APEA EXAM 2023-2024 STUDY QUIDE 160 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the
right eye using the Snellen eye chart. This means: - ANSWER-Refer the patient to an ophthalmologist
The American psychiatric association's diagnostic and statistical manual of mental disorder defines
Munchausen Syndrome by proxy: - ANSWER-a caregiver making up or causing an illness or injury in a
person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? - ANSWER-dopamine
Which lesion is dark, raised, and asymmetric with irregular border? - ANSWER-Melanoma
A 32-year-old woman presents with dull puffiness of the eyes pronounced not pitting periorbital edema
this finding is suggestive of this condition? - ANSWER-Myxedema
A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic
medication treatment. Which medication should the Nurse Practitioner prescribe? -
ANSWERAmitriptyline (Elavil)
A pediatric has areas of scaling on the scalp with round patches of alopecia. this clinical finding is
consistent with: - ANSWER-Tinea Capitis
What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history
of migraine headaches? - ANSWER-Propanolol (Inderal)
Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past
medical history of type 2 diabetes, obesity, chronic smoking, and sedentary life: - ANSWER-Her age and
tobacco use
,During the breast examination of a perimenopausal woman, the NP detects a bloody spontaneous
discharge from the right nipple. This indicates further evaluation. - ANSWER-An intraductal papilloma
Intraductal papilloma are usually solitary and smaller than 1 cm. They are located in large lactiferous
sinuses or ducts and have a tendency to bleed.
Rh negative women should receive Rho(D) immunoglobulin at what gestational time? - ANSWER-28
weeks
When interpreting a complete blood count (CBC) lab report which of the following results describes the
size of the RBCs? - ANSWER-Mean corpuscular volume (MVC)
What medication should be avoided when prescribing prophylactic therapy for headaches? -
ANSWERVenlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the great
arteries? - ANSWER-To produce vasodilation and adequate oxygen saturation
Which of the following complaints best describes lower extremity calf pain associated with peripheral
artery disease: - ANSWER-A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-year-old
premenopausal woman? - ANSWER-Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which medication should be
given to relieve the symptom? - ANSWER-Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that causes painful localized
blistering rash? - ANSWER-Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following EXCEPT: - ANSWER-
Headache relieved with mild infrequent use of analgesics
, The client with iron deficiency anemia should be advised to take the iron supplement: - ANSWER-on an
empty stomach between meals
Which one of the following statements is true of muchausen syndrome by proxy? - ANSWER-Under the
supervision of adults other than the abuser, the patient does not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse in adolescents? -
ANSWER-Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of
premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to
document her maternal status: - ANSWER-Gravida 4, Para 1314
Gravida, Term babies, Preterm Babies, Abort and Living Child
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 year old patient. The
nurse practitioner should assess the patients: - ANSWER-right forearm and hand
Anticholinergics are indicated for the treatment of: - ANSWER-Urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention.
Their finding is consistent with: - ANSWER-Heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac
attached to the epidermis is noted on a right lateral side of the neck. The type of lesion is known as : -
ANSWER-a cutaneous cyst
A dark dot (black-head) may be visible on its usually either an epidermoid cyst, common on the face and
neck, or pilar cyst, common in the scalp. Both may be come inflamed.
BATES: pg286
Symptoms of heartburn and regurgitation are associated with: - ANSWER-Gastroesophageal reflux
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