Pediatric Primary Care PNCB Final Exam Questions & Answers

Pediatric Primary Care PNCB Final Exam Questions & Answers
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 - 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
d) record that the child will likely be left-handed - 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 - 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 - 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 my baby!". This is an example of which type of thinking
in preschool-age children?
a) animism
b) artificialism
c) egocentrism
d) realism - 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 - c) reassure the parent that this is normal
The primary care PNP is offering anticipatory guidance to the parents of a 12-monthold child. The parents are bilingual in Spanish and English and have many Spanishspeaking relatives nearby. They are resisting exposing the 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 - d) most bilingual children are able to shift from one language to another
when appropriate

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