APEA Predictor – Final Week 2026 | Verified Nurse
Practitioner Exam Prep Questions and Answers
100% Verified
Question:
A 2month old infant is presented for examination and immunizations. History includes an
uncomplicated full-term delivery and hepatitis B virus immunization shortly after birth.
Examination is unremarkable except for a diffusely erythematous (not beet red) macular
rash in the diaper area., sparing the inguinal folds. No satellite lesions are noted . The
infant's rash is most likely caused by. A. Candida albicans infections. B. Eczema C.
Seborrheic dermatitis D. Contact dermatitis
Answer:
D. Contact dermatitis
Question:
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After
closed manipulation, the best indication of successful treatment is that: A. Swelling
dissipates immediately B. Pulse and sensation are restored C. The child quickly begins to
use the affected arm D. A click is felt while the child is extending and rotating the arm
Answer:
C. The child quickly begins to use the affected arm.
Question:
A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and loss of
appetite. The patient lives with several relatives, including a grandmother who also has a
cough. Which of the following diagnostic tests would be most appropriate for the patient? A.
throat culture B. sputum culture C. Mantoux (PPD) skin test D. Cold agglutinin test
Answer:
B. Sputum culture
,Question:
A 4-yo girl with a history of recurrent urinary tract infections returns for follow-up after
diagnosis of the most recent infection. During the physical exam, the 4 yo tells the nurse
practitioner that her brother (age 9) lies on top of her and rubs his penis in her pubic area.
After completing the physical exam, the nurse practitioner must: A. Discuss the child's report
with the mother B. Report suspicion's to the appropriate child protective services agency C.
Refer the case to a physician D. Suggest psychological counseling.
Answer:
B. Report suspicions to the appropriate child protective services agency.
Question:
A 6 yo had an acute onset of fever, pharyngitis, and headache 2 days ago. Today, he
presents with cervical lymphadenopathy and sandpaper textured rash everywhere except
on his face. A rapid streptococcal antigen test is positive. The remainder of the assessment
in unremarkable. What is the most likely diagnosis and the most appropriate action?
Answer:
Scarlet fever; treat with antibiotics. This disease is due to infection with Group A Beta-
hemolytic streptococcus. The rash is thought to be due to a systemic reaction to the toxin
produced by the microorganism. The rash fades with pressure and ultimately
desquamates. A deep, nonblanching rash on the flexor surfaces of the skin is referred to
as pastia lines.
Question:
An 8-mo male presents with hemarthrosis of both knees and hematuria. The parents give no
history of trauma, but say " he has always bruised easily" The most likely diagnosis is:
Answer:
A type of hemophilia. Hemophilia is usually diagnosed within the first year of life. It
commonly presents with hemarthrosis, bleeding into soft tissue, hematuria, and
prolonged bleeding times.
, Question:
An 8-month-old infant is admitted to the hospital because of failure to thrive. Which of these
actions should a nurse plan? a. Limit the parents' interactions with the infant. b. Consistently
assign the care of the infant to the same staff. c. Rotate assignments so that all staff can
evaluate the infant. d. Limit the infant's activity until the cause of the problem is identified.
Answer:
b. Consistently assign the care of the infant to the same staff.
Question:
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster
of tiny white papuls with an erythematous base on the buccal mucosa. What does this
suggest? A. Scarlet fever B. Rubella C. Erythema infectiosum D. Measles
Answer:
D. Measles
Question:
A 12-month-old child is playing with the father. Which of these behaviors indicates that the
child is demonstrating object permanence? a. The child transfers a toy to the other hand
when given another one. b. The child returns a block to the same spot on the table. c. The
child looks for a toy that the father has hidden under the table. d. The child recognizes that a
ball of clay is the same when flattened out.
Answer:
c. The child looks for a toy that the father has hidden under the table.
Practitioner Exam Prep Questions and Answers
100% Verified
Question:
A 2month old infant is presented for examination and immunizations. History includes an
uncomplicated full-term delivery and hepatitis B virus immunization shortly after birth.
Examination is unremarkable except for a diffusely erythematous (not beet red) macular
rash in the diaper area., sparing the inguinal folds. No satellite lesions are noted . The
infant's rash is most likely caused by. A. Candida albicans infections. B. Eczema C.
Seborrheic dermatitis D. Contact dermatitis
Answer:
D. Contact dermatitis
Question:
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After
closed manipulation, the best indication of successful treatment is that: A. Swelling
dissipates immediately B. Pulse and sensation are restored C. The child quickly begins to
use the affected arm D. A click is felt while the child is extending and rotating the arm
Answer:
C. The child quickly begins to use the affected arm.
Question:
A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and loss of
appetite. The patient lives with several relatives, including a grandmother who also has a
cough. Which of the following diagnostic tests would be most appropriate for the patient? A.
throat culture B. sputum culture C. Mantoux (PPD) skin test D. Cold agglutinin test
Answer:
B. Sputum culture
,Question:
A 4-yo girl with a history of recurrent urinary tract infections returns for follow-up after
diagnosis of the most recent infection. During the physical exam, the 4 yo tells the nurse
practitioner that her brother (age 9) lies on top of her and rubs his penis in her pubic area.
After completing the physical exam, the nurse practitioner must: A. Discuss the child's report
with the mother B. Report suspicion's to the appropriate child protective services agency C.
Refer the case to a physician D. Suggest psychological counseling.
Answer:
B. Report suspicions to the appropriate child protective services agency.
Question:
A 6 yo had an acute onset of fever, pharyngitis, and headache 2 days ago. Today, he
presents with cervical lymphadenopathy and sandpaper textured rash everywhere except
on his face. A rapid streptococcal antigen test is positive. The remainder of the assessment
in unremarkable. What is the most likely diagnosis and the most appropriate action?
Answer:
Scarlet fever; treat with antibiotics. This disease is due to infection with Group A Beta-
hemolytic streptococcus. The rash is thought to be due to a systemic reaction to the toxin
produced by the microorganism. The rash fades with pressure and ultimately
desquamates. A deep, nonblanching rash on the flexor surfaces of the skin is referred to
as pastia lines.
Question:
An 8-mo male presents with hemarthrosis of both knees and hematuria. The parents give no
history of trauma, but say " he has always bruised easily" The most likely diagnosis is:
Answer:
A type of hemophilia. Hemophilia is usually diagnosed within the first year of life. It
commonly presents with hemarthrosis, bleeding into soft tissue, hematuria, and
prolonged bleeding times.
, Question:
An 8-month-old infant is admitted to the hospital because of failure to thrive. Which of these
actions should a nurse plan? a. Limit the parents' interactions with the infant. b. Consistently
assign the care of the infant to the same staff. c. Rotate assignments so that all staff can
evaluate the infant. d. Limit the infant's activity until the cause of the problem is identified.
Answer:
b. Consistently assign the care of the infant to the same staff.
Question:
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster
of tiny white papuls with an erythematous base on the buccal mucosa. What does this
suggest? A. Scarlet fever B. Rubella C. Erythema infectiosum D. Measles
Answer:
D. Measles
Question:
A 12-month-old child is playing with the father. Which of these behaviors indicates that the
child is demonstrating object permanence? a. The child transfers a toy to the other hand
when given another one. b. The child returns a block to the same spot on the table. c. The
child looks for a toy that the father has hidden under the table. d. The child recognizes that a
ball of clay is the same when flattened out.
Answer:
c. The child looks for a toy that the father has hidden under the table.
