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82 Pages APEA Predictor Exam – Questions, Correct Answers and Rationale Pre-Predictor 2023/2024 NEWEST VERSION HIGHEST SCORE| FREE PDF DOWNLOAD $17.99
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82 Pages APEA Predictor Exam – Questions, Correct Answers and Rationale Pre-Predictor 2023/2024 NEWEST VERSION HIGHEST SCORE| FREE PDF DOWNLOAD

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  • September 3, 2024
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APEAxPredictorxExam


NSG 6440 Week 4 APEA Predictor Exam – Pre-Predictor Test latest
x x x x x x x x x x



1. Ax15xyearsxoldxhighxschoolxstudentxwithxaxmildxsorexthroatxandxlow-
gradexfeverxthatxhasxpersistedxforxaboutx3xweeks.xShexreportsxgeneralxmalaise,xfatigue,xandxloss
xofxappetite.xThexNPxsuspects xmononucleosis.xWhichxofxthexfollowingxisxthexLEASTxappropriat

exintervention?
a. Palpatexthexlymphxnodesxandxspleen
b. Examinexthexposteriorxoropharynxxforxpetechiae
c. ObtainxaxCBC,xthroatxculture,xandxheterophilxantibodyxtest.x
d. ObtainxanxurinalysesxandxserumxforxLFTsxandxamylase

Explanation:xmononucleosisxisxaxsymptomaticxinfectionxcausedxbyxthexEpstein-
Barxvirus.xCommonxisxpeoplex15-
24xyearsxofxage.x Commonxsignsxandxsymptomsxfollowingxincubationxperiodx(1-
2xmonths)xincludexfatigue,xchills,xmalaise,xanorexia,xwhitextonsillarxexudatesxandxlymphadenopath
yxorxposteriorxcervicalxregion.xSplenomegalyxcanxbexpresent.xAxmaculopapularxorxoccasionallyxaxp
etechialxrashxoccursxinxlessxthanx15%xofxpatients.xAxdiagnosisxisxusuallyxmadexusingxthexMonospo
t.xInxaddition,xneutropeniaxandxlymphocytosisxarexusuallyxdetectedxinxthexCBC.

2. Ax32xyearsxoldxmalexpatientxcomplaintxofxurinaryxfrequencyxandxburningxonxurinationxforx3x
days.xUrinalysesxrevealsxbacteriuriaxandxpositivexnitrites.xHexdeniesxanyxpastxhx.xOfxurinaryxtractx
infections.xThexinitialxtreatmentxshouldxbe:
a. trimethoprim-sulfamethoxazolex(Bactrim,xSulfatrim)xforx7-10xday
b. ciprofloxacinx(Cipro)xforx3-5xdays
c. Trimethoprim-Sulfamethoxazolexforx3xdays
d. 750xmgxciprofloxacinxasxaxone-timexdose

Explanation:xtrimethoprim-
sulfamethoxazolex(TMPS)xisxusuallyxnxappropriatexmedicationxtoxtreatxurinaryxtractxinfectionsxinx
mostxpatients.x InxthexcasexofxcommunityxresistancextoxTMPS
>20%^,xanotherxmedicationxshouldxbexsubstituted.xInxmen,xthexappropriatexlengthxofxtimexisx7-
10xdays.xWomenxmayxbextreatedxforx3xdaysxforxuncomplicatedxUTI

3. Whichxagentxisxmostxeffectivexforxthextreatmentxofxnodulocysticxacne?
a. Benzoylxperoxidex(Benzac)
b. Retinoicxacidx(RetinxA)
c. Topicalxtetracyclinex
d. Isotretinoin)

Explanation:xIsotretinoinx(Accutane)xisxaxsystemicxagentxindicatedxforxtreatmentxwithxseverexinfl
ammatoryxacne.xGuidelinesxforxitsxusexmustxbexclearlyxunderstoodxbyxthexpatient.xAxwomanxofxchil
dbearingxagexmustxusexanxeffectivexmethodxofxcontraceptionxbecausexisotretinoinxisxteratogenic.xT
herexarexmanyxrestrictionsxinxprescribingxthisxmedicationxbecausexofxthexteratogenicxeffectsxisxgive
nxduringxpregnancy.xTherefore,xitxisxaxpregnancyxcategoryxX.

4. Anx18xy/oxwomanxisxtakingxaxcombinedxhormonalxoralxcontraceptive.xShexshouldxbex
1

, APEAxPredictorxExam


instructedxtoxusexaxbackupxmethodxforxthexpreventionxofxpregnancy
a. Throughoutxthexweekxofxplaceboxpills
b. Ifxprescribedxtopiramatex(Topamax)xforxthextreatmentxofxmigraines.




2

, APEAxPredictorxExam




c. Ifxprescribedxamoxicillin/clavulanatex(Augmentin)xforxaxsinusxinfection
d. ifxshexforgetsxtoxtakexaxsinglexdosexofxthexcontraceptive

Explanation:xAnticonvulsantxincludingxphenytoinx(Dilantin),xcarbamazepinex(Tegretol),xprimido
nex(Mysoline),xtopiramatex(Topamax)xandxoxcarbazepinex(Trileptal)xreducexthexeffectivenessxofxc
ontraceptives.xDepo-medroxyprogesteronexacetatex injectionsxorxlevonorgestrel-
xreleasingxintrauterinexdevicesxwouldxbexaxbetterxmethodxofxcontraceptivexforxpatientsxtakingxantic

onvulsants.xMostxcommonlyxusedxantibioticsxhavexnotxbeenxprovenxtoxreducexthexeffectivenessxofx
contraceptives.xRifampinxisxanxexception,xandxadditionalx….xBexusedxbyxwomenxtakingxthisxdrugxa
ndxusingxoralxcontraceptives,xtransdermal,xorxvaginalxringxpreparations.
Additionalxbackupxcontraceptionxshouldxbexusedxifxtakingxantifungalxagents.xNoxadditionalxprote
ctionxisxneededxthoughtxthexweekxofxplaceboxpills.xMissingxonexsinglexdosexofxcontraceptivexdoesx
notxrequirexadditionalxprotection,xmissingxmorexthanxonexdosesxdoes.

5. Ax44xyearsxoldxfemalexpatientxhasxdiabetes.xHerxtotalxcholesterolx(TC)xisx250xmg/dlx(6.5xm
mol/L),xLDL=x190xmg/dLx(4.94xmmol/L),xHDL=x25xmg/dLx(65xmmol/L),xandxtriglycerides=x344
xmg/dLx(8.94xmmol/L).xWhatxagentxhavexthexgreatestxeffectxonximprovingxherxlipid xprofilexandxred

ucingxmorbidityxandxmortalityxassociatesxwithxdyslipidemia?
a.
Niacinx(Niaspan)x
b. Atorvastatin
c. Omegax3xfattyxacids
d. Fenofibrates
Explanation:xFirstxandxforemost,xitxisxessentialxtoxeducatexindividualsxonxaxheart-
healthyxlifestyle.xLDL-
Cxisxonexofxthexmajorxculpritsxinxthexdevelopmentxofxatheroscleroticxheartxdisease.xThextargetxleve
lxofxLDL-
Cxisxbetweenx50xtox70mg/dlxtoxpreventxplaquexformationxinxthexbloodxvessels.xGuidelinesxstrongl
yxrecommendxstatinxtherapyxbecausextheyxprimarilyxlowerxLDL-
Cxlevels,xbutxtheyxalsoxhavexthexsecondaryxeffectsxofxloweringxtriglyceridexandxincreasingxHDL-
Cxlevels.

6. Ax30xyearsxoldxfemalexcomesxintoxaxclinicxwithxclassicxsignsxandxsymptomsxofxappendicitis.x
ThexNPxfailsxtoxreferxthexpatientxtoxaxsurgeon.xThexappendixxrupturesxandxthexwomanxdie.xThisxisx
anxexamplexof
a. Failurexofxdiligence
b. Professionalxliability
c. Negligencex
d. Malpractice

Explanation:xmalpractice,xaxnegligencextort,xoccursxwhenxaxhealthxcarexprofessional’sxactionsxfall
bellowxthexappropriatexstandardxofxcarexandxhurtsxthexpatient.xInxthisxcasexthexpatientxcamexwithxsi
ngsxandxsymptomsxindicatingxappendicitisxandxthexNPxfailedxtoxreferxthexpatient..

7. AxNPxhasxrecentlyxbeenxhiredxtoxworkxinxaxfastxtrackxfacility.xThexNPxemployerxaskedxifx
shexhasx“axproblemxprescribingxmedicationsxforxemergencyxcontraception.”xThexNPxrepliesxa
ffirmatively.xThisxis:
3

, APEAxPredictorxExam




a. Groundsxforxdismissal
b. AnxethicalxdilemmaxforxthexNP




4

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