Peds (APEA) Questions with Verified
Answers
Hep A immunization schedule - ANSWERSFirst dose at 1 year, second dose after 6
months
Hep B immunization schedule - ANSWERS3 doses: 0, 1-2 months, 6-18 months after
1st
You are caring for a newborn whose mother is known to be HBsAg (+). How should this
be handled? - ANSWERSAdminister Hep B vaccine and Hep B immunoglobulin within
12 hrs of birth
How many doses are in the DTaP series? - ANSWERS5
Tdap in pregnancy - ANSWERS1 dose of tdap during each pregnancy, preferably at 27-
36 wks
PCV vaccine amount - ANSWERS4 doses
Fever or rash after receiving a live attenuated immunization indicates? -
ANSWERSReaction to a viral replication, not the vaccine
Examples of live attenudated vaccines - ANSWERSMMR
Varicella
MMR and varicella immunization schedule - ANSWERSAt 12 months (can be on the
same day), then must wait one month for second
Earliest age to receive flu vaccine - ANSWERS>6 months
A mother reports that her one year old child has an allergy to eggs that produces hives.
How should this be handled? - ANSWERSInfluenza vaccine should be given
Is it ok to give influenza to a patient who has experienced an allergic reaction and signs
of angioedema, respiratory distress? - ANSWERSYes, under the supervision of a HCP
who can manage severe allergic reactions
A 15 year old patient who is sexually active is in your clinic to receive her first HPV
vaccine. How should the NP handle this? - ANSWERSAdminister today without
checking pregnancy status
CDC recommends monitoring a child after immunization for: - ANSWERS15 mins
, When is diabetes usually diagnosed in kids? - ANSWERSDuring puberty
Managing ADHD preschool v. school-age - ANSWERSPreschool: behavioral
School-age: stimulant medication
At what age are meds considered first line for kids with ADHD? - ANSWERS6 years old
Is PNA in kids usually viral or bacterial? - ANSWERSViral
What is the most sensitive sign of PNA in kids? - ANSWERSIncreased RR
Preferred treatment for kids diagnosed with PNA? - ANSWERSAmoxicillin 90 mg/kg/day
in divided doses
Biggest symptom found in kids with bronchiolitis? - ANSWERSParoxysmal wheezing
Symptoms of croup - ANSWERSInspiratory stridor
Barking cough
Hoarseness
Med for croup - ANSWERSSingle dose of oral dexamethasone (0.6 mg/kg)
Two systems affected by cystic fibrosis - ANSWERSPulmonary & GI
How to test for cystic fibrosis - ANSWERSSweat test
Symptom associated with cystic fibrosis - ANSWERSThick mucous with productive
cough
Lead toxicity masqueredes as... - ANSWERSiron deficiency anemia
What is an abnormally high billirubin for an infant? - ANSWERS> 25
Newborns with hyperbilirubinemia are at risk for? - ANSWERSNeurological dysfunction
When does billirubin peak? - ANSWERS3-4 day
Colic symptoms - ANSWERS"rule of 3"
crying for > 3 hours
occurs > 3 days/wk
> 3 months of age
At what age are symptoms of pyloric stenosis most likely to occur? - ANSWERS4-6 wks
Signs of pyloric stenosis - ANSWERSProjectile vomiting immediately after eating
Answers
Hep A immunization schedule - ANSWERSFirst dose at 1 year, second dose after 6
months
Hep B immunization schedule - ANSWERS3 doses: 0, 1-2 months, 6-18 months after
1st
You are caring for a newborn whose mother is known to be HBsAg (+). How should this
be handled? - ANSWERSAdminister Hep B vaccine and Hep B immunoglobulin within
12 hrs of birth
How many doses are in the DTaP series? - ANSWERS5
Tdap in pregnancy - ANSWERS1 dose of tdap during each pregnancy, preferably at 27-
36 wks
PCV vaccine amount - ANSWERS4 doses
Fever or rash after receiving a live attenuated immunization indicates? -
ANSWERSReaction to a viral replication, not the vaccine
Examples of live attenudated vaccines - ANSWERSMMR
Varicella
MMR and varicella immunization schedule - ANSWERSAt 12 months (can be on the
same day), then must wait one month for second
Earliest age to receive flu vaccine - ANSWERS>6 months
A mother reports that her one year old child has an allergy to eggs that produces hives.
How should this be handled? - ANSWERSInfluenza vaccine should be given
Is it ok to give influenza to a patient who has experienced an allergic reaction and signs
of angioedema, respiratory distress? - ANSWERSYes, under the supervision of a HCP
who can manage severe allergic reactions
A 15 year old patient who is sexually active is in your clinic to receive her first HPV
vaccine. How should the NP handle this? - ANSWERSAdminister today without
checking pregnancy status
CDC recommends monitoring a child after immunization for: - ANSWERS15 mins
, When is diabetes usually diagnosed in kids? - ANSWERSDuring puberty
Managing ADHD preschool v. school-age - ANSWERSPreschool: behavioral
School-age: stimulant medication
At what age are meds considered first line for kids with ADHD? - ANSWERS6 years old
Is PNA in kids usually viral or bacterial? - ANSWERSViral
What is the most sensitive sign of PNA in kids? - ANSWERSIncreased RR
Preferred treatment for kids diagnosed with PNA? - ANSWERSAmoxicillin 90 mg/kg/day
in divided doses
Biggest symptom found in kids with bronchiolitis? - ANSWERSParoxysmal wheezing
Symptoms of croup - ANSWERSInspiratory stridor
Barking cough
Hoarseness
Med for croup - ANSWERSSingle dose of oral dexamethasone (0.6 mg/kg)
Two systems affected by cystic fibrosis - ANSWERSPulmonary & GI
How to test for cystic fibrosis - ANSWERSSweat test
Symptom associated with cystic fibrosis - ANSWERSThick mucous with productive
cough
Lead toxicity masqueredes as... - ANSWERSiron deficiency anemia
What is an abnormally high billirubin for an infant? - ANSWERS> 25
Newborns with hyperbilirubinemia are at risk for? - ANSWERSNeurological dysfunction
When does billirubin peak? - ANSWERS3-4 day
Colic symptoms - ANSWERS"rule of 3"
crying for > 3 hours
occurs > 3 days/wk
> 3 months of age
At what age are symptoms of pyloric stenosis most likely to occur? - ANSWERS4-6 wks
Signs of pyloric stenosis - ANSWERSProjectile vomiting immediately after eating
