APEA PREDICTOR EXAM MISSED QUESTIONS WITH EXACT ANSWERS 2025 UPDATED AND GRADED A+, Exams of Nursing

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APEA PREDICTOR EXAM MISSED

QUESTIONS WITH ANSWERS 2025

UPDATED AND GRADED 100% PASS

What is the recommended treatment for cat scratch disease? - EXACT ANSWER usually self-limiting and presents with lymphadenopathy that goes away on it's own; severe cases may benefit from azithromycin What is the most common cause of traveler's diarrhea? - EXACT ANSWER e coli What bacteria is responsible for causing cat scratch disease? - EXACT ANSWER bartonella henselae What are the 4 different components of tetralogy of fallot? - EXACT ANSWER overriding aorta, pulmonary stenosis, right ventricular hypertrophy, and a ventricular septal defect What does the murmur auscultated in tetralogy of fallot sound like? - EXACT ANSWER systolic murmur best heard at the left upper sternal border What does the murmur auscultated in a ventricular septal defect sound like? - EXACT ANSWER systolic murmur best heard at the left lower sternal border Where is the aorta best auscultated? - EXACT ANSWER at the second ICS to to the right of the sternum Where is the pulmonary artery best auscultated? - EXACT ANSWER at the second ICS to the left of the sternum What is a scotoma? - EXACT ANSWER a blind spot or aura that obstructs part of your vision Is presbyopia nearsightedness or farsightedness? - EXACT ANSWER farsightedness meaning it can be harder to see things up close, such as

reading a newspaper and may need to hold it farther away or use reading glasses Is myopia nearsightedness or farsightedness? - EXACT ANSWER nearsightedness meaning it is hard to see things far away Do cataracts cause myopia or presbyopia? - EXACT ANSWER myopia; meaning nearsightedness and they make things blurry that are farther away which is why driving at night becomes difficult What is the USPSTF's recommendation on scoliosis screening for adolescents? - EXACT ANSWER insufficient When should adolescent girls be screened for scoliosis? - EXACT ANSWER as early as 10 years old and then again at age 12 When should adolescent boys be screening for scoliosis? - EXACT ANSWER between age 12- What is Auspitz sign? - EXACT ANSWER the appearance of small bleeding points after successive layers of scale have been removed from the surface of psoriatic papules or plaques A positive Auspitz sign is indicative of what? - EXACT ANSWER psoriasis When are pregnant women screening for gestational diabetes? - EXACT ANSWER week 24- What is round ligament pain? - EXACT ANSWER a deep, sharp, stabbing or stretching sensation that begins or worsens with movement and can be unilateral or bilateral. This is a normal and benign part of pregnancy What are the components of the fetal biophysical profile? - EXACT ANSWER nonstress test (heart rate monitoring), amniotic fluid analysis, fetal movements, fetal tone, and fetal breathing How is the fetal biophysical profile performed? - EXACT ANSWER via ultrasound and fetal heart rate monitoring

What are the major symptoms of rheumatic fever? - EXACT ANSWER carditis, arthritis, chorea, erythema marginatum (rash), subcutaneous nodules What are the minor symptoms of rheumatic fever? - EXACT ANSWER fever, elevated ESR, prolonged PR interval How do we treat rheumatic fever? - EXACT ANSWER refer to the hospital What is chorea? - EXACT ANSWER abnormal involuntary movements What are the main s/s of rubeiola (measles) - EXACT ANSWER Koplick spots + the 3 c's - cough, coryza, conjunctivitis GABHS infection puts individuals at the highest risk of developing what sequelae? - EXACT ANSWER peritonsillar abscess, glomerulonephritis, rheumatic fever What is the diagnostic criteria for acute rheumatic fever? - EXACT ANSWER 2 major criteria OR 1 major + 2 minor criteria PLUS evidence of a recent strep infection When can a breastfeeding mother breast feed again after drinking alcohol?

• EXACT ANSWER wait 2-3 hours per drink consumed before breastfeeding again Can a mother take methadone while pregnant and breastfeeding? - EXACT ANSWER yes Does subsequent mean before or after? - EXACT ANSWER after What is the recommended treatment for Kawasaki disease? - EXACT ANSWER refer to the ED, will likely need IVIG and high dose aspirin What are the s/s of Kawasaki disease? - EXACT ANSWER fever + CREAM (conjunctivitis, rash, erythema of palms and soles, adenopathy cervical, mucous membranes) Kawasaki disease is caused by what? - EXACT ANSWER an acute vasculitis of the small and medium blood vessels

What is the main difference between Kawasaki disease and scarlet fever? - EXACT ANSWER KD has conjunctivitis and scarlet fever does not The rash associated with acute rheumatic fever - EXACT ANSWER erythema marginatum The rash associated with parvovirus aka slapped cheek aka fifth disease - EXACT ANSWER erythema infectiosum What does erythema marginatum of rheumatic fever look like? - EXACT ANSWER erythematous with a central clearing, not itchy The medical term for tennis elbow - EXACT ANSWER lateral epicondylitis What is the leading cause of death in anorexia? - EXACT ANSWER suicide Erikson stage from birth to 18 months - EXACT ANSWER trust vs mistrust Erikson stage from 18 months to 3 years - EXACT ANSWER autonomy vs shame and doubt Erikson stage from 3-5 years - EXACT ANSWER initiative vs guilt Erikson stage from 5-13 years - EXACT ANSWER industry vs inferiority Erikson stage from 13-21 years - EXACT ANSWER identity vs role confusion Erikson stage from 21-39 years - EXACT ANSWER intimacy vs isolation Erikson stage from 40-65 years - EXACT ANSWER generativity vs stagnation Erikson stage for 65 and older - EXACT ANSWER ego integrity vs despair Macrobid/nitrofurantoin is contraindicated in which patients? - EXACT ANSWER those with renal insufficiency

What are the s/s of polymyalgia rheumatica? - EXACT ANSWER chronic pain in the proximal joints (shoulders and hips) bilaterally with stiffness lasting for more than 45 minutes What is the recommended treatment for polymyalgia rheumatica? - EXACT ANSWER PO steroids and refer to Rheumatology to confirm the diagnosis Where are the biggest food sources of vitamin B12? - EXACT ANSWER fish, meat, poultry, eggs, and dairy products, also fortified breakfast cereals and fortified nutritional yeasts What is the gold standard for the diagnosis of herpes? - EXACT ANSWER nucleic acid amplification test Most cases of acute sinusitis are viral and how can we treat them? - EXACT ANSWER treat the symptoms with intranasal steroids and saline rinses What is the difference between chronic vs gestational hypertension? - EXACT ANSWER chronic htn is present before 20 weeks gestation or 12 weeks after delivery; gestational hypertension is after 20 weeks gestation Which is the recommended diagnostic when a patient has a breast lump? - EXACT ANSWER if less than 45, do an ultrasound. if older than 45, do a diagnostic mammogram. An overactive bladder is what type of incontinence? - EXACT ANSWER urge incontinence What is the recommended treatment for urge incontinence? - EXACT ANSWER anticholinergics like oxybutynin What is the recommended treatment for stress incontinence? - EXACT ANSWER alpha agonists like sudafed, TCAs What is the recommended treatment for BPH? - EXACT ANSWER alpha blockers like terazosin, doxazosin, tamsulosin Alcohol and marijuana worsen which type of incontinence? - EXACT ANSWER urge

Which SSRI is safest in pregnancy? Which poses the most risk? - EXACT ANSWER sertraline; paroxetine Infants born to women who smoke are at increased risk for what? - EXACT ANSWER low birth weight and preterm delivery What is the best marker of an acute MI? - EXACT ANSWER troponin When do troponins peak after a MI? - EXACT ANSWER 12 hours When should an infant be able to display a conjugate gaze (track you all the way across the room)? - EXACT ANSWER 6 months Which medication is approved in Peds for the prevention of febrile seizures? - EXACT ANSWER diazepam Folic acid is which vitamin? - EXACT ANSWER vitamin B What is the dosage preferred for folic acid deficiency? - EXACT ANSWER 1-5mg daily Dosage of folic acid in pregnancy to prevent neural tube defects - EXACT ANSWER 400mcg daily What are ECG changes you may see on a patient with hypokalemia? - EXACT ANSWER tachyarrhythmas, ST depression, prolonged QT, and U wave present What are ECG changes you may see on a patient with hyperkalemia? - EXACT ANSWER peaked T waves A U wave present on EKG is thought to represent what? - EXACT ANSWER repolarization of the purkinje fibers What is considered legal blindness? - EXACT ANSWER 20/200 or worse What is the pain of temporal arteritis like? - EXACT ANSWER new onset headache, jaw pain with chewing