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PNCB Actual Exam Newest 2025/2026 Complete Questions And
Correct Detailed Answers |Already Graded A+||Already Graded A+
What drug is used in an individua who has veen closely explsed to someone with neisseria
meningitides? - ANSWER=Rifampin for treatment of meningial coxsemia
A sexually active 17 year old presents with a flat erythematous macular rash on both hands and
feet. There are no other complaints. What is the most likely diagnosis? - ANSWER=Syphillis
When can a well child who has slapped cheeks of fifth disease to return to school? -
ANSWER=He can go to school the next day.
What is the causative organism for Fifth's disease? - ANSWER=Parvovirus B19
What are the 2 responsible pathogens in external otitis media? - ANSWER=Staph Aureus and P
Aeruginosa
If you are far sighted, you have? - ANSWER=hyperopia
If you are near sighted, you have? - ANSWER=myopia
A newborn presents with mild discharge of the eye. She is afebrile, + pneumonia with a staccato
cough. What are you suspicious of? - ANSWER=Chlamydia
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
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Tumor Lysis Syndrome - ANSWER=Serious metabolic disorder occurring within 72 hours
following administration of chemotherapy resulting in elevated uric acid, potassium, and
phosphorus and decreased calcium
Mild Dehydration - ANSWER=Normal tears and urine
cracked lips or thirst
normal HR and Cap refill
Moderate Dehydration - ANSWER=decreased tear and urine output
increased HR
irritability or decreased activity
Hypotonic Dehydration - ANSWER=Na <130
causes: water intoxication, watering down formula
Mild to moderate dehydration treatment - ANSWER=ORT (pedialyte)
Use syringe or cup, give 2-5mL every 2-3 minutes or 5-10mL every 5 minutes
age appropriate diet (NOT Brat diet)
if the gut works, use it!
Severe dehydration - ANSWER=bolus isotonic solution
maintanence hypertonic solution (D5NS)
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
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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
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
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
PNCB Actual Exam Newest 2025/2026 Complete Questions And
Correct Detailed Answers |Already Graded A+||Already Graded A+
What drug is used in an individua who has veen closely explsed to someone with neisseria
meningitides? - ANSWER=Rifampin for treatment of meningial coxsemia
A sexually active 17 year old presents with a flat erythematous macular rash on both hands and
feet. There are no other complaints. What is the most likely diagnosis? - ANSWER=Syphillis
When can a well child who has slapped cheeks of fifth disease to return to school? -
ANSWER=He can go to school the next day.
What is the causative organism for Fifth's disease? - ANSWER=Parvovirus B19
What are the 2 responsible pathogens in external otitis media? - ANSWER=Staph Aureus and P
Aeruginosa
If you are far sighted, you have? - ANSWER=hyperopia
If you are near sighted, you have? - ANSWER=myopia
A newborn presents with mild discharge of the eye. She is afebrile, + pneumonia with a staccato
cough. What are you suspicious of? - ANSWER=Chlamydia
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
,2|Page
Tumor Lysis Syndrome - ANSWER=Serious metabolic disorder occurring within 72 hours
following administration of chemotherapy resulting in elevated uric acid, potassium, and
phosphorus and decreased calcium
Mild Dehydration - ANSWER=Normal tears and urine
cracked lips or thirst
normal HR and Cap refill
Moderate Dehydration - ANSWER=decreased tear and urine output
increased HR
irritability or decreased activity
Hypotonic Dehydration - ANSWER=Na <130
causes: water intoxication, watering down formula
Mild to moderate dehydration treatment - ANSWER=ORT (pedialyte)
Use syringe or cup, give 2-5mL every 2-3 minutes or 5-10mL every 5 minutes
age appropriate diet (NOT Brat diet)
if the gut works, use it!
Severe dehydration - ANSWER=bolus isotonic solution
maintanence hypertonic solution (D5NS)
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
,3|Page
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
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
, 4|Page
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
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
