APEA EXAM 2023-2024 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
An adolescent is brought to the ED after consuming a bottle of extended-release acetaminophen tablets
between 8-10 hours ago. Which intervention will the provider order? - ANSWER-Acetylcysteine
administration
An older male patient takes furosemide and low-dose aspirin. Urine output is low despite the diuretic.
Today's BP is 140/80 and the serum creatinine and BUN levels and elevated. The patient has also gained
10 lbs over the past 3 months. What action will the provider discuss with the patient? - ANSWER-
Withdrawing the aspirin
A pregnant patient in her third trimester asks the nurse whether she can take aspirin for headaches.
Which response by the nurse is correct? - ANSWER-"Aspirin may cause premature closure of the ductus
arteriosus in your baby so should be avoided"
A provider is about to prescribe prednisone to a patient for tendonitis. What item in the patient's
medical hx would cause the provider to reconsider that action? - ANSWER-Systemic fungal infection
A patient taking high doses of a glucocorticoid develops weakness in the muscles of the upper arms and
in the legs. What action will the provider take? - ANSWER-Reducing the dose of the glucocorticoid
medication
A patient taking a glucocorticoid for arthritis reports feeling bloated and peripheral edema is noted.
What action by the provider is relevant to the care of this patient? - ANSWER-Asking the patient about
sodium intake
A patient who takes a glucocorticoid reports having tarry stools but denies gastric pain. After ruling out
anemia and determining that the patient is not in danger, which action will the provider take? -
ANSWER-Prescribing an antiulcer medication
A patient will begin taking fexofenadine for hay fever. What information will the provider include in
patient teaching? - ANSWER-The medication may be taken once or twice daily
,An 11 y/o boy received all childhood immunizations before attending Kindergarten. Which vaccines will
the provider recommend for this child at his current age? Select all that apply. - ANSWER-Tdap, HPV,
MCV-4
A provider is caring for patient who has undergone organ transplantation. Because the majority
histocompatibility complex molecules of the donor are different from those of the patient, the provider
will prescribe a drug from which drug class? - ANSWER-Immunosuppressants
A provider prescribing vaccines to a child with an immune deficiency disorder will avoid ordering which
vaccination? - ANSWER-Varicella virus vaccine
A 1 y/o child receives the MMR vaccine. The next day, the child's parent calls to report that the child has
a temperature of 102.8. What action will the provider take? - ANSWER-Reassure the parent that fever
can occur with the MMR vaccine
A provider orders hydroxyzine for a patient with acute urticaria. What information will the provider
include when teaching the patient about this drug? - ANSWER-Alcohol should be avoided while taking
this drug
A 60 y/o female patient is about to begin long-term therapy with a glucocorticoid. Which intervention
will the provider prescribe to help minimize the patient's risk of developing osteoporosis? - ANSWER-
Calcium and vitamin D supplements
A patient who has been taking a glucocorticoid for several months arrives in the clinic. The patient's
cheeks appear full and there is a prominent hump of fat present on the upper back. The provider will
order which tests? - ANSWER-Serum electrolytes
A provider is teaching a patient who has taken glucocorticoids for over a year about glucocorticoid
withdrawal. Which statement by the patient indicates a need for further teaching? - ANSWER-I should
reduce the dose by half each day until I stop taking the drug
A 3 y/o child who has asthma is in the clinic for a well-child visit. The NP notes that the child is UTD for
the DTap, Hep A, Hep B, and the MMR vaccines but has only had one each of the Hib, the rotavirus and
PCV13 vaccines. Which vaccine will the provider prescribe for this child? - ANSWER-PCV13
, A patient who takes aspirin daily is scheduled for surgery in 1 week. What action will the provider
suggest to minimize the patient's risk for injury? - ANSWER-Stop taking aspirin immediately
A patient will begin taking hydroxychloroquine for RA. What test will the provider order as a baseline for
ongoing monitoring? - ANSWER-Ophthalmological examination
The provider has the patient take a tuberculin skin test and CXR prior to starting etanercetpt. Testing
results are a positive tuberculin skin test with negative chest radiograph. What action will the provider
take? - ANSWER-Prescribe tx for tuberculosis prior to beginning etanercept tx
A provider will begin a course of abatacept for a child with juvenile idiopathic arthritis whose sx are
inadequately controlled with methotrexate. What will the provider include when teaching the child's
family about abatacept? - ANSWER-Immediately report any sx of infection
A patient who has gout will begin taking febuxostat. What information will the prescriber provide when
teaching the patient about this drug regimen? - ANSWER-I will also be prescribing colchicine, but for no
longer than 6 months
A patient experiences an acute gouty episode despite taking NSAIDs for several months. The prescriber
and patient had planned to begin therapy with probenecid. What effect will the acute episode have on
the patient's planned medication therapy? - ANSWER-The probenecid therapy will be delayed until the
acute episode has subsided
A patient who takes allopurinol for chronic gout develops a rash. Vital signs are WNL and there are no
signs of patient distress. What action will the provider take? - ANSWER-Hold the allopurinol and confirm
an existing drug reaction
A patient being treated with warfarin to prevent thrombus develops hyperuricemia, and the provider
orders allopurinol. The provider will discuss ______ the _________ dose with the patient. - ANSWER-
reducing, warfarin
A patient who will begin taking colchicine for gout currently takes ibuprofen, simvastatin, amoxicillin and
digoxin. What action will the provider take to manage this medication regimen? - ANSWER-Discuss the
potential risk of muscle injury
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