3P APEA NUR 504 |2024 ACTUAL EXAM QUESTIONS
AND VERIFIED ANSWERS /GET IT 100%
ACCURATE|ALREADY GRADED A+
The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms - ✔✔ANSWER✔✔>>c. Make sure the condom is tight
against the head of the penis
The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms - ✔✔ANSWER✔✔>>c. Make sure the condom is tight
against the head of the penis
A 51 -year- old post-menopausal female, request guidance regarding
osteoporosis risk.
The NP would be correct to recommend all of the following EXCEPT
a. Moderate weight bearing exercise 3 times per week
b. 1200 - 1500 mg calcium daily
c. Avoidance of alcoholic beverages
d. Weight loss - ✔✔ANSWER✔✔>>d. Weight loss
15 y/o male has a hx of cryptorchidism which was surgically repaired. Because
of this information, it is essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex - ✔✔ANSWER✔✔>>a. Testicular self-examination
Moderate weight loss, particularly of visceral adipose tissue in patients with
type 2 diabetes mellitus may have all of the following beneficial effects EXCEPT:
a. Improved insulin sensitivity
,b. Increased glucose uptake and utilization by the cells
c. Increase lean muscle mass'
d. Improved lipid profile - ✔✔ANSWER✔✔>>c. Increase lean muscle mass'
According to Erickson, the developmental task of the elderly adult is:
a. Intimacy VS isolation
b. Ego integrity VS despair
c. Industry VS self-doubt
d. Trust Vs mistrust - ✔✔ANSWER✔✔>>b. Ego integrity VS despair
A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute
otitis media because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible
posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls and immobile.
d. Canal is narrowed, erythematous, and exquisitely tender with speculum
contact - ✔✔ANSWER✔✔>>Bony landmarks are obscured, and the tympanic
membrane is mildly erythematous, dulls and immobile.
A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has
followed recommendations of her nurse midwife. She is in the office to discuss
results of her maternal serum alpha-fetoprotein (MSAFP) test. which show
elevation in this particular pregnancy?
a. Elevated MSAFPO is an indicator of Down Syndrome
b. Low MSAFP is expected at 18 weeks' gestation
c. Neural tube defects are highly probable
d. Elevated MSAFP is an expected finding - ✔✔ANSWER✔✔>>d. Elevated MSAFP
is an expected finding
The NP should instruct the mother of an infant with thrush to:
a. Take oral nystatin since she is breastfeeding
b. Stop breast feeding until the thrush has resolved
c. administer antifungal medication to the infant prior to feeding
d. sterilized pacifiers and bottle nipples - ✔✔ANSWER✔✔>>sterilized pacifiers
and bottle nipples
The hallmark of neurofibromatosis (von Recklinghousen disease) present in
almost 100%
of patients is:
a. Acoustic neuroma
b. Astrocytoma of the retina
c. Distinctive osseous lesion
d. Café au lait spots - ✔✔ANSWER✔✔>>d. Café au lait spots
, An 18-year-old female applying for college admission present to the health clinic
because evidence of rubella vaccination is required for admission. She says,
"don't remember ever getting that shot" She has negative serologic evidence of
rubella antibody. The NP should:
a. Tell her that her serologic evidence demonstrates that she is immune to the
rubella and that she probably has the disease as a child
b. Administer the vaccination after a negative pregnancy test and advise the
patient that shemust not get pregnant for 28 days
c. Tell her that she needs the immunization and can get today if her pregnancy
test is negative
d. Administer the rubella vaccination after a negative pregnancy test and advise
her not to get pregnant for at least 6 months. - ✔✔ANSWER✔✔>>Administer the
vaccination after a negative pregnancy test and advise the patient that shemust
not get pregnant for 28 days
Which of the following descriptions of Denver II Developmental Screening Test is
most accurate?
a. Applicable to children from birth to 2 years; evaluates four major categories
of development: motor, intellectual, emotional, and language to determine
whether a child is within normal range for various behaviors or is
developmentally delayed
b. Applicable to children from birth to 5 years; evaluates four major categories
of development: motor, vision, hearing and psychosocial to determine whether a
child is normal or developmentally compromised
d. Applicable to children from birth to 6 years; evaluates four major categories
of development: gross motor, fine motor-adaptive, language, and personal
social to determine whether a child is within normal range for behaviors or is
developmentally delayed. - ✔✔ANSWER✔✔>>d. Applicable to children from birth
to 6 years; evaluates four major categories of development: gross motor, fine
motor-adaptive, language, and personal social to determine whether a child is
within normal range for behaviors or is developmentally delayed.
A 15 years old high school student with a mild sore throat 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?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - ✔✔ANSWER✔✔>>d.
Obtain an urinalyses and serum for LFTs and amylase
AND VERIFIED ANSWERS /GET IT 100%
ACCURATE|ALREADY GRADED A+
The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms - ✔✔ANSWER✔✔>>c. Make sure the condom is tight
against the head of the penis
The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms - ✔✔ANSWER✔✔>>c. Make sure the condom is tight
against the head of the penis
A 51 -year- old post-menopausal female, request guidance regarding
osteoporosis risk.
The NP would be correct to recommend all of the following EXCEPT
a. Moderate weight bearing exercise 3 times per week
b. 1200 - 1500 mg calcium daily
c. Avoidance of alcoholic beverages
d. Weight loss - ✔✔ANSWER✔✔>>d. Weight loss
15 y/o male has a hx of cryptorchidism which was surgically repaired. Because
of this information, it is essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex - ✔✔ANSWER✔✔>>a. Testicular self-examination
Moderate weight loss, particularly of visceral adipose tissue in patients with
type 2 diabetes mellitus may have all of the following beneficial effects EXCEPT:
a. Improved insulin sensitivity
,b. Increased glucose uptake and utilization by the cells
c. Increase lean muscle mass'
d. Improved lipid profile - ✔✔ANSWER✔✔>>c. Increase lean muscle mass'
According to Erickson, the developmental task of the elderly adult is:
a. Intimacy VS isolation
b. Ego integrity VS despair
c. Industry VS self-doubt
d. Trust Vs mistrust - ✔✔ANSWER✔✔>>b. Ego integrity VS despair
A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute
otitis media because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible
posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls and immobile.
d. Canal is narrowed, erythematous, and exquisitely tender with speculum
contact - ✔✔ANSWER✔✔>>Bony landmarks are obscured, and the tympanic
membrane is mildly erythematous, dulls and immobile.
A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has
followed recommendations of her nurse midwife. She is in the office to discuss
results of her maternal serum alpha-fetoprotein (MSAFP) test. which show
elevation in this particular pregnancy?
a. Elevated MSAFPO is an indicator of Down Syndrome
b. Low MSAFP is expected at 18 weeks' gestation
c. Neural tube defects are highly probable
d. Elevated MSAFP is an expected finding - ✔✔ANSWER✔✔>>d. Elevated MSAFP
is an expected finding
The NP should instruct the mother of an infant with thrush to:
a. Take oral nystatin since she is breastfeeding
b. Stop breast feeding until the thrush has resolved
c. administer antifungal medication to the infant prior to feeding
d. sterilized pacifiers and bottle nipples - ✔✔ANSWER✔✔>>sterilized pacifiers
and bottle nipples
The hallmark of neurofibromatosis (von Recklinghousen disease) present in
almost 100%
of patients is:
a. Acoustic neuroma
b. Astrocytoma of the retina
c. Distinctive osseous lesion
d. Café au lait spots - ✔✔ANSWER✔✔>>d. Café au lait spots
, An 18-year-old female applying for college admission present to the health clinic
because evidence of rubella vaccination is required for admission. She says,
"don't remember ever getting that shot" She has negative serologic evidence of
rubella antibody. The NP should:
a. Tell her that her serologic evidence demonstrates that she is immune to the
rubella and that she probably has the disease as a child
b. Administer the vaccination after a negative pregnancy test and advise the
patient that shemust not get pregnant for 28 days
c. Tell her that she needs the immunization and can get today if her pregnancy
test is negative
d. Administer the rubella vaccination after a negative pregnancy test and advise
her not to get pregnant for at least 6 months. - ✔✔ANSWER✔✔>>Administer the
vaccination after a negative pregnancy test and advise the patient that shemust
not get pregnant for 28 days
Which of the following descriptions of Denver II Developmental Screening Test is
most accurate?
a. Applicable to children from birth to 2 years; evaluates four major categories
of development: motor, intellectual, emotional, and language to determine
whether a child is within normal range for various behaviors or is
developmentally delayed
b. Applicable to children from birth to 5 years; evaluates four major categories
of development: motor, vision, hearing and psychosocial to determine whether a
child is normal or developmentally compromised
d. Applicable to children from birth to 6 years; evaluates four major categories
of development: gross motor, fine motor-adaptive, language, and personal
social to determine whether a child is within normal range for behaviors or is
developmentally delayed. - ✔✔ANSWER✔✔>>d. Applicable to children from birth
to 6 years; evaluates four major categories of development: gross motor, fine
motor-adaptive, language, and personal social to determine whether a child is
within normal range for behaviors or is developmentally delayed.
A 15 years old high school student with a mild sore throat 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?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - ✔✔ANSWER✔✔>>d.
Obtain an urinalyses and serum for LFTs and amylase
