APEA 3P Exam Questions Latest 2020

Questions 1

When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to

1. Have the patient return in 2 weeks for a follow-up vision screen
2. Dilate the eyes and retest
3. Refer the patient to an ophthalmologist
4. Document this as a normal finding.

 

Question 2

The American Psychiatric Association’s Diagnostic and Statistical Manual Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as

1. A self-inflicted injury to gain attention
2. A caregiver making up or causing an illness or injury in a person under his or her care
3. An abusive behavior that does not involve the caregiver
4. A situation in which the abuser is often inattentive and uncaring toward the victim

 

Question 3

Symptoms of depression are a side effect of which neurotransmitter medication?

1. Dopamine
2. Gabapentin
3. Mu
4. Cortisol

 

Question 4

The right lymphatic ducts drain into what part of the circulatory system?

1. Arterial
2. Venous
3. Arteriovenous system
4. Capillary bed

 

 

Question 5

Which lesion is dark, raised and asymmetric with irregular borders?

1. Nevus
2. Actinic
3. Keratoacanthoma
4. Melanoma

 

Question 6

A pediatric patient has areas of scaling on the scalp, with round patches of alopecia. This clinical finding is consistent with

1. Tinea capitis
2. Seborrheic dermatitis
3. Trichotillomania
4. Alopecia areata

 

Question 7

A patient with an acute presentation of acute aortic regurgitation (AR) typically presents with sudden severe shortness of breath, lower extremity edema, a rapid heartbeat, and

1. Dry mouth
2. Chest pain
3. Decreased blood pressure
4. Systolic murmur

 

Question 8

Which of the following conditions is associated with chronic bloody diarrhea?

1. Irritable bowel syndrome
2. Crohn’s disease ***
3. Hepatitis A
4. Celiac disease

 

 

Question 9

Which condition is caused by an insufficient production of intrinsic factor by the gastric mucosa and vitamin B insufficiency?

1. Diarrhea
2. Pernicious anemia
3. Osteoporosis
4. Muscle weakness

 

Question 10

A 32-year old woman presents with dull puffiness of the eyes with pronounced non-pitting periorbital edema. This finding is suggestive of what condition?

1. Nephrotic syndrome
2. Myxedema
3. Cushing’s syndrome
4. Sinusitis

 

Question 11

A 52-year-old woman ii inquiring about estrogen replacement therapy for symptoms of menopause. Which of the following is a contraindication?

1. History of phlebitis
2. Prior or present migraine headaches
3. Family history of lung cancer
4. Prior breast or uterine carcinoma

 

Question 12

Patient with asthma have a pathological finding of:

1. Necrosis of small airways
2. Absence of goblet cells
3. Absence of ciliary regeneration
4. Hypertrophy of smooth muscle

Question 13

A 65-year-old patient with a history of a deep vein thrombosis (DVT) is being treated for a dental abscess. Which antibiotics is safe to use with warfarin (Coumadin).

1. Amoxicillin (Amoxil)
2. Trimethoprim/ sulfamethoxazole (Bactrim)
3. Ciprofloxacin (Cipro)
4. Clarithromycin (Biaxin)

 

Question 14

Primary syphilis is characterized by what type of lesion

1. A cluster of scattered vesicles
2. Chancre
3. Papule of many shapes
4. Nontender indurated penile nodule

 

Question 15

What is the area of fundal height palpation on a woman who is 12 weeks pregnant?

1. At the level of the umbilicus
2. At the level of the symphysis pubis
3. Midway between the symphysis and umbilicus
4. Below the symphysis pubis

 

Question 16

Which of the following is NOT associated with assessment finding in a patient diabetic retinopathy?

1. Papilledema
2. Dot and blot hemorrhages
3. Microaneurysms
4. Cotton wool spots

 

 

 

 

Question 17

A 3-year-old child has enterobiasis. When should the dose of mebendazole (Vermox) be repeated?

1. In 3 days
2. In 1 week
3. In 2 weeks
4. In 3 weeks

 

Question 18

Which area does not allow lymphatic fluid to be drained from the right lymph duct?

1. The right side of the head
2. The right upper thorax
3. The right arm
4. The right leg

 

Question 19

Snellen chart evaluation indicates that a patient’s vision is 20/30. What is the proper description of this result?

1. At 20 feet, this patient can see what a person with normal vision can see at 30 feet
2. At 30 feet, this patient can see what a person with normal vision can see at 30 feet
3. At 20 feet, this patient can see what few people can see at 30 feet
4. This patient has sight abilities that are worse than a patient with 20/40 vision

 

Question 20

Based on the mechanism of hearing, sensorineural loss in an adult involves the

1. Cochlea and the cochlea nerve
2. External ear canal and the middle ear
3. Ossicles and the inner ear
4. Transfer of sounds from the external environment into the external auditory canal

 

Question 21

Which of the appropriate medication choice for a 31-year-old pregnant patient diagnosed with a urinary tract infection?

1. Cefuroxime (Zinacef) or Nitrofurantoin (Macrobid)
2. Nitrofurantoin (Macrobid) or Ciprofloxacin (Cipro)
3. Ciprofloxacin (Cipro) or Tetracycline (Sumycin)
4. Tetracycline (Sumycin) or Amoxicillin (Amoxil)

Question22

Pregnant women are evaluated for syphilis with serology testing because

1. Syphilis during pregnancy predisposes the fetus to spontaneously abort or the newborn to have congenital syphilis.
2. Hormonal changes associated with pregnancy may trigger activation of talent syphilis
3. Syphilis may be passed to the fetus beginning in the third trimester
4. Untreated syphilis can cause neonatal respiratory distress

Question 23 

Which of the following is a typical finding in a patient with a meniscal tear?

1. A positive McMurray’s test
2. Positive anterior drawer test
3. Audible click at the joint line
4. Fixed patellar subluxation

 

Question 24

Hyperkalemia is associated with:

1. Increased blood pressure
2. Alpha blockers
3. Diminished renal function
4. Loop diuretics

Question 25

Short bands of tough, flexible, ropelike, collagen fibrils that connect two bones is called:

1. Tendons
2. Fibrous connective tissue
3. Ligaments
4. Cartilage

Question 26

The finding of a dome-shaped lesion in the dermis that forms a benign closed, firm sac attached to the epidermis

1. A keloid
2. A tophi
3. a cutaneous cyst
4. chondrodermatistis

 

Question 27

What symptoms would lead the nurse practitioner to suspected atypical community acquired pneumonia I an 18-year-old living in …

1. a low-grade fever, malaise, and clear lung fields on auscultation
2. a low-grade fever, malaise, and crackles audible throughout the lung fields
3. temperature of 101 f, sore throat, and diminished breath sounds on auscultation
4. temperature of 102 f, dyspnea, and diminished lung sounds on auscultation

 

Question 28

Vitamins prescribed for pregnant women should contain what two components?

1. Folic acid and vitamin C
2. Iron and vitamin B12
3. Vitamin D and Iron
4. Folic acid and Iron

 

Question 29

Which medication is indicated for patients with generalized anxiety disorder (GAD)?

1. Buspirone (Buspar)
2. Citalopram (Celexa)
3. Imipramine (Toframil)
4. Bupropion HCL (Wellbutrin)

 

 

Question 30

A prostate gland that is found to be tender, swollen, boggy, and warm on a digital rectal exam is consistent with:

1. A normal prostate gland
2. Acute bacterial prostatitis
3. Benign prostatic hyperplasia
4. Carcinoma of the prostate

 

Question 31

Which medication can cause a false positive result for amphetamines in a urine drug screen?

1. Metformin
2. Lisinopril
3. Glyburide
4. Bupropion

 

Question 32

Fine, silky appearance of the hair is a common finding in:

1. Hypothyroidism
2. Hyperthyroidism
3. Type 2 diabetes
4. Celiac disease

 

Question 33

Which of the following is commonly associated with increased risk for prostatic hypertrophy?

1. Constipation
2. Fecal incontinence
3. Urinary tract infections
4. Prostate cancer

 

 

 

Question 34

Patients with bacterial meningitis experience headache symptoms due to:

1. Meningeal erythema
2. Increased intracranial pressure
3. Meningeal irritation
4. Swelling of the spinal cord

 

Question 35

A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment. Which medication should not be …

1. Sumatriptan (Limitrex)
2. Amitriptyline (Elavil)
3. Verapamil (Verelan)
4. Metoprolol (Lopressor)

 

Question 36

What diagnostic test is performed to diagnose acute lymphocytic leukemia (ALL)?

1. A complete blood count with differential
2. Magnetic resonance imaging
3. A nuclear bone scan
4. A bone marrow examination   

 

Question 37

Which of the following medications should NOT be prescribed during an acute gout flare?

1. Colchicine (Colcrys)
2. Allopurinol (Zyloprim)
3. Steroids
4. NSAIDs

 

 

 

Question 38

A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment which medication is NOT be prescribed?

1. Sumatriptan (Imitrex)
2. Amitriptyline (Elavil)
3. Verapamil (Verelan)
4. Metoprolol (Lopressor)

 

Question 39

A pediatric patient has areas of scaling on the scalp, with round patches alopecia. This clinical finding is consistent with:

1. Tinea capitis
2. Seborrheic dermatitis
3. Trichotillomania
4. Alopecia areata

 

Question 40

What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headache?

1. Sumatriptan (Imitrex)
2. Propranolol (Inderal)
3. Ibuprofen (Motrin)
4. Dihydroergotamine (DHE)

 

Question 41

Which of the following is the single dose treatment for a patient with diagnose chlamydia?

1. Doxycycline (Vibramycin) 200mg orally
2. Azithromycin (Zithromax) 1 gram orally
3. Metronidazole (Flagyl) 2 gram orally
4. Ceftriaxone (Rocephin) 250 mg intramuscular

 

Question 42

The nurse practitioner prescribes deferoxamine (Desferal) for a pediatric patient with beta thalassemia and hemosiderosis because the medication:

1. Prevent blood transfusion reactions
2. Stimulates red blood cell production
3. Improves the oxygen-carrying capacity of RBCs
4. Eliminates excessive iron and prevent organ damage.

 

Question 43

The combination of benzoyl peroxide and erythromycin is prescribed for acne because benzoyl peroxide:

1. Improves the efficacy of erythromycin
2. Decreases the risk of desquamation
3. Decreases the risk of resistance to erythromycin
4. Increases the time patient can be exposed to sunlight.

 

Question 44

Which of the following conditions is NOT associated with the symptom of hemoptysis?

1. Pulmonary emboli
2. Chronic bronchitis
3. Viral pneumonia
4. Neoplasm of the lung

 

Question 45

Rh-negative women should receive Rho (D) immune globulin at what gestational time?

1. 6 weeks
2. 12 weeks
3. S28 weeks
4. 35 weeks

 

 

 

Question 46

 Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of Type 2 diabetes, obesity, current smoking and sedentary lifestyle?

1. She is obese
2. She has type 2 diabetes mellitus
3. Her age and tobacco use
4. he leads a sedentary lifestyle.

 

Question 47

The nurse practitioner prescribes deferoxamine (Desferal) for a pediatric patient with beta thalassemia and hemosiderosis because the medication:

1. Prevents blood transfusion reactions
2. Stimulates red blood cell production
3. Improves the oxygen-carrying capacity of RBCs
4. Eliminates excessive iron and prevents organ damage

 

Question 48

During the breast examination of a perimenopausal woman. The NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation for:

1. Fibroadenoma
2. Polycystic breast disease
3. An intraductal papilloma
4. Pituitary prolactinoma

 

Question 49

A 26-year-old woman complains of acute right lower abdominal pain. Which of the following conditions is NOT associated with this symptom?

1. Ectopic pregnancy
2. Pelvic inflammatory disease
3. Irritable bowel syndrome
4. Rupture ovarian follicle

 

Question 50

Which of the following is the single-dose treatment for a patient with diagnosis of Chlamydia?

1. Doxycycline (Vibramycin) 200 mg orally
2. Azithromycin (Zithromax) 1 gram orally
3. Metronidazole (Flagyl) 2 grams orally
4. Ceftriaxone (Rocephin) 250 mg intramuscular

 

Question 51

What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headache?

1. Sumatriptan (Imitrex)
2. Propranolol (Inderal)
3. Ibuprofen (Motrin)
4. Dihydroergotamine (DHE)

 

Question 52

The combination of benzoyl peroxide and erythromycin is prescribed for acne because benzoyl peroxide:

1. Improve the efficacity of erythromycin
2. Decreases the risk of desquamation
3. Decreases the risk of resistance to erythromycin
4. Increases the time patient can be exposed to sunlight

 

Question 53

Which of the following conditions is NOT associated with the symptom of hemoptysis?

1. Pulmonary emboli
2. Chronic bronchitis
3. Viral pneumonia
4. Neoplasm of the lung

 

 

 

Question 54

Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of Type 2 diabetes, obesity, current smoking and sedentary lifestyle?

1. She is obese
2. She has Type 2 diabetes mellitus
3. Her age and tobacco use
4. She leads a sedentary lifestyle

 

Question 55

During an abdominal examination, the nurse practitioner percusses the bulging area of the abdomen. Which sound suggest the presence of ascitic fluid?

1. Tympany
2. Dullness
3. Hyperresonance
4. Normal resonance

 

Question 56

What is the drug of choice for the pediatric patient diagnosed with scabies?

1. Clotrimazole (Lotrimin) lotion
2. Permethrin (Nix) cream
3. Lindane (Kwell)
4. Selenium sulfide (Selsun)

 

Question 57

When interpreting a complete blood count(CBC) lab report which of the following results describes the size of the RBC’s?

1. Hemoglobin
2. Mean corpuscular volume (MCV)
3. Red cell distribution with (RDW)
4. Hematocrit.

 

Question 58

A patient with an acute presentation of acute aortic regurgitation (AR) typically presents with sudden severe shortness of breath, lower extremity edema, a rapid heartbeat and:

1. Dry cough
2. Chest pain
3. Decrease blood pressure
4. Systolic murmur

 

Question 59

An 80-year-old man is being evaluated to recent episodes of incontinence and confusion. His family states that he is usually independent with no altered mental issues but has become forgetful within the last 2 weeks. Which medication is most likely associated with these symptoms?

1. Cimetidine (Tagamet)
2. Warfarin (Coumadin)
3. Ramipril (Altace)
4. Vitamin B12

 

Question 60

When assessing bilateral eye movement, the nurse practitioner is assessing which cranial nerve?

1. CN II, III, IV
2. CN III, IV, VI
3. CN II, IV, VI
4. CN III, IV, VII

 

Question 61

What medication should be avoided when prescribing prophylactic therapy for headache in a patient with a past history of asthma and chronic migraines?

1. Verapamil
2. Propranolol
3. Venlafaxine
4. Nimodipine

 

 

 

Question 62

A nonpregnant woman diagnosed with trichomoniasis should be treated with:

1. Metronidazole (Flagyl)
2. Doxycycline (Vibramycin)
3. Clindamycin (Cleocin)
4. Clotrimazole (Lotrimin)

 

Question 63

A 17-year-old is diagnosed with mild bronchospasm. Which of the following would provide relief?

1. Inhaled mometasone (Asmanex)
2. Inhaled levalbuterol (Xopenex)
3. Oral Montelukast (Singulair)
4. Oral dextromethorphan/ guaifenesin product

 

Question 64

What is the mechanism of action for prostaglandin E1 (PG1) in a patient with transposition of the great arteries?

1. To maintain equal pressure in the ventricles
2. To maintain patency of the great arteries
3. To produce vasodilation and adequate oxygen saturation
4. To prevent cyanotic episodes by trapping blood in the extremities.

 

Question 65

Which patient causes the greatest concern for complication related to scoliosis?

1. 13-year-old girl with a 10 degree curve
2. 17-year-old girl with a 10 degree curve
3. 12-year-old boy with a 5 degree curve
4. 18-year-old boy with a 5 degree curve

 

Question 66

What is the mechanism of action for prostaglandin E1 (PE1) in a patient with transposition of the great arteries?

1. To maintain equal pressure in the ventricles
2. To maintain patency of the great arteries
3. To produce vasodilation and adequate oxygen saturation
4. To prevent cyanotic episodes by trapping blood in the lower extremities

 

Question 67

Which of the following complaints best describes lower extremity calf pain associated with peripheral artery disease?

1. A sharp, stabbing pain
2. A dull pain or cramp
3. An electric shock
4. A pulsating pain

 

Question 68

The immunization that protect against the contagious disease that cause fever, headache, stiff neck, photophobia, and altered mental status is:

1. Meningococcal vaccine
2. Pneumococcal vaccine
3. Measles, mumps, and rubella (MMR) vaccine
4. Varicella vaccine

 

Question 69

A 60-year-old man is experiencing prostatic pain when he states that the pain localized in which location?

1. The suprapubic area
2. The back
3. The perineum
4. The glans penis

 

Question 70

Which of the following is NOT a symptom of late-stage human immunodeficiency disease (HIV) infection?

1. Night sweats
2. Lymphadenopathy
3. Persistent vomiting
4. Extreme unexplained fatigue

 

Question 71

A 75-year-old man who recently lost his spouse of 50 year in an auto accident tells the nurse practitioner that he “has no purpose in this life”. The next most appropriate question for the nurse practitioner to ask is:

1. “Have you told your family how you feel?’
2. “Have you thought about hurting yourself?”
3. “Are you taking your medications?”
4. “Do have any friends?”

 

Question 72

Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-year-old premenopausal woman?

1. Hirsutism
2. Gynecomastia
3. Oligomenorrhea
4. Acne

Question 73

When treating a patient with asthma who is experiencing acute wheezing which medication should be given to relieve the symptom?

1. Short-acting bronchodilator
2. Long-acting bronchodilator
3. Inhaled corticosteroid
4. Combination of methylxanthine and long-acting bronchodilator

 

Question 74

Before the nurse practitioner prescribes metronidazole (Flagyl) for a patient with giardiasis, it is important to inquire about:

1. The presence of an allergy to sulfa
2. A past medical history of peptic ulcer disease
3. Whether the patient is at least 18 years old
4. Whether the patient drinks alcohol

Question 75

The most common chief complaint of a woman diagnosed with trichomoniasis is:

1. A painless ulcerated vulval lesion with vaginal discharge.
2. Fever, papules, and vaginal discharge with burning
3. A vaginal discharge.
4. Dyspareunia and upper abdominal pain.

Question 76

Which structure in the eye is affected by cataract disease?

1. The retina
2. The cornea
3. The lens
4. The optic nerve

Question 77

Finding of a firm, nodular hypertrophic mass of scar tissue on the posterior surface of a pierced ear lobe is documented as:

1. A keloid
2. A tophi
3. A cutaneous cyst
4. Chondrodermatitis.

Question 78

Which medication is used as an anticoagulant reversal agent for dabigatran etexilate (Pradaxa)?

1. Idarucizumab (Praxbind)
2. Vitamin K
3. Protamine sulfate
4. Fondaparinux (Arixtra)

Question 79

Which immunization reduces a patient’s risk for infection with the virus that causes painful, localized, blistering rash?

1. Smallpox vaccine
2. Varicella vaccine (Chicken Pox)
3. Shingles (herpes zoster) vaccine
4. Meningococcal vaccine

 

Question 80

A 34-year-old man presents with complaints of abdominal pain. The nurse practitioner suspects hemorrhagic pancreatitis due to finding of superficial edema, bruising around the umbilicus, and what other assessment finding?

1. A positive Gray Turner’s sign
2. A positive Cullen’s sign
3. Kaposi’s sarcoma
4. Petechiae

 

Question 81

A 24-year-old pregnant woman with a history of iron deficiency anemia should be educated that she should take iron supplements

1. With milk to avoid stomach upset
2. With milk of magnesia at bedtime to avoid constipation
3. On an empty stomach between meals.
4. For 30 days to 6 weeks.