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PNCB Exam Questions and answers | 100% verified correct Newest
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PNCB Exam Questions and answers | 100% verified correct Newest
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PNCB Exam Questions and answers |100% verified correct Newest
You are seeing a 4-week old infant whose mother states that the child's right eye is wet all
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the time and sometime there is thick mucus on the lashes. There has been no fever and the
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baby is feeding well. Eye exam reveals a normal red reflex bilaterally with no evidence of
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purulent drainage, conjunctival erythema, or cloudiness over the cornea. You suspect:
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a) adenovirus conjunctivits
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b) nasolacrimal stenosis
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c) chlamydial conjunctivitis
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d) congenital cataract - b) nasolacrimal duct stenosis
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A 9-month-old infant who was born at 32-weeks reaches for a block with only the left hand.
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The right arm remains still at the side of her body. The PNP would:
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a) record these findings as normal for a premature infant
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b) refer the infant for further evaluation
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c) refer the child for a muscle biopsy
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d) record that the child will likely be left-handed - b) refer the infant for further evaluation
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During a 2-month-old well child visit you note that the red reflex in one eye seems paler
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than in the other. What is the most appropriate follow-up step for this observation?
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a) assess and document a normal corneal light reflex in that eye
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b) preform the cover/uncover test
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c) re-evaluate the red re-screening test in 2 weeks
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d) refer the infant to a pediatric ophthalmologist immediately - d) refer the infant to a
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pediatric ophthalmologist immediately
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Primary dentition erupts between:
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a) 6-11 years
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b) 6-30 months
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c) 1-5 years
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d) 12-24 months - b) 6-30 months
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The parent of a 4-year-old points to a picture and says "That's your sister!". The child
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responds by saying "No! It's my baby!". This is an example of which type of thinking in
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preschool-age children?
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a) animism
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b) artificialism
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c) egocentrism
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d) realism - d) realism
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The primary care PNP performs a developmental assessment on a 32-month-old child.
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The child's parent reports that about 70% of the child's speech is intelligible. The pediatric
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nurse practitioner observes that the child has difficulty pronouncing "t" "d" "k" and "g".
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Which action is correct?
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,a) evaluate the child's cognitive abilities
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b) obtain a hearing evaluation
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c) reassure the parent that this is normal
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d) refer the child to a speech therapist - c) reassure the parent that this is normal
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The primary care PNP is offering anticipatory guidance to the parents of a 12-month-old
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child. The parents are bilingual in Spanish and English and have many Spanish-speaking
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relatives nearby. They are resisting exposing the child to Spanish out of concern that the
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child will not learn English well. What will the PNP tell the parents?
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a) children who learn two languages simultaneously often confuse them in conversation
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b) children with multi-language proficiency do not understand that others cannot do this
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c) learning two languages at an early age prevents children from development a dominant
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language
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d) most bilingual children are able to shift from one language to another when appropriate -
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d) most bilingual children are able to shift from one language to another when appropriate
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The parents of a 3-year-old child are concerns that the child has begun refusing usual
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foods and wants to eat mashed potatoes and chicken strips at every meal and snack. The
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child's rate of weight has slowed, but the child remains at the same percentile for weight on
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a growth chart. What will the PNP tell the parents to do>
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a) allow the child to choose foods for meals to improve caloric intake
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b) place a variety of nutritious foods on the child's plate at each meal
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c) prepare masked potatoes and chicken strips for the child at mealtimes
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d) suggest cutting out snacks to improve the child's appetite at mealtimes - b) place a
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variety of nutritious foods on the child's plate at each meal
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The PC-PNP is evaluating a 2-year-old with a documented speech delay. Screening s to
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assess motor skills and cognition are normal, and the child passed a recent hearing test.
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What will the PNP do next?
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a) ask the child's parents whether they read to the child
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b) give parents educational materials to encourage speech
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c) refer the child to and early intervention program
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d) suggest that they purchase age-appropriate music videos - a) ask the child's parents
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whether they read to the child
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The mother of a 3-year-old child takes the child to play group once a week. She expressed
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concern that the child plays with toys but does not interact with the other toddlers. What will
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the PNP counsel the mother?
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a) the child probably is very shy but will outgrow this tendency with repeated exposure to
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other children
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b) the toddler may have a language delay that interferes with socialization with other
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children
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c) toddlers may be interested in other children but usually do not engage in interactive play
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d) toddlers need more structured play to encourage interaction and socialization with
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others - c) toddlers may be interested in other children but usually do not engage in
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interactive play
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, Which of the following set of symptoms would be most consistent GABHS infection?
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a) cough, nasal congestion, cervical lymphadenopathy
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b) fever, HA, tender cervical lymphadenopathy
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c) cough, fever, macular papular rash to trunk
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d) sneezing, rhinorrhea, exudative tonsils - b) fever, HA, tender cervical lymphadenopathy
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What of the following is the most appropriate treatment for strep throat?
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a) penicillin V 250mg BID x5days and tylenol for pain or fever
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b) azithromycin for 5 days and ibuprofen
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c) penicillin V 500mg bid for 10 days with tylenol for pain and fever
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d) cephalexin 500mg BID for 10 days - c) penicillin V 500mg bid for 10 days with tylenol for
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pain and fever
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The red reflex is done in the newborn to rule out:
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a) retinoblastoma
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b) decreased visual acuity
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c) strabismus
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d) corneal abrasions - a) retinoblastoma
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A child presents with acute onset of 104 temperature and difficult swallowing. She appears
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anxious and is drooling. You suspect epiglotitis. Your immediate management plan would
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be:
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a) medical transportation to an ER with anesthesiology notified
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b) given an injection of ceftriaxone in the clinic and have the parents transport the child to
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the ER
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c) obtain a CBC and blood culture and transport the child to the ER/hospital for admission
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d) obtain a rapid strep and culture to rule out GABHS - a) medical transportation to an ER
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with anesthesiology notified
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Laboratory analysis of neonatal ocular discharge would be positive for gram negative
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intracellular diplococci for which of the following organisms?
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a) chlamydia
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b) influenza
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c) adenovirus
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d) gonococcus - d) gonococcus
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All bacterial conjunctivitis:
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a) must be treated with antibiotics to prevent complications
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b) is highly contagious requiring family education on prevention
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c) is more common than viral conjunctivitis
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d) is frequently caused by m. catarrhalis - b) is highly contagious requiring family
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education on prevention
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Which of the following is used for hearing assessment in a child age 4 or older?
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a) brainstem auditory evoked response (BAER)
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