PNCB PC-PNP
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. Parents inquire about an MMR vaccine for their fully vaccinated 8 month
old before traveling to Europe next month. The MOST appropriate response
includes:
A. The MMR vaccine can be given now and again at 4-6 years of age.
B. The MMR vaccine, if administered now, will require a restart of the
series at 12 months old.
C. There is insufficient time to develop protection from a MMR vaccine
if administered now.
D. The vaccine is not needed as maternal antibodies against MMR are
still protective. - Correct Answer: B
2. A 12 month old uses a raking action to pick up small objects. Parents deny
any concerns with development. The BEST next step is to:
A. Re-eval at 15 months old.
B. Refer to a developmental specialists.
C. Recommend fine motor play activities.
, D. Perform a complete developmental assessment. - Correct
Answer: D
3. A school aged child taking methylphenidate 10 mg daily in the morning for
ADHD is evaluated for difficultly falling asleep at bedtime. The MOST
appropriate next step is to:
A. Discuss sleep hygiene.
B. D/c the methlyphenidate.
C. Reduce dosing.
D. Start Benadryl 30 min before bedtime. - Correct Answer: A
4. A previously healthy adolescent presents with right flank pain and gross
hematuria without dysuria, fever, or proteinuria. Which of the following
diagnoses is the MOST likely?
A. Hydronephrosis
B. Myoglobinuria
C. Polycystic kidney disease
D. Urolithiasis - Correct Answer: D
5. A preschooler presents with a low-grade fever, respirations 36, spO2 94% in
room air. Physical exam reveals crackles and decreased breath sounds in the
left lower lobe. Which of the following is the MOST appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
, D. Order a CXR - Correct Answer: A
6. A school-aged child's father, who had been terminally ill, has died. The
mother is seeking guidance related to the funeral service and supporting
the child initially through this loss. Which of the following advice is the
MOST appropriate?
A. Work to maintain neutral emotions around the child.
B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific
questions. - Correct Answer: C
7. The parent of a 2 month old who is formula fed is concerned that the infant
spits up after every feeding. Weight gain in the past month has averaged 60
grams (2 oz) per day. What is the MOST appropriate next step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine - Correct Answer: C
8. For a 6 year old with asthma, a LABA is FIRST considered when
A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
, D. Symptoms are allergy-induced - Correct Answer: A
9. A mother expresses concern that her 6 month old is awakening q2h during
the night to breastfeed. The BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. - Correct
Answer: A
10.A child who received an incorrect vaccine experienced no adverse
consequences. No additional care was required and an incident report was
completed. Which of the following actions is MOST appropriate?
A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event - Correct Answer: B
11.An afebrile 6 year old presents with unilateral knee and anterior thigh pain
without a hx of trauma. On exam, there is an antalgic gait, leg-length
discrepancy, limited abduction, and internal rotation of the hip on the
affected side. Which dx is the MOST likely?
A. Legg-Calve-Perthes disease
B. Juvenile idiopathic arthritis
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. Parents inquire about an MMR vaccine for their fully vaccinated 8 month
old before traveling to Europe next month. The MOST appropriate response
includes:
A. The MMR vaccine can be given now and again at 4-6 years of age.
B. The MMR vaccine, if administered now, will require a restart of the
series at 12 months old.
C. There is insufficient time to develop protection from a MMR vaccine
if administered now.
D. The vaccine is not needed as maternal antibodies against MMR are
still protective. - Correct Answer: B
2. A 12 month old uses a raking action to pick up small objects. Parents deny
any concerns with development. The BEST next step is to:
A. Re-eval at 15 months old.
B. Refer to a developmental specialists.
C. Recommend fine motor play activities.
, D. Perform a complete developmental assessment. - Correct
Answer: D
3. A school aged child taking methylphenidate 10 mg daily in the morning for
ADHD is evaluated for difficultly falling asleep at bedtime. The MOST
appropriate next step is to:
A. Discuss sleep hygiene.
B. D/c the methlyphenidate.
C. Reduce dosing.
D. Start Benadryl 30 min before bedtime. - Correct Answer: A
4. A previously healthy adolescent presents with right flank pain and gross
hematuria without dysuria, fever, or proteinuria. Which of the following
diagnoses is the MOST likely?
A. Hydronephrosis
B. Myoglobinuria
C. Polycystic kidney disease
D. Urolithiasis - Correct Answer: D
5. A preschooler presents with a low-grade fever, respirations 36, spO2 94% in
room air. Physical exam reveals crackles and decreased breath sounds in the
left lower lobe. Which of the following is the MOST appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
, D. Order a CXR - Correct Answer: A
6. A school-aged child's father, who had been terminally ill, has died. The
mother is seeking guidance related to the funeral service and supporting
the child initially through this loss. Which of the following advice is the
MOST appropriate?
A. Work to maintain neutral emotions around the child.
B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific
questions. - Correct Answer: C
7. The parent of a 2 month old who is formula fed is concerned that the infant
spits up after every feeding. Weight gain in the past month has averaged 60
grams (2 oz) per day. What is the MOST appropriate next step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine - Correct Answer: C
8. For a 6 year old with asthma, a LABA is FIRST considered when
A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
, D. Symptoms are allergy-induced - Correct Answer: A
9. A mother expresses concern that her 6 month old is awakening q2h during
the night to breastfeed. The BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. - Correct
Answer: A
10.A child who received an incorrect vaccine experienced no adverse
consequences. No additional care was required and an incident report was
completed. Which of the following actions is MOST appropriate?
A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event - Correct Answer: B
11.An afebrile 6 year old presents with unilateral knee and anterior thigh pain
without a hx of trauma. On exam, there is an antalgic gait, leg-length
discrepancy, limited abduction, and internal rotation of the hip on the
affected side. Which dx is the MOST likely?
A. Legg-Calve-Perthes disease
B. Juvenile idiopathic arthritis
