APEA PREDICTOR EXAM test bank

It has 336 questions

 

 

1. A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of the following is the LEAST appropriate intervention?

1. Palpate the lymph nodes and spleen
2. Examine the posterior oropharynx for petechiae
3. Obtain a CBC, throat culture, and heterophil antibody test. d.         Obtain an urinalyses and serum for LFTs and amylase

 

 

1. A 32 years old male patient complaint of urinary frequency and burning on urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract infections. The initial treatment should be:

1. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
2. ciprofloxacin (Cipro) for 3-5 days
3. Trimethoprim-Sulfamethoxazole for 3 days
4. 750 mg ciprofloxacin as a one-time dose

 

 

1. Which agent is most effective for the treatment of nodulocystic acne?

1. Benzoyl peroxide (Benzac)
2. Retinoic acid (Retin A)
3. Topical tetracycline d.         Isotretinoin)

 

 

1. An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use a backup method for the prevention of pregnancy

1. Throughout the week of placebo pills

 

1. If prescribed topiramate (Topamax) for the treatment of migraines.
2. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
3. if she forgets to take a single dose of the contraceptive

 

 

1. A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the greatest effect on improving her lipid profile and reducing morbidity and mortality associates with dyslipidemia?

a.       Niacin (Niaspan) b.         Atorvastatin

1. Omega 3 fatty acids
2. Fenofibrates

 

1. A 30 years old female comes into a clinic with classic signs and symptoms of appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman die. This is an example of

1. Failure of diligence
2. Professional liability
3. Negligence d.         Malpractice

 

 

1. A NP has recently been hired to work in a fast track facility. The NP employer asked if she has “a problem prescribing medications for emergency contraception.” The NP replies affirmatively. This is:

1. Grounds for dismissal

 

1. An ethical dilemma for the NP
2. Illegal according to the standards of nursing
3. Patient abandonment.

 

1. A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this condition be managed?

1. Topical antifungal cream or ointment
2. Oral antibiotics
3. Topical corticosteroids cream
4. Topical anti-fungal/ steroid cream

 

 

1. Antidepressant discontinuation syndrome is less likely if the patient

1. Is male
2. Is less than 35 y/o
3. Has taken an SSRI with a short half life d.         Gradually tapers SSRI use

 

1. Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the following drug classes?

1. Alpha adrenergic antagonist
2. Anti-androgen agents
3. Tricyclic antidepressant (TCA)
4. Sulfonamides

 

1. Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse?

 

1. What was if you did to make him angry?
2. You must seek refuge immediately c.         I am concerned about your safety

d.      I am going to call a shelter for you

 

 

1. For which patient group does the US Preventive Services Task Force recommend routine screening for asymptomatic bacteriuria

1. pregnant woman
2. Children
3. Patients with diabetes
4. patients over the age of 70

 

 

1. What diabetic complications result from hyperglycemia?

1. Retinopathy
2. Hypertension resistant to treatment
3. Peripheral neuropathy
4. Accelerated atherosclerosis a.          1,2,3

b.      2,3,4

c.       1,3,4

d.      1,2,4

 

1. A 6 y/o presents w/ complaints of sore throat and fever for 2 days. He has multiple vesiculated ulcerations on his tonsils and uvula. There are no other remarkable findings. What is the most likely diagnosis?

a.       Viral pharyngitis b.         Herpangina

1. Epiglottitis
2. Tonsillitis

 

 

1. A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL? a.        Age > 15 years

b.      Fever > 101 F (38.3 C)

1. Exudative pharyngitis
2. Painful rash