APEA 3P Exam High Stakes QUESTIONS AND CORRECT DETAILED ANSWERS LATEST UPDATE THIS YEAR

Page 1 of 44



APEA 3P Exam High Stakes QUESTIONS AND CORRECT
DETAILED ANSWERS LATEST UPDATE THIS YEAR
APEA 3P High Stakes Exam – ANSWER


Exam coverage


APEA 3P High Stakes Exam coverage includes advanced clinical knowledge assessed in the APEA

3P High Stakes Exam provided by Advanced Practice Education Associates (APEA). It focuses on

the three core graduate nursing competencies known as the "3Ps": advanced pathophysiology,

pharmacology, and physical assessment. The exam evaluates understanding of disease

mechanisms, diagnostic reasoning, patient assessment techniques, and appropriate

pharmacologic and non-pharmacologic treatment options. Emphasis is placed on clinical

decision-making, interpretation of patient findings, and the application of evidence-based

practice in the management of common acute and chronic conditions across the lifespan




QUESTION: Taking Pyridium for UTI, what can Pyridium cause? - ANSWER-Hemolytic Anemia




QUESTION: What can PCOS result in? - ANSWER-Increased insulin levels (Hyperinsulinemia),

Androgens, Hirsutism




QUESTION: What would cause decrease in Digoxin levels? - ANSWER-Antacids

, Page 2 of 44




QUESTION: What are the anti-hypertensives used in pregnancy? - ANSWER-Methyldopa (Alpha-

2-Agonist), Labetalol, Nifedipine, Hydralazine




QUESTION: What is a characteristic of Placenta Previa? - ANSWER-Painless, red bleeding




QUESTION: What is a chacteristic of Rheumatoid Arthritis? - ANSWER-Tender, warm, swollen

joints




QUESTION: Medications that can cause ototoxicity? - ANSWER-Aminoglycosides, loop diuretics,

NSAIDs, antihistamines, nasal decongestants




QUESTION: What is the treatment time for enterobiasis? - ANSWER-2 weeks




QUESTION: What does MCV lab value measure? - ANSWER-Mean Corpuscular Volume helps

diagnose different types of anemia such as B12 & Folate (Macrocytic) and Fe anemia

(Microcytic)

, Page 3 of 44




QUESTION: Rhogam is given at how many week gestation? - ANSWER-27-28 weeks




QUESTION: What are Janeway lesions and what do they indicate? - ANSWER-They are irregular,

non-tender hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis




QUESTION: What are Osler's Nodes and what do they indicate? - ANSWER-They are split pea-

sized, erythematous, tender nodules located on the pads of the fingers and toes. Seen in

Infective Endocarditis




QUESTION: What is the recommendation for Warfarin management when a patient misses a

dose? - ANSWER-If within 12 hours of the dose time, take it. If over 12 hours patient will need a

INR redraw




QUESTION: What do we need to know about ACEs and ARBs? - ANSWER-A dry hacking cough is

a common side effect of ACEs and will go away within a week after discontinuing. ACEs & ARBs

are indicated for patients with DM, CKD, and HTN. Not recommended as 1st line agent with

African Americans & can cause angioedema.

, Page 4 of 44




QUESTION: Contraindications for Hydrochlorothiazide - ANSWER-Sulfa allergy, PCN

hypersensitivity, Asthma, Gout




QUESTION: Systolic Murmurs (Benign) - ANSWER-MR = Mitral Regurge (SOB/Fatigue HF)


Peyton Manning = Physiologic Murmur (Asymptomatic)


AS = Aortic Stenosis (Angina, Syncope HF)


MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain




QUESTION: Diastolic Murmurs (Abnormal) - ANSWER-AR = Aortic Regurgitation (Angina, HF,

Dizziness, Chest Pain)


MS = Mitral Stenosis (Dyspnea, AFib)




QUESTION: What does S1 indicate? - ANSWER-S1 Closure of the Atrioventricular Valves (Mitral

& Tricuspid Valves)