APEA Management Pediatrics Actual Exam
|Questions with Verified Answers| Latest
2025/2026 Update.
A mother of a 4-week-old infant visits your office. She states that her baby is
vomiting after feeding and then cries as if he is hungry again. What should
the nurse practitioner assess?
Image 1
His abdomen for an olive shaped mass
His rectum for patency
His swallowing ability
The position his mother uses when she feeds
him✔✔CORRECTANSWERS✔✔His abdomen for an olive shaped mass
The nurse practitioner identifies satellite lesions in a 6-month-old infant.
These are:
Image 1
worrisome in an infant this age.
indicative of candidal infection.
found in the axilla bilaterally.
completely benign lesions present at
birth.✔✔CORRECTANSWERS✔✔indicative of candidal infection.
,Which suggestion below is the standard for treating iron deficiency anemia
in infants and children?
Iron supplementation in divided doses between meals with orange juice
Iron supplementation once daily with the largest meal
Meat >5 servings per week with citrus juice
Iron supplementation with orange juice 5 times
weekly✔✔CORRECTANSWERS✔✔Iron supplementation in divided doses
between meals with orange juice
The pneumococcal immunization in infants has:
decreased the episodes of acute otitis media due to H. flu.
shifted the pathogenesis to fewer cases of S. pneumoniae.
eradicated acute otitis media due to S. pneumoniae.
improved the prognosis of acute otitis
media.✔✔CORRECTANSWERS✔✔shifted the pathogenesis to fewer cases of
S. pneumoniae.
What would be age appropriate anticipatory guidance for the parent of a 9-
month-old infant?
Keep syrup of ipecac in case of accidental poisoning.
Stranger anxiety will develop by a year of age.
Your baby should be able to say 10 words before age 1 year.
Discuss weaning from a bottle✔✔CORRECTANSWERS✔✔Discuss weaning
from a bottle
,Which reflex may be present at 9 months of age during sleep?
Moro reflex
Rooting
Stepping
Tonic neck✔✔CORRECTANSWERS✔✔Rooting
may be present during sleep up to 12 months, usually disappears by 3
months of age when awake
A 3-day-old full-term infant has a bilirubin level of 16 mg/dL. How should
this be managed?
Monitor only
Increase fluids and stop breastfeeding
Increase breastfeeding
Order phototherapy for the infant✔✔CORRECTANSWERS✔✔Order
phototherapy for the infant
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.
not receive varicella today because he is not old enough.
, receive MMR only today, not varicella.✔✔CORRECTANSWERS✔✔be given
the vaccine.
Clubfoot:
always requires an urgent neurosurgical referral.
involves the foot and lower extremity.
involves the foot only.
can be treated with corrective shoes and
exercises.✔✔CORRECTANSWERS✔✔involves the foot and lower extremity
A child with a sandpaper-textured rash probably has:
Image 1
rubeola.
Strept infection.
varicella.
roseola.✔✔CORRECTANSWERS✔✔Strept infection.
What is the usual age for vision screening in young children?
2 years
3 years
4 years
5 years✔✔CORRECTANSWERS✔✔3 years
|Questions with Verified Answers| Latest
2025/2026 Update.
A mother of a 4-week-old infant visits your office. She states that her baby is
vomiting after feeding and then cries as if he is hungry again. What should
the nurse practitioner assess?
Image 1
His abdomen for an olive shaped mass
His rectum for patency
His swallowing ability
The position his mother uses when she feeds
him✔✔CORRECTANSWERS✔✔His abdomen for an olive shaped mass
The nurse practitioner identifies satellite lesions in a 6-month-old infant.
These are:
Image 1
worrisome in an infant this age.
indicative of candidal infection.
found in the axilla bilaterally.
completely benign lesions present at
birth.✔✔CORRECTANSWERS✔✔indicative of candidal infection.
,Which suggestion below is the standard for treating iron deficiency anemia
in infants and children?
Iron supplementation in divided doses between meals with orange juice
Iron supplementation once daily with the largest meal
Meat >5 servings per week with citrus juice
Iron supplementation with orange juice 5 times
weekly✔✔CORRECTANSWERS✔✔Iron supplementation in divided doses
between meals with orange juice
The pneumococcal immunization in infants has:
decreased the episodes of acute otitis media due to H. flu.
shifted the pathogenesis to fewer cases of S. pneumoniae.
eradicated acute otitis media due to S. pneumoniae.
improved the prognosis of acute otitis
media.✔✔CORRECTANSWERS✔✔shifted the pathogenesis to fewer cases of
S. pneumoniae.
What would be age appropriate anticipatory guidance for the parent of a 9-
month-old infant?
Keep syrup of ipecac in case of accidental poisoning.
Stranger anxiety will develop by a year of age.
Your baby should be able to say 10 words before age 1 year.
Discuss weaning from a bottle✔✔CORRECTANSWERS✔✔Discuss weaning
from a bottle
,Which reflex may be present at 9 months of age during sleep?
Moro reflex
Rooting
Stepping
Tonic neck✔✔CORRECTANSWERS✔✔Rooting
may be present during sleep up to 12 months, usually disappears by 3
months of age when awake
A 3-day-old full-term infant has a bilirubin level of 16 mg/dL. How should
this be managed?
Monitor only
Increase fluids and stop breastfeeding
Increase breastfeeding
Order phototherapy for the infant✔✔CORRECTANSWERS✔✔Order
phototherapy for the infant
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.
not receive varicella today because he is not old enough.
, receive MMR only today, not varicella.✔✔CORRECTANSWERS✔✔be given
the vaccine.
Clubfoot:
always requires an urgent neurosurgical referral.
involves the foot and lower extremity.
involves the foot only.
can be treated with corrective shoes and
exercises.✔✔CORRECTANSWERS✔✔involves the foot and lower extremity
A child with a sandpaper-textured rash probably has:
Image 1
rubeola.
Strept infection.
varicella.
roseola.✔✔CORRECTANSWERS✔✔Strept infection.
What is the usual age for vision screening in young children?
2 years
3 years
4 years
5 years✔✔CORRECTANSWERS✔✔3 years
