APEA PEDIATRICS ACTUAL EXAM PAPER
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
●● A 13 month old child received the varicella vaccine two weeks ago.
How long must she wait before receiving the MMR vaccine? Answer:
Two weeks
●● How long does the CDC recommend monitoring after giving a child
an immunization? Answer: 15 minutes
●● An infant is due to receive three vaccines at their four-month well
visit. The infants caregiver asks if they can schedule the immunization
appointment when the infant is 3 1/2 months old. Which of the following
should the NP tell the caregiver Answer: Vaccines given more than five
days early are not considered valid doses
●● A four month old patient will be traveling with his parents to South
Africa. What is the best way for the nurse practitioner to learn which
vaccines are needed prior to travel? Answer: Review cdc.gov
information
●● An initial visit is scheduled for a four-year-old. When asked to bring
an immunization record, the caregiver states that the child has not been
immunized according to the CDC how should the situation be handled?
, Answer: Schedule the child and defer discussion about vaccines until a
therapeutic relationship is established
●● A six-year-old child is brought to the clinic for the the first time. The
caregivers report no knowledge of the child's vaccine history. Which of
the following action should the NP take? Answer: 1. Perform tiers for
antibodies to vaccine preventable illnesses.
2. Re-vaccinate the child as if they have never been vaccinated.
The answer is both one and two
●● On examination of child's tympanic membrane is red, but not
bulging or immobile. What does this mean? Answer: This is not a
clinically significant finding
●● A nurse practitioner is examining an ill eight-year-old patient and
notices raised, red papillae on the tongue. Which of the following is the
most common cause of this? Answer: Strep throat
●● A parent is concerned that their child is being bullied. Which of the
following may be signs that a child is being bullied. Answer: 1. The
child frequently complains of health problems, such as headaches or
stomach aches.
2. The child is depressed or anxious.
3. The child has begun using recreational drugs.
4. The child's school performance has declined
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
●● A 13 month old child received the varicella vaccine two weeks ago.
How long must she wait before receiving the MMR vaccine? Answer:
Two weeks
●● How long does the CDC recommend monitoring after giving a child
an immunization? Answer: 15 minutes
●● An infant is due to receive three vaccines at their four-month well
visit. The infants caregiver asks if they can schedule the immunization
appointment when the infant is 3 1/2 months old. Which of the following
should the NP tell the caregiver Answer: Vaccines given more than five
days early are not considered valid doses
●● A four month old patient will be traveling with his parents to South
Africa. What is the best way for the nurse practitioner to learn which
vaccines are needed prior to travel? Answer: Review cdc.gov
information
●● An initial visit is scheduled for a four-year-old. When asked to bring
an immunization record, the caregiver states that the child has not been
immunized according to the CDC how should the situation be handled?
, Answer: Schedule the child and defer discussion about vaccines until a
therapeutic relationship is established
●● A six-year-old child is brought to the clinic for the the first time. The
caregivers report no knowledge of the child's vaccine history. Which of
the following action should the NP take? Answer: 1. Perform tiers for
antibodies to vaccine preventable illnesses.
2. Re-vaccinate the child as if they have never been vaccinated.
The answer is both one and two
●● On examination of child's tympanic membrane is red, but not
bulging or immobile. What does this mean? Answer: This is not a
clinically significant finding
●● A nurse practitioner is examining an ill eight-year-old patient and
notices raised, red papillae on the tongue. Which of the following is the
most common cause of this? Answer: Strep throat
●● A parent is concerned that their child is being bullied. Which of the
following may be signs that a child is being bullied. Answer: 1. The
child frequently complains of health problems, such as headaches or
stomach aches.
2. The child is depressed or anxious.
3. The child has begun using recreational drugs.
4. The child's school performance has declined
