PEDS (APEA) EXAM 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ A 2-year-old patient is diagnosed with roseola. The child has been
afebrile for 48 hours and the rash has resolved. Which is the most
appropriate time frame for the child to return to daycare?
The child can return to daycare now.
The child can return to daycare once the rash erupts.
The child needs to stay home until the rash resolves.
The child needs to stay home until laboratory tests are negative. Answer:
The child can return to daycare now
◉ A 5-year-old girl, accompanied by her mother, returns for a follow-up
visit for pityriasis rosea that was diagnosed 3 weeks ago. The mother
expresses concern that she has not noticed any improvement. Upon
examination, the nurse practitioner notes that the rash remains
unchanged. The nurse practitioner should advise the mother that the:
rash should have resolved after 2 weeks.
rash can persists for 2-3 months.
rash can persist for up to 6 months.
child needs to be referred to a pediatric dermatologist. Answer: rash can
persists for 2-3 months.
,◉ Which of these findings would be most concerning for skin cancer?
Cafe au lait spots
Increasing number of freckles
More than 10 small moles
Nevi with asymmetrical coloring. Answer: Nevi with asymmetrical
coloring
◉ A 2-year-old patient was diagnosed with measles (rubeola) 1 week
ago. The rash has resolved, but the child is experiencing persistent
coryza and cough. Which of the following would be the best statement
to the caregiver?
This is why we stress the importance of getting vaccinated on time.
Coryza and cough are common with measles.
The patient is likely having a resurgence of measles.
Contracting measles will likely make the patient prone to future
illnesses. Answer: Coryza and cough are common with measles.
◉ What is a common finding in seborrheic dermatitis?
Dry flaky skin on the scalp
Pustules with broken hair follicles
Excoriated papules at the posterior neckline
Visible nits in the hair shaft. Answer: Dry flaky skin on the scalp
, ◉ A 6-year-old patient did not respond to over-the-counter salicylic acid
treatment for common warts on the knee. The best choice for the next
treatment would be:
referral to a dermatologist.
application of topical cryotherapy.
topical antifungal cream applied twice daily until resolution.
no treatment is necessary, since this will resolve spontaneously. Answer:
application of topical cryotherapy.
◉ A mother brings her 4-week-old infant to the nurse practitioner and
reports seeing a discharge from the infant's navel. The NP examines the
umbilicus and observes a 1.5-mm pink, friable lesion at the base. A clear
discharge is present. The surrounding skin is slightly erythematous and
appears intact. Based on these assessment findings, which of the
following interventions would be the most appropriate?
Apply silver nitrate to the umbilicus and schedule a follow-up visit in 1
week.
Prescribe mupirocin topical ointment and instruct the parent to apply it
to the umbilicus twice daily for 5 days.
Instruct the parent to leave the lesion open to air.
Prescribe erythromycin gel and instruct the parent to apply it to the
umbilicus three times daily for 7 days. Answer: Apply silver nitrate to
the umbilicus and schedule a follow-up visit in 1 week.
ANSWERS GRADED A+
◉ A 2-year-old patient is diagnosed with roseola. The child has been
afebrile for 48 hours and the rash has resolved. Which is the most
appropriate time frame for the child to return to daycare?
The child can return to daycare now.
The child can return to daycare once the rash erupts.
The child needs to stay home until the rash resolves.
The child needs to stay home until laboratory tests are negative. Answer:
The child can return to daycare now
◉ A 5-year-old girl, accompanied by her mother, returns for a follow-up
visit for pityriasis rosea that was diagnosed 3 weeks ago. The mother
expresses concern that she has not noticed any improvement. Upon
examination, the nurse practitioner notes that the rash remains
unchanged. The nurse practitioner should advise the mother that the:
rash should have resolved after 2 weeks.
rash can persists for 2-3 months.
rash can persist for up to 6 months.
child needs to be referred to a pediatric dermatologist. Answer: rash can
persists for 2-3 months.
,◉ Which of these findings would be most concerning for skin cancer?
Cafe au lait spots
Increasing number of freckles
More than 10 small moles
Nevi with asymmetrical coloring. Answer: Nevi with asymmetrical
coloring
◉ A 2-year-old patient was diagnosed with measles (rubeola) 1 week
ago. The rash has resolved, but the child is experiencing persistent
coryza and cough. Which of the following would be the best statement
to the caregiver?
This is why we stress the importance of getting vaccinated on time.
Coryza and cough are common with measles.
The patient is likely having a resurgence of measles.
Contracting measles will likely make the patient prone to future
illnesses. Answer: Coryza and cough are common with measles.
◉ What is a common finding in seborrheic dermatitis?
Dry flaky skin on the scalp
Pustules with broken hair follicles
Excoriated papules at the posterior neckline
Visible nits in the hair shaft. Answer: Dry flaky skin on the scalp
, ◉ A 6-year-old patient did not respond to over-the-counter salicylic acid
treatment for common warts on the knee. The best choice for the next
treatment would be:
referral to a dermatologist.
application of topical cryotherapy.
topical antifungal cream applied twice daily until resolution.
no treatment is necessary, since this will resolve spontaneously. Answer:
application of topical cryotherapy.
◉ A mother brings her 4-week-old infant to the nurse practitioner and
reports seeing a discharge from the infant's navel. The NP examines the
umbilicus and observes a 1.5-mm pink, friable lesion at the base. A clear
discharge is present. The surrounding skin is slightly erythematous and
appears intact. Based on these assessment findings, which of the
following interventions would be the most appropriate?
Apply silver nitrate to the umbilicus and schedule a follow-up visit in 1
week.
Prescribe mupirocin topical ointment and instruct the parent to apply it
to the umbilicus twice daily for 5 days.
Instruct the parent to leave the lesion open to air.
Prescribe erythromycin gel and instruct the parent to apply it to the
umbilicus three times daily for 7 days. Answer: Apply silver nitrate to
the umbilicus and schedule a follow-up visit in 1 week.
