Download APEA NP MYQBANK PEDIATRICS EXAM 2025-2026|116 REAL QUESTIONS AND ANSWERS|A+PASS and more Exams Nursing in PDF only on Docsity!
APEA NP MYQBANK PEDIATRICS EXAM 2025-2026|
116 REAL QUESTIONS AND ANSWERS|A+PASS
Clubfoot: always requires an urgent neurosurgical referral. involves the foot and lower extremity. involves the foot only. can be corrected with casting and exercises. involves the foot and lower extremity A 6-week-old is suspected of having developmental dysplasia of the hip (DHH). What test would best assess for this? Barlow and Ortolani Galeazzi and Klisic Trendelenbyrg pelvic tilt test Romberg balance test Barlow and Ortolani
What is the usual recommendation about administering MMR and varicella immunizations? they should not be given on the same day under any circumstance they should be given on the same day or at least one month apart they cannot be given with the flu vaccine they can be given only with live vaccines they should be given on the same day or at least one month apart A pregnant patient is concerned because her 12 month-old needs an MMR immunization. What should the NP advise this patient? the MMR is a dead virus; therefore is no risk to the mother have the child wait until the mom delivers have the child wait until mom is in her 28th week or later before immunization MMR immunization presents no risk to the child's mother. immunize now. MMR immunization presents no risk to the child's mother. immunize now.
slipped capital femoral epiphysis A male child has a swelling in the upper thigh below the inguinal ligament with cramping and abdominal pain. What is in the NP's differential diagnosis? testicular torsion femoral hernia varicocele hydrocele femoral hernia Children with Legg-Calve Perthes disease should: maintain a diet high in protein, vitamins and minerals sleep on a firm mattress to prevent contractures avoid weight bearing on the affected extremity be allowed to play basketball avoid weight bearing on the affected extremity
MMR immunization is safe in children: who are allergic to eggs younger than 1 year of age when given every 5 years if they are at least 5 years of age who are allergic to eggs A 3-year-old female had a fever of 102F for the last 3 days. Today she woke up from a nap and is afebrile. She has a maculopapular rash. Which statement is true? this child probably has measles the rash will blanch this is a streptococcal rash this could be Kawasaki disease the rash will blanch
have a history of an intermittent bulge in the groin are usually symptomatic have a mass that is always present on exam are usually irritable and often constipated have a history of an intermittent bulge in the groin Which statement below is true of infants with developmental dysplasia of the hip? They usually have other orthopedic ailments. Most have some congenital orthopedic anomaly. There's often pain in the hip when the infants diaper is changed. A palpable clunk is considered diagnostic. A palpable clunk is considered diagnostic. A four-year-old child with otitis media with effusion: needs an antibiotic. probably has a viral infection.
probably has just had acute otitis media. has cloudy fluid in the middle ear. probably has just had acute otitis media. What is the usual age for vision screening in young children? 2 years 3 years 4 years 5 years 3 years What Tanner stage corresponds to an average 8-year-old male? Stage 0 Stage 1 Stage 2 Stage 3 Stage 1
A 6-month-old male has a palpable cystic mass in his scrotum. His mother states that sometimes the size of his scrotum varies. What should the nurse practitioner do next? referral to urology as soon as possible referral to urology if this has not resolved in 6 more months scrotal ultrasound should be ordered order a urine specimen to rule out infection referral to urology if this has not resolved in 6 more months The nurse practitioner sees a child who reports fatigue and presents with purpura on his lower extremities. His temperature is normal. The differential includes: anemia abuse acute leukemia Kawasaki syndrome acute leukemia
Hirschsprungs disease is characterized by: intermittent constipation in the first year of life inability to absorb carbohydrates failure to pass meconium in the first 48 hours of life chronic fecal incontinence failure to pass meconium in the first 48 hours of life A 1-year-old patient's mother reports allergy to gelatin. The mother describes the reaction as "lips swelling and breathing difficulties that necessitated a trip to the emergency department". Which immunizations should be avoided? Varicella, DTaP, and MMR Varicella and MMR IPV, DTaP, and Hepatitis B Hepatitis A and B, meningococcal Varicella and MMR
add an extra feeding in the AM and PM have the mother return to reweigh the baby in 1 week continue feeding every 2-4 hours continue feeding every 2-4 hours A 3-year-old has fluid in the middle ear that does not appear infected. The eardrum appears normal. This is referred to as: cholesteatoma acute otitis media purulent otitis media middle ear effusion middle ear effusion A definitive diagnosis of sickle cell anemia can be made: by a CBC by a hemoglobin electrophoresis by a pathologist with visual examination of red cells
with a serum ferritin, iron level, and hemoglobin by a hemoglobin electrophoresis A 2-month-old is diagnosed with thrush. An exam of this patient's saliva demonstrates all except: hyphae yeast spores a positive KOH spores A side effect of DTaP that should be reported is: temperature of 103F within 72 hours of receiving the immunization vomiting within 7 days of receiving the immunization nonstop crying (3 hours or more) within 48 hours of receiving the immunization injection site soreness lasting greater than 2 days
The initial step in the management of encopresis is: client and family education bowel cleansing dietary changes psychosocial evaluation client and family education The Sexual Maturity Rating (Tanner Staging) in boys includes 5 stages. Characteristics indicative of Stage 1 would include: the absence of pubic hair; same size and proportion penis, testes, and scrotum as in childhood sparse growth of long, slighted pigmented hair at the base of the penis, slight enlargement of the penis, testes, and scrotum dark, coarse curly hair spreading over the pubic symphysis, enlargement and increased length of the penis and enlargement of the scrotum coarse and curly hair as in the adult covering the pubic area, enlargement in length and breadth of the penis and enlargement of the testes and scrotum with scrotal skin darkened
the absence of pubic hair; same size and proportion penis, testes, and scrotum as in childhood A 4-year-old is being examined today in the NP clinic. He appears shy and does not make eye contact with the examiner. The mother does not make eye contact with the examiner either. The patient lacks animation and does not smile. What likely possibility must be considered? the patient is depressed sexual abuse is very likely neglect is possible the child probably does not have medical insurance neglect is possible A 12-month-old is here today to receive the varicella immunization. A patient's mother reports that her 12-month-old child was exposed to chickenpox about a week ago. The NP should recommend that he: be given the vaccine wait 4 weeks to receive the vaccine
scalp edema asymmetric head shape scalp edema At what age would a baby first be expected to locate an object hidden from view? at 4 months of age at 9 months of age at 13 months of age at 20 months of age at 9 months of age A 1-week-old infant has a bilateral mucopurulent eye discharge. What explains the etiology of the discharge? the mother probably has an STD the infant likely has a plugged tear duct
this is bacterial conjunctivitis this is viral conjunctivitis the mother probably has an STD According to the Tanner stages of development (Sexual Maturity Rating), breast development in Stage 3 in females includes the: elevation of breast and nipple enlargement and elevation of breast and areola with no separation of their contours projection of areola and nipple to form a secondary mound above the level of the breast projection of the nipple only enlargement and elevation of breast and areola with no separation of their contours What is the earliest age that an average child would be able to copy a triangle, know his colors, and count on his fingers? 3 years 4 years
