Newest 2025 NUR 504 3P APEA
Exam with accurate questions
and verified answers covering
pathophysiology,
pharmacology, and physical
assessment for advanced
practice nursing Latest Exam
Questions and Answers
a) A 7-year old female patient presents with severe injuries that are inconsistent
with the explanation given for them. The nurse practitioner questions the
mother about abuse. She admits that her husband, the child's father, beat the
child. How should the nurse practitioner proceed?
a. Inform the mother that the abuse must be reported to child protection authorities.
b. Counsel the mother that if it happens again it will be reported to child protection
service.
c. Ask the child what she did to cause the punishment
d. Refer the family to the National Domestic Violence hotline. - ANSWER a. Inform the
mother that the abuse must be reported to child protection authorities.
b)
, c) Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use - ANSWER d. Gradually tapers SSRI use
d) A 7-year old female patient presents with severe injuries that are inconsistent
with the explanation given for them. The nurse practitioner questions the
mother about abuse. She admits that her husband, the child's father, beat the
child. How should the nurse practitioner proceed?
a. Inform the mother that the abuse must be reported to child protection authorities.
b. Counsel the mother that if it happens again it will be reported to child protection
service.
c. Ask the child what she did to cause the punishment
d. Refer the family to the National Domestic Violence hotline. - ANSWER a. Inform the
mother that the abuse must be reported to child protection authorities.
e) A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL?
a. Age > 15 years
b. Fever > 101 F (38.3 C)
c. Exudative pharyngitis
d. Painful rash - ANSWER a. Age > 15 years
f) 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
g) The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
h) Explanation: Condoms - ANSWER c. Make sure the condom is tight against
the head of the penis
, i) The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
e.
j) Explanation: Condoms - ANSWER c. Make sure the condom is tight against
the head of the penis
k) Which of the following descriptions of Denver II Developmental Screening
Test is most accurate?
a. Applicable to children from birth to 2 years; evaluates four major categories of
development: motor, intellectual, emotional, and language to determine whether a
child is within normal range for various behaviors or is developmentally delayed
b. Applicable to children from birth to 5 years; evaluates four major categories of
development: motor, vision, hearing and psychosocial to determine whether a child is
normal or developmentally compromised
c. Applicable to children from birth to 6 years; evaluates four major categories of
development: gross motor, fine motor-adaptive, language, and personal social to
determine whether a child is within normal range for behaviors or is developmentally
delayed. - ANSWER d. Applicable to children from birth to 6 years; evaluates four major
categories of development: gross motor, fine motor-adaptive, language, and personal
social to determine whether a child is within normal range for behaviors or is
developmentally delayed.
l) A 15 years old high school student with a mild sore throat and low-grade fever
that has persisted for about 3 weeks. She reports general malaise, fatigue, and
loss of appetite. The NP suspects mononucleosis. Which of the following is the
LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - ANSWER d. Obtain an urinalyses
and serum for LFTs and amylase
m) A 32 years old male patient complaint of urinary frequency and burning on
urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He
denies any past hx of urinary tract infections. The initial treatment should be:
Exam with accurate questions
and verified answers covering
pathophysiology,
pharmacology, and physical
assessment for advanced
practice nursing Latest Exam
Questions and Answers
a) A 7-year old female patient presents with severe injuries that are inconsistent
with the explanation given for them. The nurse practitioner questions the
mother about abuse. She admits that her husband, the child's father, beat the
child. How should the nurse practitioner proceed?
a. Inform the mother that the abuse must be reported to child protection authorities.
b. Counsel the mother that if it happens again it will be reported to child protection
service.
c. Ask the child what she did to cause the punishment
d. Refer the family to the National Domestic Violence hotline. - ANSWER a. Inform the
mother that the abuse must be reported to child protection authorities.
b)
, c) Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use - ANSWER d. Gradually tapers SSRI use
d) A 7-year old female patient presents with severe injuries that are inconsistent
with the explanation given for them. The nurse practitioner questions the
mother about abuse. She admits that her husband, the child's father, beat the
child. How should the nurse practitioner proceed?
a. Inform the mother that the abuse must be reported to child protection authorities.
b. Counsel the mother that if it happens again it will be reported to child protection
service.
c. Ask the child what she did to cause the punishment
d. Refer the family to the National Domestic Violence hotline. - ANSWER a. Inform the
mother that the abuse must be reported to child protection authorities.
e) A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL?
a. Age > 15 years
b. Fever > 101 F (38.3 C)
c. Exudative pharyngitis
d. Painful rash - ANSWER a. Age > 15 years
f) 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
g) The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
h) Explanation: Condoms - ANSWER c. Make sure the condom is tight against
the head of the penis
, i) The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
e.
j) Explanation: Condoms - ANSWER c. Make sure the condom is tight against
the head of the penis
k) Which of the following descriptions of Denver II Developmental Screening
Test is most accurate?
a. Applicable to children from birth to 2 years; evaluates four major categories of
development: motor, intellectual, emotional, and language to determine whether a
child is within normal range for various behaviors or is developmentally delayed
b. Applicable to children from birth to 5 years; evaluates four major categories of
development: motor, vision, hearing and psychosocial to determine whether a child is
normal or developmentally compromised
c. Applicable to children from birth to 6 years; evaluates four major categories of
development: gross motor, fine motor-adaptive, language, and personal social to
determine whether a child is within normal range for behaviors or is developmentally
delayed. - ANSWER d. Applicable to children from birth to 6 years; evaluates four major
categories of development: gross motor, fine motor-adaptive, language, and personal
social to determine whether a child is within normal range for behaviors or is
developmentally delayed.
l) A 15 years old high school student with a mild sore throat and low-grade fever
that has persisted for about 3 weeks. She reports general malaise, fatigue, and
loss of appetite. The NP suspects mononucleosis. Which of the following is the
LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - ANSWER d. Obtain an urinalyses
and serum for LFTs and amylase
m) A 32 years old male patient complaint of urinary frequency and burning on
urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He
denies any past hx of urinary tract infections. The initial treatment should be:
