APEA Pre-Predictor Exam 3 | FNP Board Review | 2026/ 2027 Update | Questions and Correct Answers | Complete Exam Material

APEA Pre-Predictor Exam 3 | FNP Board Review | 2026/ 2027 Update | Questions and Correct Answers | Complete Exam Material 2026/2027 | QUESTIONS & CORRECT ANSWERS | 100% VERIFIED STUDY MATERIAL 200 Questions • 3-Hour Limit • Case-Based Scenarios • Board Ready Specialties Included: Pediatrics • Women’s Health • Adult/Gerontology • Pharmacology • Pathophysiology • Clinical Management Exam Overview Exam Structure 200 High-Yield Questions Multiple-Choice + Clinical Scenarios Timed: 3 Hours Identifies Knowledge Gaps Designed for Board-Style Mastery Core Domains Advanced Pathophysiology Advanced Pharmacology Advanced Physical Assessment Clinical Management Diagnostic Reasoning Introduction The Premium Predictor Exam is designed for students in the final stages of their certification preparation. This comprehensive, high-difficulty exam mirrors the exact style, complexity, and structure of 1 / 2 / board-certification testing. Scoring above 80% predicts first-attempt success, helping learners pinpoint weaknesses and master essential concepts with confidence. Answer Format All questions are presented in bold for clarity. Correct answers appear in bold green, followed by a concise, clinically focused rationale in italic, emphasizing: Advanced clinical reasoning Diagnostic accuracy Pharmacologic relevance Provider-level judgment This format reinforces the decision-making skills required to excel on predictor exams and certification boards. What is the recommended treatment for cat scratch usually self-limiting and presents with lymphadenopathy that goes away on it's own; disease? severe cases may benefit from azithromycin What is the most common cause of traveler's diarrhea? e coli What bacteria is responsible for causing cat scratch disease? bartonella henselae What are the 4 different components of tetralogy of fallot? overriding aorta, pulmonary stenosis, right ventricular hypertrophy, and a ventricular septal defect What does the murmur auscultated in tetralogy of fallot sound like? systolic murmur best heard at the left upper sternal border What does the murmur auscultated in a ventricular septal defect sound like? systolic murmur best heard at the left lower sternal border Where is the aorta best auscultated? at the second ICS to to the right of the sternum 3 / Where is the pulmonary artery best auscultated? at the second ICS to the left of the sternum What is a scotoma? a blind spot or aura that obstructs part of your vision Is presbyopia nearsightedness or farsightedness? farsightedness meaning it can be harder to see things up close, such as reading a newspaper and may need to hold it farther away or use reading glasses Is myopia nearsightedness or farsightedness? nearsightedness meaning it is hard to see things far away Do cataracts cause myopia or presbyopia? myopia; meaning nearsightedness and they make things blurry that are farther away which is why driving at night becomes difficult What is the USPSTF's recommendation on scoliosis screening for adolescents? insufficient When should adolescent girls be screened for scoliosis? as early as 10 years old and then again at age 12 When should adolescent boys be screening for scoliosis? between age 12-13 What is Auspitz sign? the appearance of small bleeding points after successive layers of scale have been removed from the surface of psoriatic papules or plaques A positive Auspitz sign is indicative of what? psoriasis When are pregnant women screening for gestational diabetes? week 24-28 What is round ligament pain? a deep, sharp, stabbing or stretching sensation that begins or worsens with movement and can be unilateral or bilateral. This is a normal and benign part of pregnancy What are the components of the fetal biophysical profile? nonstress test (heart rate monitoring), amniotic fluid analysis, fetal movements, fetal tone, and fetal breathing How is the fetal biophysical profile performed? via ultrasound and fetal heart rate monitoring When is the fetal biophysical profile often performed? in the third trimester, often after week 28-32 4 / What is a normal kick count in pregnancy? at least 10 kicks in a consecutive two hour period How much weight should an underweight woman gain in pregnancy? 28-40 pounds How much weight should a normal weight woman gain in pregnancy? 25-35 pounds How much weight should an overweight woman gain in pregnancy? 15-25 pounds How much weight should an obese woman gain in pregnancy? 11-20 pounds Underweight and normal weight woman should be gaining how much weight per week in their second and third trimesters? 1 pound Overweight and obese women should be gaining how much weight per week in their second and third trimesters? 0.5 pounds What is the biggest risk associated with scabies? secondary infection due to itching What do scabies look like on the skin? red papular bumps that have s shaped burrows on them; may have fluid coming from them Sickle cell anemia is what type of anemia? normocytic How is sickle cell anemia diagnosed? hemoglobin electrophoresis Which age group is rheumatic fever most common in? children ages 5-15 What are the major symptoms of rheumatic fever? carditis, arthritis, chorea, erythema marginatum (rash), subcutaneous nodules What are the minor symptoms of rheumatic fever? fever, elevated ESR, prolonged PR interval How do we treat rheumatic fever? refer to the hospital 5 / What is chorea? abnormal involuntary movements What are the main s/s of rubeiola (measles) Koplick spots + the 3 c's - cough, coryza, conjunctivitis GABHS infection puts individuals at the highest risk of developing what sequelae? peritonsillar abscess, glomerulonephritis, rheumatic fever What is the diagnostic criteria for acute rheumatic fever? 2 major criteria OR 1 major + 2 minor criteria PLUS evidence of a recent strep infection When can a breastfeeding mother breast feed again after drinking alcohol? wait 2-3 hours per drink consumed before breastfeeding again Can a mother take methadone while pregnant and breastfeeding? yes Does subsequent mean before or after? after What is the recommended treatment for Kawasaki disease? refer to the ED, will likely need IVIG and high dose aspirin What are the s/s of Kawasaki disease? fever + CREAM (conjunctivitis, rash, erythema of palms and soles, adenopathy cervical, mucous membranes) Kawasaki disease is caused by what? an acute vasculitis of the small and medium blood vessels What is the main difference between Kawasaki disease and scarlet fever? KD has conjunctivitis and scarlet fever does not The rash associated with acute rheumatic fever erythema marginatum The rash associated with parvovirus aka slapped cheek aka fifth disease erythema infectiosum What does erythema marginatum of rheumatic fever look like? erythematous with a central clearing, not itchy The medical term for tennis elbow lateral epicondylitis 6 / What is the leading cause of death in anorexia? suicide Erikson stage from birth to 18 months trust vs mistrust Erikson stage from 18 months to 3 years autonomy vs shame and doubt Erikson stage from 3-5 years initiative vs guilt Erikson stage from 5-13 years industry vs inferiority Erikson stage from 13-21 years identity vs role confusion Erikson stage from 21-39 years intimacy vs isolation Erikson stage from 40-65 years generativity vs stagnation Erikson stage for 65 and older ego integrity vs despair Macrobid/nitrofurantoin is contraindicated in which patients? those with renal insufficiency Treatment options for complicated UTI cipro or levo x 5-7 days Treatment options for uncomplicated UTI bactrim x 3 days, macrobid x 5 days, fosfamycin 1g one time dose Olecranon bursitis is pain in which region of the elbow? the posterior elbow; will also have swelling and warmth Lateral epicondylitis manifests as what type of elbow pain? weak grip and pain with gripping, pain with rotation of the wrist and forearm The medical term for golfer's elbow medial epicondylitis 7 / How does the pain in lateral vs. medial epicondylitis differ? lateral epicondylitis is worse with supination of the hand and medial epicondylitis is worse with pronation of the hand involves tapping a finger along the problem nerve tinel sign asking the patient to place both elbows on a table while keeping both forearms vertical and flexing both wrists phalen sign Which nerve runs on the side of the thumb median nerve Which nerve runs on the side of the pinky finger ulnar nerve What is ankylosing spondylitis? an inflammatory condition affecting the spine causing chronic back pain and stiffness that improves with exercise and enthesitis What is the treatment for ankylosing spondylitis? refer to rheumatology for possible DMARDs What are the s/s of polymyalgia rheumatica? chronic pain in the proximal joints (shoulders and hips) bilaterally with stiffness lasting for more than 45 minutes What is the recommended treatment for polymyalgia rheumatica? PO steroids and refer to Rheumatology to confirm the diagnosis Where are the biggest food sources of vitamin B12? fish, meat, poultry, eggs, and dairy products, also fortified breakfast cereals and fortified nutritional yeasts What is the gold standard for the diagnosis of herpes? nucleic acid amplification test Most cases of acute sinusitis are viral and how can we treat them? treat the symptoms with intranasal steroids and saline rinses What is the difference between chronic vs gestational hypertension? chronic htn is present before 20 weeks gestation or 12 weeks after delivery; gestational hypertension is after 20 weeks gestation Which is the recommended diagnostic when a patient has a breast lump? if less than 45, do an ultrasound. if older than 45, do a diagnostic mammogram. An overactive bladder is what type of incontinence? urge incontinence 8 / What is the recommended treatment for urge incontinence? anticholinergics like oxybutynin What is the recommended treatment for stress incontinence? alpha agonists like sudafed, TCAs What is the recommended treatment for BPH? alpha blockers like terazosin, doxazosin, tamsulosin Alcohol and marijuana worsen which type of incontinence? urge Which SSRI is safest in pregnancy? Which poses the most risk? sertraline; paroxetine Infants born to women who smoke are at increased risk for what? low birth weight and preterm delivery What is the best marker of an acute MI? troponin When do troponins peak after a MI? 12 hours When should an infant be able to display a conjugate gaze (track you all the way across the room)? 6 months Which medication is approved in Peds for the prevention of febrile seizures? diazepam Folic acid is which vitamin? vitamin B9 What is the dosage preferred for folic acid deficiency? 1-5mg daily Dosage of folic acid in pregnancy to prevent neural tube defects 400mcg daily What are ECG changes you may see on a patient with hypokalemia? tachyarrhythmas, ST depression, prolonged QT, and U wave present What are ECG changes you may see on a patient with hyperkalemia? peaked T waves 1/ A U wave present on EKG is thought to represent what? repolarization of the purkinje fibers What is considered legal blindness? 20/200 or worse What is the pain of temporal arteritis like? new onset headache, jaw pain with chewing Are nexplanon and norplant (levonorgestrol) combined contraceptives or progesterone only? progesterone only Breastfeeding women cannot have which type of anti- contraceptive? anything with estrogen in it; this includes things like cocps