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Pediatric Nursing Certification Board (PNCB) Primary Care Certification Exam (Latest Update 2025 / 2026) Questions & Answers | Grade A | 100% Correct (Verified Answers)
Question:
An 11-year-old premenarchal female has had a white, non-odorous, non- irritating discharge over the past year. The BEST action is to
- evaluate for bacterial vulvovaginitis.
- treat with an antifungal cream twice a day for 5 days.
- perform gentle vaginal irrigation looking for a foreign object.
- provide reassurance and anticipatory guidance about pending menarche.
Answer:
- provide reassurance and anticipatory guidance about pending menarche.
Estrogen stimulation during puberty can cause a physiologic vaginal discharge called leukorrhea, which is white, thin, and non-foul smelling. It usually begins 6-12 months before the onset of menses. Thus, the provider should offer reassurance to this preadolescent and her caregivers. 1 / 4
Question:
A healthy 24 month old can be expected to have achieved which of the following language milestones?
- counts three objects correctly
- puts at least 2 words together
- states full name
- tells a story
Answer:
- puts at least 2 words together
Question:
A 12 month old who is undergoing an evaluation by specialists for cerebral palsy presents for a wellness visit. To start a discussion about the child's development, which of the following questions is BEST asked?
- "How is feeding going?"
- "What is your child good at?"
- "Is your child cruising around furniture yet?"
- "What is the physical therapist working on with your child?"
Answer:
- "What is your child good at?"
Providing parents opportunities to verbalize their child's strengths and progress helps focus thinking more positively. Inquiring about the child's strengths is also an open-ended question allowing more expansive answers. 2 / 4
The identified strengths can serve as the foundation for further discussion about the child's progress with feeding, communication, and fine and gross motor skills.
Question:
A female adolescent had sexual intercourse 2 weeks ago and now presents with a foul smelling, gray, thin vaginal discharge. Urine HCG is negative. The
MOST appropriate treatment is:
- clindamycin 500 mg orally three times a day for 5 days
- fluconazole 150 mg orally once
- mebendazole 100 mg orally once
- metronidazole 500 g orally 2 times a day for 7 days
Answer:
- metronidazole 500 g orally 2 times a day for 7 days
The adolescent's symptoms are classic for bacterial vaginosis (BV). The CDC recommended treatment is metronidazole 500 mg bid for 7 days.Mebendazole is an antihelminth and, at this dosage, is used to treat pinworms.Fluconazole is the treatment for yeast vaginitis, which classically presents with thick yellow discharge and intense pruritis.Clindamycin is an alternate treatment for BV, but the intravaginal application is used for non-pregnant women.
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Question:
A 9 year old with juvenile idiopathic arthritis was exposed to varicella two days ago. The child is currently receiving 20 mg of prednisone daily and is unvaccinated for varicella. What is the BEST course of action?
- prescribe oral acyclovir
- administer varicella vaccine
- obtain varicella antibody titer level
- administer varicella-zoster immunoglobulin
Answer:
- administer varicella-zoster immunoglobulin
Varicella zoster immunoglobulin (VZIG) can limit severity or prevent infection. Children receiving immunosuppressive therapies who have an exposure to varicella should be given varicella-zoster immunoglobulin within 72 hours if they do not have evidence of immunity to varicella.
Question:
Which of the following factors increases a child's risk of either experiencing or engaging in bullying behaviors?
- exceptionally high self-esteem
- tolerant attitude toward violence
- permissive parenting by caregivers
- predisposition to internalizing behaviors
Answer:
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