PRIMARY CARE THE ART AND SCIENCE OF
ADVANCED PRACTICE NURSING ACTUAL
EXAM PAPER 2026 QUESTIONS SOLUTIONS
GRADED A+
◉ HIV Initial Symptoms. Answer: Mostly asymptomatic initially;
Fever, Sore throat, Myalgia, Headache, Cervical lymphadenopathy,
Night sweats.
◉ HIV Complications. Answer: Increase vulnerability to other
infections - shingles, herpes, thrush; Lymphadenopathy - persistent;
Localized Candida infections; STI's; Weight loss; Cytopenia's.
◉ HIV Testing. Answer: Elisa x 2 + Western Blot.
◉ HIV ½ Antigen/Antibody Combo Immunoassay. Answer: Detects
HIV ½.
◉ HIV Distinction Testing. Answer: Immunoassay to distinguish HIV
1 vs. HIV 2 OR NAT testing.
◉ Rapid Home-Based HIV Test. Answer: Oraquick.
,◉ HIV Monitoring Tests. Answer: CD4 T Cell, HIV viral load, Hep
A/B/C, CBC, BMP, LFT, Lipids, HbA1C, TB Test, Urinalysis, STI, Preg.
◉ PREP. Answer: Take daily for prophy; Labs before: HIV, Hep B/C,
CMP, LFT - monitor during.
◉ PEP. Answer: @ risk interaction w/in 72 hours; Labs before: HIV,
Hep B/C, ALT/AST, Creatinine, Syph/gonnorhea/pregnancy.
◉ HIV Diagnosis. Answer: HIV +: 13 yo +, 2 or more + Elisa tests and
HIV-specific antibody tests (Western Blot).
◉ AIDS Diagnosis. Answer: CD4 T cell count less than 200.
◉ Sjogren's Syndrome. Answer: Females > Males, 40-60 yo, Family
Hx.
◉ Sjogren's Symptoms. Answer: Dry eye, Dryness of cornea, Dry
mouth, Loss of taste/smell, Recurrent dental carries, Fatigue,
Arthralgia, Myalgia, Chronically ill, Bad breath, Dry mucous
membranes, Pale throat, Beefy Red tongue, Rash.
◉ Sjogren's Diagnostic Criteria. Answer: Inadequate tear production,
Corneal/epithelial damage, Decreased saliva production,
,Lymphocytic infiltration of labial glands, Impaired salivary gland
function, Autoantibodies - anti-RO, And-LA.
◉ Sjogren's Lab Tests. Answer: CBC, RF, ANA, y-globulin.
◉ Sjogren's Management. Answer: Symptom management: Eye
Drops, Hard candies, Gum, Special toothpastes, Vaseline for dry lips.
◉ Sjogren's Medications. Answer: Pilocarpine / cholinergic meds,
Acetylcysteine for mucolytic, Topical cyclosporine.
◉ Sjogren's Biopsy Findings. Answer: Biopsy of exocrine glands
reveal inflammatory lymphocytic cellular infiltrate.
◉ Systemic Lupus Erythematosus. Answer: Female > Male, 30-40 yo,
AA/Asian/Hispanic, Genetics.
◉ Systemic Lupus Symptoms. Answer: Malaise, Fever, Anorexia,
Unplanned weight loss.
◉ Blurred vision. Answer: A visual disturbance where objects
appear out of focus.
◉ Sleeplessness. Answer: Difficulty in falling or staying asleep.
, ◉ Depression. Answer: A mood disorder characterized by persistent
feelings of sadness and loss of interest.
◉ Swollen joints. Answer: Enlargement of the joints due to
inflammation or fluid accumulation.
◉ SHOB. Answer: Shortness of breath.
◉ Painful inspiration. Answer: Discomfort or pain experienced while
inhaling.
◉ Vague abdominal pain/cramping. Answer: Non-specific
discomfort or cramping in the abdominal area.
◉ Fatigue. Answer: A state of extreme tiredness or exhaustion.
◉ Butterfly rash. Answer: A facial rash that resembles a butterfly
shape, often associated with lupus.
◉ Alopecia. Answer: Hair loss from some or all areas of the body.
ADVANCED PRACTICE NURSING ACTUAL
EXAM PAPER 2026 QUESTIONS SOLUTIONS
GRADED A+
◉ HIV Initial Symptoms. Answer: Mostly asymptomatic initially;
Fever, Sore throat, Myalgia, Headache, Cervical lymphadenopathy,
Night sweats.
◉ HIV Complications. Answer: Increase vulnerability to other
infections - shingles, herpes, thrush; Lymphadenopathy - persistent;
Localized Candida infections; STI's; Weight loss; Cytopenia's.
◉ HIV Testing. Answer: Elisa x 2 + Western Blot.
◉ HIV ½ Antigen/Antibody Combo Immunoassay. Answer: Detects
HIV ½.
◉ HIV Distinction Testing. Answer: Immunoassay to distinguish HIV
1 vs. HIV 2 OR NAT testing.
◉ Rapid Home-Based HIV Test. Answer: Oraquick.
,◉ HIV Monitoring Tests. Answer: CD4 T Cell, HIV viral load, Hep
A/B/C, CBC, BMP, LFT, Lipids, HbA1C, TB Test, Urinalysis, STI, Preg.
◉ PREP. Answer: Take daily for prophy; Labs before: HIV, Hep B/C,
CMP, LFT - monitor during.
◉ PEP. Answer: @ risk interaction w/in 72 hours; Labs before: HIV,
Hep B/C, ALT/AST, Creatinine, Syph/gonnorhea/pregnancy.
◉ HIV Diagnosis. Answer: HIV +: 13 yo +, 2 or more + Elisa tests and
HIV-specific antibody tests (Western Blot).
◉ AIDS Diagnosis. Answer: CD4 T cell count less than 200.
◉ Sjogren's Syndrome. Answer: Females > Males, 40-60 yo, Family
Hx.
◉ Sjogren's Symptoms. Answer: Dry eye, Dryness of cornea, Dry
mouth, Loss of taste/smell, Recurrent dental carries, Fatigue,
Arthralgia, Myalgia, Chronically ill, Bad breath, Dry mucous
membranes, Pale throat, Beefy Red tongue, Rash.
◉ Sjogren's Diagnostic Criteria. Answer: Inadequate tear production,
Corneal/epithelial damage, Decreased saliva production,
,Lymphocytic infiltration of labial glands, Impaired salivary gland
function, Autoantibodies - anti-RO, And-LA.
◉ Sjogren's Lab Tests. Answer: CBC, RF, ANA, y-globulin.
◉ Sjogren's Management. Answer: Symptom management: Eye
Drops, Hard candies, Gum, Special toothpastes, Vaseline for dry lips.
◉ Sjogren's Medications. Answer: Pilocarpine / cholinergic meds,
Acetylcysteine for mucolytic, Topical cyclosporine.
◉ Sjogren's Biopsy Findings. Answer: Biopsy of exocrine glands
reveal inflammatory lymphocytic cellular infiltrate.
◉ Systemic Lupus Erythematosus. Answer: Female > Male, 30-40 yo,
AA/Asian/Hispanic, Genetics.
◉ Systemic Lupus Symptoms. Answer: Malaise, Fever, Anorexia,
Unplanned weight loss.
◉ Blurred vision. Answer: A visual disturbance where objects
appear out of focus.
◉ Sleeplessness. Answer: Difficulty in falling or staying asleep.
, ◉ Depression. Answer: A mood disorder characterized by persistent
feelings of sadness and loss of interest.
◉ Swollen joints. Answer: Enlargement of the joints due to
inflammation or fluid accumulation.
◉ SHOB. Answer: Shortness of breath.
◉ Painful inspiration. Answer: Discomfort or pain experienced while
inhaling.
◉ Vague abdominal pain/cramping. Answer: Non-specific
discomfort or cramping in the abdominal area.
◉ Fatigue. Answer: A state of extreme tiredness or exhaustion.
◉ Butterfly rash. Answer: A facial rash that resembles a butterfly
shape, often associated with lupus.
◉ Alopecia. Answer: Hair loss from some or all areas of the body.
