NUR 634 APEA EXAM 2024. (65/65 QUESTIONS AND ANSWERS).
APEA QUESTIONBANK PEDS – NUR 634.
Children with type 1 DM usually present with which one of the following:
Correct Answer: Polyuria (classic s/s are the 3ps plus weight loss)
Sickle cell anemia presents w/ history of sudden onset rapid breathing w/ LUQ tenderness; most likely
experiencing:
Correct Answer: Sequestration crisis (RBC trapping, or spleen enlargement in LUQ)
Which of the following statements is true about immunity:
Correct Answer: Infants acquire active immunity in response to infections and immunizations (passive
immunity from mother dissipates around 6mo of age)
The NP differentiates physiologic jaundice from pathologic jaundice by assessing:
Correct Answer: Timing of the onset of jaundice (physiologic after 24hrs; pathologic before 24hrs of
age)
A six-year-old has a hx of DM T1 and is now experiencing cellulitis of the RLE. Child presents with
deep, rapid, unlabored respirations, fruity odor, and dry skin.
Correct Answer: Ketoacidosis (that fruity breath, every time = DKA) (cellulitis was a throw-off
attempt)
A 13-yr old girl presents with c/o insomnia and hyperactivity along with gradual wt loss despite a good
appetite. She has warm, flushed, and moist skin and unusually fine hair. These manifestations are
indicative of what:
Correct Answer: Hyperthyroidism
In which of the following situations would a 1-yr old child be at risk for lead poisoning: Correct
Answer: Refinishing of all painted woodwork recently in the child’s home (may contain lead esp in
older homes, and during refinishing as paint is scraped off)
Which of the following statements made by a parent would alert the NP to suspect autism spectrum
disorder?
Correct Answer: He seems to be speaking less and less (communication difficulties are common; loss
of language abilities common if early interventions not started that encourage
communication/language)
An infant weighed 8lbs at birth, according to principles of normal growth and development, how
much should he weigh at 12 months of age?
Correct Answer: 24 pounds at 1 year (double at 6mo, triple at 12mo)
At what age is it normal for a child to pick up objects using the palm of the hand only?
Correct Answer: 6 months of age (palmar grasp 4-6mo old)
Blue sclera, weak muscles, increased joint flexibility during a newborn assessment may be suggestive
of:
Correct Answer: Osteogenesis imperfect
, Which examination finding is defined as congenital ventral displacement of the meatus of the penis:
Correct Answer: Hypospadias (saw this on a guy unexpectedly once, before I knew what it was... omg
I was so confused)
When auscultating the apex of the heart in an 8-yr old, the bell of the stethoscope should be placed at
the:
Correct Answer: Fifth intercostal space to the left of the midclavicular line (under 7yrs old)
Which of the following substances is found in the urine of a child suspected of having post
streptococcal glomerulonephritis:
Correct Answer: Blood & protein
Undescended testes in a young male is termed:
Correct Answer: Cryptorchidism
When performing a CV assessment on a healthy 2-yr old:
Correct Answer: Auscultate the heart sounds in all four cardiac areas (all valves)
The four classic structural defects of Tetralogy of Fallout include:
Correct Answer: A ventricle septal defect, an overriding aorta, pulmonary stenosis, and right
ventricular hypertrophy
A disparity between brachial and femoral pulses in a 4-mo old could indicate: Correct Answer:
Coarctation of the aorta (COA) (narrowing of descending aorta, decreases blood flow to lower
extremities)
Anticipatory guidance for the family of a pre-adolescent with a cognitive impairment should include
information about:
Correct Answer: Sexual development (normal sexual development possible w/o age appropriate
emotional/cognitive abilities)
A pediatric patient presents with erythema marginatum, chorea, and a heart murmur. These are
consistent with:
Correct Answer: Rheumatic heart disease (typically preceded by hx of recent strep infection)
Which developmental area is predominantly affected by lead poisoning:
Correct Answer: Cognition
The hemodynamic changes resulting from structural defects in children can lead to heart failure. The
most common reason for these:
Correct Answer: Volume and pressure overload resulting in decreased cardiac output (2 most
common causes of structural changes, they result in lower CO)
Which of the following pt positions would be least beneficial to examine genitals of young female
child:
Correct Answer: Have child sit cross-legged on exam table (try parent’s lap with knees apart, supine,
or knee-chest positions)
A 6-yr old male c/o ankle pain and difficulty walking but denies any recent injuries. Findings reveal
ankle tenderness, decreased mobility and ROM. Temp is 102 deg F:
APEA QUESTIONBANK PEDS – NUR 634.
Children with type 1 DM usually present with which one of the following:
Correct Answer: Polyuria (classic s/s are the 3ps plus weight loss)
Sickle cell anemia presents w/ history of sudden onset rapid breathing w/ LUQ tenderness; most likely
experiencing:
Correct Answer: Sequestration crisis (RBC trapping, or spleen enlargement in LUQ)
Which of the following statements is true about immunity:
Correct Answer: Infants acquire active immunity in response to infections and immunizations (passive
immunity from mother dissipates around 6mo of age)
The NP differentiates physiologic jaundice from pathologic jaundice by assessing:
Correct Answer: Timing of the onset of jaundice (physiologic after 24hrs; pathologic before 24hrs of
age)
A six-year-old has a hx of DM T1 and is now experiencing cellulitis of the RLE. Child presents with
deep, rapid, unlabored respirations, fruity odor, and dry skin.
Correct Answer: Ketoacidosis (that fruity breath, every time = DKA) (cellulitis was a throw-off
attempt)
A 13-yr old girl presents with c/o insomnia and hyperactivity along with gradual wt loss despite a good
appetite. She has warm, flushed, and moist skin and unusually fine hair. These manifestations are
indicative of what:
Correct Answer: Hyperthyroidism
In which of the following situations would a 1-yr old child be at risk for lead poisoning: Correct
Answer: Refinishing of all painted woodwork recently in the child’s home (may contain lead esp in
older homes, and during refinishing as paint is scraped off)
Which of the following statements made by a parent would alert the NP to suspect autism spectrum
disorder?
Correct Answer: He seems to be speaking less and less (communication difficulties are common; loss
of language abilities common if early interventions not started that encourage
communication/language)
An infant weighed 8lbs at birth, according to principles of normal growth and development, how
much should he weigh at 12 months of age?
Correct Answer: 24 pounds at 1 year (double at 6mo, triple at 12mo)
At what age is it normal for a child to pick up objects using the palm of the hand only?
Correct Answer: 6 months of age (palmar grasp 4-6mo old)
Blue sclera, weak muscles, increased joint flexibility during a newborn assessment may be suggestive
of:
Correct Answer: Osteogenesis imperfect
, Which examination finding is defined as congenital ventral displacement of the meatus of the penis:
Correct Answer: Hypospadias (saw this on a guy unexpectedly once, before I knew what it was... omg
I was so confused)
When auscultating the apex of the heart in an 8-yr old, the bell of the stethoscope should be placed at
the:
Correct Answer: Fifth intercostal space to the left of the midclavicular line (under 7yrs old)
Which of the following substances is found in the urine of a child suspected of having post
streptococcal glomerulonephritis:
Correct Answer: Blood & protein
Undescended testes in a young male is termed:
Correct Answer: Cryptorchidism
When performing a CV assessment on a healthy 2-yr old:
Correct Answer: Auscultate the heart sounds in all four cardiac areas (all valves)
The four classic structural defects of Tetralogy of Fallout include:
Correct Answer: A ventricle septal defect, an overriding aorta, pulmonary stenosis, and right
ventricular hypertrophy
A disparity between brachial and femoral pulses in a 4-mo old could indicate: Correct Answer:
Coarctation of the aorta (COA) (narrowing of descending aorta, decreases blood flow to lower
extremities)
Anticipatory guidance for the family of a pre-adolescent with a cognitive impairment should include
information about:
Correct Answer: Sexual development (normal sexual development possible w/o age appropriate
emotional/cognitive abilities)
A pediatric patient presents with erythema marginatum, chorea, and a heart murmur. These are
consistent with:
Correct Answer: Rheumatic heart disease (typically preceded by hx of recent strep infection)
Which developmental area is predominantly affected by lead poisoning:
Correct Answer: Cognition
The hemodynamic changes resulting from structural defects in children can lead to heart failure. The
most common reason for these:
Correct Answer: Volume and pressure overload resulting in decreased cardiac output (2 most
common causes of structural changes, they result in lower CO)
Which of the following pt positions would be least beneficial to examine genitals of young female
child:
Correct Answer: Have child sit cross-legged on exam table (try parent’s lap with knees apart, supine,
or knee-chest positions)
A 6-yr old male c/o ankle pain and difficulty walking but denies any recent injuries. Findings reveal
ankle tenderness, decreased mobility and ROM. Temp is 102 deg F:
