D119 NURS 6830
Pediatric Primary Care for the
Advanced Practice Nurse
Objective Assessment Review
2025
,Which of the following statements regarding adolescent substance use is true?
Selected Answer: d.
Most teen alcohol abusers are not "functional" alcoholics.
Question 3
1 out of 1 points
A child's head circumference is routinely measured on each well visit until what age?
Selected Answer: a.
2 years
Question 4
1 out of 1 points
What method can be safely used to remove cerumen in a 15-month-old child's ear?
Selected Answer: b.
Irrigation using warm water from a soft bulb syringe
Question 5
1 out of 1 points
Sandy, age 18 months, crosses her legs when lifted from behind rather than pulling them up. Her
legs are also hard to separate, making diaper changing difficult. She persistently uses only one hand.
What condition do you suspect?
Selected Answer: a.
Cerebral palsy
Question 6
,1 out of 1 points
Which of the following represents normal sequencing of development in a toddler?
Selected Answer: b.
Feeds self, can undress self with help, washes hands, imitates housework.
Question 7
1 out of 1 points
Epiglottitis has decreased due to which immunization?
Selected Answer: d.
Hib
Question 8
1 out of 1 points
A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife at home;
the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9 at 5 minutes.
He has breastfed well and has not required a health care professional visit since birth. Which of the
following vitamin deficiencies might explain his condition?
Selected Answer: b.
Vitamin K
Question 9
1 out of 1 points
I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I
can’t wave bye-bye yet. How old am I?
Selected Answer: a.
6 months
Question 10
, 0 out of 1 points
A 14-year old has ataxia. He is brought to the local emergency department, where he appears
euphoric, emotionally labile, and disoriented. Many notice his abusive language. Which of the
following agents is most likely responsible for his condition?
Selected Answer: b.
Barbituates
Question 11
1 out of 1 points
An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a
fever of 102.9 (F). Which important eye assessment do you need to consider?
Selected Answer: c.
Ocular mobility
Question 12
1 out of 1 points
You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower
lateral incisor bulges. You recommend:
Selected Answer: e.
A and D
Question 13
1 out of 1 points
You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would
suggest the child is not ready to start kindergarten in the fall?
Selected Answer: d.
Counts to 4 and draws a person with three parts.
Pediatric Primary Care for the
Advanced Practice Nurse
Objective Assessment Review
2025
,Which of the following statements regarding adolescent substance use is true?
Selected Answer: d.
Most teen alcohol abusers are not "functional" alcoholics.
Question 3
1 out of 1 points
A child's head circumference is routinely measured on each well visit until what age?
Selected Answer: a.
2 years
Question 4
1 out of 1 points
What method can be safely used to remove cerumen in a 15-month-old child's ear?
Selected Answer: b.
Irrigation using warm water from a soft bulb syringe
Question 5
1 out of 1 points
Sandy, age 18 months, crosses her legs when lifted from behind rather than pulling them up. Her
legs are also hard to separate, making diaper changing difficult. She persistently uses only one hand.
What condition do you suspect?
Selected Answer: a.
Cerebral palsy
Question 6
,1 out of 1 points
Which of the following represents normal sequencing of development in a toddler?
Selected Answer: b.
Feeds self, can undress self with help, washes hands, imitates housework.
Question 7
1 out of 1 points
Epiglottitis has decreased due to which immunization?
Selected Answer: d.
Hib
Question 8
1 out of 1 points
A 2-day-old infant has significant nasal and rectal bleeding. He was delivered by a midwife at home;
the pregnancy was without complications. His Apgar scores were 9 at 1 minute and 9 at 5 minutes.
He has breastfed well and has not required a health care professional visit since birth. Which of the
following vitamin deficiencies might explain his condition?
Selected Answer: b.
Vitamin K
Question 9
1 out of 1 points
I can roll over, grasp a rattle, and reach for things and have begun feeding myself finger foods, but I
can’t wave bye-bye yet. How old am I?
Selected Answer: a.
6 months
Question 10
, 0 out of 1 points
A 14-year old has ataxia. He is brought to the local emergency department, where he appears
euphoric, emotionally labile, and disoriented. Many notice his abusive language. Which of the
following agents is most likely responsible for his condition?
Selected Answer: b.
Barbituates
Question 11
1 out of 1 points
An 8-year-old female has an edematous, mildly erythematous right upper eyelid for 2 days with a
fever of 102.9 (F). Which important eye assessment do you need to consider?
Selected Answer: c.
Ocular mobility
Question 12
1 out of 1 points
You see a 5-month-old who is fussy, has interrupted sleep, and is drooling. You note large lower
lateral incisor bulges. You recommend:
Selected Answer: e.
A and D
Question 13
1 out of 1 points
You are doing a kindergarten physical on a 5-year-old girl. Which of the following scenarios would
suggest the child is not ready to start kindergarten in the fall?
Selected Answer: d.
Counts to 4 and draws a person with three parts.
