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APEA PREDICTOR EXAM LATEST 2025 ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!|| A 62 years old female has been diagnosed with osteoporosis. She refuses hormone replacement therapy as well as new medication shown to increase bone density. Important education for this patient should include: A Information about joint replacement surgery B The need for annual bone density studies C The benefits of increasing calcium intake and daily weight bearing exercise D A list of occupational therapists in the community - ANSWER-C The NP wants to assess intactness of a patient cerebral function. Which of the following clinical test will provide information relative to cerebral function? A Kinesthesia B Sterogenesis C Romberg D Graphesthesia - ANSWER-C
The most appropriate medications for elderly patients A Are highly protein-bound B May be dose once daily C Have a narrow therapeutic index D Have anticholinergic effect - ANSWER-B A 66 y/o female presents to your clinic. She states that yesterday evening she has chest pain for 20-30 minutes. Which finding most strongly correlates with myocardial infarction? A ST segment depression of EKG B Elevated troponin levels C Elevated CK-MB D Elevated CK - ANSWER-B The NP is evaluating a 35 y/o female nurse. She has a history of hospitalization for hepatitis B infection 2 years ago. Her laboratory test demonstrates positive HBsIg. The nurse practitioner would most likely diagnose:
C Para-aminobenzoic acid (PABA) D Lanolin - ANSWER-D When examining 5 years old the NP knows that this is an appropriate age to teach the child about: A Washing his hands before eating B Not allowing anyone to touch his private parts without permission C The importance of balanced meals so that he can grow tall and strong D Getting his preschool immunizations - ANSWER-B A mother presents with her 12-year-old son who has chills, fever, headache, malaise, and myalgias. On examination the NP finds an erythematous lesion, 7.5 cm diameter, with annular edges and central clearing. The boy first noticed the lesion when he was preparing to go back home from a 2-week summer camp in the mountains. Of the following, which is the most likely diagnosis? A Pityriasis rosea B Impetigo
C Lyme disease (erythema migrans) D Tinea corporis - ANSWER-C A NP is holding a prenatal nutrition class for a group of patients. Considering knowledge about cultural variations, which of the following women may be at increased risk for inadequate calcium intake? A A 30-year-old orthodox Jew B A 35 years-old Caucasian C A 27 years-old Native American D A 24 years-old Hispanic - ANSWER-B Which behavior would NOT be expected of a 2 y/o? A Kicking a ball B Running around a corner without falling down C Riding a tricycle D Climbing on a chair and standing up to reach and object - ANSWER-C
C Resume her antidepressant medication D Question her further - ANSWER-D When a patient presents with symptoms of acute gallbladder disease, what is the appropriate A Order abdominal x-rays B Order abdominal ultrasound C Refer the patient to a surgeon for evaluation D Prescribe a second-generation cephalosporin - ANSWER-B 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 D For 30 days to 6 weeks - ANSWER-C A 2-week-old infant presents with projectile vomiting, weight loss, dehydration, constipation and history of insatiable appetite. An
olive shaped mass is palpable to the right epigastrium. The NP, suspecting pyloric stenosis, refers the infant for an upper GI series. The expected finding is: A Double bubble pattern, secondary to air in the stomach, and a distended duodenum B Dilated loops of bowel C Bowel loops of varying width, with a grainy appearance D The "sling sign," indicating a narrow and elongated pyloric canal - ANSWER-D Which of the following diagnostic assessment must be considered before developing any plan of care for a 27-year-old female presenting to a family practice clinic? A Pregnancy test B Family social history C Hematocrit and hemoglobin D Blood pressure - ANSWER-A
C For about 10 to 20 percent of people with primary hypertension, the cause is unknown D Isolated systolic hypertension is typical of young adults who are drug abusers - ANSWER-B A 50 years old patient has abnormal vaginal bleeding with heavy periods and intermenstrual watery discharge with a small amount of blood. What is the most likely diagnosis? A Uterine fibroids B Normal perimenopause C Endometrial cancer D Cervical cancer - ANSWER-C A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of the following is the LEAST appropriate intervention? A Palpate the lymph nodes and spleen B Examine the posterior oropharynx for petechiae C Obtain a CBC, throat culture, and heterophil antibody test.
D Obtain an urinalyses and serum for LFTs and amylase - ANSWER-D A 32 years old male patient complaint of urinary frequency and burning on urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract infections. The initial treatment should be: A. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7- 10 day B ciprofloxacin (Cipro) for 3-5 days C Trimethoprim-Sulfamethoxazole for 3 days D 750 mg ciprofloxacin as a one-time dose - ANSWER-a Which agent is most effective for the treatment of nodulocystic acne? A Benzoyl peroxide (Benzac) B Retinoic acid (Retin A) C Topical tetracycline D Isotretinoin) - ANSWER-d
D Fenofibrates - ANSWER-B A 30 years old female comes into a clinic with classic signs and symptoms of appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman die. This is an example of First and foremost, it is essential to educate individuals on a heart-healthy lifestyle. LDL-C is one of the major culprits in the development of atherosclerotic heart disease. The target level of LDL-C is between 50 to 70mg/dl to prevent plaque formation in the blood vessels. Guidelines strongly recommend statin therapy because they primarily lower LDL-C levels, but they also have the secondary effects of lowering triglyceride and increasing HDL-C levels. A Failure of diligence B Professional liability
C Negligence D Malpractice - ANSWER-D A NP has recently been hired to work in a fast track facility. The NP employer asked if she has "a problem prescribing medications for emergency contraception." The NP replies affirmatively. This is: a. Grounds for dismissal b. An ethical dilemma for the NP c. Illegal according to the standards of nursing d. Patient abandonment - ANSWER-B A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this condition be managed? a. Topical antifungal cream or ointment b. Oral antibiotics c. Topical corticosteroids cream d. Topical anti-fungal/ steroid cream - ANSWER-c
a. What was if you did to make him angry? b. You must seek refuge immediately c.I am concerned about your safety d. I am going to call a shelter for you - ANSWER-C For which patient group does the US Preventive Services Task Force recommend routine screening for asymptomatic bacteriuria a.pregnant woman b.Children c.Patients with diabetes d.patients over the age of 70 - ANSWER-A What diabetic complications result from hyperglycemia?
- Retinopathy
- Hypertension resistant to treatment
- Peripheral neuropathy
- Accelerated atherosclerosis
a. 1,2, b. 2,3, c. 1,3, d. 1,2,4 - ANSWER-C A 6 y/o presents w/ complaints of sore throat and fever for 2 days. He has multiple vesiculated ulcerations on his tonsils and uvula. There are no other remarkable findings. What is the most likely diagnosis? a. Viral pharyngitis b. Herpangina c. Epiglottitis d. Tonsillitis - ANSWER-B A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL? a.Age > 15 years b. Fever > 101 F (38.3 C)
b. Gout c. Osteoarthritis (OA) d. Osteoporosis - ANSWER-C A 7-year old female patient presents with severe injuries that are inconsistent with the explanation given for them. The nurse practitioner questions the mother about abuse. She admits that her husband, the child's father, beat the child. How should the nurse practitioner proceed? a.Inform the mother that the abuse must be reported to child protection authorities. b. Counsel the mother that if it happens again it will be reported to child protection service. c. Ask the child what she did to cause the punishment d. Refer the family to the National Domestic Violence hotline. - ANSWER-A A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of the
legs followed by periods of lethargy. On physical examination, a "sausage-like" mass in the upper right quadrant of the distended abdomen. Which of the following is the most likely diagnosis? a. Intussusception b. Volvulus c. Crohn's disease d. Foreign body in the GI tract - ANSWER-A A middle-aged female complains of insomnia, night sweats, feeling intensely hot, emotional lability, extreme nervousness and impatience. The LEAST likely cause of her symptoms is a. Thyrotoxicosis b. Menopausal vasomotor instability c. Alcohol or another drug withdrawal d. New onset type 2 diabetes mellitus - ANSWER-D
