PNCB PC-PNP Exam Drill 2026
Questions and Answers
A preschooler presents with a low-grade fever, respirations 36, spO2 94% in room
air. Physical exam reveals crackles and decreased breath sounds in the left lower
lobe. Which of the following is the MOST appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
D. Order a CXR - Correct answer-A
A school-aged child's father, who had been terminally ill, has died. The mother is
seeking guidance related to the funeral service and supporting the child initially
through this loss. Which of the following advice is the MOST appropriate?
A. Work to maintain neutral emotions around the child.
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,B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific questions. -
Correct answer-C
The parent of a 2 month old who is formula fed is concerned that the infant spits up
after every feeding. Weight gain in the past month has averaged 60 grams (2 oz)
per day. What is the MOST appropriate next step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine - Correct answer-C
For a 6 year old with asthma, a LABA is FIRST considered when
A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
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, D. Symptoms are allergy-induced - Correct answer-A
A mother expresses concern that her 6 month old is awakening q2h during the
night to breastfeed. The BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. - Correct answer-A
A child who received an incorrect vaccine experienced no adverse consequences.
No additional care was required and an incident report was completed. Which of
the following actions is MOST appropriate?
A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event - Correct answer-B
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Questions and Answers
A preschooler presents with a low-grade fever, respirations 36, spO2 94% in room
air. Physical exam reveals crackles and decreased breath sounds in the left lower
lobe. Which of the following is the MOST appropriate next step?
A. Prescribe Amox
B. Arrange for hospital admission
C. Prescribe Azithromycin
D. Order a CXR - Correct answer-A
A school-aged child's father, who had been terminally ill, has died. The mother is
seeking guidance related to the funeral service and supporting the child initially
through this loss. Which of the following advice is the MOST appropriate?
A. Work to maintain neutral emotions around the child.
©C0PYRIGHT 2025, ALL RIGHTS RESERVED 1
,B. Schedule grief counseling ASAP
C. Allow the child to determine participation in rituals around death.
D. Refrain from discussing the death unless the child asks specific questions. -
Correct answer-C
The parent of a 2 month old who is formula fed is concerned that the infant spits up
after every feeding. Weight gain in the past month has averaged 60 grams (2 oz)
per day. What is the MOST appropriate next step?
A. Add 1 Tbsp rice cereal per oz of formula
B. Order pyloric ultrasound
C. Decrease volume of feeds
D. Prescribe famotidine - Correct answer-C
For a 6 year old with asthma, a LABA is FIRST considered when
A. Symptoms persist while on daily low-dose inhaled corticosteroids
B. A 3rd asthma exacerbation occurs in a year
C. Treatment for mild persistent asthma is initiated
©C0PYRIGHT 2025, ALL RIGHTS RESERVED 2
, D. Symptoms are allergy-induced - Correct answer-A
A mother expresses concern that her 6 month old is awakening q2h during the
night to breastfeed. The BEST guidance includes to
A. Avoid nursing the infant to sleep
B. Limit the infant's naps to 2x/day
C. Feed the infant rice cereal before bedtime
D. Reassure that this is typical for breastfed infants. - Correct answer-A
A child who received an incorrect vaccine experienced no adverse consequences.
No additional care was required and an incident report was completed. Which of
the following actions is MOST appropriate?
A. Require that the employee attends mandatory retraining
B. Investigate strategies to avoid recurrence
C. Perform a root cause analysis
D. Report as sentinel event - Correct answer-B
©C0PYRIGHT 2025, ALL RIGHTS RESERVED 3
