
D. "What are your thoughts and feelings about sexting?" - ✔✔D. "What are your
thoughts and feelings about sexting?"
✔✔Based on the details provided for the four following school-age children during shift
report, the PRIORITY is the child with
A. leukemia scheduled for chemotherapy but complaining of a sore throat.
B. asthma with moderate retractions and an SaO2 of 90% on room air.
C. postoperative pain reported as 7 out of 10 after an appendectomy.
D. diabetes requesting insulin before eating breakfast. - ✔✔B. asthma with moderate
retractions and an SaO2 of 90% on room air.
✔✔Children have a GREATER vulnerability for environmental exposure to
contaminants because of developing bodies, metabolism, and
A. their smaller size that keeps them closer to the ground.
B. the lack of regulations on products marketed to children.
C. their cognitive and developmental abilities.
D. the retention of toxins in fat stores. - ✔✔A. their smaller size that keeps them closer
to the ground.
✔✔Which of the following hospitalized children is at GREATEST risk of falling?
A. a toddler with an atrial septal defect who is impatient to get out of the hospital bed
B. a preschooler with cystic fibrosis who is riding a tricycle in the unit
C. a school-age child receiving long-term antibiotics for osteomyelitis
D. an adolescent administered midazolam for a procedure that was just canceled -
✔✔D. an adolescent administered midazolam for a procedure that was just canceled
✔✔When a parent caring for a dying child at home states, "Sometimes I wonder if I am
doing what is right for my child," it is MOST likely
A. a sign that the parent is in the bargaining stage of grief.
, B. an invitation to open discussions and explore feelings.
C. a reason to review options including treatment.
D. an indication of the need for respite support. - ✔✔B. an invitation to open discussions
and explore feelings.
✔✔Opportunities for a preschooler to work through feelings or fears about an inpatient
procedure is BEST facilitated by
A. drawing or painting pictures.
B. putting together large-piece puzzles.
C. enacting with safe hospital equipment.
D. having one-to-one play time with the nurse. - ✔✔C. enacting with safe hospital
equipment.
✔✔The recommended dairy intake in a 1 year old's nutritional plan includes:
A. iron fortified formula
B. 1% cow's milk
C. 2% cow's milk
D. whole cow's milk - ✔✔D. whole cow's milk
✔✔Behavioral and emotional responses MOST typical of young school-age children
whose parents are divorcing include
A. eating and sleeping disturbances.
B. conflicts about parental loyalties.
C. withdrawing from friends.
D. blaming self. - ✔✔D. blaming self.
✔✔When delivering patient and caregiver education that is culturally sensitive, it is
important to
A. use relatives or friends familiar with the situation to interpret.
B. determine the value of non-traditional health practices.
C. consider their reading and speaking preferences.
D. evaluate perceptions about the authority of female nurses. - ✔✔C. consider their
reading and speaking preferences.
✔✔For children experiencing chronic pain, a criteria used to evaluate role functioning is
their
A. school attendance.
B. level of depression.
C. amount of sleep disruption.
D. pain intensity. - ✔✔A. school attendance
✔✔Parents of a child on life-support after a traumatic brain injury need to be
approached about transitioning to end-of-life care. Which of the following is MOST
appropriate when introducing this transition?
A. ensure a clergy member of their faith is present
AND SOLUTIONS RATED A+
✔✔A child receiving a blood transfusion develops fluid overload. In addition to stopping
the infusion, which intervention should be anticipated FIRST?
A. positioning child upright with feet dependent
B. beginning oxygen administration per face mask
C. administering furosemide over 30 minutes
D. restarting transfusion at slower rate - ✔✔A. positioning child upright with feet
dependent
✔✔When an adolescent reports being involved in sexting, which of the following
questions is the MOST appropriate to initiate education?
A. "Are you aware that your photos can get posted on the internet?"
B. "Do you realize that sexting photos can be considered child pornography?"
C. "What have you told your parents about this?"
D. "What are your thoughts and feelings about sexting?" - ✔✔D. "What are your
thoughts and feelings about sexting?"
✔✔Based on the details provided for the four following school-age children during shift
report, the PRIORITY is the child with
A. leukemia scheduled for chemotherapy but complaining of a sore throat.
B. asthma with moderate retractions and an SaO2 of 90% on room air.
C. postoperative pain reported as 7 out of 10 after an appendectomy.
D. diabetes requesting insulin before eating breakfast. - ✔✔B. asthma with moderate
retractions and an SaO2 of 90% on room air.
✔✔Children have a GREATER vulnerability for environmental exposure to
contaminants because of developing bodies, metabolism, and
A. their smaller size that keeps them closer to the ground.
B. the lack of regulations on products marketed to children.
C. their cognitive and developmental abilities.
D. the retention of toxins in fat stores. - ✔✔A. their smaller size that keeps them closer
to the ground.
✔✔Which of the following hospitalized children is at GREATEST risk of falling?
A. a toddler with an atrial septal defect who is impatient to get out of the hospital bed
B. a preschooler with cystic fibrosis who is riding a tricycle in the unit
C. a school-age child receiving long-term antibiotics for osteomyelitis
D. an adolescent administered midazolam for a procedure that was just canceled -
✔✔D. an adolescent administered midazolam for a procedure that was just canceled
✔✔When a parent caring for a dying child at home states, "Sometimes I wonder if I am
doing what is right for my child," it is MOST likely
A. a sign that the parent is in the bargaining stage of grief.
, B. an invitation to open discussions and explore feelings.
C. a reason to review options including treatment.
D. an indication of the need for respite support. - ✔✔B. an invitation to open discussions
and explore feelings.
✔✔Opportunities for a preschooler to work through feelings or fears about an inpatient
procedure is BEST facilitated by
A. drawing or painting pictures.
B. putting together large-piece puzzles.
C. enacting with safe hospital equipment.
D. having one-to-one play time with the nurse. - ✔✔C. enacting with safe hospital
equipment.
✔✔The recommended dairy intake in a 1 year old's nutritional plan includes:
A. iron fortified formula
B. 1% cow's milk
C. 2% cow's milk
D. whole cow's milk - ✔✔D. whole cow's milk
✔✔Behavioral and emotional responses MOST typical of young school-age children
whose parents are divorcing include
A. eating and sleeping disturbances.
B. conflicts about parental loyalties.
C. withdrawing from friends.
D. blaming self. - ✔✔D. blaming self.
✔✔When delivering patient and caregiver education that is culturally sensitive, it is
important to
A. use relatives or friends familiar with the situation to interpret.
B. determine the value of non-traditional health practices.
C. consider their reading and speaking preferences.
D. evaluate perceptions about the authority of female nurses. - ✔✔C. consider their
reading and speaking preferences.
✔✔For children experiencing chronic pain, a criteria used to evaluate role functioning is
their
A. school attendance.
B. level of depression.
C. amount of sleep disruption.
D. pain intensity. - ✔✔A. school attendance
✔✔Parents of a child on life-support after a traumatic brain injury need to be
approached about transitioning to end-of-life care. Which of the following is MOST
appropriate when introducing this transition?
A. ensure a clergy member of their faith is present
