APEA Practice Exam #2 2024
A liability policy that pays claims even after the policy is no longer active is termed:
a) Claims-made policy
b) Tail coverage
c) Liability protection
d) "all-protect" -ANS-B
A patient you are caring for in your clinic has Medicare Part B. What does this mean?
a) The federal government will pay for his visit to your clinic today
b) His Medicare benefit covers outpatient services
c) He will have to pay a copay for his visit today
d) His prescriptions will be partly paid for today -ANS-B
Certification
a) Is required in all 50 states
b) Validates competence
c) Is recognized by all 50 states
d) Provides for title protection -ANS-B
A liability policy that pays claims only during the period that the policy is active is termed:
a) Claims-made policy
b) Tail coverage
c) Liability protection
d) Bobtail coverage -ANS-A
The Medicaid health program is:
a) Funded with premiums from participants
b) Covers an unlimited number of adult visits
c) Funded by both state and federal governments
d) Basically the same from state to state -ANS-C
Licensure is:
a) Used to establish a designated level of professional competence
,b) Contigent on certification
c) Intended to limit entry in the profession
d) Necessary for reimbursement -ANS-A
Prescriptive authority:
a) Is a right of every practicing nurse practitioner
b) Varies from state to state
c) Is not part of the consensus model
d) Is dependent on certification -ANS-B
An FNP has agreed to participate in the Medicare health insurance program. Medicare pays 80% of the
charges billed for a clinic visit. What can be done about the other 20% that is owed?
a: The NP can bill the patient for a percentage of the remainder
b: The NP is prohibited from billing the patient
c: The NP can collect 90% if billed incident to the MD
d: The NP can resubmit the bill for additional payment -ANS-A
A patient you are examining in the clinic states he has Medicare Part A only. What does this mean?
a: Your visit will be reimbursed by the federal government
b: Your visit will be reimbursed if you bill incident to the physician
c: Only hospital visits are covered
d: He desires cost-effective medication -ANS-C
An NP gives a patient a 2-week sample of medications that will be taken once daily by the patient. The
sample medications are packaged by the drug manufacturer. The NP's actions are an example of:
a: Prescriptive rights
b: Prescriptive authority
c: Dispensing
d: Administering -ANS-C
A sexually active adolescent has a warty growth on the shaft of his penis. It is painless. It is likely:
a: Trichomonas
b: Syphilis
c: Herpes
, d: Human papillomavirus -ANS-D
A 31yo female presents with fever (101F), fatigue, and worsening unilateral low back pain for the past 5
days. Her pain is 5/10 on the pain scale. Ibuprofen has not helped. She denies abdominal pain but is
nauseated and anorexic. She denies vaginal discharge. UA demonstrates hematuria, the presence of
WBC casts, leukocytes, and nitrates. What should be included in the differential diagnosis?
a: Pelvic inflammatory disease
b: Renal stone
c: Pyelonephritis
d: Urinary tract infection -ANS-C
A male patient complains of dysuria. His UA is positive for nitrites, leukocyte esterase and bacteria.
What medication should be given and for how long?
a: Doxycycline for 7 days
b: Trimethoprim-sulfamethoxazole for 7-10 days
c: Ciprofloxacin for 3 days
d: Nitrofurantoin for 14 days -ANS-B
A 72yo male has early renal insufficiency. What laboratory test best assesses his kidney function?
a: Serum creatinine
b: Presence of proteinuria
c: Glomerular filtration rate
d: Quantity of urine produced in 24 hours -ANS-C
A 26yo female presents with flank pain that waxes and wanes. What finding on the UA should direct the
NP's next action?
a: Blood
b: Nitrites
c: Leukocytes
d: Positive nitrates and hematuria -ANS-A
Ciprofloxacin given to treat a UTI would be contraindicated in a:
a: Pregnant patient
b: 19year old female
c: Patient with hypertension
A liability policy that pays claims even after the policy is no longer active is termed:
a) Claims-made policy
b) Tail coverage
c) Liability protection
d) "all-protect" -ANS-B
A patient you are caring for in your clinic has Medicare Part B. What does this mean?
a) The federal government will pay for his visit to your clinic today
b) His Medicare benefit covers outpatient services
c) He will have to pay a copay for his visit today
d) His prescriptions will be partly paid for today -ANS-B
Certification
a) Is required in all 50 states
b) Validates competence
c) Is recognized by all 50 states
d) Provides for title protection -ANS-B
A liability policy that pays claims only during the period that the policy is active is termed:
a) Claims-made policy
b) Tail coverage
c) Liability protection
d) Bobtail coverage -ANS-A
The Medicaid health program is:
a) Funded with premiums from participants
b) Covers an unlimited number of adult visits
c) Funded by both state and federal governments
d) Basically the same from state to state -ANS-C
Licensure is:
a) Used to establish a designated level of professional competence
,b) Contigent on certification
c) Intended to limit entry in the profession
d) Necessary for reimbursement -ANS-A
Prescriptive authority:
a) Is a right of every practicing nurse practitioner
b) Varies from state to state
c) Is not part of the consensus model
d) Is dependent on certification -ANS-B
An FNP has agreed to participate in the Medicare health insurance program. Medicare pays 80% of the
charges billed for a clinic visit. What can be done about the other 20% that is owed?
a: The NP can bill the patient for a percentage of the remainder
b: The NP is prohibited from billing the patient
c: The NP can collect 90% if billed incident to the MD
d: The NP can resubmit the bill for additional payment -ANS-A
A patient you are examining in the clinic states he has Medicare Part A only. What does this mean?
a: Your visit will be reimbursed by the federal government
b: Your visit will be reimbursed if you bill incident to the physician
c: Only hospital visits are covered
d: He desires cost-effective medication -ANS-C
An NP gives a patient a 2-week sample of medications that will be taken once daily by the patient. The
sample medications are packaged by the drug manufacturer. The NP's actions are an example of:
a: Prescriptive rights
b: Prescriptive authority
c: Dispensing
d: Administering -ANS-C
A sexually active adolescent has a warty growth on the shaft of his penis. It is painless. It is likely:
a: Trichomonas
b: Syphilis
c: Herpes
, d: Human papillomavirus -ANS-D
A 31yo female presents with fever (101F), fatigue, and worsening unilateral low back pain for the past 5
days. Her pain is 5/10 on the pain scale. Ibuprofen has not helped. She denies abdominal pain but is
nauseated and anorexic. She denies vaginal discharge. UA demonstrates hematuria, the presence of
WBC casts, leukocytes, and nitrates. What should be included in the differential diagnosis?
a: Pelvic inflammatory disease
b: Renal stone
c: Pyelonephritis
d: Urinary tract infection -ANS-C
A male patient complains of dysuria. His UA is positive for nitrites, leukocyte esterase and bacteria.
What medication should be given and for how long?
a: Doxycycline for 7 days
b: Trimethoprim-sulfamethoxazole for 7-10 days
c: Ciprofloxacin for 3 days
d: Nitrofurantoin for 14 days -ANS-B
A 72yo male has early renal insufficiency. What laboratory test best assesses his kidney function?
a: Serum creatinine
b: Presence of proteinuria
c: Glomerular filtration rate
d: Quantity of urine produced in 24 hours -ANS-C
A 26yo female presents with flank pain that waxes and wanes. What finding on the UA should direct the
NP's next action?
a: Blood
b: Nitrites
c: Leukocytes
d: Positive nitrates and hematuria -ANS-A
Ciprofloxacin given to treat a UTI would be contraindicated in a:
a: Pregnant patient
b: 19year old female
c: Patient with hypertension
