APEA FNP Predictor Exam Test Bank
2026/27 || SOLVED
The most likely working diagnosis for a 14 year old patient who fell on an outstretched hand,
complains of proximal forearm pain, and has a positive fat pad sign on X-ray. - CORRECT
ANSWER Radial head fracture
The child quickly begins to use the affected arm after closed manipulation. - CORRECT ANSWER
Successful treatment indication for radial head subluxation
A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with an
erythematous base on the buccal mucosa suggests this diagnosis. - CORRECT ANSWER Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the table. -
CORRECT ANSWER Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever, right
pleuritic chest pain, and green sputum. - CORRECT ANSWER Right lower lobe crackles
The diagnostic test that should be performed immediately for a 15-year-old female with burning
urination after treatment for trichomonas vaginitis. - CORRECT ANSWER Microscopic exam of
urine
Essential education for a 15-year-old male with a history of cryptorchidism which was surgically
repaired. - CORRECT ANSWER Testicular self-examination
The first action a school nurse should take when a child with type I diabetes mellitus reports
sweating and weakness after insulin injection. - CORRECT ANSWER Measure the blood sugar
,The appropriate response for a 16-year-old female experiencing midcycle spotting while on
Ortho-Novum 7/7/7. - CORRECT ANSWER Providing reassurance
The most appropriate diagnostic tests to order for a 17-year-old female suspected of having
polycystic ovary syndrome, in addition to testosterone. - CORRECT ANSWER FSH, LH, TSH
The most likely diagnosis for a 17-year-old female who has never had her menses and is at
Tanner stage III of sexual development. - CORRECT ANSWER Primary amenorrhea
Condition suspected for a 20-year-old male with a 1-month history of a bump on his testicle and
a history of unprotected intercourse. - CORRECT ANSWER Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - CORRECT ANSWER Gonococcal conjunctivitis
Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding, rigid
abdominal musculature, rebound tenderness at McBurney's point, and leukocytosis. - CORRECT
ANSWER Appendicitis
A question to consider when analyzing a 22-year-old college student's heart rate of 48/minute
and regular during a routine physical examination. - CORRECT ANSWER Is this student an
athlete?
Advice for a 24-year-old female taking oral contraceptives who has missed her last 2 pills to
minimize her risk of pregnancy. - CORRECT ANSWER Double today's dose and tomorrow's dose
and use a barrier method for the rest of the month
Contraceptive technique to prevent pregnancy. - CORRECT ANSWER Barrier method
Common cause of recurrent candidal infections. - CORRECT ANSWER Diabetes mellitus
,Non-tender breast mass with nipple discharge. - CORRECT ANSWER Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms. - CORRECT ANSWER Chlamydia
infection
Skin rash caused by irritants or allergens. - CORRECT ANSWER Contact dermatitis
Test to identify pathogens in respiratory secretions. - CORRECT ANSWER Sputum culture
Autoimmune condition causing joint inflammation and stiffness. - CORRECT ANSWER
Rheumatoid arthritis
Infection causing pelvic pain and urinary symptoms. - CORRECT ANSWER Acute bacterial
prostatitis
Ultrasound imaging to assess internal structures. - CORRECT ANSWER Sonogram
Referral for specialized evaluation of reproductive issues. - CORRECT ANSWER Gynecological
consultation
Emergency condition causing acute testicular pain. - CORRECT ANSWER Testicular torsion
Typically decreases, causing light-headedness when standing. - CORRECT ANSWER Blood
pressure changes in pregnancy
Class of antibiotics effective against bacterial infections. - CORRECT ANSWER Macrolide
antibiotic
, Agency to report suspected child abuse or neglect. - CORRECT ANSWER Child protective services
Movement of a joint without patient effort. - CORRECT ANSWER Passive range of motion (ROM)
Benign tumors causing heavy menstrual bleeding. - CORRECT ANSWER Uterine leiomyomas
Fluid released from the nipple, may indicate pathology. - CORRECT ANSWER Nipple discharge
Inflammation of bronchial tubes, often due to infection. - CORRECT ANSWER Acute bronchitis
Indicates possible bacterial infection in respiratory tract. - CORRECT ANSWER Foul-smelling
sputum
Routine examination to detect precancerous changes. - CORRECT ANSWER Cervical cancer
screening
Common symptom in inflammatory joint diseases. - CORRECT ANSWER Morning stiffness
Red, flat rash often indicating skin irritation. - CORRECT ANSWER Erythematous macular rash
Urine samples collected during normal urination. - CORRECT ANSWER Voided urine specimens
Reflex causing testicle elevation when thigh is stroked. - CORRECT ANSWER Cremasteric reflex
Observations made during a clinical examination. - CORRECT ANSWER Physical exam findings
2026/27 || SOLVED
The most likely working diagnosis for a 14 year old patient who fell on an outstretched hand,
complains of proximal forearm pain, and has a positive fat pad sign on X-ray. - CORRECT
ANSWER Radial head fracture
The child quickly begins to use the affected arm after closed manipulation. - CORRECT ANSWER
Successful treatment indication for radial head subluxation
A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with an
erythematous base on the buccal mucosa suggests this diagnosis. - CORRECT ANSWER Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the table. -
CORRECT ANSWER Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever, right
pleuritic chest pain, and green sputum. - CORRECT ANSWER Right lower lobe crackles
The diagnostic test that should be performed immediately for a 15-year-old female with burning
urination after treatment for trichomonas vaginitis. - CORRECT ANSWER Microscopic exam of
urine
Essential education for a 15-year-old male with a history of cryptorchidism which was surgically
repaired. - CORRECT ANSWER Testicular self-examination
The first action a school nurse should take when a child with type I diabetes mellitus reports
sweating and weakness after insulin injection. - CORRECT ANSWER Measure the blood sugar
,The appropriate response for a 16-year-old female experiencing midcycle spotting while on
Ortho-Novum 7/7/7. - CORRECT ANSWER Providing reassurance
The most appropriate diagnostic tests to order for a 17-year-old female suspected of having
polycystic ovary syndrome, in addition to testosterone. - CORRECT ANSWER FSH, LH, TSH
The most likely diagnosis for a 17-year-old female who has never had her menses and is at
Tanner stage III of sexual development. - CORRECT ANSWER Primary amenorrhea
Condition suspected for a 20-year-old male with a 1-month history of a bump on his testicle and
a history of unprotected intercourse. - CORRECT ANSWER Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - CORRECT ANSWER Gonococcal conjunctivitis
Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding, rigid
abdominal musculature, rebound tenderness at McBurney's point, and leukocytosis. - CORRECT
ANSWER Appendicitis
A question to consider when analyzing a 22-year-old college student's heart rate of 48/minute
and regular during a routine physical examination. - CORRECT ANSWER Is this student an
athlete?
Advice for a 24-year-old female taking oral contraceptives who has missed her last 2 pills to
minimize her risk of pregnancy. - CORRECT ANSWER Double today's dose and tomorrow's dose
and use a barrier method for the rest of the month
Contraceptive technique to prevent pregnancy. - CORRECT ANSWER Barrier method
Common cause of recurrent candidal infections. - CORRECT ANSWER Diabetes mellitus
,Non-tender breast mass with nipple discharge. - CORRECT ANSWER Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms. - CORRECT ANSWER Chlamydia
infection
Skin rash caused by irritants or allergens. - CORRECT ANSWER Contact dermatitis
Test to identify pathogens in respiratory secretions. - CORRECT ANSWER Sputum culture
Autoimmune condition causing joint inflammation and stiffness. - CORRECT ANSWER
Rheumatoid arthritis
Infection causing pelvic pain and urinary symptoms. - CORRECT ANSWER Acute bacterial
prostatitis
Ultrasound imaging to assess internal structures. - CORRECT ANSWER Sonogram
Referral for specialized evaluation of reproductive issues. - CORRECT ANSWER Gynecological
consultation
Emergency condition causing acute testicular pain. - CORRECT ANSWER Testicular torsion
Typically decreases, causing light-headedness when standing. - CORRECT ANSWER Blood
pressure changes in pregnancy
Class of antibiotics effective against bacterial infections. - CORRECT ANSWER Macrolide
antibiotic
, Agency to report suspected child abuse or neglect. - CORRECT ANSWER Child protective services
Movement of a joint without patient effort. - CORRECT ANSWER Passive range of motion (ROM)
Benign tumors causing heavy menstrual bleeding. - CORRECT ANSWER Uterine leiomyomas
Fluid released from the nipple, may indicate pathology. - CORRECT ANSWER Nipple discharge
Inflammation of bronchial tubes, often due to infection. - CORRECT ANSWER Acute bronchitis
Indicates possible bacterial infection in respiratory tract. - CORRECT ANSWER Foul-smelling
sputum
Routine examination to detect precancerous changes. - CORRECT ANSWER Cervical cancer
screening
Common symptom in inflammatory joint diseases. - CORRECT ANSWER Morning stiffness
Red, flat rash often indicating skin irritation. - CORRECT ANSWER Erythematous macular rash
Urine samples collected during normal urination. - CORRECT ANSWER Voided urine specimens
Reflex causing testicle elevation when thigh is stroked. - CORRECT ANSWER Cremasteric reflex
Observations made during a clinical examination. - CORRECT ANSWER Physical exam findings
