APEA 3P ACTUAL EXAM 2 PAPER 2026
QUESTIONS SOLUTIONS GRADED A+
◉ a patient sustained facial trauma and has nose pain, NP should
obtain nasal bone xrays if what is present. Answer: septal
hematoma, deviation of septum
NOT if tenderness and swelling is secluded to nasal bony bridge
◉ urine loss associated with laughing, sneezing, coughing is called.
Answer: stress incontinence
◉ initial evaluation of this includes. Answer: bladder stress test-
stands with full bladder, and coughs or performs valsalva maneuver
◉ functional incontinence. Answer: inability to get to the toilet
◉ overflow incontinence. Answer: enlarged bladder and volume
leakage overflow
◉ urge incontinence. Answer: incontinence w urge to void
,◉ bipolar disorder- manic behavior. Answer: increased sexuality
- disinhibition by removing clothing when not asked
- flight of ideas WITHOUT organization
-loud rapid speech that is IMPOSSIBLE to interrupt
◉ what does a normal cervix during pregnancy look like. Answer:
bluish cervix with friability
due to increased vascularity
- chadwick sign
◉ normal non pregnant cervix looks like. Answer: pink color
◉ best physical assessment to rule out a high ankle sprain. Answer:
squeeze tests
compression of tibia and fibula together
suggests ligament damage and high ankle sprain
◉ thompson test. Answer: assesses achilles tendon
◉ normal HR of a 12 month-36 month old. Answer: 92-140
,◉ respiratory rate. Answer: 20-46
◉ actinic cheilitis. Answer: lower lip loses its normal redness and
may become scaly, thickened and slightly everted; mostly from sun
exposure; fair skinned men who work outside be aware of risk for
carcinoma
◉ biliary cholic physical assessment finding. Answer: RUQ pain
radiates to R shoulder
due to presence of gallstones
◉ LLQ pain indicates. Answer: acute diverticulitis
◉ painless mass in popliteal fossa. Answer: bakers cysts
RA is a risk factor for this cyst
◉ symptoms of pyelonephritis. Answer: CVA tenderness
Suprapubic tenderness
◉ upper abdominal pain after eating or overnight and pain is on/off
for weeks. Answer: peptic ulcer disease
, ◉ what is the diagnostic you would do for this. Answer: upper
endoscopy
◉ can't feel fetal butt or head at maternal fundus during leopold
maneuver what is the position of the baby then. Answer: transverse
lie presentation
(side ways horizontal)
◉ Charcot's triad. Answer: abdominal pain, fever, jaundice
acute colangitis
need ERCP
◉ PAD. Answer: pale/white when elevated
red when lowered
◉ PVD. Answer: hyperpigmentation, dryness, tightness
◉ regular screening for colorectal cancer starts when. Answer:
between 45-75
and select few over the age of 75
QUESTIONS SOLUTIONS GRADED A+
◉ a patient sustained facial trauma and has nose pain, NP should
obtain nasal bone xrays if what is present. Answer: septal
hematoma, deviation of septum
NOT if tenderness and swelling is secluded to nasal bony bridge
◉ urine loss associated with laughing, sneezing, coughing is called.
Answer: stress incontinence
◉ initial evaluation of this includes. Answer: bladder stress test-
stands with full bladder, and coughs or performs valsalva maneuver
◉ functional incontinence. Answer: inability to get to the toilet
◉ overflow incontinence. Answer: enlarged bladder and volume
leakage overflow
◉ urge incontinence. Answer: incontinence w urge to void
,◉ bipolar disorder- manic behavior. Answer: increased sexuality
- disinhibition by removing clothing when not asked
- flight of ideas WITHOUT organization
-loud rapid speech that is IMPOSSIBLE to interrupt
◉ what does a normal cervix during pregnancy look like. Answer:
bluish cervix with friability
due to increased vascularity
- chadwick sign
◉ normal non pregnant cervix looks like. Answer: pink color
◉ best physical assessment to rule out a high ankle sprain. Answer:
squeeze tests
compression of tibia and fibula together
suggests ligament damage and high ankle sprain
◉ thompson test. Answer: assesses achilles tendon
◉ normal HR of a 12 month-36 month old. Answer: 92-140
,◉ respiratory rate. Answer: 20-46
◉ actinic cheilitis. Answer: lower lip loses its normal redness and
may become scaly, thickened and slightly everted; mostly from sun
exposure; fair skinned men who work outside be aware of risk for
carcinoma
◉ biliary cholic physical assessment finding. Answer: RUQ pain
radiates to R shoulder
due to presence of gallstones
◉ LLQ pain indicates. Answer: acute diverticulitis
◉ painless mass in popliteal fossa. Answer: bakers cysts
RA is a risk factor for this cyst
◉ symptoms of pyelonephritis. Answer: CVA tenderness
Suprapubic tenderness
◉ upper abdominal pain after eating or overnight and pain is on/off
for weeks. Answer: peptic ulcer disease
, ◉ what is the diagnostic you would do for this. Answer: upper
endoscopy
◉ can't feel fetal butt or head at maternal fundus during leopold
maneuver what is the position of the baby then. Answer: transverse
lie presentation
(side ways horizontal)
◉ Charcot's triad. Answer: abdominal pain, fever, jaundice
acute colangitis
need ERCP
◉ PAD. Answer: pale/white when elevated
red when lowered
◉ PVD. Answer: hyperpigmentation, dryness, tightness
◉ regular screening for colorectal cancer starts when. Answer:
between 45-75
and select few over the age of 75
