APEA Pre-Predictor Exam 2 – FNP Board Review | 2026/ 2027 Update | Questions and Correct Answers | Complete Exam Material

APEA Pre-Predictor Exam 2 – 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 board-certification testing. Scoring above 80% predicts first-attempt success, helping learners pinpoint weaknesses and master essential concepts with confidence. 1 / 2 / 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. When should pediatrics be screened for hyperlipidemia? between 9 and 11 years old What is the tell-tale symptom of endometriosis? progressive dysmenorrhea What is treatment for first-line endometriosis? cyclic OCPs and NSAIDs How is endometriosis diagnosed? via transvaginal ultrasound What are risk factors for the development of cervical cancer? HIV, immunocompromised, low socioeconomic status, smoking, hispanic, DES daughters, long term contraceptive use What does the D in melanoma stand for? greater than 6mm in diameter or 1/4 of an inch Boutonniere deformities are indicative of what disease? rheumatoid arthritis What are the potassium sparing diuretics? spironolactone, triamterene, amiloride, eplenerone What class of diuretic is bumetanide? a loop diuretic, same as lasix 3 / What is Chovstek's sign? a contraction of ipsilateral facial muscles subsequent to percussion over the facial nerve, indicative of hypocalcemia What is Trousseau's sign? a carpopedal spasm induced by ischemia secondary to the inflation of a sphygmomanometer cuff, indicative of hypocalcemia Calcium is in an inverse relationship with what electrolyte? phosphorous When you see the trigger word "christmas tree", what rash should you consider? pityriasis rosea What is the recommended treatment for pityriasis rosea? nothing; it is a viral rash and can last up to two months before clearing on it's own Causing harm or damage deleterious How do you calculate ideal body weight for men? start at 106 pounds and then add 6 for every inch above 5 feet How is lichen sclerosus treated? topical steroids, topical calcineuronin inhibitors to suppress the immune system, topical or oral retinoids, phototherapy What is the tell-tale sign of malignant hypertension? retinopathy and blurred vision; characterized by a diastolic BP of greater than 130 What is the difference between a Parkinsonian tremor and a Parkinson tremor is also known as a resting tremor and is seen at rest, may look an essential tremor? like pill-rolling. an essential tremor is bilateral, symmetric and seen when the hands are doing something What can worsen and improve an essential tremor? worsened by stress or fatigue, improved by alcohol What is first-line treatment for trigeminal neuralgia? carbamazepine (tegretol) or amtriptyline Are Parkinsonian tremors unilateral or bilateral at first? unilateral Where is the TMJ best palpated? anterior to the tragus What are the primary bacteria in dog bites? staph, strep, and pasteurella 4 / What is the gold standard treatment of giant cell arteritis? oral steroids and potential artery biopsy by rheum Who is a candidate for Truvada for Prep? if you are an IV drug user, have had a sexual partner with HIV in the last 6 months, do not consistently use a condom and engage in anal or vaginal sex, or have been diagnosed with a STD in the last 6 months Post exposure prophylaxis for someone with HIV should be completed when? within 72 hours of the exposure Who should be screened for HIV? everyone at least once from age 13-64 if low risk, and then more frequently if high risk Should patients undergo gonorrhea testing to confirm a cure after receiving treatment? only if they had pharyngeal gonorrhea, not vaginal or anal Tanner stage 1 female breast developmental prepubertal Tanner stage 2 female breast development thelarche; the breasts bud as a small mound and the areola increases in diameter Tanner stage 3 female breast development the areola, breast, and nipple grow together in one mount Tanner stage 4 female breast development the areola and nipple separate from the breast to form a secondary mound Tanner stage 5 female breast development mature nipples project only Tanner stage 1 male genital development prepubertal Tanner stage 2 male genital development testicles and scrotum enlarge Tanner stage 3 male genital development testicles continue to enlarge and the penis lengthens Tanner stage 4 male genital development penis lengthens, testicles enlarge, and the scrotum darkens Tanner stage 5 male genital development mature 5 / Antibiotic of choice for lyme disease doxycycline Antibiotic of choice for cellulitis keflex or cefdinir Antibiotic of choice for chlamydia azithromycin Antibiotic of choice for syphilis penicillin G Antibiotic of choice for bacterial vaginosis flagyl Antibiotic of choice for trichomoniasis flagyl Antibiotic of choice for acute prostatitis cipro (or ceftriaxone if STI related) Antibiotic of choice for PID ceftriaxone and doxycycline Antibiotic of choice for pyelonephritis cephalexin or bactrim Antibiotic of choice for MRSA bactrim, clindamycin, doxycycline Antibiotic of choice for dog or cat bite augmentin Antibiotic of choice for mastitis keflex Antibiotic of choice for chronic bacterial prostatitis bactrim plus cipro or levo What is the earliest sign of diabetic nephropathy on labwork? microalbuminuria in the urine Recommended treatment for verruca (warts) topical salicylic acid daily x 12 weeks 1/ Perineal pain is indicative of what in males? prostatitis