PNCB Acute Care /peds Practice Exam (New)REAL Final Exam 2025/2026 Complete All Verified Questions And Correct Detailed Answers (Rationales) |Already Graded A+||Brand New Updated Version

PNCB Acute Care /peds Practice Exam (New)REAL Final Exam 2025/2026 Complete All Verified Questions And Correct Detailed Answers (Rationales) |Already Graded A+||Brand New Updated Version A 7 year old fell, injuring the right wrist. Radiographs of the wrist were negative, and the child was treated for a moderate sprain and sent home with a sling. Ten days later the child is still complaining of wrist pain with point tenderness. Which should be the NEXT step in management? discontinue use of the sling order a bone scan repeat wrist radiographs refer to orthopedic surgeon - Correct Answer :repeat wrist radiographs Early fractures and Salter I fractures can be missed initially; repeat films 10 to 14 days after an injury may be necessary to confirm the diagnosis of a fracture. Because this child is still A+ TEST BANK 1 PNCB Acute Care Practice Exam A+ TEST BANK 2 symptomatic with complaints of pain and point tenderness after the fall, follow up radiographic studies are indicated. Bone scanning is useful in diagnosing stress fractures, but not appropriate in this situation with a history of a known injury. It is likely that this is a simple fracture that will heal quickly with immobilization, with no disruption to bone growth. If the follow-up radiograph showed evidence of trauma to growth plates, a referral to an orthopedic surgeon would then be appropriate. The MOST common sign/symptom of hepatitis A in a 14 month old is: ascites dark urine fever jaundice - Correct Answer :fever Hepatitis A is a viral infection acquired through contaminated food and water, the fecal oral route, and person to person contact. Hepatitis A is a significant public health concern. Young children with hepatitis A tend to be asymptomatic or have only mild flu-like symptoms including fever, nausea, and anorexia. Few children younger than 6 years have jaundice. Older children usually are symptomatic, with symptoms typically lasting less than 2 months. A symptom of jaundice is dark urine. The elderly have more disease complications with hepatitis A including ascites, prolonged cholestasis, pancreatitis, and death from liver failure. The factor with the STRONGEST link to malignant melanoma is PNCB Acute Care Practice Exam A+ TEST BANK 3 Special Note: It has been determined as of November 2016 that there are two (2) correct answers to this question, supported by separate references. Credit will be given for choosing EITHER of the correct options. family history of malignant melanoma. fair skin coloring. living near the equator. sun exposure early in life . - Correct Answer :family history of malignant melanoma. sun exposure early in life. Skin cancers are the most frequent cancers seen in this country, accounting for nearly 50% of all new cancers. The most serious of the skin cancers is malignant melanoma and its incidence is increasing at a rate of about 4% per year. There are several risk factors for developing skin cancers including family history, fair skin color, and living at high altitudes or near the equator. At the time this module was published, the supporting reference cited the most significant factor in developing malignant melanoma as sun exposure early in life. Good pediatric anticipatory guidance should include avoiding sun exposure in any child less than 6 months of age, limiting sun exposure to children over 6 months of age, and using a sun screen with an SPF of 15 or greater when sun exposure does occur. An additional, newer reference indicates that family history is the more important factor. An 8-year-old female with ADHD is currently taking methylphenidate (Concerta) with successful control of her symptoms. The parents want to try atomoxetine HCI (Strattera) because the child has had weight loss associated with decreased appetite from the methylphenidate. Which is the BEST response? A 7 year old fell, injuring the right wrist. Radiographs of the wrist were negative, and the child was treated for a moderate sprain and sent home with a sling. Ten days later the child is still complaining of wrist pain with point tenderness. Which should be the NEXT step in management? discontinue use of the sling order a bone scan repeat wrist radiographs refer to orthopedic surgeon - Correct Answer :repeat wrist radiographs Early fractures and Salter I fractures can be missed initially; repeat films 10 to 14 days after an injury may be necessary to confirm the diagnosis of a fracture. Because this child is still A+ TEST BANK 1 PNCB Acute Care Practice Exam A+ TEST BANK 2 symptomatic with complaints of pain and point tenderness after the fall, follow up radiographic studies are indicated. Bone scanning is useful in diagnosing stress fractures, but not appropriate in this situation with a history of a known injury. It is likely that this is a simple fracture that will heal quickly with immobilization, with no disruption to bone growth. If the follow-up radiograph showed evidence of trauma to growth plates, a referral to an orthopedic surgeon would then be appropriate. The MOST common sign/symptom of hepatitis A in a 14 month old is: ascites dark urine fever jaundice - Correct Answer :fever Hepatitis A is a viral infection acquired through contaminated food and water, the fecal oral route, and person to person contact. Hepatitis A is a significant public health concern. Young children with hepatitis A tend to be asymptomatic or have only mild flu-like symptoms including fever, nausea, and anorexia. Few children younger than 6 years have jaundice. Older children usually are symptomatic, with symptoms typically lasting less than 2 months. A symptom of jaundice is dark urine. The elderly have more disease complications with hepatitis A including ascites, prolonged cholestasis, pancreatitis, and death from liver failure. The factor with the STRONGEST link to malignant melanoma is PNCB Acute Care Practice Exam A+ TEST BANK 3 Special Note: It has been determined as of November 2016 that there are two (2) correct answers to this question, supported by separate references. Credit will be given for choosing EITHER of the correct options. family history of malignant melanoma. fair skin coloring. living near the equator. sun exposure early in life . - Correct Answer :family history of malignant melanoma. sun exposure early in life. Skin cancers are the most frequent cancers seen in this country, accounting for nearly 50% of all new cancers. The most serious of the skin cancers is malignant melanoma and its incidence is increasing at a rate of about 4% per year. There are several risk factors for developing skin cancers including family history, fair skin color, and living at high altitudes or near the equator. At the time this module was published, the supporting reference cited the most significant factor in developing malignant melanoma as sun exposure early in life. Good pediatric anticipatory guidance should include avoiding sun exposure in any child less than 6 months of age, limiting sun exposure to children over 6 months of age, and using a sun screen with an SPF of 15 or greater when sun exposure does occur. An additional, newer reference indicates that family history is the more important factor. An 8-year-old female with ADHD is currently taking methylphenidate (Concerta) with successful control of her symptoms. The parents want to try atomoxetine HCI (Strattera) because the child has had weight loss associated with decreased appetite from the methylphenidate. Which is the BEST response?