APEA 3 P Final Exam Study Guide: Key
Questions and Answers | 2026 Updated |
GUARANTEED PASS.
APEA 3 P STUDY GUIDE
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and
20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
Answer:
Question 2
2. The American psychiatric association’s diagnostic and statistical manual of mental disorder
defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or her
care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker
of a
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
look like the child is sick.
Answer:
Question 3
3. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
mailto:https://www.stuvia.com/user/Wisdoms
,d) cortisol
Answer:
Question 4
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter
20
a) Nevus
mailto:https://www.stuvia.com/user/Wisdoms
,b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
Answer:
Question 5
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
periorbital edema this finding is suggestive of this condition? APEA
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
with advanced hypothyroidism . The classic skin changes are: swelling of face, lips, eyelids,
and
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism.
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
Answer:
Question 6
6. A 42 years old woman with a past medical histor y of migraine headaches is requesting
prophylactic medication treatment. Which medication should the Nurse practitioner
prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for
prophylactic
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
Answer:
mailto:https://www.stuvia.com/user/Wisdoms
, Question 7
7. A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This
clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
Answer:
Question 8
8. What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches?
a) Sumatriptan (Imitrex)
b) Propanolol (Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
Answer:
Question 9
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45, breastfeeding,
smoking,
HTN, diabetes or hx of stroke
Answer:
Question 10
10. During the breast examination of a perimenopausal woman the NP detects a bloody
spontaneous discharge from the right nipple. This indicates further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown
nonbloody nipple discharge that tends to leak without pressure or squeezing
mailto:https://www.stuvia.com/user/Wisdoms
Questions and Answers | 2026 Updated |
GUARANTEED PASS.
APEA 3 P STUDY GUIDE
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and
20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
Answer:
Question 2
2. The American psychiatric association’s diagnostic and statistical manual of mental disorder
defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or her
care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker
of a
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
look like the child is sick.
Answer:
Question 3
3. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
mailto:https://www.stuvia.com/user/Wisdoms
,d) cortisol
Answer:
Question 4
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter
20
a) Nevus
mailto:https://www.stuvia.com/user/Wisdoms
,b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
Answer:
Question 5
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
periorbital edema this finding is suggestive of this condition? APEA
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
with advanced hypothyroidism . The classic skin changes are: swelling of face, lips, eyelids,
and
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism.
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
Answer:
Question 6
6. A 42 years old woman with a past medical histor y of migraine headaches is requesting
prophylactic medication treatment. Which medication should the Nurse practitioner
prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for
prophylactic
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
Answer:
mailto:https://www.stuvia.com/user/Wisdoms
, Question 7
7. A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This
clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
Answer:
Question 8
8. What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches?
a) Sumatriptan (Imitrex)
b) Propanolol (Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
Answer:
Question 9
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45, breastfeeding,
smoking,
HTN, diabetes or hx of stroke
Answer:
Question 10
10. During the breast examination of a perimenopausal woman the NP detects a bloody
spontaneous discharge from the right nipple. This indicates further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown
nonbloody nipple discharge that tends to leak without pressure or squeezing
mailto:https://www.stuvia.com/user/Wisdoms
