PNCB NEWEST EXAM 2025/2026 UPDATE
COMPLETE TESTED QUESTIONS WITH CORRECT
DETAILED AND VERIFIED ANSWERS|
Page | 1
GURANTEED PASS| TOP RATED A+.
PNCB
Pass the PNCB exam 2025/2026 with confidence. This exam resource
features questions in areas like: pediatric nursing, child health, and clinical
management. This study guide is perfect for pediatric nurses, RNs, and
nursing graduates preparing for certification.
What is the developmental stage and age range defined as experiencing
the world through senses and actions? ...... ANSWER .......Piaget's
Sensorimotor, Birth to 2 years
What is the developmental stage and age range defined as representing
things with words and images? ...... ANSWER .......Piaget's
Preoperational, 2 to 6 years old
What is the developmental stage and age range defined as thinking
logically about concrete events and grasping concrete analogies? ......
ANSWER .......Piaget's Concrete Operational, 7 to 11 years old
What is the developmental stage and age range defined as thinking about
hypothetical scenarios and processing abstract thoughts? ...... ANSWER
.......Piaget's Formal Operational, 12 to adulthood
, What age range is Piaget's Formal Operational? ...... ANSWER .......12
to adulthood
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What age range is Piaget's Concrete Operational? ...... ANSWER .......7
to 11 years old
What age range is Piaget's Preoperational? ...... ANSWER .......2 to 6
years old
What age range is Piaget's Sensorimotor? ...... ANSWER .......Birth to
2 years old
Describe independent play ...... ANSWER .......Common in ages 2-3
They are uninterested in or is unaware of what others are doing.
They are playing alone and maintains focus on its activity.
What stage of play is defined by playing alone and uninterested in or
unaware of what others are doing? ...... ANSWER .......Independent
play
Describe Parallel Play ...... ANSWER .......Children play adjacent to
each other, but don't influence each other's play.
They are interested in what other children are playing, but plays alone.
Ages 2-3, but can start after 1st birthday
, What stage of play is defined as interested in another's activity but
playing along side them without influencing or interacting with them?
...... ANSWER .......Parallel play
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What differentiates Parallel play vs Associative play? ...... ANSWER
.......Interaction. There is interaction with associative play, not with
Parallel play. In Associative, there is interest but no coordinated
activity.
What type of head trauma is typically associated with vacuum deliveries?
...... ANSWER .......Subgaleal hemorrhage - ruptured emissary vein
caused by fragmentation of the parietal bone associated with skull
fracture. Can extend to the neck and orbits. May have crepitus, fluid
waves and ill-defined borders
A quad screen expected result for a child with down syndrome would
read? ...... ANSWER .......Low levels of AFP
What AFP level would you expect in a child with esophageal atresia?
...... ANSWER .......High
An 8 month old infant presents with significant head lag, what are you
suspicious of? ...... ANSWER .......Cerebral Palsy
When is an infant expected to double it's birth weight by? ......
ANSWER .......5 months?
, When is an infant expected to triple it's birth weight by? ...... ANSWER
.......1 year
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Pregnant Greeks and pregnant woman living in higher elevations should
have their newborns followed for? ...... ANSWER .......higher risk of
hyperbilirubinemia
An indirect bili measures conjugated or unconjugated bili? ......
ANSWER .......unconjugated
An infant presents with elevated total bili, what should you suspect? ......
ANSWER .......biliary atresia
An infant assessment finds a cephalohematoma on exam, what should
you monitor the child for? ...... ANSWER .......hyperbilirubinemia
Which patient population has highest risk for hyperbilirubinemia? Asians,
African Americans, Greeks? ...... ANSWER .......Asians and American
indians have highest risk. African americans with G6PD deficiency are
at greater risk, as is Greeks and people who live in higher elevations.
A pregnant mother positive HIV presents to the hospital in labor, intact
membranes at 38 weeks with an unknown viral load. She has had 3 ARV.
What is the treatment plan? ...... ANSWER .......Patient with a viral load
or unknown viral load, despite receiving 3 ARV, should have a c-section.
COMPLETE TESTED QUESTIONS WITH CORRECT
DETAILED AND VERIFIED ANSWERS|
Page | 1
GURANTEED PASS| TOP RATED A+.
PNCB
Pass the PNCB exam 2025/2026 with confidence. This exam resource
features questions in areas like: pediatric nursing, child health, and clinical
management. This study guide is perfect for pediatric nurses, RNs, and
nursing graduates preparing for certification.
What is the developmental stage and age range defined as experiencing
the world through senses and actions? ...... ANSWER .......Piaget's
Sensorimotor, Birth to 2 years
What is the developmental stage and age range defined as representing
things with words and images? ...... ANSWER .......Piaget's
Preoperational, 2 to 6 years old
What is the developmental stage and age range defined as thinking
logically about concrete events and grasping concrete analogies? ......
ANSWER .......Piaget's Concrete Operational, 7 to 11 years old
What is the developmental stage and age range defined as thinking about
hypothetical scenarios and processing abstract thoughts? ...... ANSWER
.......Piaget's Formal Operational, 12 to adulthood
, What age range is Piaget's Formal Operational? ...... ANSWER .......12
to adulthood
Page | 2
What age range is Piaget's Concrete Operational? ...... ANSWER .......7
to 11 years old
What age range is Piaget's Preoperational? ...... ANSWER .......2 to 6
years old
What age range is Piaget's Sensorimotor? ...... ANSWER .......Birth to
2 years old
Describe independent play ...... ANSWER .......Common in ages 2-3
They are uninterested in or is unaware of what others are doing.
They are playing alone and maintains focus on its activity.
What stage of play is defined by playing alone and uninterested in or
unaware of what others are doing? ...... ANSWER .......Independent
play
Describe Parallel Play ...... ANSWER .......Children play adjacent to
each other, but don't influence each other's play.
They are interested in what other children are playing, but plays alone.
Ages 2-3, but can start after 1st birthday
, What stage of play is defined as interested in another's activity but
playing along side them without influencing or interacting with them?
...... ANSWER .......Parallel play
Page | 3
What differentiates Parallel play vs Associative play? ...... ANSWER
.......Interaction. There is interaction with associative play, not with
Parallel play. In Associative, there is interest but no coordinated
activity.
What type of head trauma is typically associated with vacuum deliveries?
...... ANSWER .......Subgaleal hemorrhage - ruptured emissary vein
caused by fragmentation of the parietal bone associated with skull
fracture. Can extend to the neck and orbits. May have crepitus, fluid
waves and ill-defined borders
A quad screen expected result for a child with down syndrome would
read? ...... ANSWER .......Low levels of AFP
What AFP level would you expect in a child with esophageal atresia?
...... ANSWER .......High
An 8 month old infant presents with significant head lag, what are you
suspicious of? ...... ANSWER .......Cerebral Palsy
When is an infant expected to double it's birth weight by? ......
ANSWER .......5 months?
, When is an infant expected to triple it's birth weight by? ...... ANSWER
.......1 year
Page | 4
Pregnant Greeks and pregnant woman living in higher elevations should
have their newborns followed for? ...... ANSWER .......higher risk of
hyperbilirubinemia
An indirect bili measures conjugated or unconjugated bili? ......
ANSWER .......unconjugated
An infant presents with elevated total bili, what should you suspect? ......
ANSWER .......biliary atresia
An infant assessment finds a cephalohematoma on exam, what should
you monitor the child for? ...... ANSWER .......hyperbilirubinemia
Which patient population has highest risk for hyperbilirubinemia? Asians,
African Americans, Greeks? ...... ANSWER .......Asians and American
indians have highest risk. African americans with G6PD deficiency are
at greater risk, as is Greeks and people who live in higher elevations.
A pregnant mother positive HIV presents to the hospital in labor, intact
membranes at 38 weeks with an unknown viral load. She has had 3 ARV.
What is the treatment plan? ...... ANSWER .......Patient with a viral load
or unknown viral load, despite receiving 3 ARV, should have a c-section.
