1|Page
APEA PSYCH PHARM NEWEST ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS (DETAILED ANSWERS)
ALREADY GRADED A+ 100% GUARANTEED TO
PASS CONCEPTS!!!
A patient has had poorly controlled hypertension for
more than 10 years. Indicate the most likely position of
his point of maximal impulse
a. 5th intercostal space mid clavicular line
b. 8th intercostal space mid clavicular line
c. 5th intercostal space left of MCL
d. 5th intercostal space right of MCL - .....ANSWER
...✔✔ B
A 43-year old Hispanic male has an audible diastolic
murmur best heard in the mitral listening point. There is
no audible click. His status has been monitored for the
past two years. This murmur is probably what?
a. Mitral valve prolapse
b. Acute mitral regurgitation
c. Chronic mitral stenosis
d. Mitral Stenosis - .....ANSWER ...✔✔ D
,2|Page
A patient with hypertension describes a previous allergic
reaction to a sulfa antibiotic as sloughing of the skin and
hospitalization. Which medication is contraindicated in
this patient?
a. Lisinopril
b. Metoprolol
c. Hydrochlorothiazide
d. Verapamil - .....ANSWER ...✔✔ C
A 75-year old patient who has aortic stenosis wants to
know what symptoms indicate worsening of his stenosis.
The nurse practitioner replies:
a. Palpitations and weakness
b. Ventricular arrhythmias
c. Shortness of breath and syncope
d. Fatigue and exercise intolerance - .....ANSWER
...✔✔ C
A 74-year old patient has peripheral artery disease.
Which term listed below is an important non-modifiable
risk factor for PAD?
a. Cigarette smoking
b. Hyperlipidemia
,3|Page
c. Diabetes
d. Alcohol consumption - .....ANSWER ...✔✔ C
Lisinopril should be discontinued immediately if:
a. Dry cough develops
b. Pregnancy occurs
c. Potassium levels decrease
d. Gout develops - .....ANSWER ...✔✔ B
The valve most commonly involved in chronic rheumatic
heart disease is the:
a. Aortic
b. Mitral
c. Pulmonic
d. Tricuspid - .....ANSWER ...✔✔ B
A patient taking an ACE inhibitor should avoid what:
a. strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice - .....ANSWER ...✔✔ B
, 4|Page
A 28-year old has a grade 3 murmur. Which
characteristic indicates a need for referral?
a. A fixed split
b. An increase in splitting with inspiration
c. A split S2 with inspiration
d. Changes in intensity with position change -
.....ANSWER ...✔✔ A
Mr. Smith is a 72-year old patient who takes warfarin
for chronic atrial fibrillation. His INR today is 4.0. The
nurse practitioner should:
a. Stop the warfarin for the next four days and repeat
the INR on day 5
b. admit to the hospital immediately
c. Administer Vitamin K and repeat INR in two hours
d. Stop the Warfarin today and repeat the INR
tomorrow - .....ANSWER ...✔✔ D
According to the National Heart Lung and Blood
Institute, which characteristic listed below is a coronary
heart disease risk equivalent that is which risk factor
places the patient at AC CHD risk similar to a history of
CHD?
a. Hypertension
APEA PSYCH PHARM NEWEST ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS (DETAILED ANSWERS)
ALREADY GRADED A+ 100% GUARANTEED TO
PASS CONCEPTS!!!
A patient has had poorly controlled hypertension for
more than 10 years. Indicate the most likely position of
his point of maximal impulse
a. 5th intercostal space mid clavicular line
b. 8th intercostal space mid clavicular line
c. 5th intercostal space left of MCL
d. 5th intercostal space right of MCL - .....ANSWER
...✔✔ B
A 43-year old Hispanic male has an audible diastolic
murmur best heard in the mitral listening point. There is
no audible click. His status has been monitored for the
past two years. This murmur is probably what?
a. Mitral valve prolapse
b. Acute mitral regurgitation
c. Chronic mitral stenosis
d. Mitral Stenosis - .....ANSWER ...✔✔ D
,2|Page
A patient with hypertension describes a previous allergic
reaction to a sulfa antibiotic as sloughing of the skin and
hospitalization. Which medication is contraindicated in
this patient?
a. Lisinopril
b. Metoprolol
c. Hydrochlorothiazide
d. Verapamil - .....ANSWER ...✔✔ C
A 75-year old patient who has aortic stenosis wants to
know what symptoms indicate worsening of his stenosis.
The nurse practitioner replies:
a. Palpitations and weakness
b. Ventricular arrhythmias
c. Shortness of breath and syncope
d. Fatigue and exercise intolerance - .....ANSWER
...✔✔ C
A 74-year old patient has peripheral artery disease.
Which term listed below is an important non-modifiable
risk factor for PAD?
a. Cigarette smoking
b. Hyperlipidemia
,3|Page
c. Diabetes
d. Alcohol consumption - .....ANSWER ...✔✔ C
Lisinopril should be discontinued immediately if:
a. Dry cough develops
b. Pregnancy occurs
c. Potassium levels decrease
d. Gout develops - .....ANSWER ...✔✔ B
The valve most commonly involved in chronic rheumatic
heart disease is the:
a. Aortic
b. Mitral
c. Pulmonic
d. Tricuspid - .....ANSWER ...✔✔ B
A patient taking an ACE inhibitor should avoid what:
a. strenuous exercise
b. potassium supplements
c. protein rich meals
d. grapefruit juice - .....ANSWER ...✔✔ B
, 4|Page
A 28-year old has a grade 3 murmur. Which
characteristic indicates a need for referral?
a. A fixed split
b. An increase in splitting with inspiration
c. A split S2 with inspiration
d. Changes in intensity with position change -
.....ANSWER ...✔✔ A
Mr. Smith is a 72-year old patient who takes warfarin
for chronic atrial fibrillation. His INR today is 4.0. The
nurse practitioner should:
a. Stop the warfarin for the next four days and repeat
the INR on day 5
b. admit to the hospital immediately
c. Administer Vitamin K and repeat INR in two hours
d. Stop the Warfarin today and repeat the INR
tomorrow - .....ANSWER ...✔✔ D
According to the National Heart Lung and Blood
Institute, which characteristic listed below is a coronary
heart disease risk equivalent that is which risk factor
places the patient at AC CHD risk similar to a history of
CHD?
a. Hypertension
