APEA PREDICTOR EXAM 2026 | VERIFIED NURSE PRACTITIONER
PRACTICE QUESTIONS & COMPREHENSIVE STUDY GUIDE
A 15 years old high school student with a mild sore throat
Obtain an urinalyses and
serum for LFTs and amylase and low-grade fever that has
persisted for about 3 weeks.
She reports general malaise,
fatigue, and loss of appetite.
The NP suspects
mononucleosis. Which of the
following is the LEAST
appropriate intervention?
Palpate the lymph nodes and spleen
Examine the posterior oropharynx for petechiae Obtain a Explanation:
mononucleosis is a symptomatic infection caused by the Epstein-Bar CBC,
throat culture, and heterophil antibody test. virus. Common is people 15-24
years of age. Common signs and symptoms
Obtain an urinalyses and serum for LFTs and amylase following incubation period
(1-2 months) include fatigue, chills, malaise, anorexia,
white tonsillar exudates and lymphadenopathy
or posterior cervical region.
Splenomegaly can be present. A maculopapular
or occasionally a petechial rash occurs in less
than 15% of patients. A diagnosis is usually
made using the
Monospot. In addition, neutropenia and
lymphocytosis are usually detected in the CBC
,A 32 years old male patient complaint of urinary . trimethoprim-
sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day frequency and
burning on urination for 3 days. Urinalyses
reveals bacteriuria and
positive nitrites. He denies any
past hx. Of urinary tract
infections. The initial treatment
should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for Explanation:
trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate 7-10 day
medication to treat urinary tract infections in most patients. In the case of
b. ciprofloxacin (Cipro) for 3-5 days community resistance to TMPS >20%^, another
medication should be substituted.
c. Trimethoprim-Sulfamethoxazole for 3 days In men, the appropriate length of time is
7 10 days. Women may be treated for 3
d. 750 mg ciprofloxacin as a one-time dose days for uncomplicated UTI
, Which agent is most effective for the
treatment of
Isotretinoin nodulocystic acne?
Benzoyl peroxide
(Benzac)
Retinoic acid
(Retin A)
Topical tetracycline Explanation: Isotretinoin (Accutane) is a systemic
agent indicated for treatment
Isotretinoin with severe inflammatory acne. Guidelines
for its use must be clearly understood by the
patient. A woman of childbearing age
must use an effective method of
contraception because isotretinoin is 1 There
are many restrictions in prescribing this
medication because of the teratogenic
effects is given during pregnancy.
Therefore, it is a pregnancy category X.
An 18 y/o woman is taking a combined hormonal oral If
prescribed topiramate (Topamax) for the treatment of migraines.
contraceptive. She should be instructed to use a backup
method for the prevention of pregnancy
a. Throughout the week of placebo pills Explanation: Anticonvulsant
including phenytoin (Dilantin), carbamazepine If prescribed topiramate
(Topamax) for the treatment of (Tegretol), primidone (Mysoline),
topiramate (Topamax) and oxcarbazepine migraines. (Trileptal) reduce
the effectiveness of contraceptives. Depo-
PRACTICE QUESTIONS & COMPREHENSIVE STUDY GUIDE
A 15 years old high school student with a mild sore throat
Obtain an urinalyses and
serum for LFTs and amylase and low-grade fever that has
persisted for about 3 weeks.
She reports general malaise,
fatigue, and loss of appetite.
The NP suspects
mononucleosis. Which of the
following is the LEAST
appropriate intervention?
Palpate the lymph nodes and spleen
Examine the posterior oropharynx for petechiae Obtain a Explanation:
mononucleosis is a symptomatic infection caused by the Epstein-Bar CBC,
throat culture, and heterophil antibody test. virus. Common is people 15-24
years of age. Common signs and symptoms
Obtain an urinalyses and serum for LFTs and amylase following incubation period
(1-2 months) include fatigue, chills, malaise, anorexia,
white tonsillar exudates and lymphadenopathy
or posterior cervical region.
Splenomegaly can be present. A maculopapular
or occasionally a petechial rash occurs in less
than 15% of patients. A diagnosis is usually
made using the
Monospot. In addition, neutropenia and
lymphocytosis are usually detected in the CBC
,A 32 years old male patient complaint of urinary . trimethoprim-
sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day frequency and
burning on urination for 3 days. Urinalyses
reveals bacteriuria and
positive nitrites. He denies any
past hx. Of urinary tract
infections. The initial treatment
should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for Explanation:
trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate 7-10 day
medication to treat urinary tract infections in most patients. In the case of
b. ciprofloxacin (Cipro) for 3-5 days community resistance to TMPS >20%^, another
medication should be substituted.
c. Trimethoprim-Sulfamethoxazole for 3 days In men, the appropriate length of time is
7 10 days. Women may be treated for 3
d. 750 mg ciprofloxacin as a one-time dose days for uncomplicated UTI
, Which agent is most effective for the
treatment of
Isotretinoin nodulocystic acne?
Benzoyl peroxide
(Benzac)
Retinoic acid
(Retin A)
Topical tetracycline Explanation: Isotretinoin (Accutane) is a systemic
agent indicated for treatment
Isotretinoin with severe inflammatory acne. Guidelines
for its use must be clearly understood by the
patient. A woman of childbearing age
must use an effective method of
contraception because isotretinoin is 1 There
are many restrictions in prescribing this
medication because of the teratogenic
effects is given during pregnancy.
Therefore, it is a pregnancy category X.
An 18 y/o woman is taking a combined hormonal oral If
prescribed topiramate (Topamax) for the treatment of migraines.
contraceptive. She should be instructed to use a backup
method for the prevention of pregnancy
a. Throughout the week of placebo pills Explanation: Anticonvulsant
including phenytoin (Dilantin), carbamazepine If prescribed topiramate
(Topamax) for the treatment of (Tegretol), primidone (Mysoline),
topiramate (Topamax) and oxcarbazepine migraines. (Trileptal) reduce
the effectiveness of contraceptives. Depo-
