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Test Bank for 3P APEA Exam and NUR 504 APEA
Final Study Pack | Questions with Verified Answers
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When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means: - ANSWER -Refer the patient to an opthalmologist The American psychiatric association's diagnostic and statistical manual of mental disorder defines Munchausen Syndrome By Proxy - ANSWER -A caregiver making up or causing an illness or injury in a person under his or her care Symptoms of depression are a side effect of which neurotransmitter medication? - ANSWER -Dopamine (serotonin, norepinephrine) Which lesion is dark raised and asymmetric with irregular border?
- ANSWER -Melanoma A 32 years old woman presents with dull puffiness of the eyes pronounced not pitting periorbital edema this finding is suggestive of this condition? - ANSWER -Myxedema A 42 years old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment. Which medication should the Nurse practitioner prescribe? - ANSWER -Amitriptyline (Elavil)
A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This clinical finding is consistent with: - ANSWER -Tinea Capitis What is the appropriate prophylactic medication for an 18 years old woman with a past medical history of migraine headaches? - ANSWER -Propanolol (Inderal) Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life - ANSWER -Her age and tobacco use During the breast examination of a perimenopausal woman the NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation. - ANSWER -An intraductal papilloma Rh negative women should receive Rho (D) immunoglobulin at what gestational time? - ANSWER -28 wks When interpreting a complete blood count (CBC) lab report which of the following results describes the size of the RBCs? - ANSWER -Mean corpuscular volume (MCV) What medication should be avoided when prescribe prophylactic therapy for headache - ANSWER -Venlataxin (Effexor)
Which one of the following statements is true of Munchausen syndrome by proxy? - ANSWER -Under the supervision of adults other than the abuser, the patient does not exhibit symptoms Which of the following is the most common presenting sign of substance abuse in adolescents? - ANSWER -Changes in behavior A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status - ANSWER -Gravida 4 Para 1114 The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old patient. The Nurse Practitioner should asses the patents - ANSWER -Right forearm and hand Anticholinergics are indicated for the treatment of - ANSWER - urge incontinence A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention. Their finding is consistent with - ANSWER -heart failure On examination of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac attached to the epidermis is noted on the right lateral side of the neck. The type of lesion is known as - ANSWER -a cutaneous cyst Symptoms of heartburn and regurgitation are associated with: - ANSWER -GERD
A 70 years old man walks 20 minutes most days of the week. He has begun to complain of pain of his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 20 minutes walks without stopping to rest. What choice best describes the pain associated with peripheral artery disease? - ANSWER -A dull pain and cramp Papilledema is a cause for concern because it is suggestive of - ANSWER -Increased intracranial pressure A 38-year-old patient with a history of abdominal pain presents to the nurse practitioner. Findings reveal superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. Hemorrhagic pancreatic is suspected because of which finding? - ANSWER -A positive cullens sign-indicates internal bleeding. A 57 years old post-menopausal female presents with a complaint of vaginal burning, pruritus and painful intercourse. On examination, the nurse practitioner would be most concern with the findings - ANSWER -A friable cervix What intervention does the American College of Rheumatology recommend as first line therapy for Osteoarthritis, rheumatoid arthritis or something else - ANSWER -Exercise and weight loss Which of the following drugs is not contraindicated for concurrent use with warfarin (Coumadin)? - ANSWER -Amoxicillin The lymphatic ducts drain into the - ANSWER -venous system
A patient has newly diagnosed hypothyroidism. What are the patients TSH level expected to be? - ANSWER -Higher than normal Which of the following symptoms would be a clinical manifestation noted during the secondary stage of syphilis? - ANSWER -Rash marked by red or reddish-brown, penny-sized lesions over the palms and soles An 84yo male with prostatic hypertrophy is at an increased risk of
- ANSWER -UTIs A characteristic lesion observed in a male with primary syphilis is a: - ANSWER -Chancre During an acute attack of gout, the nurse practitioner knows NOT to prescribe - ANSWER -Allopurinol (zyloprim) What two vitamins and minerals should be included in oral multivitamins in women - ANSWER -folic acid and iron n a patient with bacterial meningitis, the most common reason for finding of headaches: - ANSWER -increased intracranial pressure Janeway lesions, petechiae and Oster nodes are associated with: - ANSWER -Infective endocarditis A patient present with decreased hearing related to antibiotic use. Which class of antibiotics is this? - ANSWER -Aminoglycosides
Which antihypertensive would be appropriate to prescribe for a hypertensive patient (B/P 150/95) that is in her third trimester? - ANSWER -Methyldopa A 40-year-old admits to multiple sex partners presents with several lesions over his body. Finding reveals hemorrhagic vesiculopustular lesions over the hands and feet. These lesions are most likely associated with: - ANSWER -Gonococcemia Which agent is NOT useful in prophylactic treatment of migraine headaches? - ANSWER -Sumatriptan (Imitrex) The right lymph duct drains lymphatic fluid from all the following expect the - ANSWER -Right leg Acute lymphocytic leukemia is usually diagnosed by: - ANSWER -a bone marrow examination The medication that blocks the transportation of glucose across the intestines into the blood stream to target prandial blood glucose is: - ANSWER -Acarbose (Precose) Prostate pain is usually located in the: - ANSWER -Perineum A nurse practitioner examines the skin of an elderly patient which finding below is NOT benign lesion associated with the aging process? - ANSWER -Dermatophytosis (ringworm)
A patient with a diagnosis of giardiasis is being treated with metronidazole (flagyl). What information would be important to obtain before prescribing this medication? - ANSWER -If the patient drinks alcohol A 20 years old male living in the college dorm, complains of a dry cough for the past month. Assessment finding associated with an atypical, community acquired pneumonia would include: - ANSWER -A low grade fever, malaise, and clear lung fields on auscultation The most appropriate medication indicated for reversing the anticoagulated effects of dabigatran etexilate (Pradaxa) - ANSWER -Idarucizumab (Praxibind) A common pathological finding in a patient with asthma - ANSWER -hypertrophy of smooth muscle What cranial nerves are responsible for eye movement - ANSWER -III, IV, VI The typical presentation of severe acute aortic regurgitation (AR) includes sudden severe SOB rapidly developing heart failure, and:
- ANSWER -Decreased blood pressure Disorders in the kidneys and the ureters may cause pain in all of the following areas except the: - ANSWER -Suprapubic
When palpating the prostate gland during the rectal exam, the prostate feels tender, swollen, boggy and warm. This finding is consistent with: - ANSWER -Acute bacterial prostatitis This contagious disease causes fever, headache, stiff neck, photophobia, nausea, vomiting, and altered mental status. What immunization prevents this? - ANSWER -Meningococcal vaccine Headache warning signs that need prompt investigation include all of the following - ANSWER -New onset after 50 aggravated or relieved by change or position precipitated by Valsalva maneuver Serotonin Syndrome is a potentially life-threatening condition associated with: - ANSWER -Inreased levels of serotonin Which one of the following statements about treating scabies with lindane (Kewell) is correct? - ANSWER -Lindane lotion and/or shampoo is not considered first line therapy (know that Nix is the treatment) Symptoms consistent with later stage human deficiency disease (HIV) typically include all of the following except, - ANSWER - persistent vomiting The earliest clinical manifestation of diabetic nephropathy is: - ANSWER -Microalbuminuria
The scoliosis patient who would cause the greatest concern for the nurse practitioner is a: - ANSWER -13 yo female with a 10* curve Which finding bellow would be unusual in a patient with diabetic retinopathy? - ANSWER -Papilledema Where should the uterine fundus be palpable at 12 weeks? - ANSWER -at the level of the symphysis pubis Ophthalmoscopic examination of a 40 years old carpenter reveals a triangular thickening of the bulbar conjunctiva across the outer surface of the cornea. This condition is termed: - ANSWER - Pterygium- a growth of the conjunctiva that covers the cornea. A patient calls the nurse practitioner, and states that he missed his morning daily dose of warfarin, 5 mg yesterday and today. The nurse practitioner instructs the patient to: - ANSWER -take warfarin 5mg now and resume the warfarin 5mg daily dose in the morning as scheduled What common clinical finding is present in a patient who has croup? - ANSWER -barking cough A type of breast cancer that begins with erythema and swelling of the breast and progresses rapidly is termed: - ANSWER - inflammatory breast cancer
Salmeterol (sereventR) in combination with an inhaled steroid is prescribed for a patient with moderate persistent asthma. What is the most important teaching point about salmeterol? - ANSWER - It is not effective during an acute asthma attack A 50 years old male has a non-tender, enlarged scrotum. The nurse practitioner suspects which of the following conditions: - ANSWER -Hydrocele Risk factors associated with breast cancer include all of the following except: - ANSWER -Low socioeconomic status A patient who has a sulfa allergy can safely take: - ANSWER - Glimepiride (amaryl) Which group of lymph nodes are locating on the medial surface of the arm approximately 3 cm above the elbow? - ANSWER - Epitrochlear nodes An elderly patient has been diagnosed with a cataract. What structure in the eye has become diseased? - ANSWER -Lens A patient presents with pain in the shoulder. The nurse practitioner knows that there are four rotator cuff muscles. The muscle that initiates abduction movement at the shoulder is known as the: - ANSWER -Supraspinatus A patient with bulimia is likely to be: - ANSWER -of average weight
Desmopressin acetate (DDAVP) nasal spray has been found to be useful in the management of enuresis in children. In which of the following situations is the drug especially beneficial? - ANSWER - Sleepovers Rapid Human Immunodeficiency virus (HIV) testing would be appropriate for a patient with complains of - ANSWER -painful urination, dyspareunia, and vaginal/penile discharge which of the following condition is NOT associated with the symptoms of hemoptysis? - ANSWER -Viral pneumonia which condition is associated with end-stage renal disease in pediatric patients and requires recombinant erythropoietin treatment? - ANSWER -Anemia when evaluating a 17 y/o girl with infrequent menstrual periods, which findings suggest probable hyperandronism? - ANSWER - Hirsutism which form of urinary incontinence is present in a patient with Alzheimer's disease who is unable to reach the toilet in time? - ANSWER -Functional incontinence a 27y/o male patient presents with a painless chancre on the shaft of his penis and regional lymphadenopathy. He is diagnosed with primary syphilis. The best initial treatment is: - ANSWER - Benzathine penicillin G (Bicillin LA)
An 80 y/o man is being evaluated for recent episodes of incontinence and confusion. His family states that he is usually independent with no altered mental issues, but has become forgetful within the last 2 weeks. Which medication is most likely associated with there symptoms? - ANSWER -Cimetidine (tagamet) When ordering an oral diabetes medication for a 72 y/o patient with a recent hx of decreased appetite and ongoing risk of hypoglycemia. The NP should Rx. - ANSWER -Metformin (Glucophage) to increases urine outflow in men with BPH, the NP should prescribe - ANSWER -An alpha blocker A 64 y/o man c/o leg pain and occasional numbness that worsens with ambulation and improves with lumbar flexion. The symptoms are consistent with: - ANSWER -Spinal stenosis which is a true statement about varicose veins? - ANSWER -They are more symptomatic during ovulation a 17 y/o is dx. With mild bronchospasm. Which of the following would provide relief? - ANSWER -Inhaled levalbuterol (Xopenex) a common cause of decrease libido in men is due to? - ANSWER - endocrine dysfunction
A. Pruritis, positive auspitz sign, and pitted nails B. Pruritus, pitted nails, and satellite lesions C. Pitted nails and plaques D. Dermatomal rash and satellite lesions - ANSWER -C. Pitted nails and plaques Which condition is best treated using alpha adrenergic antagonist? A. Functional incontinence B. Renal insufficency C. urge incontinence D. Overflow incontinence - ANSWER -D. Overflow incontinence A patient who is taking an oral glucocorticosteroid should be advised to: A. crush it in applesauce B. Chew it prior to a high fat meal C. Take it on an empty stomach D. Take it with food - ANSWER -D. Take it with food Which of the following drug classes is not indicated for the treatment of depression? A. Buspirone (Buspar) B. Selective Serotonin Reuptake Inhibitor (SSRI) C. Tricyclic antidepressant (TCA) D. Bupropion (Wellbutrin) - ANSWER -A. Buspirone (Buspar)
A hispanic woman who is 26wks pregnant states that she recently began eating ice chips between meals. A. Have the patient checked for diabetes B. Assess the patient for iron deficiency anemia C. Encourage the patient to eat more at meal times D. Tell the patient that this cultural practice can be harmful - ANSWER -B. Assess the patient for iron deficiency anemia Snellen chart evaluation indicated that the patient vision is 20/30. What is the proper description of this result? A. At 20ft , this pt can see what a person with normal vision can see at 30ft B. At 30ft, this pt can see what a person with normal vision can see at 20ft C. At 20ft, this pt can see what few people can see at 30 ft D. This patient has sight abilities that are worse than a pt with 20/40 vision - ANSWER -A. At 20 ft, this pt can see what a person with normal vision can see at 30ft Which of the following is NOT a common symptom of Vitamin B deficiency? A. Sore tongue B. Fatigue C. Constipation D. Vomiting - ANSWER -D. Vomiting During a migraine, the cerebral arteries:
