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PEDS APEA Final Exam| Comprehensive
Q&A For Certification Success
What is the priority preoperative concern in an infant with bladder exstrophy?
A. Prevent urinary retention
B. Keep bladder sterile
C. Protect surrounding skin from leakage and breakdown
D. Insert a suprapubic catheter - correct-answer -C. Protect surrounding skin from
leakage and breakdown
A 12-year-old boy presents with sudden scrotal swelling and severe pain. The
nurse suspects:
A. Inguinal hernia
B. Testicular torsion
C. Epididymitis
D. Varicocele - correct-answer -B. Testicular torsion
What is the primary role of ADH (vasopressin) in the body?
A. Stimulates glucose uptake
B. Helps retain sodium
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C. Promotes water reabsorption in the kidneys
D. Enhances digestion - correct-answer -C. Promotes water reabsorption in the
kidneys
A child with growth hormone deficiency is being evaluated. What would the nurse
expect to find?
A. Abnormal head-to-body ratio
B. Delayed dental eruption
C. Short stature with normal skeletal proportions
D. Enlarged thyroid gland - correct-answer -C. Short stature with normal skeletal
proportions
When is the best time to administer growth hormone (GH) therapy?
A. Before breakfast
B. At school
C. At bedtime
D. Before physical activity - correct-answer -C. At bedtime
A child with SIADH is hospitalized. What is the nursing priority?
A. Administer hypotonic fluids
B. Offer fluids every hour
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C. Restrict fluids
D. Encourage salt intake - correct-answer -C. Restrict fluids
A child newly diagnosed with diabetes insipidus asks if they'll need lifelong
treatment. The nurse responds:
A. "You'll grow out of this condition."
B. "You'll use DDAVP (vasopressin) for life to stay healthy."
C. "Diet changes can replace medication."
D. "Once your kidneys mature, you may not need treatment." - correct-answer -B.
"You'll use DDAVP (vasopressin) for life to stay healthy."
An infant with congenital hypothyroidism is showing signs of jaundice and
constipation. What should the nurse recognize?
A. Normal signs in a newborn
B. Early manifestations of hypothyroidism
C. Signs of lactose intolerance
D. Indicators of liver dysfunction - correct-answer -B. Early manifestations of
hypothyroidism
What is the nurse's best teaching point for a child with Type 1 Diabetes who
participates in sports?
A. "Avoid sports due to risk of hypoglycemia."
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B. "Exercise increases insulin needs."
C. "Always skip insulin on active days."
D. "You'll need to eat a snack before or after exercise." - correct-answer -D. "You'll
need to eat a snack before or after exercise."
Which of the following best describes Type 1 Diabetes Mellitus? A. Insulin
resistance due to obesity
B. Partial destruction of beta cells
C. Autoimmune destruction of pancreatic beta cells
D. Decreased insulin sensitivity - correct-answer -C. Autoimmune destruction of
pancreatic beta cells
A mother had a male child with congenital adrenal hyperplasia (CAH) and is now
pregnant with another son. What is the risk that this baby will also have CAH?
A. 100%
B. 50%
C. 25%
D. 10% - correct-answer -C. 25%
A 6-year-old child with autism is being admitted to the hospital. What is the most
appropriate room assignment?
A. Private room with same nurse each shift and minimal stimuli
PEDS APEA Final Exam| Comprehensive
Q&A For Certification Success
What is the priority preoperative concern in an infant with bladder exstrophy?
A. Prevent urinary retention
B. Keep bladder sterile
C. Protect surrounding skin from leakage and breakdown
D. Insert a suprapubic catheter - correct-answer -C. Protect surrounding skin from
leakage and breakdown
A 12-year-old boy presents with sudden scrotal swelling and severe pain. The
nurse suspects:
A. Inguinal hernia
B. Testicular torsion
C. Epididymitis
D. Varicocele - correct-answer -B. Testicular torsion
What is the primary role of ADH (vasopressin) in the body?
A. Stimulates glucose uptake
B. Helps retain sodium
,2|Page
C. Promotes water reabsorption in the kidneys
D. Enhances digestion - correct-answer -C. Promotes water reabsorption in the
kidneys
A child with growth hormone deficiency is being evaluated. What would the nurse
expect to find?
A. Abnormal head-to-body ratio
B. Delayed dental eruption
C. Short stature with normal skeletal proportions
D. Enlarged thyroid gland - correct-answer -C. Short stature with normal skeletal
proportions
When is the best time to administer growth hormone (GH) therapy?
A. Before breakfast
B. At school
C. At bedtime
D. Before physical activity - correct-answer -C. At bedtime
A child with SIADH is hospitalized. What is the nursing priority?
A. Administer hypotonic fluids
B. Offer fluids every hour
,3|Page
C. Restrict fluids
D. Encourage salt intake - correct-answer -C. Restrict fluids
A child newly diagnosed with diabetes insipidus asks if they'll need lifelong
treatment. The nurse responds:
A. "You'll grow out of this condition."
B. "You'll use DDAVP (vasopressin) for life to stay healthy."
C. "Diet changes can replace medication."
D. "Once your kidneys mature, you may not need treatment." - correct-answer -B.
"You'll use DDAVP (vasopressin) for life to stay healthy."
An infant with congenital hypothyroidism is showing signs of jaundice and
constipation. What should the nurse recognize?
A. Normal signs in a newborn
B. Early manifestations of hypothyroidism
C. Signs of lactose intolerance
D. Indicators of liver dysfunction - correct-answer -B. Early manifestations of
hypothyroidism
What is the nurse's best teaching point for a child with Type 1 Diabetes who
participates in sports?
A. "Avoid sports due to risk of hypoglycemia."
, 4|Page
B. "Exercise increases insulin needs."
C. "Always skip insulin on active days."
D. "You'll need to eat a snack before or after exercise." - correct-answer -D. "You'll
need to eat a snack before or after exercise."
Which of the following best describes Type 1 Diabetes Mellitus? A. Insulin
resistance due to obesity
B. Partial destruction of beta cells
C. Autoimmune destruction of pancreatic beta cells
D. Decreased insulin sensitivity - correct-answer -C. Autoimmune destruction of
pancreatic beta cells
A mother had a male child with congenital adrenal hyperplasia (CAH) and is now
pregnant with another son. What is the risk that this baby will also have CAH?
A. 100%
B. 50%
C. 25%
D. 10% - correct-answer -C. 25%
A 6-year-old child with autism is being admitted to the hospital. What is the most
appropriate room assignment?
A. Private room with same nurse each shift and minimal stimuli
