Pediatric Primary Care PNCB 2 COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS (DETAILED
& ELABORATED) ACTUAL EXAM 2025 TEST 100%
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A female athlete whole wheat bread
experiences anaphylaxis
during a soccer game. The Exercise is a known co-factor in some children who
only significant history is experience anaphylaxis. Food-dependent exercise-
that she had lunch about 1 induced anaphylaxis (FDEIA) is defined as a food
hour before the incident. induced allergic reaction that occurs during or soon
Food-dependent after exercise. Children should not exercise within 2-3
exercise-induced hours of ingesting the triggering food. Nuts, wheat,
anaphylaxis is diagnosed. apples, bananas, kiwi, peaches and eggs frequently
Of the following, the are the cause for anaphylaxis.
MOST likely cause is:
chocolate milkshake
pineapple
tomatoes
whole wheat bread
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,6/5/25, 10:42 AM Pediatric Primary Care PNCB 2 COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS (DETAILED & ELABORATED) ACT…
A healthy 24 month old speaks using 30 - 50 words
can be expected to have
achieved which of the Utilizing the Early Language Milestone Scale,
following language beginning at the age of 11 months and continuing to
milestones? 24 months of age, the child should have a vocabulary
of 50 words. This child should be able to put words
counts three objects together in short, 2 - 3 word sentences and name at
correctly least one object in a picture. The child at age 3 - 4
years will be able to tell a short story and begin to
speaks using 30 - 50 count. A 2 year old may know his first name, but
words usually cannot state full name until he/she is older.
states full name
tells a story
"Do you always wear a seat belt when driving or
Which is the MOST riding in a car?"
important safety question
to ask a 17 year old? Motor vehicle accidents are the leading cause of
death among children in the United States, with 78%
"Are you aware of ways to of all unintentional injury deaths related to MVA
avoid accidents?" among adolescents. When correctly used, restraint
systems can prevent fatalities and reduce the number
"Do you play violent video and severity of injuries to children and adolescents. As
games more than 2 hours adolescents begin to drive and carry peer
a day?" passengers, it is especially important to remind them
of basic safety issues, including the use of seat belts,
"Do you always wear a emphasizing the danger of driving, drinking and drug
seat belt when driving or use as well as appropriate behavior while in the car.
riding in a car?" Reinforcing pedestrian safety is another important
issue with adolescents. Firearm injuries have
"Is there a gun anywhere decreased over recent years, especially among older
in your house?" children, and there is no link between violent video
games and increased accidents.
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,6/5/25, 10:42 AM Pediatric Primary Care PNCB 2 COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS (DETAILED & ELABORATED) ACT…
The parent of an 8 month Cow's milk does not contain adequate nutrition, and
old, reports switching the poses a higher risk for allergy.
baby's formula to cow's
milk due to the continued During the first year of life, infants should receive only
expense of formula. Which formula or breast milk. The use of cow's milk is
is the BEST response? contraindicated because of its high protein content,
inappropriate nutrition composition, especially lack of
Cow's milk does not iron sources, and the risk of gastrointestinal bleeding
contain adequate and allergic reactions. If an infant is switched sooner
nutrition, and poses a than one year, the practitioner should encourage the
higher risk for allergy. family to resume use of formula or breast milk until the
one year birthday. Despite the addition of table foods
Cow's milk has a lower or baby solid foods, formula and breast milk are still
protein and fat content, the dietary mainstay.
which will impede growth
of the baby.
Switching to cow's milk
sooner than 1 year will not
cause any harm.
There is no need to
continue formula as long
as the child is receiving
other baby foods.
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, 6/5/25, 10:42 AM Pediatric Primary Care PNCB 2 COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS (DETAILED & ELABORATED) ACT…
A 10 month old has had intussusception
apparent abdominal pain
for the past 4 hours. Acute onset of abdominal pain requires immediate
During episodes of pain, investigation. The nurse practitioner must be able to
the infant screams distinguish between conditions that can safely be
inconsolably and draws managed at home and those requiring immediate
his legs towards the referral. Meckel's diverticulum usually involves
abdomen, has vomited painless rectal bleeding. Acute appendicitis can occur
twice, but has had no in infants and must be considered in the differential
diarrhea. Between diagnosis. The pain history of acute appendicitis is
episodes the infant is calm usually more continuous, and there is no palpable
and quiet. The MOST likely mass. Acute gastroenteritis may involve intermittent
diagnosis is: pain and cramping, but more typically the child
appears ill, and vomiting and diarrhea play a more
Meckel's diverticulum prominent role. The pain of intussusception is very
severe, with periods of well-being in between. There
intussusception is frequently vomiting, however stools initially are
normal. Later stools can be like red jelly in
acute appendicitis appearance. A sausage shaped mass is frequently
palpable in the right upper quadrant and aids in
acute gastroenteritis diagnosis.
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