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56 qualifying
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examination
assessment
Questions
PREDICTORqbank
preparation.
and Answers + Rationales
Question #1
The first sign of puberty in girls is:
A - enlargement of the ovaries, uterus, and clitoris.
~ B -development of breast buds.
C - the occurrence of menarche.
D - acne resulting from stimulation of the sebaceous glands.
Question #2
Which drug class can potentially produce hypotension, bradycardia, and worsening HF?
A - Angiotensin converting enzyme inhibitors (ACE)
B - Angiotensin receptor blockers (ARB)
C - Loop diuretics
J D-Beta adrenergic blockers (BB)
Question #3
The most commonly recommended method for prostate cancer screening in a 55-year-old man is:
A - digital rectal examination (DRE) plus prostate-specific antigen (PSA) measurement.
™ B - prostate-specific antigen (PSA) testing alone.
C - transrectal ultrasound (TRUS) alone.
D - prostate-specific antigen (PSA) testing and transrectal ultrasound. (TRUS).
Question #4
Which physical finding in an elderly adult warrants further study?
A - Symmetrically diminished Achilles tendon reflexes
B - Gynecomastia in a male
C - Facial hair on the chin of a female
F) D - Dimpling in the right breast of a female
Question #5
What problem would be LEAST expected in a pregnancy complicated by gestational diabetes?
7 A-Cephalopelvic disproportion
GB - Placenta previa |y
@ C- Neonatal hypoglycemia
D - A macrosomic infant
Page 1 of 56 . Complete exam prep,
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,. Complete exam prep,
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Questions
PREDICTORqbank
preparation.
and Answers + Rationales
Question #6
Which of the following factors created an opportunity for the development of the nurse practitioner
movement?
A - Oversupply of registered nurses in traditional roles
B - Increased need for specially trained cardiovascular nurses
® C-Shortage of primary care physicians
D - Hospital-based nurse practitioner programs
Question #7
Patients diagnosed with polycystic ovarian disease are at increased risk of developing:
® A-diabetes mellitus.
B - cervical cancer.
C - endometriosis.
D - Cushing's syndrome.
Question #8
A depressed patient has been treated and has had relief of symptoms while on medication for depression.
Which patient statement indicates a correct understanding of depression?
A - It is unlikely that | will have a recurrence of depression in my lifetime.
® B - | must remain on medication for about 6 months since this is my first episode of depression.
C -l do not need to be weaned off my anti-depressant medication.
D - It's OK if | skip my medicine every once in a while.
Question #9
A 35-year-old male presents with a complaint of low pelvic pain, dysuria, hesitancy, urgency, and reduced
force of stream. The nurse practitioner suspects acute bacterial prostatitis. The nurse practitioner would
appropriately collect all of the following specimens EXCEPT a:
A - voided mid-stream bladder urine.
B - voided urethral urine.
® C-voided post-prostate massage urine.
- sterile in-and-out catheter urine specimen.
Page 2 of 56 . Complete exam prep,
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,. Complete exam prep,
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ofassessment
56 qualifying
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examination
assessment
Questions
PREDICTORqbank
preparation.
and Answers + Rationales
Question #10
A 32-year-old female patient presents with fever, chills, right flank pain, right costovertebral angle
tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse practitioner
diagnoses pyelonephritis. The most appropriate intervention is:
A - refer patient to a physician immediately.
B - a 7-day course of ciprofloxacin (Cipro®).
C - to obtain blood cultures from separate sites.
‘® D -collect a urine for culture/sensitivity, order a CBC and an antibiotic.
Question #11
Which of the following postpartum mothers should receive Rhogam®@ (BayRho-D) to prevent Rh
isoimmunization?
(fie - A G1 P1 mother who is Rh negative without Rh antibodies; cord blood is Coombs negative;
rn is Rh positive.
B - A G2 P2 mother who is Rh negative without Rh antibodies; cord blood is Coombs negative;
newborn is Rh negative.
C - A G2 P2 mother who is Rh negative with Rh antibodies; cord blood is Coombs negative; newborn is
Rh negative.
® D-AGI1P1 mother who is Rh positive with Rh antibodies; cord blood is Coombs positive; newborn is
Rh negative.
Question #12
An important factor to consider when interviewing the geriatric patient is that:
A - elders are less skilled than young adults at decision-making.
B - the capacity to learn, re-learn, synthesize, and problem-solve diminishes in old age.
@ C-thereis considerable variation in general health, mental status, and functional ability among
elders.
D - abstract reasoning and conceptual skills decrease with advanced age.
aussionszz T & WD €]
A 2 week old infant is brought to the nurse practitioner clinic after a difficult delivery. The mother says the
infant fusses when handled or picked up. On physical examination, the nurse practitioner notes decreased
movement of the right arm during the Moro reflex, and crepitus on palpation of the right clavicle. The
diagnosis is fracture of the clavicle. The recommended management is:
A - a "figure-8" clavicle brace.
B - a shoulder/trunk spica cast to immobilize the fracture for 6 weeks.
@ C-instructions to the parents to handle the neonate gently.
D - referral to an orthopedic surgeon.
Page 3 of 56 . Complete exam prep,
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Questions
PREDICTORqbank
preparation.
and Answers + Rationales
Question #14
Which antibiotic is demonstrated to be the most effective treatment for community acquired pneumonia
(CAP) in young adults without any co-morbid conditions?
A-sulfa
® B - clarithromycin (Biaxin®)
C - cefuroxime (Ceftin)
D - penicillin
Question #15
What is the most common chronic condition in the elder population in the United States?
® A-Hypertension
B - Arthritis
C - Cataracts
D - Diabetes mellitus
Question #15
What is the most common chronic condition in the elder population in the United States?
A - Hypertension
® B -Arthritis
C - Cataracts
D - Diabetes mellitus
Question #16
Expected spirometry readings when the patient has chronic emphysema include:
A - decreased residual volume (RV).
B - increased vital capacity (VC).
C - increased forced expiratory volume (FEV-1).
® D-increased total lung capacity (TLC).
Page 4 of 56 . Complete exam prep,
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practice
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effective
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ofassessment
56 qualifying
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preparation.APEA
examination
assessment
Questions
PREDICTORqbank
preparation.
and Answers + Rationales
Question #1
The first sign of puberty in girls is:
A - enlargement of the ovaries, uterus, and clitoris.
~ B -development of breast buds.
C - the occurrence of menarche.
D - acne resulting from stimulation of the sebaceous glands.
Question #2
Which drug class can potentially produce hypotension, bradycardia, and worsening HF?
A - Angiotensin converting enzyme inhibitors (ACE)
B - Angiotensin receptor blockers (ARB)
C - Loop diuretics
J D-Beta adrenergic blockers (BB)
Question #3
The most commonly recommended method for prostate cancer screening in a 55-year-old man is:
A - digital rectal examination (DRE) plus prostate-specific antigen (PSA) measurement.
™ B - prostate-specific antigen (PSA) testing alone.
C - transrectal ultrasound (TRUS) alone.
D - prostate-specific antigen (PSA) testing and transrectal ultrasound. (TRUS).
Question #4
Which physical finding in an elderly adult warrants further study?
A - Symmetrically diminished Achilles tendon reflexes
B - Gynecomastia in a male
C - Facial hair on the chin of a female
F) D - Dimpling in the right breast of a female
Question #5
What problem would be LEAST expected in a pregnancy complicated by gestational diabetes?
7 A-Cephalopelvic disproportion
GB - Placenta previa |y
@ C- Neonatal hypoglycemia
D - A macrosomic infant
Page 1 of 56 . Complete exam prep,
. Complete
practiceexam
resources,
prep, and
practice
updated
resources,
study guides
and updated
included
study
for effective
guides included
assessment
for effective
preparation.
assessment preparation.
,. Complete exam prep,
. Complete
practiceexam
resources,
prep, and
practice
updated
resources,
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and updated
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study
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effective
guides2 included
ofassessment
56 qualifying
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preparation.APEA
examination
assessment
Questions
PREDICTORqbank
preparation.
and Answers + Rationales
Question #6
Which of the following factors created an opportunity for the development of the nurse practitioner
movement?
A - Oversupply of registered nurses in traditional roles
B - Increased need for specially trained cardiovascular nurses
® C-Shortage of primary care physicians
D - Hospital-based nurse practitioner programs
Question #7
Patients diagnosed with polycystic ovarian disease are at increased risk of developing:
® A-diabetes mellitus.
B - cervical cancer.
C - endometriosis.
D - Cushing's syndrome.
Question #8
A depressed patient has been treated and has had relief of symptoms while on medication for depression.
Which patient statement indicates a correct understanding of depression?
A - It is unlikely that | will have a recurrence of depression in my lifetime.
® B - | must remain on medication for about 6 months since this is my first episode of depression.
C -l do not need to be weaned off my anti-depressant medication.
D - It's OK if | skip my medicine every once in a while.
Question #9
A 35-year-old male presents with a complaint of low pelvic pain, dysuria, hesitancy, urgency, and reduced
force of stream. The nurse practitioner suspects acute bacterial prostatitis. The nurse practitioner would
appropriately collect all of the following specimens EXCEPT a:
A - voided mid-stream bladder urine.
B - voided urethral urine.
® C-voided post-prostate massage urine.
- sterile in-and-out catheter urine specimen.
Page 2 of 56 . Complete exam prep,
. Complete
practiceexam
resources,
prep, and
practice
updated
resources,
study guides
and updated
included
study
for effective
guides included
assessment
for effective
preparation.
assessment preparation.
,. Complete exam prep,
. Complete
practiceexam
resources,
prep, and
practice
updated
resources,
study guides
and updated
included
study
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effective
guides3 included
ofassessment
56 qualifying
for effective
preparation.APEA
examination
assessment
Questions
PREDICTORqbank
preparation.
and Answers + Rationales
Question #10
A 32-year-old female patient presents with fever, chills, right flank pain, right costovertebral angle
tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse practitioner
diagnoses pyelonephritis. The most appropriate intervention is:
A - refer patient to a physician immediately.
B - a 7-day course of ciprofloxacin (Cipro®).
C - to obtain blood cultures from separate sites.
‘® D -collect a urine for culture/sensitivity, order a CBC and an antibiotic.
Question #11
Which of the following postpartum mothers should receive Rhogam®@ (BayRho-D) to prevent Rh
isoimmunization?
(fie - A G1 P1 mother who is Rh negative without Rh antibodies; cord blood is Coombs negative;
rn is Rh positive.
B - A G2 P2 mother who is Rh negative without Rh antibodies; cord blood is Coombs negative;
newborn is Rh negative.
C - A G2 P2 mother who is Rh negative with Rh antibodies; cord blood is Coombs negative; newborn is
Rh negative.
® D-AGI1P1 mother who is Rh positive with Rh antibodies; cord blood is Coombs positive; newborn is
Rh negative.
Question #12
An important factor to consider when interviewing the geriatric patient is that:
A - elders are less skilled than young adults at decision-making.
B - the capacity to learn, re-learn, synthesize, and problem-solve diminishes in old age.
@ C-thereis considerable variation in general health, mental status, and functional ability among
elders.
D - abstract reasoning and conceptual skills decrease with advanced age.
aussionszz T & WD €]
A 2 week old infant is brought to the nurse practitioner clinic after a difficult delivery. The mother says the
infant fusses when handled or picked up. On physical examination, the nurse practitioner notes decreased
movement of the right arm during the Moro reflex, and crepitus on palpation of the right clavicle. The
diagnosis is fracture of the clavicle. The recommended management is:
A - a "figure-8" clavicle brace.
B - a shoulder/trunk spica cast to immobilize the fracture for 6 weeks.
@ C-instructions to the parents to handle the neonate gently.
D - referral to an orthopedic surgeon.
Page 3 of 56 . Complete exam prep,
. Complete
practiceexam
resources,
prep, and
practice
updated
resources,
study guides
and updated
included
study
for effective
guides included
assessment
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assessment preparation.
, . Complete exam prep,
. Complete
practiceexam
resources,
prep, and
practice
updated
resources,
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effective
guides4 included
ofassessment
56 qualifying
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preparation.APEA
examination
assessment
Questions
PREDICTORqbank
preparation.
and Answers + Rationales
Question #14
Which antibiotic is demonstrated to be the most effective treatment for community acquired pneumonia
(CAP) in young adults without any co-morbid conditions?
A-sulfa
® B - clarithromycin (Biaxin®)
C - cefuroxime (Ceftin)
D - penicillin
Question #15
What is the most common chronic condition in the elder population in the United States?
® A-Hypertension
B - Arthritis
C - Cataracts
D - Diabetes mellitus
Question #15
What is the most common chronic condition in the elder population in the United States?
A - Hypertension
® B -Arthritis
C - Cataracts
D - Diabetes mellitus
Question #16
Expected spirometry readings when the patient has chronic emphysema include:
A - decreased residual volume (RV).
B - increased vital capacity (VC).
C - increased forced expiratory volume (FEV-1).
® D-increased total lung capacity (TLC).
Page 4 of 56 . Complete exam prep,
. Complete
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