3/23/25, 7:34 apea predictor Flashcards |
AM
APEA PREDICTOR EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (25)
A 15 years old high school student with Obtain an urinalyses and serum for LFTs and amylase
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? Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar
Palpate the lymph nodes and spleen virus. Common is people 15-24 years of age. Common signs and symptoms
Examine the posterior oropharynx for following incubation period (1-2 months) include fatigue, chills, malaise, anorexia,
petechiae Obtain a CBC, throat culture, and white
heterophil antibody test. tonsillar exudates and lymphadenopathy or posterior cervical region. Splenomegaly
Obtain an urinalyses and serum for LFTs can be present. A maculopapular or occasionally a petechial rash occurs in less than
and amylase 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 . trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
urinary 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 Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate
treatment should be: medication to treat urinary tract infections in most patients. In the case of community
a.trimethoprim-sulfamethoxazole (Bactrim, resistance to TMPS >20%^, another medication should be substituted. In men, the
Sulfatrim) for 7-10 day appropriate length of time is 7 10 days. Women may be treated for 3 days for
b. ciprofloxacin (Cipro) for 3-5 days uncomplicated UTI
c.Trimethoprim-Sulfamethoxazole for 3
days
d. 750 mg ciprofloxacin as a one-time dose
Isotretinoin
Which agent is most effective for the
treatment of nodulocystic acne?
Benzoyl peroxide (Benzac) Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with
Retinoic acid (Retin A) severe inflammatory acne. Guidelines for its use must be clearly understood by the
Topical tetracycline patient. A woman of childbearing age must use an effective method of contraception
Isotretinoin 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.
If prescribed topiramate (Topamax) for the treatment of migraines.
An 18 y/o woman is taking a combined
hormonal oral contraceptive. She should
Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol),
be instructed to use a backup method for
primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce
the prevention of pregnancy
the effectiveness of contraceptives. Depo-medroxyprogesterone acetate injections
a. Throughout the week of placebo pills
or levonorgestrel-releasing intrauterine devices would be a better method of
If prescribed topiramate (Topamax) for the
contraceptive for patients taking anticonvulsants. Most commonly used antibiotics
treatment of migraines.
have not been proven to reduce the effectiveness of contraceptives. Rifampin is
If prescribed amoxicillin/clavulanate
an exception, and additional Be used by women taking this drug and
(Augmentin) for a sinus infection
using oral
if she forgets to take a single dose of the
contraceptives, transdermal, or vaginal ring preparations. Additional backup
contraceptive
contraception should be used if taking antifungal agents. No additional protection is
needed thought the week of placebo pills. Missing one single dose of contraceptive
1/
6
, 3/23/25, 7:34 apea predictor Flashcards |
AM
does not require additional protection, missing more than one doses does.
A 44 years old female patient has Atorvastatin
diabetes. Her total cholesterol (TC) is 250
mg/dl (6.5 mmol/L), LDL= 190 mg/dL (4.94
mmol/L), Explanation: First and foremost, it is essential to educate individuals on a heart-
HDL= 25 mg/dL (65 mmol/L), and healthy lifestyle. LDL-C is one of the major culprits in the development of
triglycerides= 344 mg/dL (8.94 mmol/L). atherosclerotic heart disease. The target level of LDL-C is between 50 to 70mg/dl to
What agent have the greatest effect on prevent plaque formation in the blood vessels. Guidelines strongly recommend
improving her lipid profile and reducing statin therapy because they primarily lower LDL-C levels, but they also have the
morbidity and mortality associates with secondary effects of lowering triglyceride and increasing HDL-C levels.
dyslipidemia?
Atorvastatin
Niacin (Niaspan)
Omega 3 fatty acids
Fenofibrates
A 30 years old female comes into a clinic Malpractice
with classic signs and symptoms of
appendicitis. The NP fails to refer the
patient to a surgeon. The appendix
ruptures and the woman die. This is an Explanation: malpractice, a negligence tort, occurs when a health care professional's
example of actions fall bellow the appropriate standard of care and hurts the patient. In this
Failure of case the patient came with sings and symptoms indicating appendicitis and the NP
diligence failed to refer the patient.
Professional liability
Negligence
Malpractice
A NP has recently been hired to work in An ethical dilemma for the NP
a fast track facility. The NP employer asked
if she has "a problem prescribing
medications for emergency Explanation: in this instance, the NP has a difference of opinion with her employer
contraception." The NP based on her religious or moral belief about providing emergency contraception.
replies affirmatively. This is: a. Grounds for This situation is an example of an ethical dilemma. Failure to participate in the
dismissal provision of care to the patient based on the NP's beliefs is neither against the law
An ethical dilemma for the NP nor a violation of the standards of practice
Illegal according to the standards of
nursing
Patient abandonment.
A patient presents with pruritic lesions Topical corticosteroids cream
on both knees. There are visible silver
scales. How Should this condition be
managed? Explanation: Psoriasis is characterized by erythematous papules, as well as itchy, red,
. Topical antifungal cream or ointment precisely defined plaques with silvery scales. Auspitz sings is another common
Oral antibiotics finding. Topical agents containing tar and salicylic acid may be used. Topical
Topical corticosteroids cream steroids, such as betamethasone, may also be ordered.
. Topical anti-fungal/ steroid cream
2/
6
AM
APEA PREDICTOR EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (25)
A 15 years old high school student with Obtain an urinalyses and serum for LFTs and amylase
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? Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar
Palpate the lymph nodes and spleen virus. Common is people 15-24 years of age. Common signs and symptoms
Examine the posterior oropharynx for following incubation period (1-2 months) include fatigue, chills, malaise, anorexia,
petechiae Obtain a CBC, throat culture, and white
heterophil antibody test. tonsillar exudates and lymphadenopathy or posterior cervical region. Splenomegaly
Obtain an urinalyses and serum for LFTs can be present. A maculopapular or occasionally a petechial rash occurs in less than
and amylase 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 . trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
urinary 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 Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate
treatment should be: medication to treat urinary tract infections in most patients. In the case of community
a.trimethoprim-sulfamethoxazole (Bactrim, resistance to TMPS >20%^, another medication should be substituted. In men, the
Sulfatrim) for 7-10 day appropriate length of time is 7 10 days. Women may be treated for 3 days for
b. ciprofloxacin (Cipro) for 3-5 days uncomplicated UTI
c.Trimethoprim-Sulfamethoxazole for 3
days
d. 750 mg ciprofloxacin as a one-time dose
Isotretinoin
Which agent is most effective for the
treatment of nodulocystic acne?
Benzoyl peroxide (Benzac) Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with
Retinoic acid (Retin A) severe inflammatory acne. Guidelines for its use must be clearly understood by the
Topical tetracycline patient. A woman of childbearing age must use an effective method of contraception
Isotretinoin 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.
If prescribed topiramate (Topamax) for the treatment of migraines.
An 18 y/o woman is taking a combined
hormonal oral contraceptive. She should
Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol),
be instructed to use a backup method for
primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce
the prevention of pregnancy
the effectiveness of contraceptives. Depo-medroxyprogesterone acetate injections
a. Throughout the week of placebo pills
or levonorgestrel-releasing intrauterine devices would be a better method of
If prescribed topiramate (Topamax) for the
contraceptive for patients taking anticonvulsants. Most commonly used antibiotics
treatment of migraines.
have not been proven to reduce the effectiveness of contraceptives. Rifampin is
If prescribed amoxicillin/clavulanate
an exception, and additional Be used by women taking this drug and
(Augmentin) for a sinus infection
using oral
if she forgets to take a single dose of the
contraceptives, transdermal, or vaginal ring preparations. Additional backup
contraceptive
contraception should be used if taking antifungal agents. No additional protection is
needed thought the week of placebo pills. Missing one single dose of contraceptive
1/
6
, 3/23/25, 7:34 apea predictor Flashcards |
AM
does not require additional protection, missing more than one doses does.
A 44 years old female patient has Atorvastatin
diabetes. Her total cholesterol (TC) is 250
mg/dl (6.5 mmol/L), LDL= 190 mg/dL (4.94
mmol/L), Explanation: First and foremost, it is essential to educate individuals on a heart-
HDL= 25 mg/dL (65 mmol/L), and healthy lifestyle. LDL-C is one of the major culprits in the development of
triglycerides= 344 mg/dL (8.94 mmol/L). atherosclerotic heart disease. The target level of LDL-C is between 50 to 70mg/dl to
What agent have the greatest effect on prevent plaque formation in the blood vessels. Guidelines strongly recommend
improving her lipid profile and reducing statin therapy because they primarily lower LDL-C levels, but they also have the
morbidity and mortality associates with secondary effects of lowering triglyceride and increasing HDL-C levels.
dyslipidemia?
Atorvastatin
Niacin (Niaspan)
Omega 3 fatty acids
Fenofibrates
A 30 years old female comes into a clinic Malpractice
with classic signs and symptoms of
appendicitis. The NP fails to refer the
patient to a surgeon. The appendix
ruptures and the woman die. This is an Explanation: malpractice, a negligence tort, occurs when a health care professional's
example of actions fall bellow the appropriate standard of care and hurts the patient. In this
Failure of case the patient came with sings and symptoms indicating appendicitis and the NP
diligence failed to refer the patient.
Professional liability
Negligence
Malpractice
A NP has recently been hired to work in An ethical dilemma for the NP
a fast track facility. The NP employer asked
if she has "a problem prescribing
medications for emergency Explanation: in this instance, the NP has a difference of opinion with her employer
contraception." The NP based on her religious or moral belief about providing emergency contraception.
replies affirmatively. This is: a. Grounds for This situation is an example of an ethical dilemma. Failure to participate in the
dismissal provision of care to the patient based on the NP's beliefs is neither against the law
An ethical dilemma for the NP nor a violation of the standards of practice
Illegal according to the standards of
nursing
Patient abandonment.
A patient presents with pruritic lesions Topical corticosteroids cream
on both knees. There are visible silver
scales. How Should this condition be
managed? Explanation: Psoriasis is characterized by erythematous papules, as well as itchy, red,
. Topical antifungal cream or ointment precisely defined plaques with silvery scales. Auspitz sings is another common
Oral antibiotics finding. Topical agents containing tar and salicylic acid may be used. Topical
Topical corticosteroids cream steroids, such as betamethasone, may also be ordered.
. Topical anti-fungal/ steroid cream
2/
6
