3P APEA Actual EXAM Questions and Answers
Latest Updated 2026 (Graded A+)
Difference between varicose vein and arteriosclerosis - correct answer-Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely positi
on of his point of maximal impulse (PMI) - correct answer-5th ICS, leſt of MCL
A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening poi
nt. There is no audible click. His status has been monitored for the past two years. This murmur is
probably - correct answer-mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he walks and pain resolution
with rest. When specifically asked about his pain in his lower leg, he likely will report pain -
correct answer-in the calf muscle
A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as "sloughing
of skin" and hospitalization. Which medication is contraindicated in this patient? - correct answer-
hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of
his stenosis. the NP replies: - correct answer-shortness of breath and syncope
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor f
or PAD? - correct answer-diabetes
Benazepril should be d/c immediately if - correct answer-pregnancy occurs
aortic regurgitation characteristics - correct answer-
long asymptomatic period follow by exercise intolerance, then dyspnea at rest
, DVT classic symptoms - correct answer-swelling, pain, and discoloration of lower extremity
Characteristic of ACE-induced cough is that? - correct answer-
usually begins two weeks of starting therapy
Valve most commonly involved in chronic rheumatic heart disease - correct answer-mitral
Medication that can exacerbate HF - correct answer-naproxen
Patient taking ACE inhibitors should avoid? - correct answer-potassium supplements
Grade 3 murmur indication for a referral - correct answer-a fixed split
Group of meds used to treat HF - correct answer-fosinopril, HCTZ, verapamil
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-
fib. INR today is 4.0. the NP should: - correct answer-
stop the warfarin today and repeat INR tomorrow
According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that is, whi
ch risk factor places the pt. as a CHD risk similar to a hx of CHD - correct answer-diabetes mellitus
good drug to reduce morbidity andv mortalityv inv mildv HFv -v correctv answer-metoprolol
Av pt.v takingv atorvastatinv newlyv diagnosedv withv dyslipidemiav complaintsv ofv fatigue,v weakness,v andv
m
usclev achesv inv hisv lowerv back,v arms,v legsv forv thev pastv 3v days.v itv isv notv improvedv withv restv Howv s
ho
uldv thisv bev evaluated?v -v correctv answer-Stopv thev atorvastatinv immediately
symptomv notv indicativev ofv HFv -v correctv answer-headache
Latest Updated 2026 (Graded A+)
Difference between varicose vein and arteriosclerosis - correct answer-Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely positi
on of his point of maximal impulse (PMI) - correct answer-5th ICS, leſt of MCL
A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening poi
nt. There is no audible click. His status has been monitored for the past two years. This murmur is
probably - correct answer-mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he walks and pain resolution
with rest. When specifically asked about his pain in his lower leg, he likely will report pain -
correct answer-in the calf muscle
A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as "sloughing
of skin" and hospitalization. Which medication is contraindicated in this patient? - correct answer-
hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of
his stenosis. the NP replies: - correct answer-shortness of breath and syncope
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor f
or PAD? - correct answer-diabetes
Benazepril should be d/c immediately if - correct answer-pregnancy occurs
aortic regurgitation characteristics - correct answer-
long asymptomatic period follow by exercise intolerance, then dyspnea at rest
, DVT classic symptoms - correct answer-swelling, pain, and discoloration of lower extremity
Characteristic of ACE-induced cough is that? - correct answer-
usually begins two weeks of starting therapy
Valve most commonly involved in chronic rheumatic heart disease - correct answer-mitral
Medication that can exacerbate HF - correct answer-naproxen
Patient taking ACE inhibitors should avoid? - correct answer-potassium supplements
Grade 3 murmur indication for a referral - correct answer-a fixed split
Group of meds used to treat HF - correct answer-fosinopril, HCTZ, verapamil
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-
fib. INR today is 4.0. the NP should: - correct answer-
stop the warfarin today and repeat INR tomorrow
According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that is, whi
ch risk factor places the pt. as a CHD risk similar to a hx of CHD - correct answer-diabetes mellitus
good drug to reduce morbidity andv mortalityv inv mildv HFv -v correctv answer-metoprolol
Av pt.v takingv atorvastatinv newlyv diagnosedv withv dyslipidemiav complaintsv ofv fatigue,v weakness,v andv
m
usclev achesv inv hisv lowerv back,v arms,v legsv forv thev pastv 3v days.v itv isv notv improvedv withv restv Howv s
ho
uldv thisv bev evaluated?v -v correctv answer-Stopv thev atorvastatinv immediately
symptomv notv indicativev ofv HFv -v correctv answer-headache
