APEA FNP PREDICTOR Exam Test Bank Latest Update
Questions and 100% Verified Correct Answers Graded A+
A 43 year old female has been diagnosed with hypothyroidism. Which of the following
symptoms would you expect her to be experiencing? Select all that apply.
A. Fatigue
B. Heat intolerance
C. Muscle weakness
D. Muscle cramps
E. Depression
F. Fine, silky hair
G. Skin dryness - A. D. E. G.
Which metabolic abnormality is associated with hypothyroidism?
A. increased LDL values
B. Hyponatremia
C. Increased MCV
D. Elevated CK - A. Increased LDL values
A 30 year old woman with a BMI of 31 has symptoms of hypothyroidism. Her TSH is
35.6 mU/L. When calculating replacement of levothyroxine, what must be determined
how much replacement is needed?
A. Actual weight
B. Ideal body weight
C. BMI
D. TSH - B. Ideal body weight
A 45 year old patient has subclinical hypothyroidism, TSH 6.2. What are the major risks
of prescribing levothyroxine?
A. There are very few risks
B. Hyperlipidemia, atrial fibrillation
C. Accelerated bone loss, atrial fibrillation
D. She may develop hypertension and tachycardia - C. Accelerated bone loss, atrial
fibrillation
A 58 year old female is found to be euthyroid. Which of the following is the next step of
care?
A. Repeat TSH in 4-6 weeks.
B. Increase levothyroxine until therapeutic.
C. Monitor TSH annually unless symptoms develop
D. Decrease levothyroxine until therapeutic. - C. Monitor TSH annually unless
symptoms develop.
,A 44 year old obese woman complains of abdominal pain. What physical assessment
finding might indicate that the etiology of her pain is acute cholecystitis?
A. Pain at McBurney's point.
B. Positive Murthy's sign
C. Severe epigastric pain
D. Thinking bowel sounds - B. Positive Murphy's sign
A 68 year old male has LLQ abdominal pain and suspected diverticulitis. Which initial
diagnostic test would be ordered?
A. Ultrasound
B. Abdominal CT
C. Abdominal MRI
D. KUB X-ray - A. Ultrasound
A 34 year old woman states that she has had diarrhea for 1 week. What factor should
make the provider strongly consider inflammatory bowel disease?
A. CBC demonstrates elevated WBCs.
B. She has a family history of irritable bowel syndrome.
C. She feels tired, weak, and has a fever.
D. She is having bloody nocturnal diarrhea. - D. She is having bloody nocturnal
diarrhea.
What is the frequency of colonoscopy screening for adults? What is the frequency if the
patient is found to have polyps?
A. annually
B. 1-3 years
C. 5 years
D. 10 years - D. And C.
A 68 year old male has the following lab values. He states that he feels well. What
should be done next?
WBC = 10
ALT = 348
AST = 148
A. repeat enzymes in 2 weeks
B. Order alkaline phosphatase
C. Order a hepatitis panel
D. Repeat the labs now - C. Order a hepatitis panel
Each of the following patients have an elevated alkaline phosphatase. Which two of the
following choices indicate pathology?
A. Adolescent
B. Pregnant patient
C. 68 year old man with hematochezia
D. 56 year old man with prostate cancer - C and D
,A patient presents with these lab values. Which of the follow conclusion is correct?
(-) HBsAg
(-) anti-HBs
(-) anti-HBc
A. No current or past infection or immunity.
B. Immunity from immunization.
C. Chronic Hepatitis B
D. Immunity secondary past infection - A. No current or past infection or immunity.
A patient presents with these lab values. Which of the follow conclusion is correct?
(-) HBsAg
(+) anti-HBs
(-) anti-HBc
A 32 year old man has acute bronchitis. He is a non smoker and is otherwise healthy.
How should he be managed?
A. Treat symptoms only
B. Prescribe a macrolide antibiotic.
C. Prescribe an an antitussive.
D. Prescribe an antibiotic and antitussive. - A. Treat symptoms only
An 84 year old male has acute bronchitis. Which of the following tests would you
perform as the Nurse Practitioner?
A. Sputum culture
B. Chest X-ray
C. Chest CT
D. Chest MRI - B. Chest X-ray
A 58 year old male has acute bronchitis. He is a heavy smoker, but is otherwise healthy.
What is the most likely etiology?
A. Viral infection
B. S. pneumoniae
C. B. Pertussis
D. Haemophilus influenzae - D. Haemophilus influenzae
A 76 year old man has acute productive cough, fever 100-101 F for the past 3-4 days.
He is a non smoker and is otherwise healthy. Which likely diagnosis should be included
in your differential?
A. Acute bronchitis
B. Pneumonitis
C. Pneumonia
D. COPD
E. Bronchiectasis
, F. Pertussis - C. Pneumonia
Which of the following warrant a chest x-ray when an acute cough is present?
A. Temp 100.4
B. HR 86
C. Rales, consolidation
D. >65 years of age
E. RR 26 - A. C. E.
Abnormal vital signs (increased RR or HR, temp >100.4)
Rales, consolidation
>75 years of age with cough
A 76 year old male has a chest x-ray that shows infiltrates. Which of the following
medication is first-line treatment?
A. Amoxicillin 1 gram TID
B. Doxycycline 100 mg BID
C. Azithromycin 500 mg on first day, then 250 mg daily
D. Clarithromycin 500 mg BID - A. Amoxicillin 1 gram TID
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a chest x-
ray that shows infiltrates. Which of the following medications is first line treatment?
A. Amoxicillin
B. Levofloxacin
C. Azithromycin
D. Doxycycline - B. Levofloxacin
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a chest x-
ray that shows infiltrates. Which of the following is the most likely pathogen?
A. H. flu
B. S. Pneumoniae
C. B. Pertussis
D. Viral infection - A. H. flu.
A 56 year old male has suspected COPD. Which of the following symptoms are
indicative of COPD?
A. Progressive dyspnea
B. Acute cough
C. Sputum productive over the past 2 months
D. FEV1/FVC ratio >0.70
E. Alpha-1 antitrypsin deficiency - A. C. E.
Chronic cough >8 weeks and FEV1/FVC ration <0.70.
A 56 year old male has been diagnosed with COPD. Which of the follow medications is
considered first-line?
A. SABAs (albuterol)
B. LABAs (salmeterol)
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