NEWEST 2025 NUR 504 3P APEA EXAM WITH ACCURATE
QUESTIONS AND VERIFIED ANSWERS COVERING
PATHOPHYSIOLOGY, PHARMACOLOGY, AND PHYSICAL
ASSESSMENT FOR ADVANCED PRACTICE NURSING.
An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed
to use a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of migraines.
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
d. if she forgets to take a single dose of the contraceptive - ANSWER-b. If prescribed topiramate
(Topamax) for the treatment of migraines.
A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5mmol/L),
LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL
(8.94 mmol/L). What agent have the greatest effect on improving her lipid profile and reducing
morbidity and mortality associates with dyslipidemia?
a. Niacin (Niaspan)
b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates - ANSWER-b. Atorvastatin
A NP has recently been hired to work in a fast track facility. The NP employer asked if she has "a
problem prescribing medications for emergency contraception." The NP replies affirmatively.
This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
c. Illegal according to the standards of nursing
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d. Patient abandonment. - ANSWER-b. An ethical dilemma for the NP
30 years old female comes into a clinic 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
example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice - ANSWER-d. Malpractice
A patient presents with pruritic lesions on both knees. There are visible silver scales. How
Should this condition be managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream - ANSWER-c. Topical corticosteroids cream
Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use - ANSWER-d. Gradually tapers SSRI use
Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the
following drug classes?
a. Alpha adrenergic antagonist
b. Anti-androgen agents
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c. Tricyclic antidepressant (TCA)
d. Sulfonamides - ANSWER-c. Tricyclic antidepressant (TCA)
Which of the following is the best response to a woman who has just admitted she is a victim of
spousal abuse?
a. What was if you did to make him angry?
b. You must seek refuge immediately
c. I am concerned about your safety
d. I am going to call a shelter for you - ANSWER-c. I am concerned about your safety
For which patient group does the US Preventive Services Task Force recommend routine
screening for asymptomatic bacteriuria
a. pregnant woman
b. Children
c. Patients with diabetes
d. patients over the age of 70 - ANSWER-a. pregnant woman
What diabetic complications result from hyperglycemia?
1. Retinopathy
2. Hypertension resistant to treatment
3. Peripheral neuropathy
4. Accelerated atherosclerosis
a. 1,2,3
b. 2,3,4
c. 1,3,4
d. 1,2,4 - ANSWER-c. 1,3,4