APEA 3P Exam QUESTIONS AND ANSWERS 2024-2025, Exams of Nursing

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APEA 3P Exam QUESTIONS AND ANSWERS

ALL SOLVED 100% PASS 202 4 - 2025

Circumscribed elevations of the skin filled with serous fluid - ANSWER>>Lesions measuring approximately 0.5cm, seen in herpes simplex or varicella. Cranial nerve V - ANSWER>>The cranial nerve that innervates the principal muscles involved when closing the mouth. Transverse Foramen - ANSWER>>The structure that creates a channel for the vertebral artery. Polycythemia - ANSWER>>NOT a compliant patient with type 1 diabetes. Pediculosis capitis - ANSWER>>The chief complaint is itching. Ischial tuberosity - ANSWER>>The large swelling posteriorly on the superior ramus of the ischium that bears most of the weight in sitting. Percussion technique - ANSWER>>Percussing areas over the scapulae would be omitted when percussing the posterior chest. Tonic pupil - ANSWER>>Condition indicated by a right pupil that appears larger than the left and reacts much slower to light. Focal seizure that becomes generalized - ANSWER>>Type of seizure activity where the patient experiences partial seizures resembling tonic-clonic seizures. Symmetric weakness pattern - ANSWER>>Type of weakness suggested by a female patient complaining of weakness in both arms when transferring wet clothes. Bimanual vaginal exam - ANSWER>>To palpate the right ovary, the pelvic hand needs to be in the right lateral fornix. Delirium - ANSWER>>A serious disturbance in a person's mental abilities resulting in decreased awareness of one's environment and confused thinking. Weber test - ANSWER>>A screening test for hearing loss that can detect both sensorineural and conductive hearing loss.

Trochlear groove - ANSWER>>The groove on the anterior aspect of the distal femur where the patella slides during knee flexion and extension. Abdominal aortic aneurysm (AAA) - ANSWER>>Condition associated with sudden, intense left lower abdominal pain radiating to the back and a tearing sensation. Vitreous floaters - ANSWER>>Dark specks noted between the fundus and the lens during an ophthalmoscopic examination. Transverse lie - ANSWER>>Condition of the fetus when buttocks and head are not easily palpated at the fundus during the first Leopold maneuver. Flexion - ANSWER>>Movement of the shoulder girdle when the patient moves his arm in front of his body during a musculoskeletal examination. Twelfth rib location - ANSWER>>Palpate between the spine and the lateral chest. Distal muscular weakness - ANSWER>>May be revealed by walking on the toes and heels. Bimanual exam of the vagina - ANSWER>>The examiner should lubricate the index and middle fingers of a gloved hand and insert them into the vagina while exerting pressure primarily posteriorly. Erythropoietin - ANSWER>>Hormone during pregnancy that results in increased blood viscosity. Resting tremors - ANSWER>>Tremors that disappear with voluntary movement. Bright red stools - ANSWER>>This symptom could be consistent with cancer of the sigmoid colon. Mydriasis - ANSWER>>Term used to describe dilation of the pupils. Stage III pressure ulcer - ANSWER>>Consistent with findings of full thickness tissue loss and subcutaneous fat visible with mild slough. Lumbosacral junction - ANSWER>>The location where the vertebral column angles sharply posteriorly and becomes immovable.

Highest risk for suicide - ANSWER>>A 52-year-old white man. Aortic valve heart sounds - ANSWER>>Auscultate between the 2nd and 3rd intercostal spaces at the right upper sternal border. Patellar crepitus - ANSWER>>Pain and crepitus over the patella suggests roughening of the patellar undersurface. Delirium symptoms - ANSWER>>Intact attention and concentration is NOT typical in a patient who has delirium. Hypertension screening - ANSWER>>Men between the ages of 40 and 64 years should be screened yearly. Rhinorrhea - ANSWER>>A term used to describe drainage from the nose. Scapulohumeral muscle tenderness - ANSWER>>Tenderness with inability to abduct the arm above shoulder level would be consistent with all except synovitis of the glenohumeral joint. Timed 'get up and go test' - ANSWER>>The test for leg mobility in the older adult. Hirschsprung's disease diagnosis - ANSWER>>A rectal biopsy would confirm a definitive medical diagnosis. Hypofunctioning thyroid gland - ANSWER>>Would lead to all disorders except Graves' disease. Lobule - ANSWER>>The fleshy projection of the earlobe. Overflow incontinence - ANSWER>>Associated with a distended bladder noted following urination in a patient with difficulty emptying his bladder. Epidermoid cyst - ANSWER>>A small firm, round cystic nodule in the labia identified during examination of the external genitalia. Medial meniscus evaluation - ANSWER>>Passive flexion, varus stress, and external rotation of the lower leg evaluates this structure.

Synovial thickening - ANSWER>>Swelling above and adjacent to the patella noted during knee examination could suggest this. Cranial nerve V assessment - ANSWER>>The maneuver of touching the cornea lightly with a wisp of cotton assesses this cranial nerve. Cervical Rotation - ANSWER>>This maneuver would assess cervical. Speculum Exam - ANSWER>>During a speculum exam of the cervix the speculum is maintained in an open position by: - Gently tightening the thumb screw on the speculum. Lateral Epicondylitis - ANSWER>>Increased pain is noted when he tries to extend his wrist against resistance. Hypospadias - ANSWER>>Which examination finding is defined as a congenital ventral displacement of the meatus on the penis? Early Intestinal Obstruction - ANSWER>>Bowel sounds may be increased in the presence of. Eversion of Upper Eyelid - ANSWER>>Eversion of the upper eyelid can be performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then: - Gently pull. Axioscapular Muscles - ANSWER>>The axioscapular group of muscles include which on of the following? - Trapezius. Histrionic - ANSWER>>A mental health condition characterized by over-the-top behavior such as emotional outbursts, noisy displays of temper, compulsive attention seeking and self-centered actions. Generalized Anxiety Disorder (GAD) - ANSWER>>Social phobia, panic disorder, and post-traumatic stress disorder (PTSD) are all examples of. Heart Sound S3 - ANSWER>>In older adults, the presence of heart sound S3 suggests:

• Heart failure. Vitiligo - ANSWER>>Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are termed.

Arthritis - ANSWER>>Restrictions of internal and external rotation of the hip are sensitive indicators of. Weak and Ineffective Sucking Movements - ANSWER>>Which of the following neurological findings indicate the need for further evaluation? Breastfeeding - ANSWER>>The infant with the lowest risk of developing elevated levels of bilirubin is the one who: - Breast feeds within the first hour of life. Myoclonic Atonic Seizure - ANSWER>>The patient experiences a sudden loss of consciousness with falling without movements and injury may occur. Hyperthyroidism - ANSWER>>When assessing the skin, it has a velvety appearance and is warm to touch. This could be associated with. Vesicular Breath Sounds - ANSWER>>These breath sounds are considered: - Vesicular. Medial Meniscus Palpation - ANSWER>>To palpate the medial meniscus, slightly internally rotate the tibia and palpate the medial soft tissue along the: - Upper edge of the tibial plateau. Eyelid Retraction with Exophthalmos - ANSWER>>Eyelid retraction with exophthalmos presents as: - A retracted eyelid with a wide-eyed stare. High Risk for Falls Assessment - ANSWER>>All of the following strategies are useful for assessing older adults at high risk for falls except: - Assessing immunization history. Cognitive Impairment Detection - ANSWER>>The best method of detecting cognitive impairment or intellectual disability at an early age is by: - Assessment of the achievement of developmental milestones. Scoliosis Screening - ANSWER>>When screening for scoliosis, assessment should include. MCP Joint Palpation - ANSWER>>The groove of the metacarpophalangeal joint can be palpated by having the patient: - Flex his hand.

Breath Sounds in Heart Failure - ANSWER>>When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: - vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion. Ankle-Brachial Index - ANSWER>>The ankle-brachial index is a screening test used to assess a person's risk for: - Peripheral artery disease. Olecranon Bursitis Causes - ANSWER>>Olecranon bursitis may be caused by all of the following except: - Frozen shoulder. Nasal Mucosa in Allergic Rhinitis - ANSWER>>In patients who have allergic rhinitis, the nasal mucosa appears: - Pale. Pseudohypertrophy - ANSWER>>A term used to describe an increase in muscular bulk with diminished strength. Abdominal Pain Tenderness - ANSWER>>If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably: - In the abdominal wall. Intestinal Obstruction Findings - ANSWER>>On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with: - Intestinal obstruction. Microaneurysms - ANSWER>>Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with. Subdural Hematoma Symptoms - ANSWER>>Symptoms of a subdural hematoma include: - Noticeable bleeding between the dura and the cerebrum on x-ray. Parkinson's Disease Symptoms - ANSWER>>On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with. Articular Structure Disease - ANSWER>>When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one? - Articular disease is usually due to stiffness or pain. Trochanter Tenderness - ANSWER>>Focal tenderness over the trochanter confirms: - Bursitis.

Glasgow Coma Scale - ANSWER>>Assessing the neurological status of a child with a ventriculoperitoneal shunt should include: - Use of the Glasgow coma scale. Cystic Fibrosis Clinical Manifestation - ANSWER>>The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: - Salty taste on the skin. Cavernous Hemangioma - ANSWER>>Reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a. Hamstring Muscles - ANSWER>>The hamstring muscles flex the knee and are located on the: - Posterior aspect of the thigh. First-Degree Uterine Prolapse - ANSWER>>In a female diagnosed with a first-degree uterine prolapse, the cervix: - Has slipped but is well within the vagina. Diencephalon - ANSWER>>The part of the brain that relays sensory information between brain regions and controls many autonomic functions of the peripheral nervous system is known as the. Thyroid Nodule - ANSWER>>During assessment of the thyroid, a fixed, firm, nontender large mass is noted. These findings describe: - A nodule. Ankle Joint Tenderness - ANSWER>>When examining the foot of a patient, the nurse practitioner notes localized tenderness over the ankle joint. This could be suggestive of:

• Ligamentous injury. Hyperthyroidism in Women - ANSWER>>Women with hyperthyroidism often experience: - Oligomenorrhea, infrequent menstrual periods. Mitral Regurgitation - ANSWER>>While auscultating the patient's heart, a medium, soft murmur is audible. It is pansystolic and heard loudest at the apex with radiation to the left axilla. These findings are consistent with. Low Flow Priapism - ANSWER>>A 26-year-old man with a past medical history of sickle cell disease arrives at the office with complaints of a penile erection that has lasted 4 hours. He is experiencing symptoms of.

Glaucomatous Cupping - ANSWER>>On ophthalmoscopic examination, glaucomatous cupping appears: - Pale. Hairy Leukoplakia - ANSWER>>Hairy leukoplakia may be associated with: - AIDS. Naegele's Rule - ANSWER>>To estimate the expected delivery date (EDD) using Naegele's rule, if the last menses was March 3, 2014, the EDD would be: - December 10th, 2014. Lymphatic Drainage - ANSWER>>The infraorbital or maxillary, buccinator, and supramandibular lymph nodes drain lymphatic fluid from the: - eyelids, the conjunctiva, and the skin and mucous membrane of the nose and cheek. Smegma - ANSWER>>A whitish sebaceous secretion that collects between the glans and foreskin or in the vulva is known as. Shoulder Bony Structures - ANSWER>>The bony structures of the shoulder include all of the following except: - Teres minor. Murmurs in Pregnancy - ANSWER>>Murmurs audible during pregnancy may suggest: - Anemia. Nystagmus - ANSWER>>A fine rhythmic oscillation of the eyes is termed. Whispered Voice Test - ANSWER>>The whispered voice test allows the examiner to screen for: - General hearing loss.