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2024 APEA 3p / APEA- Study
Guide Final Exam Questions and
Answers 2024 Study Guide
Question 1
This contagious disease causes fever, headache, stiff neck, photophobia, nausea, vomiting, and altered mental status. What immunization prevents this? a) Meningococcal vaccine โ b) Pneumococcal vaccine c) Measles, Mumps, and Rubella (MMR) vaccine d) Varicella vaccine
Question 2
When palpating the prostate gland during the rectal exam, the prostate feels tender, swollen, boggy and warm. This finding is consistent with: a) A normal prostate gland b) Acute bacterial prostatitis โ c) Benign prostatic hyperplasia d) Carcinoma of the prostate
Question 3
Disorders in the kidneys and the ureters may cause pain in all of the following areas except the: a) Flank
b) Abdomen c) Back d) Suprapubic โ
Question 4
The typical presentation of severe acute aortic regurgitation (AR) includes sudden severe shortness of breath rapidly developing heart failure, and: a) Dry cough b) Chest pain c) Decreased blood pressure โ d) Systolic murmur
Question 5
Which cranial nerves are responsible for eye movement? a) CN II, III, IV b) CN III, IV, VI โ c) CN II, IV, VI d) CN III, IV, VII
Question 6
A common pathological finding in patient with asthma: a) Necrosis of small airway common pathological finding in patient with asthma b) Absence of goblet cells
c) If the patient is at least 18 years of age d) If the patient drinks alcohol โ
Question 11
A patient develops a cough secondary to an angiotensin-converting-enzyme (ACE). The most appropriate statement related to ACE-I cough is that the cough typically: a) Resolves within a week after stopping the ACE inhibitor โ b) Resolves with splitting the daily dose to twice daily dosing c) Occurs with an angiotensin-II receptor blocker (ARB) d) Affects men more than women
Question 12
Examination of the hair reveals a fine silky appearance. This finding may be seen in patients that have: a) Hypothyroidism b) Hyperthyroidism โ c) Type 2 diabetes d) Celiac disease
Question 13
An elderly male with benign prostate hyperplasia (BPH) should be advised to avoid antihistamines. What is the reason for this? a) Urinary incontinence b) Constipation
c) Orthostatic hypotension d) Urinary retention โ
Question 14
The addition of benzoyl peroxide to erythromycin for the topical treatment of acne: a) Improve the efficacy of erythromycin โ b) Decrease the risk of desquamation c) Decreases the risk of resistance to erythromycin d) Increases the time patient can be exposed to sunlight
Question 15
Estrogen-progestin contraceptives should be avoided in women with: a) Tension headaches b) Migraines with aura โ c) Unilateral headaches d) Cluster headaches
Question 16
Phenazopyridine (Pyridium) is recommended for very short-term use in patients with urinary tract infections (UTIs) because: a) Possible resistance b) Occurrence of hemolytic anemia โ c) Gastritis
d) In the glans penis
Question 20
The medication that blocks the transportation of glucose across the intestines into the blood stream to target prandial blood glucose is: a) Metformin (Glucophage XR) b) Acarbose (Precose) โ c) Rosiglitazone (Avandia) d) Glipizide (Glucotrol XL)
Question 21
Acute lymphocytic leukemia is usually diagnosed by: a) A completed blood count b) Magnetic resonance imaging c) A nuclear bone scan d) A bone marrow examination โ
Question 22
The right lymph duct drains lymphatic fluid from all the following except the: a) Right side of the head b) Right upper thorax c) Right arm d) Right leg โ
Question 23
Which agent is NOT useful in prophylactic treatment of migraine headaches? a) Sumatriptan (Imitrex) โ b) Amitriptyline (elavil) c) Verapamil (verelan) d) Metoprolol (lopressor)
Question 24
A 40-year-old admits to multiple sex partners presents with several lesions over his body. Finding reveals hemorrhagic vesiculopustular lesions over the hands and feet. These lesions are most likely associated with: a) Gonococcemia โ b) Infective endocarditis c) Hyperthyroidism d) Peripheral vascular disease
Question 25
Which antihypertensive would be appropriate to prescribe for a hypertensive patient (B/P 150/95) that is in her third trimester? a) Candesartan b) Lisinopril c) Methyldopa โ d) Furosemide
What two vitamins and minerals should be included in oral multivitamins in women: a) Folic Acid and Vitamin C b) Iron and Vitamin B c) Vitamin D and Iron d) Folic Acid and Iron โ
Question 30
During an acute attack of gout, the nurse practitioner knows NOT to prescribe: a) Colchicine (Colcrys) b) Allopurinol (zyloprim) โ c) Steroids d) NSAIDS
Question 31
A characteristic lesion observed in a male with primary syphilis is a: a) Group of small scattered vesicles b) Chancre โ c) Papule of many shapes d) Non-tender penile indurated nodule
Question 32
An 84-year-old male with prostatic hypertrophy is at increased risk of: a) Constipation b) Fecal incontinence
c) Urinary tract infections โ d) Prostate cancer
Question 33
Which of the following symptoms would be a clinical manifestation noted during the secondary stage of syphilis? a) Absence of symptoms b) Single painless lesion, chancre on the genital area c) Rash marked by red or reddish-brown, penny-sized lesions over the palms and soles โ d) Poor muscle coordination
Question 34
A patient has newly diagnosed hypothyroidism. What are the patients TSH level expected to be? a) Higher than normal โ b) Lower than normal c) Within normal range d) TSH is not used to diagnose hypothyroidism
Question 35
Why would a child diagnosed with beta thalassemia and hemosiderosis receive deferoxamine (desferal)? a) To prevent blood transfusion reactions b) To simulate red blood cell production
d) A deviated septum
Question 39
Symptoms associated with small bowel obstruction usually include: a) Nausea and diarrhea b) Vomiting and pain โ c) Hematemesis and bloody stool d) Indigestion and anorexia
Question 40
In a patient who has a history of migraine headaches, which characteristics is most common? a) Focal deficits b) Family history โ c) Weakness d) Initial onset after age 35
Question 41
Osteosarcoma in a pediatric patient is most often diagnosed when there is: a) Pain in the affected bone โ b) Pathologic fracture c) Repeat fracture d) Apophyseal avulsion
Question 42
Which of the following is the most appropriate treatment for trichomoniasis in a non- pregnant woman? a) Metronidazole (flagyl) โ b) Doxycycline (Vibramycin) c) Clindamycin (Cleocin) d) Clotrimazole (lotrimin)
Question 43
The lymphatic ducts drain into the: a) arterial system b) venous system โ c) vertebral bodies of the spine d) shoulder
Question 44
Which of the following drugs is not contraindicated for concurrent use with warfarin (Coumadin)? a) Amoxicillin (Amoxil) โ b) Trimethoprim/sulfamethoxazole (Bactrim) c) Ciprofloxacin (Cipro) d) Clarithromycin (Biaxin)
Question 48
Papilledema is a cause for concern because it is suggestive of: a) Optic atrophy b) Microaneurysms c) Increased intracranial pressure โ d) Retinal hemorrhage
Question 49
The American psychiatric association's diagnostic and statistical manual of mental disorder defines Munchausen Syndrome By Proxy: a) a self-inflicted injury to gain attention b) a caregiver making up or causing an illness or injury in a person under his or her care โ c) an abusive behavior that does not involve the caregiver d) a situation in which the abuser is often inattentive and uncaring toward the victim
Question 50
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: a) have the patient returning in two weeks for a follow up vision screen b) dilate the eye and retest c) refer the patient to an ophthalmologist โ d) document this as a normal finding
Question 51
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 the right lateral side of the neck. The type of lesion is known as: a) Keloid b) Tophi c) A cutaneous cyst โ d) Chondrodermatitis
Question 52
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention. Their finding is consistent with: a) Hypertension b) Heart failure โ c) Asthma d) Pneumonia
Question 53
Anticholinergics are indicated for the treatment of: a) Asymptomatic bacteriuria b) Renal insufficiency c) Urge incontinence โ d) Overflow incontinence
Question 57
Which one of the following statements is true of Munchausen syndrome by proxy? a) The injury is self-inflicted as the patient is seeking attention from others b) Under the supervision of adults other than the abuser, the patient does not exhibit symptoms โ c) The caregiver is usually not involved in the abusive behavior d) The abuser is often inattentive and uncaring towards the victim
Question 58
The client with iron deficiency anemia should be advised to take the iron supplement: a) With milk to avoid stomach upset b) With milk of magnesia at bedtime to avoid constipation c) On an empty stomach between meals โ d) For 30 days to 5 weeks
Question 59
Headache warning signs that need prompt investigation include all of the following EXCEPT: a) new onset after age 50 b) aggravated or relieved by change of position c) precipitated by Valsalva maneuver d) Headache relieved with mild infrequent use of analgesics โ
Question 60
Which immunization reduces a patient's risk for infection with the virus that causes painful localized blistering rash? a) Smallpox vaccine b) Varicella vaccine (chicken Pox) c) Shingles (herpes zoster) vaccine โ d) Meningococcal vaccine
Question 61
When treating a patient with asthma who is experiencing acute wheezing which medication should be given to relieve the symptom? a) Short acting bronchodilator โ b) Long acting bronchodilator c) Inhaled corticosteroid d) Combination of methylxanthine and long acting bronchodilator
Question 62
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47- year-old premenopausal woman? a) Hirsutism b) Gynecomastia โ c) Oligomenorrhea d) Acne
Question 63
