, 3P APEA EXAM, NUR 504 APEA Fin, APEA, NUR 504 3P APEA, 3P Practice Questions and Correct
Answers
When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and
20/40 in the right eye using the Snellen eye chart. This means: - Answer-Refer the patient to an
opthalmologist
The American psychiatric association's diagnostic and statistical manual of mental disorder defines
Munchausen Syndrome By Proxy - Answer-A caregiver making up or causing an illness or injury in a
person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? - Answer-Dopamine
(serotonin, norepinephrine)
Which lesion is dark raised and asymmetric with irregular border? - Answer-Melanoma
A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting periorbital edema
this finding is suggestive of this condition? - Answer-Myxedema
A 42 years old woman with a past medical history of migraine headaches is requesting prophylactic
medication treatment. Which medication should the Nurse practitioner prescribe? - Answer-
Amitriptyline (Elavil)
A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This clinical finding is
consistent with: - Answer-Tinea Capitis
What is the appropriate prophylactic medication for an 18 years old woman with a past medical history
of migraine headaches? - Answer-Propanolol (Inderal)
,Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient with a past
medical history of type 2 diabetes, obesity, chronic smoking and sedentary life - Answer-Her age and
tobacco use
During the breast examination of a perimenopausal woman the NP detects a bloody spontaneous
discharge from the right nipple. This indicates further evaluation. - Answer-An intraductal papilloma
Rh negative women should receive Rho (D) immunoglobulin at what gestational time? - Answer-28 wks
When interpreting a complete blood count (CBC) lab report which of the following results describes the
size of the RBCs? - Answer-Mean corpuscular volume (MCV)
What medication should be avoided when prescribe prophylactic therapy for headache - Answer-
Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the great
arteries - Answer-To produce vasodilation on....
Which of the following complaints best describes lower extremity calf pain associated with peripheral
artery disease - Answer-A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47- year-old
premenopausal woman? - Answer-Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which medication should be
given to relieve the symptom? - Answer-Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that causes painful localized
blistering rash? - Answer-Shingles (herpes zoster) vaccine
,Headache warning signs that need prompt investigation include all of the following EXCEPT: - Answer-
Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron supplement - Answer-on an
empty stomach between meals
Which one of the following statements is true of Munchausen syndrome by proxy? - Answer-Under the
supervision of adults other than the abuser, the patient does not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse in adolescents? -
Answer-Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of
premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to
document her maternal status - Answer-Gravida 4 Para 1114
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old patient. The
Nurse Practitioner should asses the patents - Answer-Right forearm and hand
Anticholinergics are indicated for the treatment of - Answer-urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention.
Their finding is consistent with - Answer-heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac
attached to the epidermis is noted on the right lateral side of the neck. The type of lesion is known as -
Answer-a cutaneous cyst
, Symptoms of heartburn and regurgitation are associated with: - Answer-GERD
A 70 years old man walks 20 minutes most days of the week. He has begun to complain of pain of his left
calf when he is walking. The problem has gotten gradually worse and now he
is unable to complete his 20 minutes walks without stopping to rest. What choice best describes the
pain associated with peripheral artery disease? - Answer-A dull pain and cramp
Papilledema is a cause for concern because it is suggestive of - Answer-Increased intracranial pressure
A 38-year-old patient with a history of abdominal pain presents to the nurse practitioner. Findings reveal
superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. Hemorrhagic
pancreatic is suspected because of which finding? - Answer-A positive cullens sign
A 57 years old post-menopausal female presents with a complaint of vaginal burning, pruritus and
painful intercourse. On examination, the nurse practitioner would be most concern with the findings -
Answer-A friable cervix
What intervention does the American College of Rheumatology recommend as first line therapy for
Osteoarthritis, rheumatoid arthritis or something else - Answer-Exercise and weight loss
Which of the following drugs is not contraindicated for concurrent use with warfarin (Coumadin)? -
Answer-Amoxicillin
The lymphatic ducts drain into the - Answer-venous system
Which of the following is the most appropriate treatment for trichomoniasis in a non- pregnant woman?
- Answer-Flagyl
Answers
When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and
20/40 in the right eye using the Snellen eye chart. This means: - Answer-Refer the patient to an
opthalmologist
The American psychiatric association's diagnostic and statistical manual of mental disorder defines
Munchausen Syndrome By Proxy - Answer-A caregiver making up or causing an illness or injury in a
person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? - Answer-Dopamine
(serotonin, norepinephrine)
Which lesion is dark raised and asymmetric with irregular border? - Answer-Melanoma
A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting periorbital edema
this finding is suggestive of this condition? - Answer-Myxedema
A 42 years old woman with a past medical history of migraine headaches is requesting prophylactic
medication treatment. Which medication should the Nurse practitioner prescribe? - Answer-
Amitriptyline (Elavil)
A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This clinical finding is
consistent with: - Answer-Tinea Capitis
What is the appropriate prophylactic medication for an 18 years old woman with a past medical history
of migraine headaches? - Answer-Propanolol (Inderal)
,Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient with a past
medical history of type 2 diabetes, obesity, chronic smoking and sedentary life - Answer-Her age and
tobacco use
During the breast examination of a perimenopausal woman the NP detects a bloody spontaneous
discharge from the right nipple. This indicates further evaluation. - Answer-An intraductal papilloma
Rh negative women should receive Rho (D) immunoglobulin at what gestational time? - Answer-28 wks
When interpreting a complete blood count (CBC) lab report which of the following results describes the
size of the RBCs? - Answer-Mean corpuscular volume (MCV)
What medication should be avoided when prescribe prophylactic therapy for headache - Answer-
Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the great
arteries - Answer-To produce vasodilation on....
Which of the following complaints best describes lower extremity calf pain associated with peripheral
artery disease - Answer-A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47- year-old
premenopausal woman? - Answer-Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which medication should be
given to relieve the symptom? - Answer-Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that causes painful localized
blistering rash? - Answer-Shingles (herpes zoster) vaccine
,Headache warning signs that need prompt investigation include all of the following EXCEPT: - Answer-
Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron supplement - Answer-on an
empty stomach between meals
Which one of the following statements is true of Munchausen syndrome by proxy? - Answer-Under the
supervision of adults other than the abuser, the patient does not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse in adolescents? -
Answer-Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of
premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to
document her maternal status - Answer-Gravida 4 Para 1114
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old patient. The
Nurse Practitioner should asses the patents - Answer-Right forearm and hand
Anticholinergics are indicated for the treatment of - Answer-urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention.
Their finding is consistent with - Answer-heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac
attached to the epidermis is noted on the right lateral side of the neck. The type of lesion is known as -
Answer-a cutaneous cyst
, Symptoms of heartburn and regurgitation are associated with: - Answer-GERD
A 70 years old man walks 20 minutes most days of the week. He has begun to complain of pain of his left
calf when he is walking. The problem has gotten gradually worse and now he
is unable to complete his 20 minutes walks without stopping to rest. What choice best describes the
pain associated with peripheral artery disease? - Answer-A dull pain and cramp
Papilledema is a cause for concern because it is suggestive of - Answer-Increased intracranial pressure
A 38-year-old patient with a history of abdominal pain presents to the nurse practitioner. Findings reveal
superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. Hemorrhagic
pancreatic is suspected because of which finding? - Answer-A positive cullens sign
A 57 years old post-menopausal female presents with a complaint of vaginal burning, pruritus and
painful intercourse. On examination, the nurse practitioner would be most concern with the findings -
Answer-A friable cervix
What intervention does the American College of Rheumatology recommend as first line therapy for
Osteoarthritis, rheumatoid arthritis or something else - Answer-Exercise and weight loss
Which of the following drugs is not contraindicated for concurrent use with warfarin (Coumadin)? -
Answer-Amoxicillin
The lymphatic ducts drain into the - Answer-venous system
Which of the following is the most appropriate treatment for trichomoniasis in a non- pregnant woman?
- Answer-Flagyl
