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NURSING MISC APEA TEST BANK 2024 QUESTIONS AND ANSWERS PROVIDED// GRADED A+
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NURSING MISC APEA TEST BANK 2024ABSTRACT
THIS DOCUMENT IS TO HELP GET SUCCESS
IN MISC APEA EXAMS
, NURSING MISC APEA TEST BANK 2024
Question:
A 40 year-old female patient presents to the clinic with multiple, painful reddened nodules
on the anterior surface of both legs. She is concerned. These are probably associated with
her history of:
deep vein thrombosis.phlebitis. Incorrectulcerative colitis. Correctalcoholism.
Explanation:
These nodules describe erythema nodosum. These are most common in women aged 15-
40 years old. They are typically found in pretibial locations and can be associated with
infectious agents, drugs, or systemic inflammatory disease like ulcerative colitis. They
probably occur as a result of a delayed hypersensitivity reaction to antigens. It is not
unusual to find polyarthralgia, fever, and or malaise that precede or accompany the skin
nodules.
Question:
A patient reports that he found a tick on himself about one month ago. He reports that
there is a red circle and a white center near where he remembers the tick bite. He did not
seek treatment at the time. Today he complains of myalgias and arthralgias. What
laboratory test can be used to help diagnose Lyme disease? CBCLyme titerELISA
CorrectSkin scraping
Explanation:
A detailed history should always precede testing for Lyme Disease. The red circle with
the white center is likely erythema migrans (EM). EM is the characteristic skin lesion of
Lyme Disease (and other illnesses) and usually occurs within one month following the
tick bite. Many learned authorities including the Infectious Diseases Society of America
conclude that individuals should not be screened/tested for Lyme disease unless they have
a high probability of having Lyme disease. In this case, historical features coupled
, NURSING MISC APEA TEST BANK 2024
with physical exam support the diagnosis, and thus screening. The most common initial
serologic test for screening is an ELISA. If it is positive, it should be confirmed with a
Western blot. Unfortunately, there are a large number of false positives and so a
confirmation should be performed
Question:
An adolescent takes isotretinoin for nodulocystic acne. She is on oral contraceptives. Both
were prescribed by the dermatologist. The adolescent arrives in your clinic with a sinus
infection. Her temperature is 99.5 degrees F and her blood pressure is 160/100. How
should this be managed?
Call the dermatologist to report the elevated BP CorrectTreat the sinus infection and
recheck the BP in one week IncorrectDiscontinue the isotretinoin todayDiscontinue the
oral contraceptive today
Explanation:
The nurse practitioner is responsible for treating the sinus infection but has also become
aware of a potentially harmful situation involving the elevated blood pressure and oral
contraceptive use. The safest and most professional action is to call the dermatologist to
discuss your concerns regarding the elevated BP and concomitant oral contraceptive use
since this potentially increases the risk of stroke in this adolescent. Care and professional
courtesy should be exercised when discontinuing a medication that another provider has
initiated. Professional courtesy is extended to the prescriber by calling them prior to
discontinuing a medication they have ordered.
Question:
The agent commonly used to treat patients with scabies is permethrin. How often is it
applied to eradicate scabies?
Once CorrectOnce daily for 3 daysTwice daily for 3 daysOnce daily for one week
Incorrect
Explanation:
A single whole body application of permethrin is usually successful in eradicating
infection with scabies. It is applied over the entire body from the neck down. The lotion is
left on and then showered off 8-12 hours later. All contacts must be treated at the same
time and all potential fomites (bed linen, mattresses, cloth furniture, etc.) must be treated
as well. Permethrin can be sprayed on cloth fomites or they can be bagged for several
, NURSING MISC APEA TEST BANK 2024
days, washed and dried in washing machine and dryer. Ironing clothes after washing
them is acceptable.
Question:
An infant is diagnosed with diaper dermatitis. Satellite lesions are visible. This should
be treated with a: moisture barrier like zinc oxide.topical anti-fungal agent.
Correcttopical anti-bacterial agent.low potency steroid cream.
Explanation:
The finding of satellite lesions associated with diaper dermatitis indicates a Candidal
infection. This patient will be most effectively treated with a topical anti-fungal agent,
allowing the lesions to be exposed to air for periods of time (like during a nap). A
moisture barrier like zinc oxide is more beneficial when the diaper dermatitis is due to
irritants like prolonged exposure to urine or feces. A low potency steroid cream should be
used with caution in an infant with a fungal infection. A low potency cream in
conjunction with an anti- fungal can be helpful if there is a great amount of underlying
inflammation but has the potential to worsen the infection.
Question:
A 16 year-old has been diagnosed with Lyme disease. Which drug should be used
to treat him? Doxycycline CorrectAmoxicillin-clavulanateTrimethoprim-
sulfamethoxazoleCephalexin Explanation:
Doxycycline is frequently chosen first line to treat Lyme Disease. However, numerous
studies have demonstrated that amoxicillin and cefuroxime have equal efficacy as
doxycycline in treatment of early Lyme Disease. These drugs are recommended in
patients who exhibit erythema migrans. Doxycycline is not recommended in children
less than 9 years of age
Question:
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