APEA FNP PREDICTOR EXAM 2025 QUESTIONS AND DETAILED CORRECT ANSWERS | A+GRADE, Exams of Nursing

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APEA FNP PREDICTOR EXAM 2025

QUESTIONS AND DETAILED CORRECT

ANSWERS | A+GRADE GUARANTEED

PASS 2024- 2025

A 16yo is dx with primary dysmenorrhea. She has taken OTC ibuprofen in 800mg increments every 8 hours for the past 3 months during her periods with minimal relief. Which intervention will provide the greatest relief of her dysmenorrhea sx? a: 30 minutes of regular exercise daily b: Daily multivitamin with B12 supplementation c: Combined oral contraceptives d: Flurbiprofen during menses Correct Answer C A patient who is scheduled for pelvic exam with pap should be advised to avoid douching, sexual intercourse, and tampon use before her exam for how long? a: 1 week b: 36 hours c: 48 hours d: 24 hours Correct Answer C A 26yo HIV-positive patient presents with photophobia and temperature of 103.2F. He complains of headache. On exam, he is unable to demonstrate full extension of the knee when his hip is flexed. Which choice below is the most likely diagnosis? a: Septic arthritis

b: Septic bursitis c: Meningitis d: Pneumocystis infection Correct Answer C A patient has suspected serotonin syndrome. How can this be diagnosed? a: Clinical exam and index of suspicion b: Elevated CK c: Elevated white count and C-reactive protein d: CT of the brain Correct Answer A The greatest risk of transmitting HIV infection is during: a: Late infection stage b: High viral load periods c: The time that detectable antibody is present d: The acute phase Correct Answer B A 35yo female has never had an abnormal pap and has regular periodic screening. If she has a normal pap with normal HPV testing today, when should she have her next cervical cancer screening? a: 5 years b: 3 years c: 2-3 years d: 1 year Correct Answer A A patient has the following lab values. This indicates that he: HbsAg-Negative Anti-HBc-negative Anti-HBs-positive

a: Needs immunization for Hep B b: Is immune to Hep b c: Has chronic Hep B d: Has acute Hep B and needs immunization Correct Answer B A patient demonstrates leukocytosis. This means he: a: Has a bacterial infection b: Has a viral infection c: Has an infection of unknown origin d: Does not have an infection Correct Answer C Which of the following statements regarding HIV is correct? a: A CD4 count is the first abnormality seen in HIV b: A normal CD4 count is <200/mm c: CD4 cell counts vary greatly in immunocompetent patients d: There are few conditions that cause depletion of CD cells other than HIV Correct Answer D A 30yo male who is sexually active complains of pain during bowel movements. The digital rectal exam is negative for hemorrhoids but the prostate gland is tender. What should be suspected? a: Trichomoniasis b: Benign prostatic hypertrophy c: Prostate cancer d: Acute bacterial prostatitis Correct Answer D

Which of the following lesions never blanches when pressure is applied? a: Cherry angioma b: Purpura or petechiae c: Spider veins d: Spider angioma Correct Answer B The following lab values likely represent what type of anemia? MCV: 74.1 (80-95) MCH: 24 (27-31) MCHC: 33.8% (32-36%) RDW: 16% (11-14.5%) a: Anemia of chronic disease b: Vitamin B12 deficiency c: Iron deficiency anemia d: Thalessemia Correct Answer C A 25yo male patient with subacute bacterial epididymitis should be treated initially with: a: Ice and scrotal support b: NSAIDs only c: Doxycycline d: An oral quilolone Correct Answer C A patient has used a high potency topical steroid cream for years to treat psoriasis exacerbations when they occur. She presents today stating "this cream just doesn't work anymore". What work describes this? a: Lichenification b: Tolerance

c: Tachyphylaxis Rebound effect Correct Answer C A 2yo with sickle cell anemia (SCA) should receive which immunization? a: All routine childhood immunizations at an accelerated rate b: All routine childhood immunizations at a decreased rate c: All childhood immunizations at the usual time d: Immunizations should be limited in this group Correct Answer C A sexually active male presents with epididymitis. What finding is likely: a: Scrotal edema b: Recent history of heavy physical activity c: Dysuria d: Hematuria Correct Answer B A 34yo has been placed on Fluoxetine and valproate for manic depressive sx. He has had great improvement in his sx and has returned to work. The psychiatrist released him to your care. What must be monitored in this patient? a: Valproate levels, platelet count, liver functions b: Liver functions, renal functions c: Valproate levels, Hgb, BUN, Creatinine d: Renal functions, platelet count, BUN, creatinine Correct Answer A What are the most common signs and sx associated with mononucleosis?

a: Rash and sore throat b: Splenomegaly and fever c: Cough and pharyngitis d: Fatigue and lymphadenopathy Correct Answer D A 60yo has been on NSAIDs and hydrocodone for the past 48 hours after a shoulder displacement. He has complaints of blood in the toilet paper when wiping after a bowel movement this morning. What should be suspected? a: He has a GI bleed from his NSAIDs b: He could have hemorrhoids c: He does not have a GI bleed. The blood is from tissue friability from the NSAIDs d: This is unrelated to the NSAIDs or the hydrocodone Correct Answer B A 24yo female patient has been diagnosed with an uncomplicated UTI. Which assessment below is least important at this time? a: Vaginal exam b: Assessment of CVA tenderness c: Abdominal exam d: Body temperature Correct Answer A A liability policy that pays claims even after the policy is no longer active is termed: a) Claims-made policy b) Tail coverage c) Liability protection d) "all-protect" Correct Answer B

A patient you are caring for in your clinic has Medicare Part B. What does this mean? a) The federal government will pay for his visit to your clinic today b) His Medicare benefit covers outpatient services c) He will have to pay a copay for his visit today d) His prescriptions will be partly paid for today Correct Answer B Certification a) Is required in all 50 states b) Validates competence c) Is recognized by all 50 states d) Provides for title protection Correct Answer B A liability policy that pays claims only during the period that the policy is active is termed: a) Claims-made policy b) Tail coverage c) Liability protection d) Bobtail coverage Correct Answer A The Medicaid health program is: a) Funded with premiums from participants b) Covers an unlimited number of adult visits c) Funded by both state and federal governments d) Basically the same from state to state Correct Answer C Licensure is:

a) Used to establish a designated level of professional competence b) Contigent on certification c) Intended to limit entry in the profession d) Necessary for reimbursement Correct Answer A Prescriptive authority: a) Is a right of every practicing nurse practitioner b) Varies from state to state c) Is not part of the consensus model d) Is dependent on certification Correct Answer B An FNP has agreed to participate in the Medicare health insurance program. Medicare pays 80% of the charges billed for a clinic visit. What can be done about the other 2 0% that is owed? a: The NP can bill the patient for a percentage of the remainder b: The NP is prohibited from billing the patient c: The NP can collect 90% if billed incident to the MD d: The NP can resubmit the bill for additional payment Correct Answer A A patient you are examining in the clinic states he has Medicare Part A only. What does this mean? a: Your visit will be reimbursed by the federal government b: Your visit will be reimbursed if you bill incident to the physician c: Only hospital visits are covered d: He desires cost-effective medication Correct Answer C

An NP gives a patient a 2-week sample of medications that will be taken once daily by the patient. The sample medications are packaged by the drug manufacturer. The NP's actions are an example of: a: Prescriptive rights b: Prescriptive authority c: Dispensing d: Administering Correct Answer C A sexually active adolescent has a warty growth on the shaft of his penis. It is painless. It is likely: a: Trichomonas b: Syphilis c: Herpes d: Human papillomavirus Correct Answer D A 31yo female presents with fever (101F), fatigue, and worsening unilateral low back pain for the past 5 days. Her pain is 5/10 on the pain scale. Ibuprofen has not helped. She denies abdominal pain but is nauseated and anorexic. She denies vaginal discharge. UA demonstrates hematuria, the presence of WBC casts, leukocytes, and nitrates. What should be included in the differential diagnosis? a: Pelvic inflammatory disease b: Renal stone c: Pyelonephritis d: Urinary tract infection Correct Answer C

A male patient complains of dysuria. His UA is positive for nitrites, leukocyte esterase and bacteria. What medication should be given and for how long? a: Doxycycline for 7 days b: Trimethoprim-sulfamethoxazole for 7-10 days c: Ciprofloxacin for 3 days d: Nitrofurantoin for 14 days Correct Answer B A 72yo male has early renal insufficiency. What laboratory test best assesses his kidney function? a: Serum creatinine b: Presence of proteinuria c: Glomerular filtration rate d: Quantity of urine produced in 24 hours Correct Answer C A 26yo female presents with flank pain that waxes and wanes. What finding on the UA should direct the NP's next action? a: Blood b: Nitrites c: Leukocytes d: Positive nitrates and hematuria Correct Answer A Ciprofloxacin given to treat a UTI would be contraindicated in a: a: Pregnant patient b: 19year old female c: Patient with hypertension d: Patient with pyelonephritis Correct Answer A

A 44yo is dx with a UTI. Which bacteria count collected mid-stream clean catch supports a dx of UTI? a: >10,000 bacteria b: >25,000 bacteria c: >50,000 bacteria d: >100,000 bacteria Correct Answer D A 22yo male patient has sx of burning with urination. Which assessment below is the least important at this time? a: Body temperature b: Full genital exam c: Abdominal exam d: Assessment of CVA tenderness Correct Answer C A 27yo asymptomatic male presents with generalized lymphadenopathy. He has multiple sexual partners and infrequently uses condoms. Of the following choices, what test should be performed? a: HIV test b: RPR c: Lymph node biopsy d: Sedimentation rate Correct Answer A Chancroid is considered a cofactor for transmission of: a: HIV b: Gonorrhea c: Chlamydia d: Trichomatosis Correct Answer A

Which factor has the greatest impact on HIV transmission? a: Viral load b: Type of sexual activity c: Presence of other STIs d: Patient gender Correct Answer A A 21yo female patient presents with six 0.5cm HPV lesions on her vulva. An appropriate treatment option for this patient would be: a: Acetic acid b: Colposcopy c: Podophyllin d: Acyclovir Correct Answer C A 26yo female has been dx with gonorrhea. How should she be managed? a: Ceftriaxone only b: Ceftriaxone and azithromycin c: Cefixime and azithromycin d: Penicillin G Correct Answer B A female pt and her male partner are dx with trichomonas. She has complaints of vulvar itching and discharge. He is asymptomatic. How should they be treated? a: She should receive metronidazole, he does not need tx b: They should both receive metronidazole c: She should be treated with ceftriaxone and he should receive ciprofloxacin d: They both should be treated with azithromycin and doxycycline Correct Answer B

How should a pt with suspected syphilis be screened? a: Ask the patient about symptoms b: Ask about the symptoms of sexual partners c: A urethral swab for culture d: A serum assessment Correct Answer D A female pt has been dx with chlamydia. How should this be managed? a: Treat with azithromycin b: Treat with ceftriaxone by injection c: Treat with doxycycline d: Treat with ceftriaxone tablets Correct Answer A Hot flashes that occur during menopause are thought to be related to: a: Fluctuating estrogen levels b: Fluctuating progesterone levels c: Low progesterone levels d: Low estrogen levels Correct Answer A Which laboratory abnormality commonly accompanies hypothyroidism? a: Hyperprolactinemia b: Dyslipidemia c: Polycythemia d: Hypernatremia Correct Answer B A 7yo male presents with encopresis. The FNP might expect: a: Laxative abuse

b: UTI c: Delayed maturation d: Constipation Correct Answer D A B12 deficiency can produce: a: Insomnia b: Sideroblastic anemia c: Pernicious anemia d: A microcytic anemia Correct Answer C A 65yo presents to the clinic with evidence of hyperthyroidism. In assessing her cardiovascular status, what should the NP assess immediately? a: Auscultation for systolic murmurs b: Electrolytes c: EKG d: Cardiac enzymes Correct Answer C A patient with anemia of chronic disease probably has: a: Hyperchromic anemia b: Hypochromic anemia c: Normocytic anemia d: Macrocytic anemia Correct Answer C A child and his father live in a house that was built in the early 1960s. They are both found to be lead toxic. Which type of anemia is typically observed in patients who are lead toxic? a: Anemia of chronic disease b: Lead anemia c: Iron deficiency anemia

d: Pernicious anemia Correct Answer C Which finding below is considered to be "within normal limits"? a: Blood pressure of 160/70 in a 75-year old b: Cholesterol level of 205 in a 15 year old c: An INR of 2.2 in a patient taking Warfarin for afib d: A diastolic murmur in an 18-year old Correct Answer C A patient presents with sx of influenza during flu season. He has not received his influenza immunization. What should be used to help diagnose influenza in him? a: Based on symptoms b: CBC c: A nasal swab d: A nasal culture Correct Answer C A young female adult presents with vaginal discharge and itching. Besides trichomoniasis and yeast, what else should be included in the differential? a: Syphilis b: Herpes genitalis c: Chlamydia d: Bacterial vaginosis Correct Answer D A mammogram in a healthy 50 year old is an example of: a: Quaternary prevention b: Tertiary prevention c: Secondary prevention d: Primary prevention Correct Answer C

In a patient with mononucleosis, which laboratory abnormality is most common? a: Elevated liver enzymes b: A decreased total white cell count c: Elevated monocytes d: Lymphocytosis and atypical lymphocytes Correct Answer D A 15yo is 10% below her ideal body weight. Her CBC demonstrates a microcytic hypochromic anemia. Which complaint might be common in this patient? a: Hair loss b: Muscle cramps c: Dizziness when standing d: Headaches Correct Answer C A 73-year old female is found to be anemic. Which diagnosis is likely based on the labs below: MCV: 103 (80-95) MCH: 28 (27-31) MCHC: 34% RDW: 17% (11-14.5%) a: Vitamin B12 deficiency b: Bacterial infection c: Thalassemia d: Iron deficiency anemia Correct Answer A A patient has been dx with mononucleosis. Which statement is correct? a: Cervical lymphadenopathy may be prominent b: He cannot get co-infected with strep

c: Splenomegaly is more likely than not d: He is likely an adolescent male Correct Answer A A 25yo female presents with a slightly tender 1.5cm lump in her right breast. She noticed it 2 days ago. She has no associated lymphadenopathy and there is no nipple discharge. How should she be managed? a: Clinical exam only b: Re-examination after her next menses c: Ultrasound and mammogram d: Mammogram Correct Answer B A patient who takes an oral contraceptive pill is at increased risk of: a: Varicose veins b: Hypothyroidism c: Depression d: Gallbladder disease Correct Answer D A 60yo female presents with a history of low back pain of recent origin. Her gait is antalgic and she reports loss of bladder function since the onset of back pain this morning. What should be done? a: Keep her nonweightbearing and order a back xray b: Refer to a neurologist c: Refer her to the emergency department d: Order physical therapy Correct Answer C A contraindication for giving MMR vaccination is: a: Encephalopathy within 7 days after immunizations b: Seizures within 7 days after immunization

c: Fever of 104F within 72 hours of immunization d: Family history of any adverse events after a dose Correct Answer A Which choice below contains 3 medications that should prompt liver function tests prior to the initiation of the medication? a: Ketoconazole, simvastatin, iron b: Cimetidine, pravastatin, aspirin c: Naproxen, metformin, aspirin d: Terbanifine, atorvastatin, rosuvastatin Correct Answer D MMR immunization is safe to give in children: a: Who are allergic to eggs b: Younger than 1 year of age c: When given every 5 years d: If they are at least 5 years of age Correct Answer A The first sign that a male child is experiencing sexual maturation is: a: Increase in testicular size b: Enlargement of the scrotum c: Increase in the length of the penis d: Scrotal and penile changes Correct Answer A A child with a sandpaper-textured rash likely has: a: Rubeola b: Strep infection c: Varicella d: Roseola Correct Answer B

The recommended time to initiate screening for cervical cancer is: a: 3 years after first sexual intercourse b: At age 21 c: At age 18 d: Prior to becoming sexually active Correct Answer B A patient has been dx with Hepatitis A. The most common reported risk factor is: a: Eating contaminated food b: International travel c: Homosexual activity d: Drinking contaminated water Correct Answer B A skin lesion that fluoresces under a Wood's lamp is consistent with what microscopic finding? a: Leukocytes b: Hyphae c: Scabies d: Clue cells Correct Answer B Which is NOT suitable to diagnose shingles if the clinical presentation is not clear? a: CBC b: Direct fluorescent antibody (DFA) c: Polymerase chain reaction (PCR) d: Tzanck preparation Correct Answer A A patient reports he has a penicillin allergy. What question regarding the allergy should the FNP ask to determine whether or not a cephalosporin can safely be prescribed?

a: What form of penicillin did you take? b: What kind of reaction did you have? c: How long ago was the reaction? d: Have you ever taken a cephalosporin medication before? Correct Answer B How long should a patient with prostatitis be treated with antibiotics for prostatitis secondary to an STI? a: 14 days or longer b: 7-10 days c: About 5 days d: 3 days Correct Answer A How often should BP be measured in a child who is 3 years old? a: Begin at age 6 and then every other year b: It should be measured every other year c: It should be measured annually d: It should only be measured at well child visits Correct Answer C An inguinal hernia is palpated on a male by the NP. Which word below best describes what the hernia feels like on examination? a: Bumpy b: Firm c: Silky d: Nodular Correct Answer C Topical 5-fluorourcil (5-FU) cream is used to treat: a: Basal cell carcinoma

b: Thalassemia c: Hepatitis d: Atopic dermatitis Correct Answer A A 50-year old female presents to your clinic with sx of fatigue over the past 1-2 months. Her CBC demonstrates a microcytic, hypochromic anemia. The RDW is elevated. Her stool sample is negative for occult blood. The NP orders iron studies. Based on these studies below, what should the NP do next? Serum Ferritin: 8 (10-150) Serum iron: 48 (60-169) TIBC: 503 (250-460) a: Prescribe an iron supplement b: Prescribe vitamin B12 monthly c: Refer to hematology d: Order a Hgb electrophoresis Correct Answer A A 40yo patient has the following test results. How should they be interpreted? HBsAg-negative Anti-HBs-positive Anti-HBc-negative a: The patient has been immunized b: The patient should consider immunization c: The patient has Hepatitis d: The patient had Hepatitis Correct Answer A A 23yo male appears in your clinic with a herald patch on his trunk. This lesion is usually associated with: a: Hypothyroidism

b: Diabetes c: Folliculitis d: Pityriasis rosea Correct Answer D A patient's CBC demonstrates anemia. The following lab results most likely indicate: MCV: 74.1 (80-95) MCH: 24 (27-31) MCHC: 33% (32-69%) RDW: 12% (11-14.5%) a: Thalassemia b: Iron deficiency anemia c: Anemia of chronic disease d: Vitamin B12 deficiency anemia Correct Answer A