Download Medical Terminology and Conditions and more Exams Nursing in PDF only on Docsity! APEA 3P FINAL EXAM QUESTIONS WITH 100% ACCURATE RATIONALES|VERIFIED QUESTIONS & ANSWERS.LATEST UPDATE 2024/2025 1. When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted. These types of lesions could be seen in: a. Herpes simplex or varicella 2. The principal muscles involved when closing the mouth are innervated by which cranial nerve? a. Cranial nerve V (Trigeminal) 3. The structure that creates a channel for the vertebral artery is known as the: a. Transverse Foramen 4. Which of the following is NOT a compliant patient with type 1 diabetes? a. Polycythemia 5. When suspecting pediculosis capitis, the chief complaint is: a. Itching 6. The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the: a. Ischial tuberosity 7. When percussing the posterior chest, which one of the following techniques would be omitted? a. Percuss areas over the scapulae 8. On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of: a. A tonic pupil 9. During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a: a. focal seizure that becomes generalized 10. A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern? a. Symmetric 11. To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be: a. In the right lateral fornix 12. A serious disturbance in a person’s mental abilities that results in a decreased awareness of one’s environment and confused thinking is referred to as: a. Delirium 13. Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss? a. Weber test 14. Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the: a. Trochlear groove 15. A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with: a. An abdominal aortic aneurysm (AAA) 16. Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely: a. Vitreous floaters 17. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in: a. Transverse lie 18. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of: a. Flexion 19. To locate the twelfth rib, palpate: a. Between the spine and the lateral chest 20. Walking on the toes and heels may reveal: a. Distal muscular weakness in the legs 21. When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily: a. Posteriorly 22. During pregnancy, which hormone results in increased blood viscosity? a. Erythropoietin 23. Resting tremors refer to those tremors that disappear: a. With voluntary movement 24. A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with: a. Cancer of the sigmoid colon 25. Mydriasis is a term used to describe: a. Dilation of the pupils 26. When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is suspected. Positive findings would include all of the following except: a. Calf wasting 27. Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip? a. Stage III 28. The vertebral column angles sharply posteriorly and becomes immovable at the: a. Lumbosacral junction 29. Which one of the following is at the HIGHEST risk for suicide? a. A 52-year-old white man 30. When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope: a. Between the 2nd and 3rd intercostal spaces at the right upper sternal border 31. Pain and crepitus over the patella suggests: 65. If a patient has a history of heat intolerance with a preference to light clothing, this behavior could be consistent with: a. Hyperthyroidism 66. The best method of detecting cognitive impairment or intellectual disability at an early age is by: a. Assessment of the achievement of developmental milestones 67. When screening for scoliosis, assessment should include: sh down 68. The groove of the metacarpophalangeal joint can be palpated by having the patient: a. Flex his hand 69. When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: a. vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion 70. The ankle-brachial index is a screening test used to assess a person’s risk for: a. Peripheral artery disease 71. Olecranon bursitis may be caused by all of the following except: a. Frozen shoulder 72. In patients who have allergic rhinitis, the nasal mucosa appears: a. Pale 73. A term used to describe an increase in muscular bulk with diminished strength is: a. pseudohypertrophy 74. If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably: a. In the abdominal wall 75. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with: a. Intestinal obstruction 76. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with: a. Microaneurysms 77. Symptoms of a subdural hematoma include: a. Noticeable bleeding between the dura and the cerebrum on x-ray 78. On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with: a. Parkinson’s disease 79. When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one? a. Articular disease is usually due to stiffness or pain 80. Focal tenderness over the trochanter confirms: a. Bursitis 81. Assessing the neurological status of a child with a ventriculoperitoneal shunt should include: a. Use of the Glasgow coma scale 82. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: a. Salty taste on the skin 83. A 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: a. Cavernous hemangioma 84. The hamstring muscles flex the knee and are located on the: a. Posterior aspect of the thigh b. with the stick and lift the Observing the back when the child is bending forward 85. In a female diagnosed with a first-degree uterine prolapse, the cervix: a. Has slipped but is well within the vagina 86. 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: a. Diencephalon 87. During assessment of the thyroid, a fixed, firm, nontender large mass is noted. These findings describe: a. A nodule 88. When examining the foot of a patient, the nurse practitioner notes localized tenderness over the ankle joint. This could be suggestive of: a. Ligamentous injury 89. Women with hyperthyroidism often experience: a. Oligomenorrhea, infrequent menstrual periods 90. 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: a. Mitral regurgitation 91. 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: a. Low flow priapism 92. On ophthalmoscopic examination, glaucomatous cupping appears: a. Pale 93. Hairy leukoplakia may be associated with: a. AIDS 94. To estimate the expected delivery date (EDD) using Naegele’s rule, if the last menses was March 3, 2014, the EDD would be: a. December 10th, 2014 95. The infraorbital or maxillary, buccinator, and supramandibular lymph nodes drain lymphatic fluid from the: a. eyelids, the conjunctiva, and the skin and mucous membrane of the nose and cheek 96. A whitish sebaceous secretion that collects between the glans and foreskin or in the vulva is known as: a. Smegma 97. The bony structures of the shoulder include all of the following except: a. Teres minor 98. Murmurs audible during pregnancy may suggest: a. Anemia 99. A fine rhythmic oscillation of the eyes is termed: a. Nystagmus 100. The whispered voice test allows the examiner to screen for: a. General hearing loss 101. lashes up and flip physical exam, the soft palate does not rise, there is an absent gag reflex, and the patient complains of taste abnormalities. This requires further evaluation of the cranial nerve: a. Glossopharyngeal Nerve, CN IX 102. When performing a spinal exam, the nurse practitioner notices unequal heights of the iliac crests. This finding could be suggestive of: a. Unequal leg lengths 103. When examining the ankle and the foot of a patient, the NP instructs the patient to point the foot toward the ceiling. This motion assess: a. Ankle extension 104. Ophthalmoscopic examination of the retina reveals AV tapering. This appears as if the: a. vein “winds” down on either side of the artery 105. The concavities noted on each side and above the patella are known as the: a. Negative infrapatellar space 106. The lymphatic ducts drain into the: a. Venous system 107. A swollen deviated uvula may be associated with a: a. Peritonsillar abscess 108. A patient complains of some pain in the distal portions of her fingers on both hands. She states that it tends to occur more frequently with exposure to cold. These symptoms may be consistent with: a. Raynaud’s disease 109. When examining the elbow for range of motion, the NP instructs the patient to straighten his elbow. This motion is an example of: a. Extension 110. The patellar tendon continues below the knee joint and inserts distally on the: a. Tibial tuberosity 111. The hilar region of the lungs describes: a. Around the heart 112. Physical signs associated with cervical myelopathy from cervical cord compression include: a. Neck flexion with resulting sensation of electrical shock radiating down the spine 113. Peritoneal inflammation produces abdominal pain and tenderness. What technique can be used to assess a tender abdomen suspected to be secondary to peritoneal inflammation? a. Ask the patient to cough prior to palpation 114. To evaluate a patient’s response to a vibration sensation, the NP would ask the patient to identify: a. The sensation when the tuning fork is placed on the big toe b. thPolyneuropathy 115. Fasciculations in atrophic muscles suggest: a. A lower motor neuron disease 116. The nerve that provides sensation to the palm and palmar surface of most of the thumb, second and third fingers, and half of the fourth digit is the: a. Median nerve