APEA FNP Predictor Exam Test Bank / APEA FNP Predictor Test Bank
2025/2026 – Updated Practice Questions, Answers, and Rationales for
Family Nurse Practitioner Students
1. Radial head fracture: The most likely working diagnosis for a 14 year old patient
who fell on an outstretched hand, complains of proximal forearm pain, and has a
positive fat pad sign on X-ray.
2. Successful treatment indication for radial head subluxation: The child quickly
begins to use the affected arm after closed manipulation.
3. Measles: A 10-month old with a rash, runny nose, cough, and a cluster of tiny
white papules with an erythematous base on the buccal mucosa suggests this
diagnosis.
4. Object permanence: Indicated by a 12-month-old child looking for a toy that
the father has hidden under the table.
5. Right lower lobe crackles: Expected examination result for a 14-year-old male
with bronchitis returning with fever, right pleuritic chest pain, and green sputum.
6. Microscopic exam of urine: The diagnostic test that should be performed
immediately for a 15-year-old female with burning urination after treatment for
trichomonas vaginitis.
, 7. Testicular self-examination: Essential education for a 15-year-old male with a
history of cryptorchidism which was surgically repaired.
8. Measure the blood sugar: The first action a school nurse should take when a
child with type I diabetes mellitus reports sweating and weakness after insulin
injection.
9. Providing reassurance: The appropriate response for a 16-year-old female
experiencing midcycle spotting while on Ortho-Novum 7/7/7.
10. FSH, LH, TSH: The most appropriate diagnostic tests to order for a 17-year-old
female suspected of having polycystic ovary syndrome, in addition to
testosterone.
11. Primary amenorrhea: The most likely diagnosis for a 17-year-old female who
has never had her menses and is at Tanner stage III of sexual development.
12. Cancer of the testicles: Condition suspected for a 20-year-old male with a 1-
month history of a bump on his testicle and a history of unprotected intercourse.
13. Gonococcal conjunctivitis: Suspected condition for a 21-year-old college
student presenting with copious, markedly purulent discharge from her left eye.
14. Appendicitis: Most likely diagnosis for a 21-year-old patient presenting with
abdominal guarding, rigid abdominal musculature, rebound tenderness at
McBurney's point, and leukocytosis.
2025/2026 – Updated Practice Questions, Answers, and Rationales for
Family Nurse Practitioner Students
1. Radial head fracture: The most likely working diagnosis for a 14 year old patient
who fell on an outstretched hand, complains of proximal forearm pain, and has a
positive fat pad sign on X-ray.
2. Successful treatment indication for radial head subluxation: The child quickly
begins to use the affected arm after closed manipulation.
3. Measles: A 10-month old with a rash, runny nose, cough, and a cluster of tiny
white papules with an erythematous base on the buccal mucosa suggests this
diagnosis.
4. Object permanence: Indicated by a 12-month-old child looking for a toy that
the father has hidden under the table.
5. Right lower lobe crackles: Expected examination result for a 14-year-old male
with bronchitis returning with fever, right pleuritic chest pain, and green sputum.
6. Microscopic exam of urine: The diagnostic test that should be performed
immediately for a 15-year-old female with burning urination after treatment for
trichomonas vaginitis.
, 7. Testicular self-examination: Essential education for a 15-year-old male with a
history of cryptorchidism which was surgically repaired.
8. Measure the blood sugar: The first action a school nurse should take when a
child with type I diabetes mellitus reports sweating and weakness after insulin
injection.
9. Providing reassurance: The appropriate response for a 16-year-old female
experiencing midcycle spotting while on Ortho-Novum 7/7/7.
10. FSH, LH, TSH: The most appropriate diagnostic tests to order for a 17-year-old
female suspected of having polycystic ovary syndrome, in addition to
testosterone.
11. Primary amenorrhea: The most likely diagnosis for a 17-year-old female who
has never had her menses and is at Tanner stage III of sexual development.
12. Cancer of the testicles: Condition suspected for a 20-year-old male with a 1-
month history of a bump on his testicle and a history of unprotected intercourse.
13. Gonococcal conjunctivitis: Suspected condition for a 21-year-old college
student presenting with copious, markedly purulent discharge from her left eye.
14. Appendicitis: Most likely diagnosis for a 21-year-old patient presenting with
abdominal guarding, rigid abdominal musculature, rebound tenderness at
McBurney's point, and leukocytosis.
