Exam (elaborations)

TEST BANK FOR EVERYTHING IN APEA 3P/ ASSESSMENTS,PRE & POST TEST MODULES,QUIZZES,STUDY,READING,REVIEWS,PRACTICE QUESTIONS AND T/B QUESTIONS.ALL WITH COMPLETE SOLUTIONS 100% |LATEST |UPDATED 2023|VERIFIED

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APEA 3P

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APEA 3P

TEST BANK FOR EVERYTHING IN APEA 3P/ ASSESSMENTS,PRE & POST TEST MODULES,QUIZZES,STUDY,READING,REVIEWS,PRACTICE QUESTIONS AND T/B QUESTIONS.ALL WITH COMPLETE SOLUTIONS 100% |LATEST |UPDATED 2023|VERIFIED TABLE OF CONTENTS APEA 3P Exam Prep- Health Promotion………………………………...

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Uploaded on August 9, 2023
Number of pages 397
Written in 2023/2024
Type Exam (elaborations)
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test bank for everything in apea 3p assessments
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Institution APEA 3P
Course APEA 3P

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APEA 3P TEST BANK
TEST BANK FOR EVERYTHING IN APEA 3P/ ASSESSMENTS,PRE & POST
TEST MODULES,QUIZZES,STUDY,READING,REVIEWS,PRACTICE
QUESTIONS AND T/B QUESTIONS.ALL WITH COMPLETE SOLUTIONS
100% |LATEST |UPDATED 2023|VERIFIED

TABLE OF CONTENTS
APEA 3P Exam Prep- Health Promotion………………………………........2
APEA 3P EXAM Prep Neuro…………………………………….……… ..14
APEA 3P Exam Prep- Professional Issues/Ethics………………………..…38
APEA 3P Exam Prep - Sexual Health…………………………………...….50
APEA 3P Exam Prep –Cardiovascular…………………………………...…63
APEA 3P Exam Prep- Women's Health…………………………………….97
APEA 3P Exam Prep- Nephrology/GU…………………………………….115
APEA 3P Exam Prep- GI………………………………………………...…129
APEA 3P Exam Prep- Men's Health……………………………………..…165
APEA 3P Exam Prep- Dermatology……………………………………..…175
APEA 3P High Stakes Exam Questions………………………………….…197
APEA 3P Pre Predictor Exam…………………………………………….…224
APEA 3P Test Bank Questions 1…………………………………………….306
APEA 3P Test bank Questions 2……………………………………...……..315
APEA 3P Final Exam Review……………………………………………….335
APEA 3P Final Exam 2023/2024……………………………………………363

, APEA 3P EXAM PREP- HEALTH PROMOTION
A 58-year-old patient has an annual exam. A fecal occult blood test was used to
screen for colon cancer. Three were ordered on separate days. The first test was
positive; the last two were negative. How should the nurse practitioner proceed?

Rescreen in one year.

Perform a fourth exam.

Examine him for hemorrhoids.

Refer him for a colonoscopy.

A fecal occult blood test is performed multiple times on different days because
tumors don’t consistently excrete blood. The reason multiple tests are performed is
to increase the likelihood of identifying blood. The patient needs to have a
colonoscopy performed for examination of the colon. The standard of practice is to
refer all positive colon cancer screens for colonoscopy.

A criterion for medication choice in an older adult is:

long half-life to prevent frequent dosing.

dosing of 3-4 times daily.

pill color and shape for easy identification.

half-life less than 24 hours.

Many factors go into prescribing for older adults. Some important safety criteria
include established efficacy, low adverse event profile, and half-life less than 24
hours with no active metabolites. Active metabolites would produce a longer effect of
the drug in the patient. Dosing of a medication three to four times daily invites
dosing and medication errors. Once- or twice-daily dosing is ideal. Pill color and
shape is never a criterion for prescribing. Patients who are cognitively able will
recognize the color, shape, and size of pills they take on a regular basis.

What should the nurse practitioner recommend to any elder taking medications?

Have someone check your medications prior to taking them

,Never take your medicine on an empty stomach Keep

a list of all of your medications with you.

Have a pharmacist review your list once a year

A list of current medications should be kept with each patient and carried with him,
especially when healthcare visits are scheduled. Many older adults can take
medications without supervision. Many medications should be taken without food
(thyroid supplementation for example). A pharmacist can evaluate the list of
medications for drug-drug interactions, but the pharmacist will not know the
diagnoses and other reasons for choosing the medications.

What temperature should be set on a water heater in the home of an older adult to
prevent burn injury?

Less than 110 degrees

Less than 120 degrees

Less than 130 degrees

Less than 140 degrees

Hot water heaters are common sources of burns in homes of older adults and very
young patients. Many safety organizations in the United States believe that burns
can be prevented if hot water heaters are set to less than 120° F.

What is the recommendation from American Cancer Society for assessment of the
prostate gland in a man who is 45 years old and of average risk for development of
prostate cancer? He should have:

screening starting at 50 years of age.

prostate-specific antigen (PSA) now.

PSA and digital rectal exam now.

digital rectal exam only.

At age 50 years, males of average prostate cancer risk should have a PSA
measurement with or without a digital rectal exam (DRE). If they are deemed to beof
high risk because of a family history (first-degree relative with prostate cancer
before age 65 years) or race (African American), screening discussions should take
place at age 40-45 years. If the initial PSA is > 2.5 ng/mL, annual testing should
take place. If the initial PSA is < 2.5 ng/mL, test every 2 years.

, A 75-year-old adult asks for the pneumonia vaccine. His immunization record
indicates that he had one at age 65 and another a year later. What is the
recommendation of the CDC about how the NP should handle his request?

Revaccination is recommended now

Revaccination is recommended every 5 years after age 65 yearsDo

not revaccinate this patient at this time

He should have received one at age 70 years

The recommendation of CDC is NOT to revaccinate this patient. After initial
vaccination with PCV13 at age 65 years and subsequent vaccination with PPSV23 1
year later, no revaccination is recommended in this patient.

A patient who has been treated for hypothyroidism presents for her annual exam.Her
TSH is 4.1 (normal = 0.4- 3.8). She feels well. How should she be managed?

Continue her current dosage of thyroid replacement.

Increase her replacement.

Decrease her replacement.

Repeat the TSH in 2-3 weeks.

When an abnormal TSH is received, especially when a patient is not symptomatic, it
should be repeated. Sometimes there are periods of transient hypothyroidism, lab
error, and missed doses that can cause changes in TSH levels.

A 20-year-old student has an MMR titer that demonstrates an unprotective titer for
rubella. She is HIV positive. Her CD4 cell count is unknown. Which statement is
true?

She should not receive the MMR immunization because she is at low risk for the
disease.

MMR is safe to give but she does not need this.

She is at risk for MMR but should not be immunized. She

should receive this. The immunization is not alive.

This patient is at risk for rubella because she does not have a sufficient titer. The
MMR immunization is an attenuated virus. Though an attenuated immunization is
weakened, it is still considered live and so is contraindicated in anyone who may be
immunocompromised. Since her CD4 cell count is unknown, she should not receive

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Exam (elaborations)

TEST BANK FOR EVERYTHING IN APEA 3P/ ASSESSMENTS,PRE & POST TEST MODULES,QUIZZES,STUDY,READING,REVIEWS,PRACTICE QUESTIONS AND T/B QUESTIONS.ALL WITH COMPLETE SOLUTIONS 100% |LATEST |UPDATED 2023|VERIFIED

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