PEDIATRICS EXAM vc
Exam Solution
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APEA ~ Pediatrics 2026 A+ GRADE ASSURED COMPLETE
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SOLUTIONS AND VERIFIED ANSWERS (8C31E)
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QUESTION 1 vc
Term
ANSWER
Definition
QUESTION 2 vc
Which of the following symptoms would necessitate the need for further evaluation in th
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e newborn?
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ANSWER
Dusky cyanotic when crying Remember: this shows poor cardiovascular adaptation to extrauterine life
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QUESTION 3 vc
After attempting to elicit the Moro reflex in a newborn, the nurse practitioner identifies
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absence of movement in the left arm. The next assessment would be to:
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ANSWER
examine the clavicle vc vc
QUESTION 4 vc
When assessing a preschooler's mouth, the number of deciduous teeth seen should be:
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ANSWER
16-20 Remember: first 20 deciduous teeth emerge btwn 6 months -
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5 yrs. Permanent teeth erupt around 6 yrs. All 32 permanent by adolescence
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,QUESTION 5 vc
Which of the following substances is found in the urine of a child suspected of having pos
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t streptococcal glomerulonephritis?
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ANSWER
Blood and protein vc vc
QUESTION 6 vc
A six-year-
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old has a history of diabetes mellitus type I and is now experiencing cellulitis of the right
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lower leg. The child presents with deep, rapid, and unlabored respirations, fruity odor, a
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nd dry skin. These are symptoms of:
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ANSWER
Ketoacidosis
QUESTION 7 vc
A six-year-
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old male complains of ankle pain and difficulty walking, but denies any recent injuries. F
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indings reveal ankle tenderness, decreased mobility and range of motion. The patients te
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mperature of 102 degrees F. These findings are consistent with: vc vc vc vc vc vc vc vc vc
ANSWER
osteomyelitis Remember: it is an acute or chronic infection of the bone usually caused by staphylococcu
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s.
QUESTION 8 vc
When assessing the heart rate of a healthy 13-month-
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old child, which one of the following sites is the most appropriate for this child?
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ANSWER
Apical pulse between the 3rd and 4th intercostal space in the left midclavicular line
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QUESTION 9 vc
In renal adaptation of the newborn, which one of the following statements is correct?
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ANSWER
, The kidneys have an inability to concentrate urine and adapt to fluid and electrolyte stress Remember:
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neonates kidneys are structurally complete by physiologically immature.
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QUESTION 10 vc
Symptoms indicative of Shaken Baby Syndrome are related to:
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ANSWER
uncontrollable cerebral edema and hypoxia Remember: this leads to blindness, inability to perform prev
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iously learned milestones, and very flaccid muscle tone.
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QUESTION 11 vc
When assessing a 3-month-vc vc vc
old for development dysplasia of the hips (DDH), which one of the following symptoms w
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ould be suspicious of dysplasia?
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ANSWER
Limitation of abduction of the affected extremity, shortening of the femur and positive Ortolani's sign Re
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member: Ortolani's sign is when the hip clicks when maneuvered. DDH also presents with asymmetry of
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the gluteal folds.
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QUESTION 12 vc
During assessment of a 3-month-
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old boy, an incomplete descent of the left testicle into the scrotum is noted. The practitio
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ner understands that:
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ANSWER
testicles should descend by 6 months of age
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QUESTION 13 vc
Presence of a heart murmur in a child would be considered organic if the child:
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ANSWER
was a 2-year-old with a congenital heart defect
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QUESTION 14 vc
The most common cause of viral encephalitis in children is:
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ANSWER
Exam Solution
vc
APEA ~ Pediatrics 2026 A+ GRADE ASSURED COMPLETE
vc vc vc vc vc vc vc v
SOLUTIONS AND VERIFIED ANSWERS (8C31E)
c vc vc vc vc
QUESTION 1 vc
Term
ANSWER
Definition
QUESTION 2 vc
Which of the following symptoms would necessitate the need for further evaluation in th
vc vc vc vc vc vc vc vc vc vc vc vc vc
e newborn?
vc
ANSWER
Dusky cyanotic when crying Remember: this shows poor cardiovascular adaptation to extrauterine life
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 3 vc
After attempting to elicit the Moro reflex in a newborn, the nurse practitioner identifies
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
absence of movement in the left arm. The next assessment would be to:
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
examine the clavicle vc vc
QUESTION 4 vc
When assessing a preschooler's mouth, the number of deciduous teeth seen should be:
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
16-20 Remember: first 20 deciduous teeth emerge btwn 6 months -
vc vc vc vc vc vc vc vc vc vc
5 yrs. Permanent teeth erupt around 6 yrs. All 32 permanent by adolescence
vc vc vc vc vc vc vc vc vc vc vc vc vc
,QUESTION 5 vc
Which of the following substances is found in the urine of a child suspected of having pos
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
t streptococcal glomerulonephritis?
vc vc
ANSWER
Blood and protein vc vc
QUESTION 6 vc
A six-year-
vc
old has a history of diabetes mellitus type I and is now experiencing cellulitis of the right
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
lower leg. The child presents with deep, rapid, and unlabored respirations, fruity odor, a
c vc vc vc vc vc vc vc vc vc vc vc vc vc
nd dry skin. These are symptoms of:
vc vc vc vc vc vc
ANSWER
Ketoacidosis
QUESTION 7 vc
A six-year-
vc
old male complains of ankle pain and difficulty walking, but denies any recent injuries. F
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
indings reveal ankle tenderness, decreased mobility and range of motion. The patients te
vc vc vc vc vc vc vc vc vc vc vc vc
mperature of 102 degrees F. These findings are consistent with: vc vc vc vc vc vc vc vc vc
ANSWER
osteomyelitis Remember: it is an acute or chronic infection of the bone usually caused by staphylococcu
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
s.
QUESTION 8 vc
When assessing the heart rate of a healthy 13-month-
vc vc vc vc vc vc vc vc
old child, which one of the following sites is the most appropriate for this child?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Apical pulse between the 3rd and 4th intercostal space in the left midclavicular line
vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 9 vc
In renal adaptation of the newborn, which one of the following statements is correct?
vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
, The kidneys have an inability to concentrate urine and adapt to fluid and electrolyte stress Remember:
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
neonates kidneys are structurally complete by physiologically immature.
vc vc vc vc vc vc vc
QUESTION 10 vc
Symptoms indicative of Shaken Baby Syndrome are related to:
vc vc vc vc vc vc vc vc
ANSWER
uncontrollable cerebral edema and hypoxia Remember: this leads to blindness, inability to perform prev
vc vc vc vc vc vc vc vc vc vc vc vc vc
iously learned milestones, and very flaccid muscle tone.
vc vc vc vc vc vc vc
QUESTION 11 vc
When assessing a 3-month-vc vc vc
old for development dysplasia of the hips (DDH), which one of the following symptoms w
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ould be suspicious of dysplasia?
vc vc vc vc
ANSWER
Limitation of abduction of the affected extremity, shortening of the femur and positive Ortolani's sign Re
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
member: Ortolani's sign is when the hip clicks when maneuvered. DDH also presents with asymmetry of
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the gluteal folds.
vc vc vc
QUESTION 12 vc
During assessment of a 3-month-
vc vc vc vc
old boy, an incomplete descent of the left testicle into the scrotum is noted. The practitio
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ner understands that:
vc vc
ANSWER
testicles should descend by 6 months of age
vc vc vc vc vc vc vc
QUESTION 13 vc
Presence of a heart murmur in a child would be considered organic if the child:
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
was a 2-year-old with a congenital heart defect
vc vc vc vc vc vc vc
QUESTION 14 vc
The most common cause of viral encephalitis in children is:
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ANSWER
