APEA PrePredictor Exam
APEA PREPREDICTOR EXAM NEWEST 2025/2026 ACTUAL EXAM
STUDY GUIDE COMPLETE 600 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A 72 year old female presents with a medical history unremarkable except for the
occasional headache. She enjoyed emotional health throughout marriage and
childrearing, although her family history is significant for strokes and nervous
breakdowns. Since her husband died a year ago, however, she has been waking
every morning at 3am, is reluctant to go out although she has family member
living nearby, and feels a continual urge to sleep. She cannot discuss her late
husband without crying. Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna
B. Depression, Unresolved grief, and hypothyroidism
The parent of a 13-year old diagnosed with seizure disorder calls to report that
the child is exhibiting symptoms of a cold, but has no fever. The nurse practitioner
should advise the parent that development of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold
B. Lower the seizure threshold
After a 3-week camping trip, an 11-year old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache,
malaise, fatigue, and generalized musculoskeletal pain for several days.
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, APEA PrePredictor Exam
Pharmacologic management of this condition includes:
A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx)
D. Doxycycline
An 88 year old male presents with concerns about memory loss. He feels good,
takes an aspirin daily, and has no chronic diseases. He lives alone, drives his own
car, and manages his financial affairs. To evaluate his memory, which of the
following tests should the nurse practitioner choose?
A. Folstein Mini-Mental State examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic Personality Inventory
Myers-Briggs Test
A. Folstein Mini-mental state examination
During development of a treatment plan for an 84 year old patient with
hypothyroidism, the nurse practitioner has to keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia
B. Osteoporosis
A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of
midcycle spotting. She hasn't missed any doses and uses no other medication.
Which of the following is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance
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, APEA PrePredictor Exam
D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex
B. Prednisone
A 50 year old male presents with a chief complaint of malaise. Further questioning
reveals that his primary concern is delayed ejaculation. He is currently taking the
following medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg
daily; loratadine (Claritin-D), 1 tablet daily; and hydrochlorthoriazide (HCTZ), 25
mg daily. The most likely cause of the patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil)
D. Paroxetine (Paxil)
A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and
loss of appetite. The patient lives with several relatives, including a grandmother
who also has a cough. Which of the following diagnostic tests would be most
appropriate for the patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test
B. Sputum culture
A 25-year old presents with the chief complaint of decreased mobility and pain of
the right shoulder exacerbated with movement. The patient reports that he
3|Page
, APEA PrePredictor Exam
participated in extensive house painting 24 hours prior to the onset of pain. He
denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.
What is the next step that should be taken in order to make a diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG
A. Palpate the structures around the shoulder
A 17 year old femlae has never had her menses. She is at Tanner stage III of sexual
development. Her physical exam in completely normal, and her weight is
appropriate for her age and height. What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea
C. Primary amenorrhea
An 18-month old child presents with a bulging, immobile tympanic membrane; T-
103F(39.4C). Assessment also reveals a grade II/VI systolic murmur at the left
sternal border. After initiation of treatment for otitis media, the most appropriate
intervention is to:
A. Obtain an EKG
B. Obtain an Echocardiogram
C. Reevaluate the patient in 10 days
D. Refer the patient to a cardiologist
C. Reevaluate the patient in 10 days
Which of the following is NOT an indication of preeclampsia?
A. visual disturbances
B. Glucosuria
4|Page
APEA PREPREDICTOR EXAM NEWEST 2025/2026 ACTUAL EXAM
STUDY GUIDE COMPLETE 600 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
A 72 year old female presents with a medical history unremarkable except for the
occasional headache. She enjoyed emotional health throughout marriage and
childrearing, although her family history is significant for strokes and nervous
breakdowns. Since her husband died a year ago, however, she has been waking
every morning at 3am, is reluctant to go out although she has family member
living nearby, and feels a continual urge to sleep. She cannot discuss her late
husband without crying. Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna
B. Depression, Unresolved grief, and hypothyroidism
The parent of a 13-year old diagnosed with seizure disorder calls to report that
the child is exhibiting symptoms of a cold, but has no fever. The nurse practitioner
should advise the parent that development of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold
B. Lower the seizure threshold
After a 3-week camping trip, an 11-year old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache,
malaise, fatigue, and generalized musculoskeletal pain for several days.
1|Page
, APEA PrePredictor Exam
Pharmacologic management of this condition includes:
A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx)
D. Doxycycline
An 88 year old male presents with concerns about memory loss. He feels good,
takes an aspirin daily, and has no chronic diseases. He lives alone, drives his own
car, and manages his financial affairs. To evaluate his memory, which of the
following tests should the nurse practitioner choose?
A. Folstein Mini-Mental State examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic Personality Inventory
Myers-Briggs Test
A. Folstein Mini-mental state examination
During development of a treatment plan for an 84 year old patient with
hypothyroidism, the nurse practitioner has to keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia
B. Osteoporosis
A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of
midcycle spotting. She hasn't missed any doses and uses no other medication.
Which of the following is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance
2|Page
, APEA PrePredictor Exam
D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex
B. Prednisone
A 50 year old male presents with a chief complaint of malaise. Further questioning
reveals that his primary concern is delayed ejaculation. He is currently taking the
following medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg
daily; loratadine (Claritin-D), 1 tablet daily; and hydrochlorthoriazide (HCTZ), 25
mg daily. The most likely cause of the patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil)
D. Paroxetine (Paxil)
A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and
loss of appetite. The patient lives with several relatives, including a grandmother
who also has a cough. Which of the following diagnostic tests would be most
appropriate for the patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test
B. Sputum culture
A 25-year old presents with the chief complaint of decreased mobility and pain of
the right shoulder exacerbated with movement. The patient reports that he
3|Page
, APEA PrePredictor Exam
participated in extensive house painting 24 hours prior to the onset of pain. He
denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.
What is the next step that should be taken in order to make a diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG
A. Palpate the structures around the shoulder
A 17 year old femlae has never had her menses. She is at Tanner stage III of sexual
development. Her physical exam in completely normal, and her weight is
appropriate for her age and height. What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea
C. Primary amenorrhea
An 18-month old child presents with a bulging, immobile tympanic membrane; T-
103F(39.4C). Assessment also reveals a grade II/VI systolic murmur at the left
sternal border. After initiation of treatment for otitis media, the most appropriate
intervention is to:
A. Obtain an EKG
B. Obtain an Echocardiogram
C. Reevaluate the patient in 10 days
D. Refer the patient to a cardiologist
C. Reevaluate the patient in 10 days
Which of the following is NOT an indication of preeclampsia?
A. visual disturbances
B. Glucosuria
4|Page
