LATEST UPDATED APEA FNP EXAM |
COMPREHENSIVE TEST BANK WITH
ANSWERS AND RATIONALES.
1. A 4-year-old female is brought into the clinic by her
mother who reports that she is constantly scratching
"her private part." The patient states that it itches on
exam. The vagina is red and irritated. How should the
NP proceed?
A) Call child protection for suspected sexual abuse.
B) Prescribe a cortisone cream.
C) Collect a vaginal swab of the external vagina for
microscopic evaluation.
D) Prescribe a topical antifungal.
**Correct Answer: C** —
*Rationale: The child has vaginitis with a broad
differential including pinworms, yeast, contact
irritants, etc. Since the diagnosis is unclear,
evaluation must occur before treatment. Treating
with cortisone or antifungal without diagnosis is
inappropriate. Sexual abuse is not indicated by these
symptoms alone.*
,2. A positive Trendelenburg test could be used to
identify a child with:
A) Scoliosis
B) Osgood-Schlatter disease
C) Nursemaid's elbow
D) Slipped capital femoral epiphysis (SCFE)
**Correct Answer: D** — *Rationale: A positive
Trendelenburg test (pelvic tilt when standing on
affected leg) occurs in SCFE, Legg-Calve-Perthes
disease, or developmental dysplasia of the hip.
Nursemaid's elbow involves radial head subluxation.
Scoliosis is assessed with Adam's forward bend test.
Osgood-Schlatter involves tibial tubercle pain.*
---
3. A 6-year-old patient with sore throat has coryza,
hoarseness, and diarrhea. What is the likely etiology?
A) Group A streptococcus
B) H. parainfluenzae
C) Viral etiology
D) Mycoplasma
,**Correct Answer: C** — *Rationale: This symptom
constellation (coryza, hoarseness, diarrhea with sore
throat) is typical of viral infection. Group A strep
usually lacks coryza. H. parainfluenzae is not a
common pharyngitis cause. Mycoplasma typically
causes lower respiratory infections.*
---
4. A 6-week-old is suspected of having developmental
dysplasia of the hip (DDH). What test would be best
assessed for this?
A) Barlow and Ortolani
B) Galeazzi and Klisic
C) Trendelenburg pelvic tilt test
D) Romberg balance test
**Correct Answer: A** — *Rationale: Barlow and
Ortolani maneuvers assess hip stability in infants ≤3
months with 98-99% specificity. Galeazzi compares
knee height. Klisic uses ASIS-to-trochanter line.
Trendelenburg is for older children. Romberg tests
balance.*
---
, 5. A mother of a 4-week-old infant visits your office.
She states that her baby is vomiting after feeding and
then cries as if he is hungry again. What should the
nurse practitioner assess?
A) His abdomen for an olive-shaped mass
B) His rectum for patency
C) His swallowing ability
D) The position his mother uses when she feeds him
**Correct Answer: A** — *Rationale: Symptoms
suggest pyloric stenosis, typically presenting at 3-6
weeks with projectile vomiting and hungry vomiting.
An olive-shaped mass (hypertrophied pylorus) is best
felt immediately after vomiting. Rectal patency,
swallowing, or positioning are not the priority.*
---
6. A 6-week-old male infant is brought to the nurse
practitioner because of vomiting. The mother
describes vomiting after feeding and feeling a knot in
his abdomen, especially after he vomits. The child
appears adequately nourished. What is the likely
etiology?
COMPREHENSIVE TEST BANK WITH
ANSWERS AND RATIONALES.
1. A 4-year-old female is brought into the clinic by her
mother who reports that she is constantly scratching
"her private part." The patient states that it itches on
exam. The vagina is red and irritated. How should the
NP proceed?
A) Call child protection for suspected sexual abuse.
B) Prescribe a cortisone cream.
C) Collect a vaginal swab of the external vagina for
microscopic evaluation.
D) Prescribe a topical antifungal.
**Correct Answer: C** —
*Rationale: The child has vaginitis with a broad
differential including pinworms, yeast, contact
irritants, etc. Since the diagnosis is unclear,
evaluation must occur before treatment. Treating
with cortisone or antifungal without diagnosis is
inappropriate. Sexual abuse is not indicated by these
symptoms alone.*
,2. A positive Trendelenburg test could be used to
identify a child with:
A) Scoliosis
B) Osgood-Schlatter disease
C) Nursemaid's elbow
D) Slipped capital femoral epiphysis (SCFE)
**Correct Answer: D** — *Rationale: A positive
Trendelenburg test (pelvic tilt when standing on
affected leg) occurs in SCFE, Legg-Calve-Perthes
disease, or developmental dysplasia of the hip.
Nursemaid's elbow involves radial head subluxation.
Scoliosis is assessed with Adam's forward bend test.
Osgood-Schlatter involves tibial tubercle pain.*
---
3. A 6-year-old patient with sore throat has coryza,
hoarseness, and diarrhea. What is the likely etiology?
A) Group A streptococcus
B) H. parainfluenzae
C) Viral etiology
D) Mycoplasma
,**Correct Answer: C** — *Rationale: This symptom
constellation (coryza, hoarseness, diarrhea with sore
throat) is typical of viral infection. Group A strep
usually lacks coryza. H. parainfluenzae is not a
common pharyngitis cause. Mycoplasma typically
causes lower respiratory infections.*
---
4. A 6-week-old is suspected of having developmental
dysplasia of the hip (DDH). What test would be best
assessed for this?
A) Barlow and Ortolani
B) Galeazzi and Klisic
C) Trendelenburg pelvic tilt test
D) Romberg balance test
**Correct Answer: A** — *Rationale: Barlow and
Ortolani maneuvers assess hip stability in infants ≤3
months with 98-99% specificity. Galeazzi compares
knee height. Klisic uses ASIS-to-trochanter line.
Trendelenburg is for older children. Romberg tests
balance.*
---
, 5. A mother of a 4-week-old infant visits your office.
She states that her baby is vomiting after feeding and
then cries as if he is hungry again. What should the
nurse practitioner assess?
A) His abdomen for an olive-shaped mass
B) His rectum for patency
C) His swallowing ability
D) The position his mother uses when she feeds him
**Correct Answer: A** — *Rationale: Symptoms
suggest pyloric stenosis, typically presenting at 3-6
weeks with projectile vomiting and hungry vomiting.
An olive-shaped mass (hypertrophied pylorus) is best
felt immediately after vomiting. Rectal patency,
swallowing, or positioning are not the priority.*
---
6. A 6-week-old male infant is brought to the nurse
practitioner because of vomiting. The mother
describes vomiting after feeding and feeling a knot in
his abdomen, especially after he vomits. The child
appears adequately nourished. What is the likely
etiology?
