APEA PREDICTOR COMBINED SET QUESTIONS WITH CORRECT ANSWERS
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APEA PREDICTOR
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APEA PREDICTOR
APEA PREDICTOR COMBINED SET QUESTIONS WITH CORRECT ANSWERS
A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL?
Age > 15 years
. Fever > 101 F (38.3 C)
Exudative pharyngitis
Painful rash - Answer-Age > 15 years
Explanation: Kawasaki disease is an acute febri...
APEA PREDICTOR COMBINED
SET QUESTIONS WITH CORRECT
ANSWERS
A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL?
Age > 15 years
. Fever > 101 F (38.3 C)
Exudative pharyngitis
Painful rash - Answer-Age > 15 years
Explanation: Kawasaki disease is an acute febrile vasculitis syndrome that evolves
inflammation of the blood vessels. This condition often causes cardiac complication in
children by damaging the coronary arteries is most prevalent in children of Asian
ethnicity. Diagnosis of Kawasaki disease requires presentation of fever and 4 of the
following criteria: bilateral bulbar conjunctival injection, oral mucous membrane
changes, peripheral extremity changes, polymorphous rash, and cervical
lymphadenopathy.
According to the JNC 8 guideline hypertension in a 40 y/o can be diagnosed when
blood pressure exceeds 140/90 130/90 . 125/85 150/100 - Answer-140/90
Explanation: According to JNC 8 guidelines, hypertension is a sustained elevation of
systolic BP greater than or equal to 140 mmHg or diastolic BP greater or equal than
90mmHg, taken from 2 or more readings on 2 different occasions after an initial
screening.
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?.
Gout
Osteoarthritis (OA)
Rheumatoid arthritis (RA)
d. Osteoporosis - Answer-Osteoarthritis (OA)
Explanation: Rheumatoid arthritis is characterized by several joint deformities, usually
bilaterally symmetrical. RA is characterized by inflammatory processes, while OA is not.
RA and OA are chronic conditions. Gout is characterized by acute exacerbations related
, to a defect in purine metabolism, increased uric acid production, or decreased uric acid
excretion.
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.
Counsel the mother that if it happens again it will be reported to child protection service.
Ask the child what she did to cause the punishment Refer the family to the National
Domestic Violence hotline - Answer-Inform the mother that the abuse must be reported
to child protection authorities
Explanation: An awareness of all the unique presentations of child abuse, subjective or
objective, physical, sexual, or neglect, is essential for NPs. Objective findings, such as
broken bones, burns, and bruises, may be as a result of an intentional injury from
physical abuse or from an unintentional injury as a result of neglect. Both must be
considered. Repeated visits to the emergency department, frequent or suspicious
injuries, or bilateral or multiple healing fractures are often indicators of physical abuse.
Once the diagnosis of child abuse has been made, the primary role of the NP is to
ensure the child is safe. If the NP suspect that a child is undergoing abuse, it's critical to
report it—and to continue reporting each separate incidence if it continues to recur.
A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of
the legs followed by periods of lethargy. On physical examination, a "sausage-like"
mass in the upper right quadrant of the distended abdomen. Which of the following is
the most likely diagnosis?
Volvulus
Crohn's disease
Foreign body in the GI tract
Intussusception - Answer-Intussusception
explanation: Intussusception is one of the most common causes of abdominal
obstruction in children prior 2 years of age; is best described as a portion of the intestine
which telescopes into a more distal intestinal segment. The classic triad of
intussusception include crampy (intermittent, also known as colicky) abdominal pain,
vomiting, and bloody stools. The patient may pull up his knees with crying. The patient
may develop vomiting with bilious emesis. Progressive lethargy/altered level of
consciousness and pallor is common. The etiology of this lethargic presentation is not
known, but it tends to occur in younger infants. As intussusception progresses, a
palpable, sausage-shape mass may develop. Some hypothesize that this is due to
release of endogenous opioids or endotoxins released from ischemic bowel.
Intussusception in a child presenting with lethargy is often difficult to diagnose since
other causes of lethargy such as dehydration, hypoglycemia, sepsis, toxic ingestion,
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