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PNCB Actual Exam Newest 2025/ 2026 Complete
Questions And Correct Detailed Answers |Already
Graded A+||Already Graded A+||Newest Exam!!!
You are seeing a 4-week old infant whose mother states
that the child's right eye is wet all the time and sometime
there is thick mucus on the lashes. There has been no
fever and the baby is feeding well. Eye exam reveals a
normal red reflex bilaterally with no evidence of purulent
drainage, conjunctival erythema, or cloudiness over the
cornea. You suspect:
a) adenovirus conjunctivits
b) nasolacrimal stenosis
c) chlamydial conjunctivitis
d) congenital cataract - Answer-b) nasolacrimal duct
stenosis
A 9-month-old infant who was born at 32-weeks reaches
for a block with only the left hand. The right arm remains
still at the side of her body. The PNP would:
a) record these findings as normal for a premature infant
b) refer the infant for further evaluation
c) refer the child for a muscle biopsy
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d) record that the child will likely be left-handed - Answer-
b) refer the infant for further evaluation
During a 2-month-old well child visit you note that the red
reflex in one eye seems paler than in the other. What is
the most appropriate follow-up step for this observation?
a) assess and document a normal corneal light reflex in
that eye
b) preform the cover/uncover test
c) re-evaluate the red re-screening test in 2 weeks
d) refer the infant to a pediatric ophthalmologist
immediately - Answer-d) refer the infant to a pediatric
ophthalmologist immediately
Primary dentition erupts between:
a) 6-11 years
b) 6-30 months
c) 1-5 years
d) 12-24 months - Answer-b) 6-30 months
The parent of a 4-year-old points to a picture and says
"That's your sister!". The child responds by saying "No! It's
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my baby!". This is an example of which type of thinking in
preschool-age children?
a) animism
b) artificialism
c) egocentrism
d) realism - Answer-d) realism
The primary care PNP performs a developmental
assessment on a 32-month-old child. The child's parent
reports that about 70% of the child's speech is intelligible.
The pediatric nurse practitioner observes that the child has
difficulty pronouncing "t" "d" "k" and "g". Which action is
correct?
a) evaluate the child's cognitive abilities
b) obtain a hearing evaluation
c) reassure the parent that this is normal
d) refer the child to a speech therapist - Answer-c)
reassure the parent that this is normal
The primary care PNP is offering anticipatory guidance to
the parents of a 12-month-old child. The parents are
bilingual in Spanish and English and have many Spanish-
speaking relatives nearby. They are resisting exposing the
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child to Spanish out of concern that the child will not learn
English well. What will the PNP tell the parents?
a) children who learn two languages simultaneously often
confuse them in conversation
b) children with multi-language proficiency do not
understand that others cannot do this
c) learning two languages at an early age prevents
children from development a dominant language
d) most bilingual children are able to shift from one
language to another when appropriate - Answer-d) most
bilingual children are able to shift from one language to
another when appropriate
The parents of a 3-year-old child are concerns that the
child has begun refusing usual foods and wants to eat
mashed potatoes and chicken strips at every meal and
snack. The child's rate of weight has slowed, but the child
remains at the same percentile for weight on a growth
chart. What will the PNP tell the parents to do>
a) allow the child to choose foods for meals to improve
caloric intake
b) place a variety of nutritious foods on the child's plate at
each meal
PNCB Actual Exam Newest 2025/ 2026 Complete
Questions And Correct Detailed Answers |Already
Graded A+||Already Graded A+||Newest Exam!!!
You are seeing a 4-week old infant whose mother states
that the child's right eye is wet all the time and sometime
there is thick mucus on the lashes. There has been no
fever and the baby is feeding well. Eye exam reveals a
normal red reflex bilaterally with no evidence of purulent
drainage, conjunctival erythema, or cloudiness over the
cornea. You suspect:
a) adenovirus conjunctivits
b) nasolacrimal stenosis
c) chlamydial conjunctivitis
d) congenital cataract - Answer-b) nasolacrimal duct
stenosis
A 9-month-old infant who was born at 32-weeks reaches
for a block with only the left hand. The right arm remains
still at the side of her body. The PNP would:
a) record these findings as normal for a premature infant
b) refer the infant for further evaluation
c) refer the child for a muscle biopsy
,2|Page
d) record that the child will likely be left-handed - Answer-
b) refer the infant for further evaluation
During a 2-month-old well child visit you note that the red
reflex in one eye seems paler than in the other. What is
the most appropriate follow-up step for this observation?
a) assess and document a normal corneal light reflex in
that eye
b) preform the cover/uncover test
c) re-evaluate the red re-screening test in 2 weeks
d) refer the infant to a pediatric ophthalmologist
immediately - Answer-d) refer the infant to a pediatric
ophthalmologist immediately
Primary dentition erupts between:
a) 6-11 years
b) 6-30 months
c) 1-5 years
d) 12-24 months - Answer-b) 6-30 months
The parent of a 4-year-old points to a picture and says
"That's your sister!". The child responds by saying "No! It's
,3|Page
my baby!". This is an example of which type of thinking in
preschool-age children?
a) animism
b) artificialism
c) egocentrism
d) realism - Answer-d) realism
The primary care PNP performs a developmental
assessment on a 32-month-old child. The child's parent
reports that about 70% of the child's speech is intelligible.
The pediatric nurse practitioner observes that the child has
difficulty pronouncing "t" "d" "k" and "g". Which action is
correct?
a) evaluate the child's cognitive abilities
b) obtain a hearing evaluation
c) reassure the parent that this is normal
d) refer the child to a speech therapist - Answer-c)
reassure the parent that this is normal
The primary care PNP is offering anticipatory guidance to
the parents of a 12-month-old child. The parents are
bilingual in Spanish and English and have many Spanish-
speaking relatives nearby. They are resisting exposing the
, 4|Page
child to Spanish out of concern that the child will not learn
English well. What will the PNP tell the parents?
a) children who learn two languages simultaneously often
confuse them in conversation
b) children with multi-language proficiency do not
understand that others cannot do this
c) learning two languages at an early age prevents
children from development a dominant language
d) most bilingual children are able to shift from one
language to another when appropriate - Answer-d) most
bilingual children are able to shift from one language to
another when appropriate
The parents of a 3-year-old child are concerns that the
child has begun refusing usual foods and wants to eat
mashed potatoes and chicken strips at every meal and
snack. The child's rate of weight has slowed, but the child
remains at the same percentile for weight on a growth
chart. What will the PNP tell the parents to do>
a) allow the child to choose foods for meals to improve
caloric intake
b) place a variety of nutritious foods on the child's plate at
each meal
