NR 661 APEA Health Promotion Exam 2025|
Actual Exam Questions and Correct Answers
Question 1: 12-month-old exposed to chickenpox a week ago, varicella immunization
recommendation:
A) Be given the vaccine
B) Wait 4 weeks to receive the vaccine
C) Not receive varicella today because he is not old enough
D) Receive MMR only today, not varicella
Correct Answer: A) Be given the vaccine
Explanation: The CDC recommends varicella vaccination at 12 months. Recent exposure does
not contraindicate vaccination; it may still provide protection if administered within 3–5 days of
exposure, though efficacy may be reduced.
Question 2: Usual age for vision screening in young children:
A) 2 years
B) 3 years
C) 4 years
D) 5 years
Correct Answer: B) 3 years
Explanation: The American Academy of Pediatrics (AAP) recommends routine vision screening
starting at age 3 to detect amblyopia and other vision issues, using tools like picture charts.
Question 3: Octogenarian asking about evening alcoholic beverage, no contraindications:
A) Yes, but not more than 4 days/week
B) Yes, but not more than 1-2 drinks/day
C) No, you will increase your risk of falling and injury
D) It depends on the type of alcohol you would like to consume
Correct Answer: B) Yes, but not more than 1-2 drinks/day
,Explanation: For healthy older adults, moderate alcohol consumption (1–2 drinks/day for men, 1
for women) is generally safe, per NIAAA guidelines, unless contraindicated by medications or
health conditions.
Question 4: Tanner stage for average 8-year-old male:
A) Stage 0
B) Stage 1
C) Stage 2
D) Stage 3
Correct Answer: B) Stage 1
Explanation: Tanner Stage 1 is prepubertal, typical for an 8-year-old male, with no signs of
pubertal development (e.g., testicular enlargement begins at Stage 2, around age 9–11).
Question 5: CDC recommendation for zoster vaccine:
A) Give to immunocompetent adults 60 and older
B) Give to immunocompetent adults 65 and older
C) Give regardless of immune status at age 50
D) Give regardless of immune status at age 60
Correct Answer: C) Give regardless of immune status at age 50
Explanation: The CDC recommends Shingrix for adults ≥50, regardless of immune status or
prior shingles history, to prevent herpes zoster and its complications.
Question 6: Earliest age to copy a triangle, know colors, and count on fingers:
A) 3 years
B) 4 years
C) 5 years
D) 6 years
Correct Answer: C) 5 years
Explanation: By age 5, children typically can copy a triangle, recognize colors, and count on
fingers, per developmental milestones (AAP and Denver II).
, Question 7: 3-day-old infant, birth weight 8 lbs, now 7.5 lbs:
A) Assess for cardiac anomaly
B) Add an extra feeding in the AM and PM
C) Have the mother return to reweigh the baby in 1 week
D) Continue feeding every 2-4 hours
Correct Answer: D) Continue feeding every 2-4 hours
Explanation: A weight loss of up to 10% in the first week is normal for newborns. Continued
feeding every 2–4 hours supports weight regain; no immediate intervention is needed unless
other concerns arise.
Question 8: Babies up to one year of age are called:
A) Newborns
B) Toddlers
C) Newbies
D) Infants
Correct Answer: D) Infants
Explanation: Infants are children from birth to 1 year; newborns are specifically the first 28
days.
Question 9: American Cancer Society prostate screening for 45-year-old, average risk:
A) Screening starting at 50 years
B) PSA now
C) PSA and DRE now
D) DRE only
Correct Answer: A) Screening starting at 50 years
Explanation: The ACS recommends prostate cancer screening (PSA with/without DRE) starting
at age 50 for average-risk men, after informed decision-making.
Question 10: Decreasing risk of acute otitis media (AOM) in a 6-month-old:
Actual Exam Questions and Correct Answers
Question 1: 12-month-old exposed to chickenpox a week ago, varicella immunization
recommendation:
A) Be given the vaccine
B) Wait 4 weeks to receive the vaccine
C) Not receive varicella today because he is not old enough
D) Receive MMR only today, not varicella
Correct Answer: A) Be given the vaccine
Explanation: The CDC recommends varicella vaccination at 12 months. Recent exposure does
not contraindicate vaccination; it may still provide protection if administered within 3–5 days of
exposure, though efficacy may be reduced.
Question 2: Usual age for vision screening in young children:
A) 2 years
B) 3 years
C) 4 years
D) 5 years
Correct Answer: B) 3 years
Explanation: The American Academy of Pediatrics (AAP) recommends routine vision screening
starting at age 3 to detect amblyopia and other vision issues, using tools like picture charts.
Question 3: Octogenarian asking about evening alcoholic beverage, no contraindications:
A) Yes, but not more than 4 days/week
B) Yes, but not more than 1-2 drinks/day
C) No, you will increase your risk of falling and injury
D) It depends on the type of alcohol you would like to consume
Correct Answer: B) Yes, but not more than 1-2 drinks/day
,Explanation: For healthy older adults, moderate alcohol consumption (1–2 drinks/day for men, 1
for women) is generally safe, per NIAAA guidelines, unless contraindicated by medications or
health conditions.
Question 4: Tanner stage for average 8-year-old male:
A) Stage 0
B) Stage 1
C) Stage 2
D) Stage 3
Correct Answer: B) Stage 1
Explanation: Tanner Stage 1 is prepubertal, typical for an 8-year-old male, with no signs of
pubertal development (e.g., testicular enlargement begins at Stage 2, around age 9–11).
Question 5: CDC recommendation for zoster vaccine:
A) Give to immunocompetent adults 60 and older
B) Give to immunocompetent adults 65 and older
C) Give regardless of immune status at age 50
D) Give regardless of immune status at age 60
Correct Answer: C) Give regardless of immune status at age 50
Explanation: The CDC recommends Shingrix for adults ≥50, regardless of immune status or
prior shingles history, to prevent herpes zoster and its complications.
Question 6: Earliest age to copy a triangle, know colors, and count on fingers:
A) 3 years
B) 4 years
C) 5 years
D) 6 years
Correct Answer: C) 5 years
Explanation: By age 5, children typically can copy a triangle, recognize colors, and count on
fingers, per developmental milestones (AAP and Denver II).
, Question 7: 3-day-old infant, birth weight 8 lbs, now 7.5 lbs:
A) Assess for cardiac anomaly
B) Add an extra feeding in the AM and PM
C) Have the mother return to reweigh the baby in 1 week
D) Continue feeding every 2-4 hours
Correct Answer: D) Continue feeding every 2-4 hours
Explanation: A weight loss of up to 10% in the first week is normal for newborns. Continued
feeding every 2–4 hours supports weight regain; no immediate intervention is needed unless
other concerns arise.
Question 8: Babies up to one year of age are called:
A) Newborns
B) Toddlers
C) Newbies
D) Infants
Correct Answer: D) Infants
Explanation: Infants are children from birth to 1 year; newborns are specifically the first 28
days.
Question 9: American Cancer Society prostate screening for 45-year-old, average risk:
A) Screening starting at 50 years
B) PSA now
C) PSA and DRE now
D) DRE only
Correct Answer: A) Screening starting at 50 years
Explanation: The ACS recommends prostate cancer screening (PSA with/without DRE) starting
at age 50 for average-risk men, after informed decision-making.
Question 10: Decreasing risk of acute otitis media (AOM) in a 6-month-old:
