NR 643 APEA Questions.
All the following are correct statements regarding the S3 component of the heart sound except.
A) It occurs early in diastole and is sometimes called an opening snap
B) It is a normal finding in some children, healthy young adults, and athletes
C) It can be a normal variant if heard in a person age 40 or older
D) It signifies CHF (congestive heart failure) - ANS-It can be a normal variant if heard in a
person age 40 or older
A positive straight leg raising test is indicative of which of the following? - ANS-Inflammation of
the sciatic nerve/herniated disc
Which of the following would you recommend on an annual basis for an elderly type 2 diabetic?
- ANS-Eye exam with an ophthalmologist
72-year-old female complains to you of a crusty and nonhealing small ulcer on her upper lip that
she has had for several years. Which of the following would you recommend? - ANS-The
patient needs to be evaluated by a dermatologist
All the following statements about phototherapy are correct except. - ANS-It is not always
necessary to use a shield for the infant's eyes
Heberden's nodes are commonly found in which of the following diseases? - ANS-Degenerative
joint disease
The red blood cells in pernicious anemia will show: - ANS-Macrocytic and normochromic cells
You notice a medium pitched harsh systolic murmur during an episodic exam. It is best heard at
the right upper border of the sternum. What is most likely? - ANS-Aortic stenosis
A small abscess on a hair follicle on the eyelid is called: - ANS-Hordeolum
Which of the following is indicated for the prophylactic treatment of migraine headache? -
ANS-Propranolol (Inderal)
A 40-year-old male complains to the nurse practitioner of severe stabbing pains behind his left
eye for the past 2 days. It is accompanied by some nasal congestion and rhinorrhea, which is
clear in color. The patient denies pharyngitis and fever. Which of the following conditions is most
likely? - ANS-Cluster headache
,Ken has type 2 diabetes mellitus and a "sensitive stomach". Which medication is least likely to
cause him gastrointestinal distress? - ANS-Sucralfate (Carafate)
All the following statements are true regarding domestic abuse except:
A) There is no delay in seeking medical treatment
B) The pattern of injuries is inconsistent with the history reported
C) Injuries are usually in the 'central' area of the body instead of the extremities
D) Pregnant women have a higher risk of domestic abuse - ANS-A) There is no delay in
seeking medical treatment
A new mother is breastfeeding her full term 4-week-old infant. She wants to know whether she
should give vitamin supplements. The best advice is: - ANS-Breastfed infants require iron and
Vitamin D right away
Beta thalassemia minor is considered a: - ANS-Microcytic anemia
Potential complications of mitral valve prolapse include all the following except: - ANS-Mitral
Stenosis
A patient is complaining of severe pruritus that is worse at night. Several family members have
the same symptoms. On exam, areas of excoriated papules are noted on the interdigital webs of
both hands and the axillae. This is consistent with: - ANS-Renal system
A 15-year-old is staying with a foster family and has no record of immunizations. Which of the
following does he need before entering high school?
A) Meningococcal
B) MMR
C) Tdap
D) All the above - ANS-All the above
Which cranial nerve is being evaluated when a patient shrugs their shoulders? - ANS-CN XI
A lab tech has a 10.5 mm area of redness and induration in lift forearm after getting a mantoux
72 hours ago. Last test done 12 months ago was negative. Denies cough, night sweats, and
weight loss. What is the next best intervention? - ANS-Obtain CXR
Which of the following is most likely to be at a higher risk for osteoporosis? - ANS-42-year-old
obese woman from Cuba who has been taking prednisone daily for over 12 years for severe
asthma
What is the primary carbohydrate found in breast mild and commercial infant formulas? -
ANS-Lactose
, Which of the following is least likely to become an alcoholic? - ANS-Patient who drinks one cup
of wine nightly
The following conditions are absolute contraindications for the use of oral contraceptives except:
A) Hepatomas
B) History of emboli that resolved with heparin therapy 15 years ago
C) A family history of migraines with aura
D) A history of gallbladder disease during pregnancy - ANS-A family history of migraines with
aura
The most common cause of cancer deaths in males is: - ANS-Lung cancer
Which of the following findings are seen in a patient with folate-deficiency anemia? -
ANS-Macrocytic and normocytic RBCs
When confirming a case of temporal arteritis, the erythrocyte sedimentation rate is expected to
be: - ANS-Elevated
Mrs. Green, age 45, is complaining of generalized morning stiffness which is much worse in the
morning and lasts for a few hours. She also complains of fatigue and generalized body aches
for the past few months. Which of the following is most likely? - ANS-Rheumatoid arthritis
During a well-child visit, a new father wants to know if he can give fresh whole mild to his 6-
month-old son. The FNP would recommend: - ANS-He should not give whole milk until at least
12 months of age
Which of the following drugs is effective therapy for treating pain in patients who are having an
acute exacerbation of gout? - ANS-Indomethacin (Indocin)
The complications of untreated gout include: - ANS-Loss of joint mobility and renal failure
A 21-year-old female who is complaining of random palpitations is diagnosed with mitral valve
prolapse. Her echocardiogram reveals redundant and thickened leaflets. You note a Grade III/VI
systolic murmur with an ejection click during physical exam. You would recommend: -
ANS-Endocarditis prophylaxis is not necessary
You note bony nodules located at the proximal interphalangeal joints on both the hands of your
65-year-old female patient. Which is most likely? - ANS-Bouchard's node
Which chronic illness disproportionately affects Hispanic population? - ANS-Diabetes mellitus
A lipid profile shows triglyceride level of 650 mg/dL, total cholesterol 240 mg/dL, LDL 145 mg/dL
and HDL of 35 mg/dL. What is best intervention? - ANS-Initiate pravastatin (Pravachol)
All the following are correct statements regarding the S3 component of the heart sound except.
A) It occurs early in diastole and is sometimes called an opening snap
B) It is a normal finding in some children, healthy young adults, and athletes
C) It can be a normal variant if heard in a person age 40 or older
D) It signifies CHF (congestive heart failure) - ANS-It can be a normal variant if heard in a
person age 40 or older
A positive straight leg raising test is indicative of which of the following? - ANS-Inflammation of
the sciatic nerve/herniated disc
Which of the following would you recommend on an annual basis for an elderly type 2 diabetic?
- ANS-Eye exam with an ophthalmologist
72-year-old female complains to you of a crusty and nonhealing small ulcer on her upper lip that
she has had for several years. Which of the following would you recommend? - ANS-The
patient needs to be evaluated by a dermatologist
All the following statements about phototherapy are correct except. - ANS-It is not always
necessary to use a shield for the infant's eyes
Heberden's nodes are commonly found in which of the following diseases? - ANS-Degenerative
joint disease
The red blood cells in pernicious anemia will show: - ANS-Macrocytic and normochromic cells
You notice a medium pitched harsh systolic murmur during an episodic exam. It is best heard at
the right upper border of the sternum. What is most likely? - ANS-Aortic stenosis
A small abscess on a hair follicle on the eyelid is called: - ANS-Hordeolum
Which of the following is indicated for the prophylactic treatment of migraine headache? -
ANS-Propranolol (Inderal)
A 40-year-old male complains to the nurse practitioner of severe stabbing pains behind his left
eye for the past 2 days. It is accompanied by some nasal congestion and rhinorrhea, which is
clear in color. The patient denies pharyngitis and fever. Which of the following conditions is most
likely? - ANS-Cluster headache
,Ken has type 2 diabetes mellitus and a "sensitive stomach". Which medication is least likely to
cause him gastrointestinal distress? - ANS-Sucralfate (Carafate)
All the following statements are true regarding domestic abuse except:
A) There is no delay in seeking medical treatment
B) The pattern of injuries is inconsistent with the history reported
C) Injuries are usually in the 'central' area of the body instead of the extremities
D) Pregnant women have a higher risk of domestic abuse - ANS-A) There is no delay in
seeking medical treatment
A new mother is breastfeeding her full term 4-week-old infant. She wants to know whether she
should give vitamin supplements. The best advice is: - ANS-Breastfed infants require iron and
Vitamin D right away
Beta thalassemia minor is considered a: - ANS-Microcytic anemia
Potential complications of mitral valve prolapse include all the following except: - ANS-Mitral
Stenosis
A patient is complaining of severe pruritus that is worse at night. Several family members have
the same symptoms. On exam, areas of excoriated papules are noted on the interdigital webs of
both hands and the axillae. This is consistent with: - ANS-Renal system
A 15-year-old is staying with a foster family and has no record of immunizations. Which of the
following does he need before entering high school?
A) Meningococcal
B) MMR
C) Tdap
D) All the above - ANS-All the above
Which cranial nerve is being evaluated when a patient shrugs their shoulders? - ANS-CN XI
A lab tech has a 10.5 mm area of redness and induration in lift forearm after getting a mantoux
72 hours ago. Last test done 12 months ago was negative. Denies cough, night sweats, and
weight loss. What is the next best intervention? - ANS-Obtain CXR
Which of the following is most likely to be at a higher risk for osteoporosis? - ANS-42-year-old
obese woman from Cuba who has been taking prednisone daily for over 12 years for severe
asthma
What is the primary carbohydrate found in breast mild and commercial infant formulas? -
ANS-Lactose
, Which of the following is least likely to become an alcoholic? - ANS-Patient who drinks one cup
of wine nightly
The following conditions are absolute contraindications for the use of oral contraceptives except:
A) Hepatomas
B) History of emboli that resolved with heparin therapy 15 years ago
C) A family history of migraines with aura
D) A history of gallbladder disease during pregnancy - ANS-A family history of migraines with
aura
The most common cause of cancer deaths in males is: - ANS-Lung cancer
Which of the following findings are seen in a patient with folate-deficiency anemia? -
ANS-Macrocytic and normocytic RBCs
When confirming a case of temporal arteritis, the erythrocyte sedimentation rate is expected to
be: - ANS-Elevated
Mrs. Green, age 45, is complaining of generalized morning stiffness which is much worse in the
morning and lasts for a few hours. She also complains of fatigue and generalized body aches
for the past few months. Which of the following is most likely? - ANS-Rheumatoid arthritis
During a well-child visit, a new father wants to know if he can give fresh whole mild to his 6-
month-old son. The FNP would recommend: - ANS-He should not give whole milk until at least
12 months of age
Which of the following drugs is effective therapy for treating pain in patients who are having an
acute exacerbation of gout? - ANS-Indomethacin (Indocin)
The complications of untreated gout include: - ANS-Loss of joint mobility and renal failure
A 21-year-old female who is complaining of random palpitations is diagnosed with mitral valve
prolapse. Her echocardiogram reveals redundant and thickened leaflets. You note a Grade III/VI
systolic murmur with an ejection click during physical exam. You would recommend: -
ANS-Endocarditis prophylaxis is not necessary
You note bony nodules located at the proximal interphalangeal joints on both the hands of your
65-year-old female patient. Which is most likely? - ANS-Bouchard's node
Which chronic illness disproportionately affects Hispanic population? - ANS-Diabetes mellitus
A lipid profile shows triglyceride level of 650 mg/dL, total cholesterol 240 mg/dL, LDL 145 mg/dL
and HDL of 35 mg/dL. What is best intervention? - ANS-Initiate pravastatin (Pravachol)
