APEA PREDICTOR FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS 2026/2027
LATEST UPDATED (GRADED A+)
In the majority of children, the first permanent teeth start to erupt at the age of 6 years. Which of the
following are the first permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - CORRECT ANSWERS A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping - CORRECT ANSWERS D. Grocery shopping
,APEA PREDICTOR FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS 2026/2027
LATEST UPDATED (GRADED A+)
You note the following result on a routine urinalysis of a 37-year old primigravida who is at 30 weeks
gestation. Leukocyte=trace, nitrite=negative, protein=2+, blood=negative. Her weight has increased by 5
lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - CORRECT ANSWERS B. Pregnancy-induced hypertension (pre-eclampsia).
Classic triad of symptoms of preeclampsia include hypertension, edema (weight gain), and
proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that her child had a high fever for
several days, which spontaneously resolved. After the fever resolved, the child developed a
maculopapular rash. Which of the following is the most likely diagnosis?
,APEA PREDICTOR FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS 2026/2027
LATEST UPDATED (GRADED A+)
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - CORRECT ANSWERS B. Roseola Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2 days. He denies
eye pain, visual changes, or headaches. He has a new onset of cough from a recent viral upper
respiratory infection. The only medicine he is on Bayer aspirin, 1 tablet a day. Which of the following is
most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - CORRECT ANSWERS D. Subconjunctival hemorrhage. Bright red
blood in a sharply defined area surrounded by normalappearing conjunctiva indicates
subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A microscopy slide
reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
, APEA PREDICTOR FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS 2026/2027
LATEST UPDATED (GRADED A+)
C. Trichomoniasis
D. This is a normal finding. - CORRECT ANSWERS A. Atrophic vaginitis. Symptoms of atrophic
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a decrease in pH. Vaginal
atrophy is caused by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - CORRECT ANSWERS B. Basal skin cancer. It is several times more common that
squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections B.
Measles
C. Kawasaki's disease
D. Reye's syndrome - CORRECT ANSWERS B. Measles. S/S include fever over 101, coryza, cough,
conjunctivitis, rash, and koplik's spots on buccal mucosa
At what level of prevention would you classify for lung cancer?
ANSWERS WITH COMPLETE SOLUTIONS 2026/2027
LATEST UPDATED (GRADED A+)
In the majority of children, the first permanent teeth start to erupt at the age of 6 years. Which of the
following are the first permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - CORRECT ANSWERS A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping - CORRECT ANSWERS D. Grocery shopping
,APEA PREDICTOR FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS 2026/2027
LATEST UPDATED (GRADED A+)
You note the following result on a routine urinalysis of a 37-year old primigravida who is at 30 weeks
gestation. Leukocyte=trace, nitrite=negative, protein=2+, blood=negative. Her weight has increased by 5
lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - CORRECT ANSWERS B. Pregnancy-induced hypertension (pre-eclampsia).
Classic triad of symptoms of preeclampsia include hypertension, edema (weight gain), and
proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that her child had a high fever for
several days, which spontaneously resolved. After the fever resolved, the child developed a
maculopapular rash. Which of the following is the most likely diagnosis?
,APEA PREDICTOR FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS 2026/2027
LATEST UPDATED (GRADED A+)
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - CORRECT ANSWERS B. Roseola Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2 days. He denies
eye pain, visual changes, or headaches. He has a new onset of cough from a recent viral upper
respiratory infection. The only medicine he is on Bayer aspirin, 1 tablet a day. Which of the following is
most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - CORRECT ANSWERS D. Subconjunctival hemorrhage. Bright red
blood in a sharply defined area surrounded by normalappearing conjunctiva indicates
subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A microscopy slide
reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
, APEA PREDICTOR FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS 2026/2027
LATEST UPDATED (GRADED A+)
C. Trichomoniasis
D. This is a normal finding. - CORRECT ANSWERS A. Atrophic vaginitis. Symptoms of atrophic
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a decrease in pH. Vaginal
atrophy is caused by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - CORRECT ANSWERS B. Basal skin cancer. It is several times more common that
squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections B.
Measles
C. Kawasaki's disease
D. Reye's syndrome - CORRECT ANSWERS B. Measles. S/S include fever over 101, coryza, cough,
conjunctivitis, rash, and koplik's spots on buccal mucosa
At what level of prevention would you classify for lung cancer?
