PNCB CPN LATEST 2026 EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔Which statement BEST conveys a caregiver's understanding of discharge
instructions for a child treated nonoperatively for intussusception?
A. "I will seek medical help if my child's stool looks ribbon-like."
B. "We will check for blood in every bowel movement for 2 weeks."
C. "My child needs to avoid foods with gluten."
D. "This will most likely not happen again." - ✔✔D. "This will most likely not happen
again."
✔✔Which of the following BEST assures the cooperation of a preschooler when
preparing for a peripheral IV placement?
A. approach the child with confidence
B. ask the parents to hold the child
C. describe each step of the procedure
D. explain how another child stayed very still - ✔✔A. approach the child with confidence
✔✔A chronically ill child being treated with antibiotics has developed foul smelling,
watery diarrhea. Which is the MOST likely cause?
A. Clostridium difficile
B. Rotavirus
C. Salmonella typhi
D. Yersinia enterocolitis - ✔✔A. Clostridium difficile
✔✔A preschooler is admitted with an altered level of consciousness, light sensitivity,
and vomiting. Assessment findings include a purpuric rash to both lower extremities.
The INITIAL response should be to
A. administer ordered antibiotics and antiemetics.
B. implement isolation precautions.
C. obtain immunization and admission data.
D. prepare for a lumbar puncture. - ✔✔B. implement isolation precautions.
✔✔A normal sinus arrhythmia can be distinguished from an abnormal arrhythmia by
asking the child to
A. take deep breaths.
B. breathe normally.
C. hold his/her breath.
D. breathe slowly. - ✔✔C. hold his/her breath.
✔✔What is the MOST significant risk associated with the use of headsets or ear buds?
A. accidental injury
B. hearing loss
C. sleep deprivation
, D. social isolation - ✔✔B. hearing loss
✔✔Mandated reporting to child protective services for potential abuse is MOST
warranted for which of the following children?
A. 2 year old with a glove-patterned burn on hand
B. 3 year old with scattered bruising bilaterally on lower extremities
C. 8 year old with cerebral palsy needing several stitches on forehead
D. 13 year old with healing horizontal scars on the forearm - ✔✔A. 2 year old with a
glove-patterned burn on hand
✔✔Which of the following findings in a child is MOST urgent to discuss with the
healthcare provider?
A. temperature of 100°F (37.8° C) after 1 dose of IV cefuroxime (Ceftin)
B. heart rate of 144 and 5 episodes of diarrhea in 2 hours
C. mild retractions on 1 liter of O2 per nasal cannula with SaO2 of 93%
D. pain level of 5 out of 10 after pain medication given 15 minutes ago - ✔✔B. heart rate
of 144 and 5 episodes of diarrhea in 2 hours
✔✔When a newborn's availability to initiate breastfeeding is delayed, the mother should
be
A. told that the delay will likely cause latching problems.
B. advised that colostrum production will be diminished.
C. instructed on using a pump routinely to express milk.
D. given information about formulas for the infant's use. - ✔✔C. instructed on using a
pump routinely to express milk.
✔✔When providing opportunities for diversional play for a hospitalized 18 month old,
which of the following toys is MOST appropriate?
A. blocks for stacking
B. shape sorter
C. crayons and paper for scribbling
D. small slide - ✔✔A. blocks for stacking
✔✔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?"
SOLUTIONS RATED A+
✔✔Which statement BEST conveys a caregiver's understanding of discharge
instructions for a child treated nonoperatively for intussusception?
A. "I will seek medical help if my child's stool looks ribbon-like."
B. "We will check for blood in every bowel movement for 2 weeks."
C. "My child needs to avoid foods with gluten."
D. "This will most likely not happen again." - ✔✔D. "This will most likely not happen
again."
✔✔Which of the following BEST assures the cooperation of a preschooler when
preparing for a peripheral IV placement?
A. approach the child with confidence
B. ask the parents to hold the child
C. describe each step of the procedure
D. explain how another child stayed very still - ✔✔A. approach the child with confidence
✔✔A chronically ill child being treated with antibiotics has developed foul smelling,
watery diarrhea. Which is the MOST likely cause?
A. Clostridium difficile
B. Rotavirus
C. Salmonella typhi
D. Yersinia enterocolitis - ✔✔A. Clostridium difficile
✔✔A preschooler is admitted with an altered level of consciousness, light sensitivity,
and vomiting. Assessment findings include a purpuric rash to both lower extremities.
The INITIAL response should be to
A. administer ordered antibiotics and antiemetics.
B. implement isolation precautions.
C. obtain immunization and admission data.
D. prepare for a lumbar puncture. - ✔✔B. implement isolation precautions.
✔✔A normal sinus arrhythmia can be distinguished from an abnormal arrhythmia by
asking the child to
A. take deep breaths.
B. breathe normally.
C. hold his/her breath.
D. breathe slowly. - ✔✔C. hold his/her breath.
✔✔What is the MOST significant risk associated with the use of headsets or ear buds?
A. accidental injury
B. hearing loss
C. sleep deprivation
, D. social isolation - ✔✔B. hearing loss
✔✔Mandated reporting to child protective services for potential abuse is MOST
warranted for which of the following children?
A. 2 year old with a glove-patterned burn on hand
B. 3 year old with scattered bruising bilaterally on lower extremities
C. 8 year old with cerebral palsy needing several stitches on forehead
D. 13 year old with healing horizontal scars on the forearm - ✔✔A. 2 year old with a
glove-patterned burn on hand
✔✔Which of the following findings in a child is MOST urgent to discuss with the
healthcare provider?
A. temperature of 100°F (37.8° C) after 1 dose of IV cefuroxime (Ceftin)
B. heart rate of 144 and 5 episodes of diarrhea in 2 hours
C. mild retractions on 1 liter of O2 per nasal cannula with SaO2 of 93%
D. pain level of 5 out of 10 after pain medication given 15 minutes ago - ✔✔B. heart rate
of 144 and 5 episodes of diarrhea in 2 hours
✔✔When a newborn's availability to initiate breastfeeding is delayed, the mother should
be
A. told that the delay will likely cause latching problems.
B. advised that colostrum production will be diminished.
C. instructed on using a pump routinely to express milk.
D. given information about formulas for the infant's use. - ✔✔C. instructed on using a
pump routinely to express milk.
✔✔When providing opportunities for diversional play for a hospitalized 18 month old,
which of the following toys is MOST appropriate?
A. blocks for stacking
B. shape sorter
C. crayons and paper for scribbling
D. small slide - ✔✔A. blocks for stacking
✔✔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?"
