PNCBg Examg 2023g withg Allg Questionsg andg Answers
Yougaregseeinggag4-
weekgoldginfantgwhosegmothergstatesgthatgthegchild'sgrightgeyegisgwetgallgthegtimeg
andgsometimegtheregisgthickgmucusgongtheglashes.gThereghasgbeengnogfevergandgth
egbabygisgfeedinggwell.gEyegexamgrevealsgagnormalgredgreflexgbilaterallygwithgnogev
idencegofgpurulentgdrainage,gconjunctivalgerythema,gorgcloudinessgovergthegcorne
a.gYougsuspect:
a) adenovirusgconjunctivits
b) nasolacrimalgstenosis
c) chlamydialgconjunctivitis
d) congenitalgcataractg-gANSWER b)gnasolacrimalgductgstenosis
Ag9-month-oldginfantgwhogwasgborngatg32-
weeksgreachesgforgagblockgwithgonlygthegleftghand.gThegrightgarmgremainsgstillgatgt
hegsidegofghergbody.gThegPNPgwould:
a) recordgthesegfindingsgasgnormalgforgagprematureginfant
b) refergtheginfantgforgfurthergevaluation
c) refergthegchildgforgagmusclegbiopsy
d) recordgthatgthegchildgwillglikelygbegleft-handedg-gANSWER
b)grefergtheginfantgforgfurthergevaluation
Duringgag2-month-
oldgwellgchildgvisitgyougnotegthatgthegredgreflexgingonegeyegseemsgpalergthangingthegot
her.gWhatgisgthegmostgappropriategfollow-upgstepgforgthisgobservation?
a) assessgandgdocumentgagnormalgcornealglightgreflexgingthatgeye
b) preformgthegcover/uncovergtest
c) re-evaluategthegredgre-screeninggtestging2gweeks
d) refergtheginfantgtogagpediatricgophthalmologistgimmediatelyg-gANSWER
d)grefergtheginfantgtogagpediatricgophthalmologistgimmediately
Primarygdentitiongeruptsgbetween:
,a) 6-11gyears
b) 6-30gmonths
c) 1-5gyears
d) 12-24gmonthsg-gANSWER b)g6-30gmonths
Thegparentgofgag4-year-
oldgpointsgtogagpicturegandgsaysg"That'sgyourgsister!".gThegchildgrespondsgbygsaying
g"No!gIt'sgmygbaby!".gThisgisgangexamplegofgwhichgtypegofgthinkinggingpreschool-
agegchildren?
a) animism
b) artificialism
c) egocentrism
d) realismg-gANSWER d)grealism
ThegprimarygcaregPNPgperformsgagdevelopmentalgassessmentgongag32-month-
oldgchild.gThegchild'sgparentgreportsgthatgaboutg70%gofgthegchild'sgspeechgisgintelli
gible.gThegpediatricgnursegpractitionergobservesgthatgthegchildghasgdifficultygprono
uncingg"t"g"d"g"k"gandg"g".gWhichgactiongisgcorrect?
a) evaluategthegchild'sgcognitivegabilities
b) obtaingaghearinggevaluation
c) reassuregthegparentgthatgthisgisgnormal
d) refergthegchildgtogagspeechgtherapistg-gANSWER
c)greassuregthegparentgthatgthisgisgnormal
ThegprimarygcaregPNPgisgofferingganticipatorygguidancegtogthegparentsgofga
12-month-
oldgchild.gThegparentsgaregbilingualgingSpanishgandgEnglishgandghavegmanygSpanis
h-
speakinggrelativesgnearby.gTheygaregresistinggexposinggthegchildgtogSpanishgoutgofg
concerngthatgthegchildgwillgnotglearngEnglishgwell.gWhatgwillgthegPNPgtellgthegparen
ts?
a) childrengwhoglearngtwoglanguagesgsimultaneouslygoftengconfusegthemgi
ngconversation
b) childrengwithgmulti-
languagegproficiencygdognotgunderstandgthatgothersgcannotgdogthis
,c) learninggtwoglanguagesgatgangearlygagegpreventsgchildrengfromgdevelopmentg
agdominantglanguage
d) mostgbilingualgchildrengaregablegtogshiftgfromgoneglanguagegtoganothergwhe
ngappropriateg-gANSWER
d)gmostgbilingualgchildrengaregablegtogshiftgfromgoneglanguagegtoganotherg
whengappropriate
Thegparentsgofgag3-year-
oldgchildgaregconcernsgthatgthegchildghasgbegungrefusinggusualgfoodsgandgwantsgto
geatgmashedgpotatoesgandgchickengstripsgatgeverygmealgandgsnack.gThegchild'sgrate
gofgweightghasgslowed,gbutgthegchildgremainsgatgthegsamegpercentilegforgweightgong
aggrowthgchart.gWhatgwillgthegPNPgtellgthegparentsgtogdo>
a) allowgthegchildgtogchoosegfoodsgforgmealsgtogimprovegcaloricgintake
b) placegagvarietygofgnutritiousgfoodsgongthegchild'sgplategatgeachgmeal
c) preparegmaskedgpotatoesgandgchickengstripsgforgthegchildgatgmealtimes
d) suggestgcuttinggoutgsnacksgtogimprovegthegchild'sgappetitegatgmealtimesg-
gANSWER
b)gplacegagvarietygofgnutritiousgfoodsgongthegchild'sgplategatgeachgmeal
ThegPC-PNPgisgevaluatinggag2-year-
oldgwithgagdocumentedgspeechgdelay.gScreeninggsgtogassessgmotorgskillsgandgcogn
itiongaregnormal,gandgthegchildgpassedgagrecentghearinggtest.gWhatgwillgthegPNPgd
ognext?
a) askgthegchild'sgparentsgwhethergtheygreadgtogthegchild
b) givegparentsgeducationalgmaterialsgtogencouragegspeech
c) refergthegchildgtogandgearlyginterventiongprogram
d) suggestgthatgtheygpurchasegage-appropriategmusicgvideosg-gANSWER
a)gaskgthegchild'sgparentsgwhethergtheygreadgtogthegchild
Thegmothergofgag3-year-
oldgchildgtakesgthegchildgtogplayggroupgoncegagweek.gShegexpressedgconcerngth
atgthegchildgplaysgwithgtoysgbutgdoesgnotginteractgwithgthegothergtoddlers.gWh
atgwillgthegPNPgcounselgthegmother?
, a) thegchildgprobablygisgverygshygbutgwillgoutgrowgthisgtendencygwithgrepeate
dgexposuregtogothergchildren
Yougaregseeinggag4-
weekgoldginfantgwhosegmothergstatesgthatgthegchild'sgrightgeyegisgwetgallgthegtimeg
andgsometimegtheregisgthickgmucusgongtheglashes.gThereghasgbeengnogfevergandgth
egbabygisgfeedinggwell.gEyegexamgrevealsgagnormalgredgreflexgbilaterallygwithgnogev
idencegofgpurulentgdrainage,gconjunctivalgerythema,gorgcloudinessgovergthegcorne
a.gYougsuspect:
a) adenovirusgconjunctivits
b) nasolacrimalgstenosis
c) chlamydialgconjunctivitis
d) congenitalgcataractg-gANSWER b)gnasolacrimalgductgstenosis
Ag9-month-oldginfantgwhogwasgborngatg32-
weeksgreachesgforgagblockgwithgonlygthegleftghand.gThegrightgarmgremainsgstillgatgt
hegsidegofghergbody.gThegPNPgwould:
a) recordgthesegfindingsgasgnormalgforgagprematureginfant
b) refergtheginfantgforgfurthergevaluation
c) refergthegchildgforgagmusclegbiopsy
d) recordgthatgthegchildgwillglikelygbegleft-handedg-gANSWER
b)grefergtheginfantgforgfurthergevaluation
Duringgag2-month-
oldgwellgchildgvisitgyougnotegthatgthegredgreflexgingonegeyegseemsgpalergthangingthegot
her.gWhatgisgthegmostgappropriategfollow-upgstepgforgthisgobservation?
a) assessgandgdocumentgagnormalgcornealglightgreflexgingthatgeye
b) preformgthegcover/uncovergtest
c) re-evaluategthegredgre-screeninggtestging2gweeks
d) refergtheginfantgtogagpediatricgophthalmologistgimmediatelyg-gANSWER
d)grefergtheginfantgtogagpediatricgophthalmologistgimmediately
Primarygdentitiongeruptsgbetween:
,a) 6-11gyears
b) 6-30gmonths
c) 1-5gyears
d) 12-24gmonthsg-gANSWER b)g6-30gmonths
Thegparentgofgag4-year-
oldgpointsgtogagpicturegandgsaysg"That'sgyourgsister!".gThegchildgrespondsgbygsaying
g"No!gIt'sgmygbaby!".gThisgisgangexamplegofgwhichgtypegofgthinkinggingpreschool-
agegchildren?
a) animism
b) artificialism
c) egocentrism
d) realismg-gANSWER d)grealism
ThegprimarygcaregPNPgperformsgagdevelopmentalgassessmentgongag32-month-
oldgchild.gThegchild'sgparentgreportsgthatgaboutg70%gofgthegchild'sgspeechgisgintelli
gible.gThegpediatricgnursegpractitionergobservesgthatgthegchildghasgdifficultygprono
uncingg"t"g"d"g"k"gandg"g".gWhichgactiongisgcorrect?
a) evaluategthegchild'sgcognitivegabilities
b) obtaingaghearinggevaluation
c) reassuregthegparentgthatgthisgisgnormal
d) refergthegchildgtogagspeechgtherapistg-gANSWER
c)greassuregthegparentgthatgthisgisgnormal
ThegprimarygcaregPNPgisgofferingganticipatorygguidancegtogthegparentsgofga
12-month-
oldgchild.gThegparentsgaregbilingualgingSpanishgandgEnglishgandghavegmanygSpanis
h-
speakinggrelativesgnearby.gTheygaregresistinggexposinggthegchildgtogSpanishgoutgofg
concerngthatgthegchildgwillgnotglearngEnglishgwell.gWhatgwillgthegPNPgtellgthegparen
ts?
a) childrengwhoglearngtwoglanguagesgsimultaneouslygoftengconfusegthemgi
ngconversation
b) childrengwithgmulti-
languagegproficiencygdognotgunderstandgthatgothersgcannotgdogthis
,c) learninggtwoglanguagesgatgangearlygagegpreventsgchildrengfromgdevelopmentg
agdominantglanguage
d) mostgbilingualgchildrengaregablegtogshiftgfromgoneglanguagegtoganothergwhe
ngappropriateg-gANSWER
d)gmostgbilingualgchildrengaregablegtogshiftgfromgoneglanguagegtoganotherg
whengappropriate
Thegparentsgofgag3-year-
oldgchildgaregconcernsgthatgthegchildghasgbegungrefusinggusualgfoodsgandgwantsgto
geatgmashedgpotatoesgandgchickengstripsgatgeverygmealgandgsnack.gThegchild'sgrate
gofgweightghasgslowed,gbutgthegchildgremainsgatgthegsamegpercentilegforgweightgong
aggrowthgchart.gWhatgwillgthegPNPgtellgthegparentsgtogdo>
a) allowgthegchildgtogchoosegfoodsgforgmealsgtogimprovegcaloricgintake
b) placegagvarietygofgnutritiousgfoodsgongthegchild'sgplategatgeachgmeal
c) preparegmaskedgpotatoesgandgchickengstripsgforgthegchildgatgmealtimes
d) suggestgcuttinggoutgsnacksgtogimprovegthegchild'sgappetitegatgmealtimesg-
gANSWER
b)gplacegagvarietygofgnutritiousgfoodsgongthegchild'sgplategatgeachgmeal
ThegPC-PNPgisgevaluatinggag2-year-
oldgwithgagdocumentedgspeechgdelay.gScreeninggsgtogassessgmotorgskillsgandgcogn
itiongaregnormal,gandgthegchildgpassedgagrecentghearinggtest.gWhatgwillgthegPNPgd
ognext?
a) askgthegchild'sgparentsgwhethergtheygreadgtogthegchild
b) givegparentsgeducationalgmaterialsgtogencouragegspeech
c) refergthegchildgtogandgearlyginterventiongprogram
d) suggestgthatgtheygpurchasegage-appropriategmusicgvideosg-gANSWER
a)gaskgthegchild'sgparentsgwhethergtheygreadgtogthegchild
Thegmothergofgag3-year-
oldgchildgtakesgthegchildgtogplayggroupgoncegagweek.gShegexpressedgconcerngth
atgthegchildgplaysgwithgtoysgbutgdoesgnotginteractgwithgthegothergtoddlers.gWh
atgwillgthegPNPgcounselgthegmother?
, a) thegchildgprobablygisgverygshygbutgwillgoutgrowgthisgtendencygwithgrepeate
dgexposuregtogothergchildren
