NR 603 Week 4 Advanced NR 603 WEEK 4 APEA PREDICTOR EXAM LATEST 2023-
2024 PRE-PREDICTOR APEA EXAM LATEST GRADED A+
1. A patient report that she is taking kava kava regularly for anxiety with theresults. What
should the nurse practitioners evaluate?
a. Liver function studies
2. A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH 20/40VISION
3. One exception to the recommendation to limit dietary fat intake is CHILDREN UNDER2 YEARS OF AGE
4. The most effective treatment for anemia of chronic disease is: TREATMENT OFUNDERLYING DISEASE
Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s chronic disease has
caused the deficiency so once you correct and or treat the chronicdisease, then the anemia will correct
itself.
5. Salicylates and other non-steroidal anti-inflammatory agents have all of the followingactions EXCEPT- ANTI-
EMETIC EFFECTS VIA SUPPRESSION OF GASTRIC ACID SECRETION
6. Which of the following does NOT increase a woman’s risk of developing cervicalcancer? NULLIPARITY
7. All of the following principles apply to drug therapy for elders except ENCOURAGETHE ELDERLY TO CONTINUE
SELF-MEDICATION ADMINISTRATION TO FACILITATE INDEPENDENCE AND SELF-SUFFIENCY
8. A female patient believes that she was exposed to HIV through sexual intercourse several months ago. She
asks for “the test for AIDS.” Which statement is NOT correct?THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A
FALSE NEGATIVE THISSOON AFTER EXPOSURE
9. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that treatment typically
includes all of the following interventions except MAINTAININGTHE USUAL FEEDING REGIMEN AND BURPING THE
INFANTWELL WHEN THEFEEDING IS COMPLETED
10. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom inher daughter’s
home. According to reports by family members, she is now
, “cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in theclient history that are
consistent with delirium may include all of the following except
a. INSIDIOUS ONSETAND CHRONIC PROGRESSIVE COURSE
11. The two tests that can indicate current infection with hep B are:
a. Presents of hep B antigen and IgM
12. A characteristic of elders which affects the pharmacotherapeutics of drug therapy inthat population is an
increase in PERCENT OF BODY FAT
13. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The nurse practitioner
reviews the meal plans and notes that which of the following is NOTappropriate?
a. Coffee, tea, carbonated sodas, Orange juice
14. The leading cause of death from injury in childhood is MOTOR VEHICE ACCIDENTS
15. Therapeutic International normalized ratio (INR) for a patient taking warfarin(coumadin) for a
chronic atrial fibrillation is expected to be:
a. Increased
16. The most accepted recommendation regarding a skin cancer prevention is:
a. Avoidance of excessive sun exposure
17. Antibiotic administration has been demonstrated to be of little benefit in the treatmentof which of the
following disease processes?
a. Acute bronchitis
18. An anxious parent brings her three-day old female infant to see the nurse practitionerbecause of the
serosanguineous vaginal discharge. The nurse practitioner tells the mother:
a. This is a normal finding in female newborns
19. A common finding associated with temporal arteritis is:
a. Severe headache
,20. What information would best help the parent who is concerned about a school age childeating habits?
a. Establish a consistent schedule for meals and allow the child to participate in mealplanning
21. Which of the following scenarios in a 75-year-old patient would be inappropriatelymanaged in an
outpatient setting (i.e. the patient should be referred for hospital admission)?
a. UNSTABLE ANGINA
22. A patient with diabetes brings his glucose diary from the past seven days for the nursepractitioner to
review and evaluate. What changes should be made? Day one through seven AM 67, 52, 61, 48, 39, 68, 70 PM
138, 161, 148, 168, 121, 142, 176.
a. Decreased the PM dose of NPH insulin
23. Appropriate nutritional guidance for the pregnant patient is:
a. Increase caloric intake buy 300 cal/day and add iron and folic acidsupplementation
24. The most successful patient interview is likely to:
a. Be a collaborative process
25. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies
WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT
26. The most common presentation of thyroid cancer is A SOLITARY THYROID NODULE
27. A benign thyroid nodule, that’s painless presents as SMOOTH
28. Initial treatment of a child presenting with a severe head injury is:
a. Aimed at resuscitation, then maintenance of oxygenation and blood flow
29. Which red blood cell (RBC) index is most useful for differentiating types of anemias?
a. Mean corpuscular volume (MCV)
30. A 31-year-old female is informed that her pregnancy test is positive, and she is about three weeks
pregnant. The nurse practitioner is very concerned about the patient reported history of alcohol use. She
correctly tells the patient that babies born to women who drink alcohol during pregnancy are at risk for all
of the following except:
, a. Post maturity delivery
31. According to Erikson, the developmental task of the early adult is:
a. Ego integrity vs. despair
32. The parents of a two-year-old Report that she is not saying any words, but make sounds, babbles, and
understand simple commands from her parents. The parents arenot concerned. The nurse practitioner
responds:
a. Your child should be saying a few words by this time. She should be referred forfurther assessment
33. Which group is considered to be at high risk for the development of testicular tumors?
a. Late adolescence to early adulthood (you need to know the actual age groups)
34. An urgent call is received from a patient’s wife who states that her husband is having chest pain I’m relieved
by three nitroglycerin tablets. The nearest hospital is 40 minutesaway. Besides having the patient reach the
hospital as soon as possible, what intervention can the nurse practitioners suggest might influence a positive
outcome?
A. Have the patient to an aspirin on the way to the hospital
35. Which of the following postpartum mothers should receive RhoGAM (BayRho-D) toprevent Rh iso-
immunization?
a. A G1 P1 mother who is Rh negative without Rh antibodies; cord blood is Coombsnegative; newborn is Rh
positive.
36. A patient with a history of alcohol abuse presents with acute nausea, vomiting, and severe retrosternal
pain that radiates to the back. Based on the most probable diagnosis, the nurse practitioner would
appropriately order a CBC, chemistry profile,and:
a. serum amylase and lipase, and liver function studies
37. A female patient asks, “how do I calculate my ideal body weight?” The nursepractitioner
response:
a. Start with 100 pounds, and add 5 pounds for every inch in height over 5 feet
38. A35-year-old woman with prior history of extreme nervousness has been treated with diazepam (valium) for
four weeks. She reports improvement. Today her pulse is 112bpm and blood pressure is 130/92 mmHg. She is
5’4” in weighs 105 pounds. What isthe most likely diagnosis?
2024 PRE-PREDICTOR APEA EXAM LATEST GRADED A+
1. A patient report that she is taking kava kava regularly for anxiety with theresults. What
should the nurse practitioners evaluate?
a. Liver function studies
2. A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH 20/40VISION
3. One exception to the recommendation to limit dietary fat intake is CHILDREN UNDER2 YEARS OF AGE
4. The most effective treatment for anemia of chronic disease is: TREATMENT OFUNDERLYING DISEASE
Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s chronic disease has
caused the deficiency so once you correct and or treat the chronicdisease, then the anemia will correct
itself.
5. Salicylates and other non-steroidal anti-inflammatory agents have all of the followingactions EXCEPT- ANTI-
EMETIC EFFECTS VIA SUPPRESSION OF GASTRIC ACID SECRETION
6. Which of the following does NOT increase a woman’s risk of developing cervicalcancer? NULLIPARITY
7. All of the following principles apply to drug therapy for elders except ENCOURAGETHE ELDERLY TO CONTINUE
SELF-MEDICATION ADMINISTRATION TO FACILITATE INDEPENDENCE AND SELF-SUFFIENCY
8. A female patient believes that she was exposed to HIV through sexual intercourse several months ago. She
asks for “the test for AIDS.” Which statement is NOT correct?THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A
FALSE NEGATIVE THISSOON AFTER EXPOSURE
9. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that treatment typically
includes all of the following interventions except MAINTAININGTHE USUAL FEEDING REGIMEN AND BURPING THE
INFANTWELL WHEN THEFEEDING IS COMPLETED
10. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom inher daughter’s
home. According to reports by family members, she is now
, “cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in theclient history that are
consistent with delirium may include all of the following except
a. INSIDIOUS ONSETAND CHRONIC PROGRESSIVE COURSE
11. The two tests that can indicate current infection with hep B are:
a. Presents of hep B antigen and IgM
12. A characteristic of elders which affects the pharmacotherapeutics of drug therapy inthat population is an
increase in PERCENT OF BODY FAT
13. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The nurse practitioner
reviews the meal plans and notes that which of the following is NOTappropriate?
a. Coffee, tea, carbonated sodas, Orange juice
14. The leading cause of death from injury in childhood is MOTOR VEHICE ACCIDENTS
15. Therapeutic International normalized ratio (INR) for a patient taking warfarin(coumadin) for a
chronic atrial fibrillation is expected to be:
a. Increased
16. The most accepted recommendation regarding a skin cancer prevention is:
a. Avoidance of excessive sun exposure
17. Antibiotic administration has been demonstrated to be of little benefit in the treatmentof which of the
following disease processes?
a. Acute bronchitis
18. An anxious parent brings her three-day old female infant to see the nurse practitionerbecause of the
serosanguineous vaginal discharge. The nurse practitioner tells the mother:
a. This is a normal finding in female newborns
19. A common finding associated with temporal arteritis is:
a. Severe headache
,20. What information would best help the parent who is concerned about a school age childeating habits?
a. Establish a consistent schedule for meals and allow the child to participate in mealplanning
21. Which of the following scenarios in a 75-year-old patient would be inappropriatelymanaged in an
outpatient setting (i.e. the patient should be referred for hospital admission)?
a. UNSTABLE ANGINA
22. A patient with diabetes brings his glucose diary from the past seven days for the nursepractitioner to
review and evaluate. What changes should be made? Day one through seven AM 67, 52, 61, 48, 39, 68, 70 PM
138, 161, 148, 168, 121, 142, 176.
a. Decreased the PM dose of NPH insulin
23. Appropriate nutritional guidance for the pregnant patient is:
a. Increase caloric intake buy 300 cal/day and add iron and folic acidsupplementation
24. The most successful patient interview is likely to:
a. Be a collaborative process
25. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies
WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT
26. The most common presentation of thyroid cancer is A SOLITARY THYROID NODULE
27. A benign thyroid nodule, that’s painless presents as SMOOTH
28. Initial treatment of a child presenting with a severe head injury is:
a. Aimed at resuscitation, then maintenance of oxygenation and blood flow
29. Which red blood cell (RBC) index is most useful for differentiating types of anemias?
a. Mean corpuscular volume (MCV)
30. A 31-year-old female is informed that her pregnancy test is positive, and she is about three weeks
pregnant. The nurse practitioner is very concerned about the patient reported history of alcohol use. She
correctly tells the patient that babies born to women who drink alcohol during pregnancy are at risk for all
of the following except:
, a. Post maturity delivery
31. According to Erikson, the developmental task of the early adult is:
a. Ego integrity vs. despair
32. The parents of a two-year-old Report that she is not saying any words, but make sounds, babbles, and
understand simple commands from her parents. The parents arenot concerned. The nurse practitioner
responds:
a. Your child should be saying a few words by this time. She should be referred forfurther assessment
33. Which group is considered to be at high risk for the development of testicular tumors?
a. Late adolescence to early adulthood (you need to know the actual age groups)
34. An urgent call is received from a patient’s wife who states that her husband is having chest pain I’m relieved
by three nitroglycerin tablets. The nearest hospital is 40 minutesaway. Besides having the patient reach the
hospital as soon as possible, what intervention can the nurse practitioners suggest might influence a positive
outcome?
A. Have the patient to an aspirin on the way to the hospital
35. Which of the following postpartum mothers should receive RhoGAM (BayRho-D) toprevent Rh iso-
immunization?
a. A G1 P1 mother who is Rh negative without Rh antibodies; cord blood is Coombsnegative; newborn is Rh
positive.
36. A patient with a history of alcohol abuse presents with acute nausea, vomiting, and severe retrosternal
pain that radiates to the back. Based on the most probable diagnosis, the nurse practitioner would
appropriately order a CBC, chemistry profile,and:
a. serum amylase and lipase, and liver function studies
37. A female patient asks, “how do I calculate my ideal body weight?” The nursepractitioner
response:
a. Start with 100 pounds, and add 5 pounds for every inch in height over 5 feet
38. A35-year-old woman with prior history of extreme nervousness has been treated with diazepam (valium) for
four weeks. She reports improvement. Today her pulse is 112bpm and blood pressure is 130/92 mmHg. She is
5’4” in weighs 105 pounds. What isthe most likely diagnosis?
