Apea Health Promotion Questions
QBank 2026
An infant learns to move the shoulders before learning to control fine finger
movement. This is an example of which type of developmental progression?
General to specific
Central to peripheral
Cephalocaudal
Proximodistal - Answer-Proximodistal
Which one of the following moral developmental tasks would be concerning if a
15-year-old patient were NOT demonstrating it?
Delays gratification
Develops ideals
Demonstrates self-reliance
Displays personal dignity - Answer-Develops ideals
A 5-year-old boy is being evaluated for concerns about developmental delay. On
exam, the boy can write his first name but not his last, and he can dress himself
but cannot tie his shoes. The most appropriate management decision is to:
refer the child to physical therapy.
refer the child to occupational therapy.
inform the parent that her son meets all developmental milestones for his age.
refer the child to a developmental specialist. - Answer-inform the parent that her
son meets all developmental milestones for his age.
,Which of the following is a priority to address if a 6-month-old is unable to
perform it?
Crawls 5 feet
Sits without support
Works for a toy
Rakes raisin using fingers - Answer-Works for a toy
others are 9 month
Which of the following is a priority to address if a 3-year-old is unable to perform
it?
Draw a circle
Draw an "X"
Draw a person with three body parts
Hop on one foot - Answer-Draw a circle
Which of the following is a priority to address if a 10-year-old is unable to perform
it?
Use critical thinking in schoolwork
Use logic to debate others
Able to resume a task after an interruption
Understand information they have memorized - Answer-Able to resume a task
after an interruption
,A 3-year-old child is not up-to-date on immunizations. Four weeks ago, the child
received the following vaccines for the first time: DTap, Hib, hepatitis A, hepatitis
B, IPV, PCV, MMR, and varicella. What vaccines should the child receive today?
DTaP, Hib, hepatitis B, PCV
DTaP, hepatitis A, hepatitis B, IPV, PCV, MMR
DTaP, hepatitis B, IPV
DTaP, Hib, hepatitis A, IPV, PCV - Answer-DTaP, hepatitis B, IPV
Newborns are classified according to their gestational age and weight. A newborn
delivered between 34 and 36 weeks' gestation is considered:
preterm.
late preterm.
term.
postterm. - Answer-late preterm.
According to the American Academy of Pediatrics Bright Futures
recommendations, the following topic should be discussed at every routine visit:
nutrition.
school performance.
depression.
physical activity for 60 minutes a day. - Answer-nutrition.
What anticipatory guidance should be included in the education of an 11-year-old
at their checkup?
Discuss rules and consequences, developing a sense of identity, and whether it is
safe to sit in the front seat of a car
, Development of a sense of identity, whether it is safe to sit in the front seat of a
car, and nutrition
Emotional well-being, nutrition, finding ways to deal with stress
Start the discussion about online safety, then encourage self-responsibility and
good nutrition - Answer-Emotional well-being, nutrition, finding ways to deal with
stress
At what age does an infant understand the word "no"?
4 months
6 months
9 months
12 months - Answer-9 months
The nurse practitioner is following up with a 3.5-year-old girl who was able to put
on a shirt but unable to copy a circle or use scissors at her checkup 6 months ago.
Since then, her mother has been working with her at home. Today, she can copy a
circle, use scissors, and brush her teeth, but she is unable to fully dress herself,
copy a square, or wiggle her thumbs. The nurse practitioner decides:
to continue to have the parent work with her to catch up on her milestones.
to refer the patient for physical therapy.
to do nothing at this time; the parent has helped the patient meet developmental
milestones.
to refer the patient to a developmental specialist. - Answer-to do nothing at this
time; the parent has helped the patient meet developmental milestones.
A 4-year-old girl can jump and throw a ball underhand, but she is unable to dress
and undress herself without help. How should the nurse practitioner respond?
QBank 2026
An infant learns to move the shoulders before learning to control fine finger
movement. This is an example of which type of developmental progression?
General to specific
Central to peripheral
Cephalocaudal
Proximodistal - Answer-Proximodistal
Which one of the following moral developmental tasks would be concerning if a
15-year-old patient were NOT demonstrating it?
Delays gratification
Develops ideals
Demonstrates self-reliance
Displays personal dignity - Answer-Develops ideals
A 5-year-old boy is being evaluated for concerns about developmental delay. On
exam, the boy can write his first name but not his last, and he can dress himself
but cannot tie his shoes. The most appropriate management decision is to:
refer the child to physical therapy.
refer the child to occupational therapy.
inform the parent that her son meets all developmental milestones for his age.
refer the child to a developmental specialist. - Answer-inform the parent that her
son meets all developmental milestones for his age.
,Which of the following is a priority to address if a 6-month-old is unable to
perform it?
Crawls 5 feet
Sits without support
Works for a toy
Rakes raisin using fingers - Answer-Works for a toy
others are 9 month
Which of the following is a priority to address if a 3-year-old is unable to perform
it?
Draw a circle
Draw an "X"
Draw a person with three body parts
Hop on one foot - Answer-Draw a circle
Which of the following is a priority to address if a 10-year-old is unable to perform
it?
Use critical thinking in schoolwork
Use logic to debate others
Able to resume a task after an interruption
Understand information they have memorized - Answer-Able to resume a task
after an interruption
,A 3-year-old child is not up-to-date on immunizations. Four weeks ago, the child
received the following vaccines for the first time: DTap, Hib, hepatitis A, hepatitis
B, IPV, PCV, MMR, and varicella. What vaccines should the child receive today?
DTaP, Hib, hepatitis B, PCV
DTaP, hepatitis A, hepatitis B, IPV, PCV, MMR
DTaP, hepatitis B, IPV
DTaP, Hib, hepatitis A, IPV, PCV - Answer-DTaP, hepatitis B, IPV
Newborns are classified according to their gestational age and weight. A newborn
delivered between 34 and 36 weeks' gestation is considered:
preterm.
late preterm.
term.
postterm. - Answer-late preterm.
According to the American Academy of Pediatrics Bright Futures
recommendations, the following topic should be discussed at every routine visit:
nutrition.
school performance.
depression.
physical activity for 60 minutes a day. - Answer-nutrition.
What anticipatory guidance should be included in the education of an 11-year-old
at their checkup?
Discuss rules and consequences, developing a sense of identity, and whether it is
safe to sit in the front seat of a car
, Development of a sense of identity, whether it is safe to sit in the front seat of a
car, and nutrition
Emotional well-being, nutrition, finding ways to deal with stress
Start the discussion about online safety, then encourage self-responsibility and
good nutrition - Answer-Emotional well-being, nutrition, finding ways to deal with
stress
At what age does an infant understand the word "no"?
4 months
6 months
9 months
12 months - Answer-9 months
The nurse practitioner is following up with a 3.5-year-old girl who was able to put
on a shirt but unable to copy a circle or use scissors at her checkup 6 months ago.
Since then, her mother has been working with her at home. Today, she can copy a
circle, use scissors, and brush her teeth, but she is unable to fully dress herself,
copy a square, or wiggle her thumbs. The nurse practitioner decides:
to continue to have the parent work with her to catch up on her milestones.
to refer the patient for physical therapy.
to do nothing at this time; the parent has helped the patient meet developmental
milestones.
to refer the patient to a developmental specialist. - Answer-to do nothing at this
time; the parent has helped the patient meet developmental milestones.
A 4-year-old girl can jump and throw a ball underhand, but she is unable to dress
and undress herself without help. How should the nurse practitioner respond?
