Download APEA FNP Predictor Exam Test Bank 2024-2025 LATEST UPDATE 2025!!! and more Exams Advanced Education in PDF only on Docsity!
APEA FNP Predictor Exam Test
Bank 2024-2025 LATEST
UPDATE!!!!!
The most likely working diagnosis for a 14 year old patient who fell on an outstretched hand, complains of proximal forearm pain, and has a positive fat pad sign on X-ray. - Radial head fracture The child quickly begins to use the affected arm after closed manipulation. - Successful treatment indication for radial head subluxation A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with an erythematous base on the buccal mucosa suggests this diagnosis. - Measles Indicated by a 12-month-old child looking for a toy that the father has hidden under the table. - Object permanence Expected examination result for a 14-year-old male with bronchitis returning with fever, right pleuritic chest pain, and green sputum. - Right lower lobe crackles The diagnostic test that should be performed immediately for a 15-year-old female with burning urination after treatment for trichomonas vaginitis. - Microscopic exam of urine Essential education for a 15-year-old male with a history of cryptorchidism which was surgically repaired. - Testicular self-examination The first action a school nurse should take when a child with type I diabetes mellitus reports sweating and weakness after insulin injection. - Measure the blood sugar The appropriate response for a 16-year-old female experiencing midcycle spotting while on Ortho-Novum 7/7/7. - Providing reassurance The most appropriate diagnostic tests to order for a 17-year-old female suspected of having polycystic ovary syndrome, in addition to testosterone. - FSH, LH, TSH The most likely diagnosis for a 17-year-old female who has never had her menses and is at Tanner stage III of sexual development. - Primary amenorrhea Condition suspected for a 20-year-old male with a 1-month history of a bump on his testicle and a history of unprotected intercourse. - Cancer of the testicles Suspected condition for a 21-year-old college student presenting with copious, markedly purulent discharge from her left eye. - Gonococcal conjunctivitis
Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding, rigid abdominal musculature, rebound tenderness at McBurney's point, and leukocytosis. - Appendicitis A question to consider when analyzing a 22-year-old college student's heart rate of 48/minute and regular during a routine physical examination. - Is this student an athlete? Advice for a 24-year-old female taking oral contraceptives who has missed her last 2 pills to minimize her risk of pregnancy. - Double today's dose and tomorrow's dose and use a barrier method for the rest of the month Contraceptive technique to prevent pregnancy. - Barrier method Common cause of recurrent candidal infections. - Diabetes mellitus Non-tender breast mass with nipple discharge. - Intraductal papilloma Often asymptomatic in males; no remarkable symptoms. - Chlamydia infection Skin rash caused by irritants or allergens. - Contact dermatitis Test to identify pathogens in respiratory secretions. - Sputum culture Autoimmune condition causing joint inflammation and stiffness. - Rheumatoid arthritis Infection causing pelvic pain and urinary symptoms. - Acute bacterial prostatitis Ultrasound imaging to assess internal structures. - Sonogram Referral for specialized evaluation of reproductive issues. - Gynecological consultation Emergency condition causing acute testicular pain. - Testicular torsion Typically decreases, causing light-headedness when standing. - Blood pressure changes in pregnancy Class of antibiotics effective against bacterial infections. - Macrolide antibiotic Agency to report suspected child abuse or neglect. - Child protective services Movement of a joint without patient effort. - Passive range of motion (ROM) Benign tumors causing heavy menstrual bleeding. - Uterine leiomyomas Fluid released from the nipple, may indicate pathology. - Nipple discharge
Condition causing muscle pain and stiffness. - Polymyalgia Rheumatica Condition where heart can't pump effectively. - Heart Failure Cardiac marker indicating myocardial infarction. - Troponin I Middle ear infection in both ears. - Bilateral Otitis Media Viral infection affecting the immune system. - HIV Infection Medication for heart conditions, risk of toxicity. - Digoxin Diuretic that may cause digoxin toxicity. - HCTZ Inflammation of blood vessels, causing headaches. - Temporal Arteritis Vitamin B12 deficiency due to absorption issues. - Pernicious Anemia Bright red spot in the eye from bleeding. - Subconjunctival Hemorrhage Indicator of inflammation in the body. - Elevated SED Rate Anemia associated with chronic illness. - Anemia of Chronic Disease Average volume of red blood cells measured. - Mean Corpuscular Volume (MCV) Swollen lymph nodes in the neck area. - Cervical Lymphadenopathy Pain or discomfort in the upper stomach area. - Upper Abdominal Discomfort Bright red blood under conjunctiva, sharply defined. - Subconjunctival hemorrhage Process of distinguishing between conditions. - Differential diagnosis Prolonged mourning affecting daily functioning. - Unresolved grief Bluish tint of vagina during pregnancy. - Chadwick's sign Benign, pigmented epidermal tumor with stuck-on appearance. - Seborrheic keratosis BMI less than 18.5 indicates underweight. - BMI underweight threshold Cool water flushing; avoid oils for pain relief. - Second degree burn care Behavior changes indicate early lead poisoning. - Lead toxicity early signs
Erythematous, weeping lesions on skin. - Atopic dermatitis Enzyme supplement for cystic fibrosis patients. - Pancrelipase (Pancrease MT) Measures average blood sugar over 2-3 months. - Glycosylated hemoglobin A1c Elevated serum amylase level supports diagnosis. - Acute pancreatitis diagnosis Shortness of breath when lying down. - Orthopnea Insulin dosage based on blood sugar levels. - Sliding scale insulin Process of withdrawal from opiate substances. - Opiate detoxification Abnormal vital signs indicate potential complications. - Postoperative complications Potential harm to self or others. - Risk for violence Alterations in mood or actions indicating issues. - Behavioral changes Most critical nursing diagnosis to address first. - Nursing priority Neurosyphilis can resemble dementia symptoms. - Cognitive decline mimic 0.04 mL for 2 units of insulin. - Insulin administration calculation Persistent worry affecting daily life. - Chronic anxiety Involuntary contractions causing discomfort. - Bladder spasms False belief in one's superiority or power. - Delusions of grandeur Increased likelihood of physical harm. - Risk of injury Monitoring stool consistency for enzyme effectiveness. - Cystic fibrosis management State of psychological well-being and stability. - Emotional health Genetic predisposition to certain health conditions. - Family history significance Response that hinders effective client-nurse dialogue. - Communication Barrier Amount of fluid remaining in the stomach. - Residual Volume Increased heart rate often indicating stress or illness. - Sinus Tachycardia
Progressive neurological disorder causing motor dysfunction. - Severe Parkinson's Disease Evaluation of patient condition after surgery. - Postoperative Assessment Altered consciousness following a significant fall. - Drowsiness After Fall Procedure to examine the colon for abnormalities. - Colonoscopy Difficulty in speaking or understanding language. - Dysphasia Enlargement of the prostate gland affecting urination. - Benign Prostatic Hyperplasia (BPH) Assessment including exam, mammogram, and ultrasound. - Breast Lump Workup Anticoagulant used to prevent blood clots. - Warfarin (Coumadin) Small range between effective and toxic drug levels. - Narrow Therapeutic Index Regular checks to maintain drug levels within range. - Therapeutic Monitoring Newborn therapy using fluorescent light for jaundice. - Physiologic Jaundice Treatment Normal morning rise in blood sugar levels. - Dawn Phenomenon Surgical removal of the uterus and cervix. - Total Abdominal Hysterectomy Commonly known as baby Aspirin, used for pain relief. - Acetylsalicylic Acid Documenting missed information after original entry. - Late Entry in Charting Increased urinary output indicates therapeutic success. - Magnesium Sulfate Effectiveness Dietary requirements specific to child development stages. - Nutritional Needs of Children Inappropriate for children under 4 due to choking hazard. - Popcorn as Snack Inflammation of diverticula in the colon. - Acute Diverticulitis Indicator of infection; normal levels are 4,500-11,000/mm3. - White Blood Cell Count Techniques to determine fetal position in pregnancy. - Leopold's Maneuvers
First action is to assess the client's condition. - Medication Error Response Protective measures for immunocompromised patients. - Reverse Isolation Post-procedure checks for urinary complications. - Cystoscopy Monitoring Hidden blood indicating potential gastrointestinal bleeding. - Occult Blood in Stools Surgical procedure to correct a hernia in the groin. - Inguinal Hernia Repair Protrusion of tissue through abdominal wall. - Inguinal Hernia Difficulty understanding or speaking English fluently. - Limited English Proficiency Client should empty bladder before examination. - Vaginal Examination Preparation Monitoring heart rate, respiration, temperature, blood pressure. - Vital Signs Assessment 30 breaths per minute indicates potential distress. - Respiration Rate Evaluated by asking about recent meals. - Recent Memory Assessment Blockage in pulmonary arteries, often due to clots. - Pulmonary Embolus Imaging test for diagnosing pulmonary embolism. - Helical CT Pulmonary Angiography Local anesthetic contraindicated in certain body areas. - Lidocaine with Epinephrine Program aimed at improving quality of life in COPD. - Pulmonary Rehabilitation Method for calculating expected delivery date in pregnancy. - Naegele's Rule Includes flushed skin and increased thirst. - Hyperglycemia Symptoms Acceptance of pregnancy as a reality. - First Trimester Developmental Task Measure glucose and protein at each visit. - Prenatal Urine Tests Child should be placed in side-lying position. - Post-Tonsillectomy Positioning Absence of urine production, contraindicates potassium infusion. - Anuria Avoid increasing oxygen flow without guidance. - COPD Patient Education Bran flakes are beneficial for colon cancer prevention. - High-Fiber Diet
Knee locking is a classic complaint. - Meniscal Tear Ordered for thalassemia and anemia evaluation. - Hemoglobin Electrophoresis Skin disorder causing enlarged, red, bumpy nose. - Rhinophyma Softening of skin at mouth corners, often nutritional. - Angular Cheilitis Indicates viral or bacterial infection. - WBCs in Stool Inward turning of the eye, a strabismus type. - Esotropia Fungal infection of scalp, eyebrows, eyelashes. - Tinea Capitis Visual fields by confrontation evaluates peripheral vision. - Peripheral Vision Test Represents repolarization of Purkinje fibers. - U Wave on EKG Risk factor for cardiovascular disease, stroke. - Widened Pulse Pressure Caused by estrogen imbalance, leads to dyspareunia. - Atrophic Vaginitis A woman who gets the MMR vaccine should wait at least 4 weeks before getting pregnant. - MMR vaccine pregnancy wait time A young healthy adult, who has been exercising in hot weather, has fatigue, loss of appetite, and lightheadedness. The correct assessment is to measure the client's body temperature. - Nurse assessment for fatigue Evaluate for Medial Collateral Ligament (MCL) injury. - Abduction (Valgus) stress test According to the American Diabetes Association, the newest standard for determining the presence of diabetes mellitus based on fasting plasma sugar level is a value equal to or greater than 126 mg/dl. - Diabetes mellitus fasting plasma sugar level According to the ANA, the role of the NP who provides primary health care is the Direct nursing care role. - Role of NP in primary health care ACEI induced coughs usually begin within 2 weeks after starting the medication. - ACEI induced cough onset ACEIs can cause hyperkalemia. - ACEIs electrolyte abnormality Actinic keratosis is a precursor for squamous cell carcinoma. - Actinic keratosis precursor
Evaluate for lateral collateral ligament (LCL) injury. - Adduction (Varus) stress test ADHD is a risk factor for both depression and substance abuse. - ADHD risk factors Adrenarche is the early presence of pubic hair in girls aged 5-8 years old. - Adrenarche age range Pharmacologic management of this condition includes D. Doxycycline. - Pharmacologic management for target lesion After exposure to HIV, the patient will seroconvert and become positive in 3 months. - HIV seroconversion time Age is the most common cause of presbycusis, but white, infections, smoking, hypertension, diabetes, vascular disease, immune disorders, and hormonal factors may also play a role. - Conditions affecting presbycusis onset Alcohol and marijuana worsen urge incontinence. - Substance effects on incontinence All of the following are classified as activities of daily living (ADLs) except D. Grocery shopping. - Activities of daily living (ADLs) Pre-medication is not warranted prior to all painful interventions. - Pediatric pre- medication The most at risk to develop skin breakdown is c. An 84-year-old client who has been NPO for four days. - Skin breakdown risk Alpha fetoprotein screening in pregnancy can help determine the presence of spina bifida and anencephaly. - Alpha fetoprotein screening Amenorrhea is considered a risk factor for osteoporosis. - Amenorrhea risk factor C. Feverfew has been commonly used for migraines and menstrual cramps. - Herbal remedy for migraines After initiation of treatment for otitis media, the most appropriate intervention is to C. Reevaluate the patient in 10 days. - Otitis media follow-up The appropriate initial pharmacologic intervention is A. Amoxicillin-Clavulanate (Augmentin). - Initial pharmacologic intervention for sinusitis The most likely diagnosis for an 8-mo male with hemarthrosis and hematuria is A type of hemophilia. - Hemophilia diagnosis
Nurse should stop the transfusion if the patient develops a rapid bounding pulse and elevated blood pressure. - Blood transfusion reaction An herbal supplement thought to help BPH. - Saw palmetto An inability to extend the knee is a sign of this condition. - Patellar tendon tear An inflammation in the hip joint causing pain, limp, and sometimes refusal to bear weight in pre-pubescent children. - Transient synovitis An intervention to prevent the occurrence of the same event happening again, such as taking a daily aspirin to prevent another stroke. - Secondary prevention Type of incontinence associated with an overactive bladder. - Urge incontinence Can be caused by nutritional deficiency. - Angular cheilitis Common complaint from a patient with ankle inversion. - Lateral ankle sprain Includes osteoporosis, amenorrhea, and cardiac damage. - Anorexia risks Antibiotic of choice for acute prostatitis. - Cipro Antibiotic of choice for bacterial vaginosis. - Flagyl Antibiotic of choice for cellulitis and mastitis. - Keflex Antibiotic of choice for chlamydia. - Azithromycin Antibiotic of choice for chronic bacterial prostatitis. - Bactrim plus cipro or levo Antibiotic of choice for dog or cat bite. - Augmentin Antibiotic of choice for Lyme disease. - Doxycycline bactrim, clindamycin, doxycycline - Antibiotic of choice for MRSA ceftriaxone and doxycycline - Antibiotic of choice for PID cephalexin or bactrim - Antibiotic of choice for pyelonephritis penicillin G - Antibiotic of choice for syphilis flagyl - Antibiotic of choice for trichomoniasis
Assess for positive McBurney's point tenderness, Rovsing's sign, the psoas sign, and obturator sign. - Appendicitis assessment findings Staphylococcus and Pasteurella multocida. - Common organisms in dog bite wounds males - Suicide likelihood by gender progesterone only - Nexplanon and Norplant classification unilateral - Parkinsonian tremors onset unsaturated - Healthier fatty acids initially, yes they are reversible with oxygenation. But repeated episodes cause the cells to become irreversibly sickled. - Sickle cell anemia RBC sickling asking the patient to place both elbows on a table while keeping both forearms vertical and flexing both wrists - Phalen sign Loud, high-pitched pansystolic murmur - Mitral regurgitation assessment finding D. primordial prevention. - Lung cancer prevention classification just below the xiphoid process - Fundus position at week 34 of pregnancy at the umbilicus - Fundus position at week 20 of pregnancy halfway between the xiphoid process and umbilicus - Fundus position at week 28 of pregnancy palpable halfway between the pubic symphysis and umbilicus - Fundus position at week 16 of pregnancy palpable just above the pubic symphysis - Fundus position at week 12 of pregnancy a 43-yo female with asthma. - Atenolol contraindication osteoporosis - Athletic amenorrhea risk hypertension - AV nicking condition 4-6 months of age. - Oral iron supplementation for babies e coli - Bacteria responsible for pyelonephritis pyelonephritis - Bacterial invasion of renal parenchyma
birth, infancy, or in childhood. - Congenital heart disorders symptom onset Education targeted toward adolescents should first focus on alcohol abuse. - Alcohol abuse COPD is often associated with anxiety and depression. - COPD sequelae Costochondritis occurs when there is inflammation of the cartilage that connects the ribs to the sternum. - Costochondritis Smell (1 nose) - Cranial Nerve I Vision (2 eyes) - Cranial Nerve II Eye movement - Cranial Nerves III, IV, VI Glossopharyngeal- swallowing and rise of the palate, gag reflex - Cranial Nerve IX Voice and speech - Cranial Nerves V, VII, X, XII Acoustic (Hearing and balance) - Cranial Nerve VIII Spinal Accessory (upper trapezius) - Cranial Nerve XI A superficial reflex observed in human males, elicited by lightly stroking the superior and medial part of the thigh, resulting in contraction of the cremaster muscle that pulls up the ipsilateral testis. - Cremasteric Reflex Edema, hirsutism, hair loss, vocal changes. - Danazol side effects Ankle- S1 primarily; Knee- Lumbar 2,3,4; Supinator(brachioradialis)-C5,6; BicepTriceps- C6,7. - Deep tendon reflex The kidneys are structurally complete but physiologically immature, increasing the risk of metabolic acidosis due to the kidneys' inability to concentrate urine and adapt to fluid and electrolyte stress. - Renal adaptation of the newborn Anticholinergic; contraindicated in elderly and those with glaucoma. - Diphenhydramine properties Dislocation of the elbow joint caused by the sudden pull on the extended pronated forearm. - Nursemaid's elbow The standard clinical test for BPPV. - Dix Hallpike maneuver
Cataracts cause myopia; they make things blurry that are farther away. - Cataracts effect on vision A decrease in blood pH increases the rate and degree of sickling in sickle cell anemia. - Blood pH and sickle cell anemia Results in gradual but progressive sensorineural hearing loss. - Meniere's disease Means after. - Subsequent Innervates the pinky. - Ulnar nerve innervation 400mcg daily to prevent neural tube defects. - Folic acid dosage in pregnancy Include tricyclic antidepressants, insulin, sulfonylurea, contraceptives, glucocorticoids, progestational steroids, mirtazapine, paroxetine, gabapentin, valproate, and propranolol.
- Drugs associated with weight gain An appropriate health history should include all of the following EXCEPT: Socioeconomic status. - Bruising around areola Worsening of osteoporosis should be kept in mind during treatment planning for an 84- year-old patient with hypothyroidism. - Osteoporosis in elderly patients Consistent with an adnexal mass with tenderness palpated during a vaginal exam in the first trimester. - Ectopic pregnancy The nurse should assess the 59-year-old with a history of hypertension first. - Impaired mobility assessment Visible in conditions like heart failure, nephrotic syndrome, and liver failure. - Edema from extravascular fluid retention Caffeine may trigger breast pain; avoidance of all methylxanthines has been shown to reduce breast pain. - Fibrocystic breast disease education Commonly related to genitourinary infections. - Epididymitis with orchitis Ego integrity vs despair. - Erikson stage for 65 and older Identity vs role confusion. - Erikson stage from 13-21 years Autonomy vs shame and doubt. - Erikson stage from 18 months to 3 years Intimacy vs isolation. - Erikson stage from 21-39 years
Often start in the age group of 3-5. - Growing pains age group Usually occur at nighttime. - Timing of growing pains HCTZ can cause hypokalemia; ACEI can cause hyperkalemia. - HCTZ and ACEI effects Indicative of osteoarthritis. - Heberden and Bouchard's nodes Indicative of rheumatoid arthritis. - Swan neck deformities Found at the distal interphalangeal joint (DIP). Seen in osteoarthritis. - Heberden's nodes Due to endothelial dysfunction. - HELLP syndrome in pregnancy Cause GERD. - Hiatal hernias symptoms Considered to be instrumental activities of daily living. - Higher level functioning Depletes helper T cells. - HIV cellular immunity deficiency Called managed care plans. - HMO and PPOs Treated via permethrin and good hygiene. - Scabies treatment Can be aborted with calcium or 100% oxygen application. - Abort cluster headaches Best diagnosed by comparing the upper and lower extremity blood pressures. - Diagnosing coarctation of the aorta If the blood sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect. If normal or high, it's likely the dawn phenomenon. - Dawn vs. Somogyi effect Anxiety usually causes problems falling asleep, whereas depression causes early morning wakening. - Depression vs. anxiety sleep effects Typically presents with a long asymptomatic period followed by exercise intolerance, then dyspnea at rest. - Presentation of aortic regurgitation If 3 of the 5 POUND symptoms are present: pulsatile or throbbing, one day duration or 4-72 hours if left untreated, unilateral, nausea or vomiting. - Diagnosing migraine headache
