Comprehensive Question Bank with
Verified Correct Answers, In-Depth Clinical
Rationales, and Evidence-Based
Explanations for Advanced Practice
Nursing Students Preparing for the APEA
3P Predictor and Proctored Examinations
When performing a visual acuity test the nurse
1.
practitioner notes 20/30 in the left eye and
20/40 in the right eye using the Snellen eye
chart. This means:
a) have the patient returning in two weeks for a
follow up vision screen
b)dilated the eye and retest
c) refer the patient to an ophthalmologist
d)document this as a normal finding
2. The American psychiatric association’s
diagnostic and statistical manual of mental
disorder defines Munchausen Syndrome By
Proxy
a) a self-inflicted injury to gain attention
, b)a caregiver making up or causing an
illness or injury in a person under his or
her care
c) an abusive behavior that does not involve the
caregiver
d)a situation in which the abuser is often
inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness
and a form of child abuse. The caretaker of a child,
most often a mother, either makes up fake
symptoms or causes real symptoms to make it look
like the child is sick.
3. Symptoms of depression are a side effect of which
neurotransmitter medication?
a) dopamine serotonin, norepinephrine
b)gabapentin
c) mil
d)cortisol
4. Which lesion is dark raised and asymmetric with
irregular border? Quizlet Bates Chapter 20
a) Nevus
, b)Actinic keratosis
c) Keratoacanthoma
d)Melanoma
5.A 32 years old woman presents with dull
puffiness of the ayes pronounced not
pitting periorbital edema this finding is
suggestive of this condition? APEA
a) Nephrotic syndrome
b)Myxedema
c) Cushing syndrome
d)Sinusitis
Myxedema is a deposition of mucopolysaccarides in
the dermis. Is commonly found if patients with
advanced hypothyroidism. The classic skin changes
are: swelling of face, lips, eyelids, and tongue or
swelling and thickening of skin anywhere on the
body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an
autoimmune form of hyperthyroidism.
Myxedema can also occur in Hashimoto’s
thyroiditis a form of hypothyroidism.
, 6. 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?
a) Sumatriptan (Imitrex)
b)Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is
considered offlabel use for prophylactic treatment of
migrane. Sumatriptan (Imimtrex) Is aTriptans used to
abort migraine
7. A pediatric patient has areas of scaling on
the scalp with round patches of alopecia.
This clinical finding is consistent with:
a) Tinea capitis
b)Seborrheic dermatitis
c) Trichotillomania
d)Alopecia areata
8. What is the appropriate prophylactic