APEA EXAM UPDATE 2026-2027
QUESTIONS ANC CORRECT
ANSWERS RATED A+
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 answer -
Refer the patient to an ophthalmologist
The American psychiatric association's diagnostic and statistical manual of mental
disorder defines Munchausen Syndrome by proxy answer - a caregiver making up
or causing an illness or injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? -
dopamine
Which lesion is dark, raised, and asymmetric with irregular border? - Melanoma
A 32-year-old woman presents with dull puffiness of the eyes pronounced not
pitting periorbital edema this finding is suggestive of this condition? - Myxedema
A 42-year-old woman with a past medical history of migraine headaches is
requesting prophylactic medication treatment. Which medication should the Nurse
Practitioner prescribe? - Amitriptyline (Elavil)
A pediatric has areas of scaling on the scalp with round patches of alopecia. this
clinical finding is consistent with answer - Tinea Capitis
,What is the appropriate prophylactic medication for an 18-year-old woman with a
past medical history of migraine headaches? - Propanolol (Inderal)
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 answer - Her age and tobacco use
During the breast examination of a perimenopausal woman, the NP detects a
bloody spontaneous discharge from the right nipple. This indicates further
evaluation. - An intraductal papilloma
Intraductal papilloma are usually solitary and smaller than 1 cm. They are located
in large lactiferous sinuses or ducts and have a tendency to bleed.
Rh negative women should receive Rho(D) immunoglobulin at what gestational
time? - 28 weeks
When interpreting a complete blood count (CBC) lab report which of the following
results describes the size of the RBCs? - Mean corpuscular volume (MVC)
What medication should be avoided when prescribing prophylactic therapy for
headaches? - Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries? - To produce vasodilation and adequate oxygen
saturation
Which of the following complaints best describes lower extremity calf pain
associated with peripheral artery disease answer - A dull pain or cramp
, Which of the following conditions is NOT a typical finding of hyperprolactinemia
in a 47-year-old premenopausal woman? - Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which
medication should be given to relieve the symptom? - Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that causes
painful localized blistering rash? - Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following
EXCEPT answer - Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron
supplement answer - on an empty stomach between meals
Which one of the following statements is true of muchausen syndrome by proxy? -
Under the supervision of adults other than the abuser, the patient does not exhibit
symptoms
Which of the following is the most common presenting sign of substance abuse in
adolescents? - Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal
delivery, a set of premature triplets delivered vaginally, and a first trimester
abortion. Using her TPAL system to document her maternal status answer -
Gravida 4, Para 1314
Gravida, Term babies, Preterm Babies, Abort and Living Child
QUESTIONS ANC CORRECT
ANSWERS RATED A+
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 answer -
Refer the patient to an ophthalmologist
The American psychiatric association's diagnostic and statistical manual of mental
disorder defines Munchausen Syndrome by proxy answer - a caregiver making up
or causing an illness or injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? -
dopamine
Which lesion is dark, raised, and asymmetric with irregular border? - Melanoma
A 32-year-old woman presents with dull puffiness of the eyes pronounced not
pitting periorbital edema this finding is suggestive of this condition? - Myxedema
A 42-year-old woman with a past medical history of migraine headaches is
requesting prophylactic medication treatment. Which medication should the Nurse
Practitioner prescribe? - Amitriptyline (Elavil)
A pediatric has areas of scaling on the scalp with round patches of alopecia. this
clinical finding is consistent with answer - Tinea Capitis
,What is the appropriate prophylactic medication for an 18-year-old woman with a
past medical history of migraine headaches? - Propanolol (Inderal)
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 answer - Her age and tobacco use
During the breast examination of a perimenopausal woman, the NP detects a
bloody spontaneous discharge from the right nipple. This indicates further
evaluation. - An intraductal papilloma
Intraductal papilloma are usually solitary and smaller than 1 cm. They are located
in large lactiferous sinuses or ducts and have a tendency to bleed.
Rh negative women should receive Rho(D) immunoglobulin at what gestational
time? - 28 weeks
When interpreting a complete blood count (CBC) lab report which of the following
results describes the size of the RBCs? - Mean corpuscular volume (MVC)
What medication should be avoided when prescribing prophylactic therapy for
headaches? - Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries? - To produce vasodilation and adequate oxygen
saturation
Which of the following complaints best describes lower extremity calf pain
associated with peripheral artery disease answer - A dull pain or cramp
, Which of the following conditions is NOT a typical finding of hyperprolactinemia
in a 47-year-old premenopausal woman? - Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which
medication should be given to relieve the symptom? - Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that causes
painful localized blistering rash? - Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following
EXCEPT answer - Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron
supplement answer - on an empty stomach between meals
Which one of the following statements is true of muchausen syndrome by proxy? -
Under the supervision of adults other than the abuser, the patient does not exhibit
symptoms
Which of the following is the most common presenting sign of substance abuse in
adolescents? - Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal
delivery, a set of premature triplets delivered vaginally, and a first trimester
abortion. Using her TPAL system to document her maternal status answer -
Gravida 4, Para 1314
Gravida, Term babies, Preterm Babies, Abort and Living Child
