Download Pediatrics APEA Exam Questions and Answers: Latest 2025 and more Exams Pediatrics in PDF only on Docsity!
Answers Latest 2025
Which of the following pediatric immunizations are considered live vaccines? - - - correct answer ✅MMR, varicella A 13 month old child received the varicella vaccine two weeks ago. How long must she wait before receiving the MMR vaccine? - - - correct answer ✅Two weeks How long does the CDC recommend monitoring after giving a child an immunization? - - - correct answer ✅15 minutes An infant is due to receive three vaccines at their four-month well visit. The infants caregiver asks if they can schedule the immunization appointment when the infant is 3 1/2 months old. Which of the following should the NP tell the caregiver - - - correct answer ✅Vaccines given more than five days early are not considered valid doses A four month old patient will be traveling with his parents to South Africa. What is the best way for the nurse practitioner to learn
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which vaccines are needed prior to travel? - - - correct answer ✅Review cdc.gov information An initial visit is scheduled for a four-year-old. When asked to bring an immunization record, the caregiver states that the child has not been immunized according to the CDC how should the situation be handled? - - - correct answer ✅Schedule the child and defer discussion about vaccines until a therapeutic relationship is established A six-year-old child is brought to the clinic for the the first time. The caregivers report no knowledge of the child's vaccine history. Which of the following action should the NP take? - - - correct answer ✅1. Perform tiers for antibodies to vaccine preventable illnesses.
- Re-vaccinate the child as if they have never been vaccinated. The answer is both one and two On examination of child's tympanic membrane is red, but not bulging or immobile. What does this mean? - - - correct answer ✅This is not a clinically significant finding
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A five-year-old presents with symptoms characteristic of a focal seizure no underlying cause for the seizure is found which of the following action should the nurse practitioner take - - - correct answer ✅ A two-year-old child has a hemoglobin level of 9 mg/dL (normal is 11 to 15 mg/dL) which of the following actions should the nurse practitioner take select all that apply - - - correct answer ✅ Which of the following are true statements about neonatal hyperbilirubinemia - - - correct answer ✅ An infant has physiologic hyperbilirubinemia, which of the following indicates that jaundice may be pathologic - - - correct answer ✅ A newborn has a diagnosis of G6PD deficiency which of the following statements about G6PD deficiency is INCORRECT - - - correct answer ✅G6PD is less likely to occur in boys than girls
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A 12 month old child has sickle cell disease which of the following plans is NOT appropriate at the well child visit - - - correct answer ✅Hepatitis B and pneumococcal vaccine should be deferred until three years of age A child presents to the nurse practitioner with multiple unexplained bruises. The NP should do all, except which of the following. - - - correct answer ✅Accuse the parents of harming the child Which of the following routine pediatric vaccines is appropriate for an infant to reduce the risk of pneumonia due to pertussis - - - correct answer ✅Dtap And otherwise healthy six-year-old, who is allergic to peanuts, has never received vaccines the guardians request to catch up on his vaccines why is administration of the hib vaccine inappropriate for this child? - - - correct answer ✅Due to age, risk of pulmonary complications from HIB is low
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be managed? - - - correct answer ✅An inpatient because of his symptoms Is three-year-old child is diagnosed with mild croup. In addition to supportive therapies. The child should receive which of the following. - - - correct answer ✅A single dose of oral dexamethasone If febrile four-year-old child is in the exam room with a croupy, cough, attraction, strider and drooling how should she be managed? - - - correct answer ✅Call 911, administer nebulized epinephrine A six-year-old child with asthma is using an inhaled cortical steroid the child's parent is concerned that the drug will impair their growth. What does the NP advise? - - - correct answer ✅Inhaled, cortical, steroids, rarely inhibit growth A four-year-old child who has asthma presents with a viral URI and is on day three the child is wheezing and has a cough, but no distress after receiving a nebulized bronco dilator treatment, the wheezing and cough and proof which of the following actions by
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the NP is best - - - correct answer ✅Order nebulized albuterol treatments for the child to use at home An infant who screen positive for cystic fibrosis has a positive sweat test which of the following does this mean for the patient? - - - correct answer ✅The patient should have a repeat confirmatory test Which of the following symptoms might be present in a child who has suspected cystic fibrosis - - - correct answer ✅Persistent, productive, cough When should routine blood pressure screening begin in children? - -
correct answer ✅Three years old Which of the following is true about screening for dyslipidemia select all that apply - - - correct answer ✅Screen an eight-year-old who has a BMI greater than the 95th percentile Screen of 13-year-old who has type one diabetes
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A three month old child has an ankle bracelet made of tiny flowers. The mother states that this prevents colic how should the NP respond? - - - correct answer ✅Recognize that this is a harmless cultural practice A five week old infant presents with non-bilious vomiting immediately after eating. Visible peristalic waves in the upper abdomen are noted what diagnosis is likely to be included in the differential diagnosis - - - correct answer ✅Pyloric stenosis At which of the following ages are symptoms of pyloric stenosis, most likely to occur - - - correct answer ✅Four weeks A four week old infant has suspected pyloric stenosis which of the following imaging studies is commonly used to diagnose this - - - correct answer ✅Pyloric ultrasound Which of the following symptoms would lead the NP to suspect that an infant with GERD symptoms has a cows, milk protein intolerance - - -
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correct answer ✅Presence of blood in the stools, poor weight gain, eczema, strong family, history of atopy An 18 month old has an intermittent abdominal pain for several hours and vomited a few times during these episodes which of the following should be included in the differential diagnosis select all that apply - - - correct answer ✅Intusseseption, Intestinal obstruction, constipation, gastroenteritis, appendicitis, Which of the following vaccines is contradicted in children who have a history of intusseseption - - - correct answer ✅Rotavirus A six-year-old male presents with diarrhea five times per day and nausea for the past three days which of the following is likely diagnosis - - - correct answer ✅Viral gastroenteritis A two-year-old female has a suspected UTI which of the following should be included in the physical exam - - - correct answer ✅Measurement of blood pressure, palpation for
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On a well-child exam, a-year-old is found to have a hydrocele which of the following is most important for The Nurse Practitioner to include in the assessment of this patient - - - correct answer ✅Inguinal hernia Which of the following statements about labial adhesions are true -
correct answer ✅They do not require treatment if they are asymptomatic, they may be associated with Labial trauma , adhesions may result in recurrent urinary tract infections A parent calls the NP to make an appointment for a child who has a fever and a rash. The child has not received any routine vaccines. How should this be handled? - - - correct answer ✅The family should be advised to call when they arrive and wait in the car until an exam room is available A four-year-old patient presents with a lacy, macular, rash, and fever, which of the following illnesses commonly presents with these findings - - - correct answer ✅Fifth disease
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A three-year-old patient is diagnosed with fifth disease after the appearance of rash. Her primary caregiver is pregnant if the ITM and IgG are negative for perco b 19 what does this mean? - - - correct answer ✅There is still a risk of developing parvo B A nurse practitioner has diagnosed a child with roseola. How old is this child likely to be - - - correct answer ✅7 to 13 months Which of the following is the expected course of measles? - - - correct answer ✅Fever, koplik spots, rash Which of the following are risk factors associated with an increased occurrence of developmental dysplasia of the hip? - - - correct answer ✅Female sex, breach positioning after 34 weeks, tight swaddling of lower extremities To perform Ortolani's test, the examiner place index in middle fingers on the greater trochanter and performs, which of the following - - - correct answer ✅Adduct the hip with downward pressure and palpates dislocation of the hip
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correct answer ✅Pain reproduced by extending the knee against resistance, pain on squatting with the knee flexed A pediatric patient presents with left hip pain, which of the following should be included in the differential diagnosis in pediatric patients with hip pain - - - correct answer ✅Septic arthritis, rheumatoid arthritis,legg-calve- perthes, slipped Femoral,epiphysis, osteosarcoma Which of the following conditions would be expected to elect a positive Trendelenburg's test? - - - correct answer ✅ A full-term newborn infant exhibits as symmetrical movement of the left upper extremity. Clavicular crepitus is present. Which of the following might have contributed to this - - - correct answer ✅Macrosomia It is important to assess reflexes in newborn because this assessment does, which of the following? - - - correct answer ✅Indicates the maturity of the nervous system
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At birth, the neonate head is, which of the following sizes - - - correct answer ✅One to 2 cm larger than the chest circumference A one week old male newborn does not have a red reflex in his right eye which of the following might this indicate - - - correct answer ✅Congenital cataracts or consider retinoblastoma In a normally developed term infant, which of the following fontanelle is normally open at birth - - - correct answer ✅Anterior always posterior sometimes An infant weighs 7 pounds at birth. What would you expect the infant to weigh by age one - - - correct answer ✅21 pounds because weight triples in the first year A six week old infant has an open posterior fontanelle. What does the NP tell the parents - - - correct answer ✅The posterior Fontenelle usually closes by eight weeks
