NUR 504 3P APEA LATEST UPDATE 2024 – 2025
ACTUAL 100 EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
RATED A+
A 48 y/o female complains of pain and stiffness in her right hip and knee that is mild on
awakening in the morning, get worse as the day progresses and is relived with hot
baths and ibuprofen. Crepitus is palpated on range of motion of the knee. Signs of
inflammation are notably absent. What is the most likely diagnosis?
a. Rheumatoid arthritis (RA)
b. Gout
c. Osteoarthritis (OA)
d. Osteoporosis - Correct Answer - c. Osteoarthritis (OA)
A middle-aged female complains of insomnia, night sweats, feeling intensely hot,
emotional lability, extreme nervousness and impatience. The LEAST likely cause of her
symptoms is
a. Thyrotoxicosis
b. Menopausal vasomotor instability
c. Alcohol or another drug withdrawal
d. new onset type 2 diabetes mellitus - Correct Answer - New onset type 2 diabetes
mellitus
A young couple is being seen by the NP for preconception counseling. They express a
wish for pregnancy within the next 3 month and are very eager to know what they can
do now to “make the baby as healthy as possible". Which of the following should the NP
encourage to decrease the chance of neural tube defect in the fetus?
a. Maternal alpha-fetoprotein level
b. Folic acid 0.4 mg daily
pg. 1
,c. Rubella vaccine today
d. Vitamin E 400 IU daily - Correct Answer - b. Folic acid 0.4 mg daily
A patient with a past history of documented coronary arterial blockage less than 70%
complains of chest pain several time p.... which is relived with nitroglycerin. Which is the
most appropriate initial action for the NP?
a. Refer to a cardiologist as soon as possible
b. Prescribe long-acting nitroglycerin
c. Order treadmill stress test
d. Prescribe an ACE inhibitor and re-evaluate in 24 to 48 hours - Correct Answer - a.
Refer to a cardiologist as soon as possible
Which red blood cell (RBC) index is most useful for differentiating types of anemias?
a. Mean corpuscular volume (MCV)
b. Mean corpuscular hemoglobin concentration (MCHC)
c. Hematocrit (HCT
d. Platelet count - Correct Answer - a. Mean corpuscular volume (MCV)
what is a Tanck test used to diagnosed?
a. Mastoiditis
b. Trichomoniasis
c. Hyphemia
d. Herpes virus - Correct Answer - d. Herpes virus
Which of the following indicated need for further evaluation?
a. A 7 y/o girl with vaginal bleeding
b. A 7 years old girl with no true pubic hair
c. A 12 years old boy with sparse, slightly pigmented pubic hair
d. A 12-year-old girl with breast buds - Correct Answer - A 7 y/o girl with vaginal bleeding
pg. 2
, A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating:
a. Infection proximal to the nodes
b. A possible cancer diagnosis
c. Shorty nodes, a common normal variant in children
d. An infectious process distal to the nodes - Correct Answer - a. Infection proximal to
the nodes
The NP examines a 2-month-old with unequal gluteal and thigh skin folds. What should
the NP do next?
a. Send the infant for x-ray of the hips
b. Send the infant for ultrasound of the hips
c. Perform Ortolani and Barlow test
d. Examine the infant for unequal arm length - Correct Answer - c. Perform Ortolani and
Barlow test
A very active 35 years old male has painful hemorrhoid, but he does not want
hemorrhoidal surgery at this time. His diet has been indiscriminate as his job requires
frequent travel. The most appropriate recommendation is for him to select food that are:
a. Low in fiber such as milk and other dairy products
b. High in simple carbohydrates such as white bread and mashed potatoes
c. High in fiber such as bran, complex carbohydrates and fresh fruit
d. High protein such a meat, poultry and fish - Correct Answer - High in fiber such as
bran, complex carbohydrates and fresh fruit
A 13 y/o pt. complains that he fell while running during football practice. Now his knee
hurts and sometimes "lucks". The NP conducts McMurray’s test. Which of the following
is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
pg. 3
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