APEA pediatrics EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

PEDIATRICS EXAM vc




Exam Solution vc




FNP APEA QBANK PEDIATRICS 2026 A+ GRADE ASSURE
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D COMPLETE SOLUTIONS AND VERIFIED ANSWERS (DE
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390)




QUESTION 1 vc




TANNER STAGES vc




ANSWER

STAGE 1: PREADOLESCENT STAGE 2: BREAST BUDDING STAGE 3: CONTINUED ENLARGEMENT STAGE
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4: AREOLA & PAPILLA FORM SECONDARY MOUND STAGE 5: MATURE BREASTS
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QUESTION 2 vc




Encopresis
ANSWER

condition where a child (usually over the age of 4) involuntarily passes stool into their clothing. This oft
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en happens due to chronic constipation, where stool becomes impacted in the colon and rectum, leading
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to leakage of liquid stool around the retained stool
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QUESTION 3 vc




Head circumference should be measured until a child is how old?
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ANSWER

36 MONTHS (3 YEARS)
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QUESTION 4 vc




At what age would it be unusual to see thrush?
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ANSWER

, AT BIRTH Thrush is an infection in the oral cavity caused by yeast. Yeast grow in a warm, dark, moist e
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nvironment. It is not unusual to see thrush in young infants who are breast or bottle fed. It would be un
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usual to see thrush in a newborn. In fact, this should cause concern regarding an immunocompromised
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state in the infant or hyperglycemia in the mother.
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QUESTION 5 vc




A 6-month-
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old male has a palpable cystic mass in his scrotum. His mother states that sometimes the
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size of his scrotum varies. Which should the nurse practitioner do next? -
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Referral to urology as soon as possible. - vc vc vc vc vc vc vc



Referral to urology if this has not resolved in six or more months. -
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Scrotal ultrasound should be ordered -order a urine specimen to rule out infection.
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ANSWER

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Referral to urology if this has not resolved in six or more months. This is the clinical description of a hy
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drocele. It is very common in young males and usually resolves by a year of age. If it has not resolved b
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y 12 months of age, the patient should be referred to urology. A cystic mass in the scrotum with a descri
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ption of changing in size of the scrotum supports the finding of a communicating hydrocele. Scrotal ultr
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asound is not indicated at this time.
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QUESTION 6 vc




A positive Trendelenburg test could be used to identify a child with: A-scoliosis B-
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Osgood-Schlatter disease C-nursemaid's elbow D- vc vc vc vc



slipped capital femoral epiphysis (SCFE). vc vc vc vc




ANSWER

slipped capital femoral epiphysis (SCFE) Asking a child with a complaint of hip pain to stand on the affe
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cted side is how the Trendelenburg test is assessed. A positive Trendelenburg test occurs when standing
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on the affected leg causes a pelvic tilt such that the unaffected hip is lower. This can be assessed and ob
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served in children with slipped capital femoral epiphysis. Legg-Calve-
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Perthes disease, or developmental dysplasia of the hip. Nursemaid's elbow is a common ligamentous inj
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ury in young children. The radial head becomes subluxed. Displacement is usually easy to reduce. The A
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dam's Forward bend test is used to assess for scoliosis. Osgood-
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Schlatter disease is assessed by assessing for pain with palpitation of the tibial tubercle.
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QUESTION 7 vc




6 year old patient with sore throat has coryza, hoarseness and diarrhea. What is the likel
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y etiology? Group A streptococcus H. parainfluenzae viral etiology or Mycoplasma?
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ANSWER