NUR 504 3P APEA ACTUAL EXAM 2025 NEWEST COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS)
15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of this information, it is
essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex - Answer-a. Testicular self-examination
24 y/o female taking oral contraceptive has missed her last 2 pills. What should the NP advise her to do
to minimize her risk of pregnancy?
a. Take today's dose and do not miss any more during this month
b. Double today's dose and use a barrier method for the rest of this month
c. Double today's dose and tomorrow's dose and use a barrier method for the rest of this month
d. Stop the pills and restart a new pill pack in one week. - Answer-c. Double today's dose and
tomorrow's dose and use a barrier method for the rest of this month
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
40 y/o female with hx. Of frequent sun exposure present with multicolored lesion on her back it has
irregular borders and is about 11 mm in diameter. What should the NP suspect?
a. Squamous cell carcinoma
,b. Malignant melanoma
c. Common Nevis
d. Basal cell carcinoma - Answer-b. Malignant melanoma
45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ pain and epigastric
"crampy pain". Symptoms are exacerbated by high-fat meal. What is the most likelydiagnosis?
a. Hepatitis
b. Chronic cholecystitis
c. Acute pancreatitis
d. Myocarditis - Answer-b. Chronic cholecystitis
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast cancerat age 40
years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - Answer-d. Topical conjugate estrogen cream
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast cancerat age 40
years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - Answer-d. Topical conjugate estrogen cream
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast cancerat age 40
years. What is the appropriate initial treatment for this patient?
, a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - Answer-d. Topical conjugate estrogen cream
A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of the legs
followed by periods of lethargy. On physical examination, a "sausage-like" mass in the upper right
quadrant of the distended abdomen. Which of the following is the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract - Answer-a. Intussusception
A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute otitis media because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly erythematous, dulls and
immobile.
d. Canal is narrowed, erythematous, and exquisitely tender with speculum contact - Answer-Bony
landmarks are obscured, and the tympanic membrane is mildly erythematous, dulls and immobile.
A 12-month-old has conjunctivitis in his right eye with a mucopurulent discharge. The mother asks if the
child can forego for antibiotic eye drops because he does not's like drops in his eyes. The NP replies that:
a. If untreated, conjunctivitis may permanently damage the cornea
b. Conjunctivitis is usually caused by a virus. Let's wait a few days
c. If no one else at the daycare has it, we can wait a few days.
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS)
15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of this information, it is
essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex - Answer-a. Testicular self-examination
24 y/o female taking oral contraceptive has missed her last 2 pills. What should the NP advise her to do
to minimize her risk of pregnancy?
a. Take today's dose and do not miss any more during this month
b. Double today's dose and use a barrier method for the rest of this month
c. Double today's dose and tomorrow's dose and use a barrier method for the rest of this month
d. Stop the pills and restart a new pill pack in one week. - Answer-c. Double today's dose and
tomorrow's dose and use a barrier method for the rest of this month
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
40 y/o female with hx. Of frequent sun exposure present with multicolored lesion on her back it has
irregular borders and is about 11 mm in diameter. What should the NP suspect?
a. Squamous cell carcinoma
,b. Malignant melanoma
c. Common Nevis
d. Basal cell carcinoma - Answer-b. Malignant melanoma
45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ pain and epigastric
"crampy pain". Symptoms are exacerbated by high-fat meal. What is the most likelydiagnosis?
a. Hepatitis
b. Chronic cholecystitis
c. Acute pancreatitis
d. Myocarditis - Answer-b. Chronic cholecystitis
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast cancerat age 40
years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - Answer-d. Topical conjugate estrogen cream
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast cancerat age 40
years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - Answer-d. Topical conjugate estrogen cream
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast cancerat age 40
years. What is the appropriate initial treatment for this patient?
, a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - Answer-d. Topical conjugate estrogen cream
A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of the legs
followed by periods of lethargy. On physical examination, a "sausage-like" mass in the upper right
quadrant of the distended abdomen. Which of the following is the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract - Answer-a. Intussusception
A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute otitis media because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly erythematous, dulls and
immobile.
d. Canal is narrowed, erythematous, and exquisitely tender with speculum contact - Answer-Bony
landmarks are obscured, and the tympanic membrane is mildly erythematous, dulls and immobile.
A 12-month-old has conjunctivitis in his right eye with a mucopurulent discharge. The mother asks if the
child can forego for antibiotic eye drops because he does not's like drops in his eyes. The NP replies that:
a. If untreated, conjunctivitis may permanently damage the cornea
b. Conjunctivitis is usually caused by a virus. Let's wait a few days
c. If no one else at the daycare has it, we can wait a few days.
