APEA 3P EXAM Prep Neuro Questions With
Correct Answers And Explanations 2026
A Patient Who Is 82 Years Old Is Brought Into The Clinic. His Wife States That He
Was Working In His Garden Today And Became Disoriented And Had Slurred
Speech. She Helped Him Back Into The House, Gave Him Cool Fluids, And Within
15 Minutes His Symptoms Resolved. He Appears In His Usual State Of Health
When He Is Examined. He States That Although He Was Scared By The Event, He
Feels Fine Now. How Should The Nurse Practitioner Proceed?
Prescribe An Aspirin Daily.
Re-Examine Him Tomorrow.
Send Him To The Emergency Department.
Order An EKG.
This Patient Likely Suffered A Transient Ischemic Attack. He Needs Urgent
Evaluation With Head CT And/Or MRI, ECG, Lab Work (CBC, PTT, Lytes, Creatinine,
Glucose, Lipids And Sedimentation Rate); Possible Magnetic Resonance
Angiography, Carotid Ultrasound, And/Or Transcranial Doppler Ultrasonography. He
Is At Increased Risk Of Stroke Within The First 48 Hours After An Event Like This
One. On Initial Evaluation, The Most Important Determination To Be Made Is
Whether The Etiology Of The Stroke Or TIA Is Ischemic Or Hemorrhagic. After This
Determination, Treatment Can Begin. Unfortunately, This Determination Cannot Be
Made In The Clinic. The Patient Needs Urgent Referral To A Center Where This
Evaluation And Possible Treatment Can Be Performed.
The Most Common Presenting Sign Of Parkinson’s Disease
Is: Muscular Rigidity. Tremor.
Falling.
Bradykinesia.
Downloaded by: TUTORNELSON | Want to earn $1.236 Distribution of this document is illegal extra
per year?
,Stuvia.com - The Marketplace to Buy and Sell your Study Material
Approximately 70% Of Patients With Parkinson’s Disease Have Tremor As The
Presenting Symptom. The Tremor Typically Involves The Hand But Can Involve
The Legs, Jaw, Lips, Tongue. It Seldom Involves The Head. Muscular Rigidity And
Bradykinesia Are Two Less Common Presenting Signs.
When Should Medications Be Initiated In A Patient Who Is Diagnosed With
Parkinson’s Disease?
As Soon As The Disease Is Diagnosed
When Symptoms Interfere With Life’s Activities
When Nonpharmacologic Measures Have Been Exhausted
After MRI And CT Have Ruled Out Stroke Or Tumor
The Medications Used To Treat Patients Who Have Parkinson’s Disease Do Not
Prevent The Progression Of The Disease. Therefore, It Is Not Necessary To Start
Medications Until Symptoms Interfere With The Patient's Quality Of Life. Levodopa
Is Often Used Initially At The Lowest Dose That Helps A Patient Manage Symptoms.
It Can Be Titrated Upward As Needed. Orthostatic Hypotension Is A Common Side
Effect Of Levodopa, So Blood Pressure Should Be Monitored Closely.
A 72-Year-Old Patient With History Of Polymyalgia Rheumatica Complains Of New
Onset, Unilateral Headache And Visual Changes. Her Neurologic Exam Is Otherwise
Normal. Her CT Results Are WNL. ESR Is 75 (Normal: 0-29). VS: BP 140/82, HR 67,
RR 18, T 100. What Is The Most Likely Reason For Her Symptoms?
Transient Ischemic Attack
Temporal Arteritis
Meningitis
CVA
Polymyalgia Rheumatica (PMR) Is A Chronic Inflammatory Condition That Produces
Morning Stiffness In The Neck, Shoulders, And Hips. Its Peak Incidence Is 70-80
Years Old. PMR Is Commonly Associated With Temporal Arteritis, Also Known As
Giant Cell Arteritis. Temporal Arteritis Is A Chronic Vasculitis Of The Medium And
Large Vessels. Temporal Arteritis Is Characterized By New Onset Unilateral
Temporal Headache, Abrupt Onset Of Visual Disturbances, Elevated Sedimentation
Rate, Jaw Claudication, And Unexplained Fever. This Is Best Diagnosed By Temporal
Artery Biopsy. She Should Be Referred To Neurology For Evaluation Today.
Downloaded by: TUTORNELSON | Want to earn $1.236 Distribution of this document is
illegal extra per year?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
What Recommendation Should Be Made To An Older Adult Who Is Diagnosed With
Mild Dementia?
Driving Will Probably Not Increase Your Risk Of An Accident.
The Healthcare Provider Should Recommend That The Patient Stop Driving Today.
The Healthcare Provider Should Recommend Assessment Of Driving To Determine
Risk Of An Accident.
The Patient May Continue To Drive As Long As He Feels Comfortable.
Dementia Independently Increases The Risk Of Motor Vehicle Accidents If The
Patient Drives. The Healthcare Provider Should Discuss This With The Patient And A
Family Member If A Family Member Is Present During The Older Adult’s Evaluation.
Depending On The Degree Of Impairment, The Healthcare Provider Could
Recommend Stopping Driving, Or Recommend That An Assessment Be Done. The
Assessment Is Usually Completed By Either An Occupational Or Physical Therapist
Or Someone Trained To Assess This.
A Person With 20/60 Vision:
Is Legally Blind.
Will Have Difficulty Reading A Newspaper.
Will Be Unable To See The Big “E” On The Eye Chart.
Has Better Vision Than Someone With 20/80 Vision.
Using The Snellen Nomenclature For Describing Visual Acuity (Example 20/80), The
First Number Represents The Test Distance. In Most Cases This Is 20 Feet. The
Second Number Represents The Distance At Which The Average Eye Can See The
Letters On A Specific Line Of The Chart. In Other Words, The Examinee Can See At
20 Feet What An Average Eye (20/20) Can See At 80 Feet. 20/80 Is A Measure Of
Distant Vision, Not Near Vision Such As Reading A Newspaper. The Big “E”
Represents 20/200 Vision.
20/200 Is Considered Legally Blind By Most Standards.
A Patient Reports A History Of Transient Ischemic Attack (TIA) 6 Months Ago. His
Daily Medications Are Lisinopril, Pravastatin, And Metformin. After Advising Him To
Quit Smoking, What Intervention Is Most Important In Helping To Prevent Stroke In
Him?
Auscultation Of Carotid Arteries At Each Visit
Downloaded by: TUTORNELSON | Want to earn $1.236 Distribution of this document is
illegal extra per year?
Correct Answers And Explanations 2026
A Patient Who Is 82 Years Old Is Brought Into The Clinic. His Wife States That He
Was Working In His Garden Today And Became Disoriented And Had Slurred
Speech. She Helped Him Back Into The House, Gave Him Cool Fluids, And Within
15 Minutes His Symptoms Resolved. He Appears In His Usual State Of Health
When He Is Examined. He States That Although He Was Scared By The Event, He
Feels Fine Now. How Should The Nurse Practitioner Proceed?
Prescribe An Aspirin Daily.
Re-Examine Him Tomorrow.
Send Him To The Emergency Department.
Order An EKG.
This Patient Likely Suffered A Transient Ischemic Attack. He Needs Urgent
Evaluation With Head CT And/Or MRI, ECG, Lab Work (CBC, PTT, Lytes, Creatinine,
Glucose, Lipids And Sedimentation Rate); Possible Magnetic Resonance
Angiography, Carotid Ultrasound, And/Or Transcranial Doppler Ultrasonography. He
Is At Increased Risk Of Stroke Within The First 48 Hours After An Event Like This
One. On Initial Evaluation, The Most Important Determination To Be Made Is
Whether The Etiology Of The Stroke Or TIA Is Ischemic Or Hemorrhagic. After This
Determination, Treatment Can Begin. Unfortunately, This Determination Cannot Be
Made In The Clinic. The Patient Needs Urgent Referral To A Center Where This
Evaluation And Possible Treatment Can Be Performed.
The Most Common Presenting Sign Of Parkinson’s Disease
Is: Muscular Rigidity. Tremor.
Falling.
Bradykinesia.
Downloaded by: TUTORNELSON | Want to earn $1.236 Distribution of this document is illegal extra
per year?
,Stuvia.com - The Marketplace to Buy and Sell your Study Material
Approximately 70% Of Patients With Parkinson’s Disease Have Tremor As The
Presenting Symptom. The Tremor Typically Involves The Hand But Can Involve
The Legs, Jaw, Lips, Tongue. It Seldom Involves The Head. Muscular Rigidity And
Bradykinesia Are Two Less Common Presenting Signs.
When Should Medications Be Initiated In A Patient Who Is Diagnosed With
Parkinson’s Disease?
As Soon As The Disease Is Diagnosed
When Symptoms Interfere With Life’s Activities
When Nonpharmacologic Measures Have Been Exhausted
After MRI And CT Have Ruled Out Stroke Or Tumor
The Medications Used To Treat Patients Who Have Parkinson’s Disease Do Not
Prevent The Progression Of The Disease. Therefore, It Is Not Necessary To Start
Medications Until Symptoms Interfere With The Patient's Quality Of Life. Levodopa
Is Often Used Initially At The Lowest Dose That Helps A Patient Manage Symptoms.
It Can Be Titrated Upward As Needed. Orthostatic Hypotension Is A Common Side
Effect Of Levodopa, So Blood Pressure Should Be Monitored Closely.
A 72-Year-Old Patient With History Of Polymyalgia Rheumatica Complains Of New
Onset, Unilateral Headache And Visual Changes. Her Neurologic Exam Is Otherwise
Normal. Her CT Results Are WNL. ESR Is 75 (Normal: 0-29). VS: BP 140/82, HR 67,
RR 18, T 100. What Is The Most Likely Reason For Her Symptoms?
Transient Ischemic Attack
Temporal Arteritis
Meningitis
CVA
Polymyalgia Rheumatica (PMR) Is A Chronic Inflammatory Condition That Produces
Morning Stiffness In The Neck, Shoulders, And Hips. Its Peak Incidence Is 70-80
Years Old. PMR Is Commonly Associated With Temporal Arteritis, Also Known As
Giant Cell Arteritis. Temporal Arteritis Is A Chronic Vasculitis Of The Medium And
Large Vessels. Temporal Arteritis Is Characterized By New Onset Unilateral
Temporal Headache, Abrupt Onset Of Visual Disturbances, Elevated Sedimentation
Rate, Jaw Claudication, And Unexplained Fever. This Is Best Diagnosed By Temporal
Artery Biopsy. She Should Be Referred To Neurology For Evaluation Today.
Downloaded by: TUTORNELSON | Want to earn $1.236 Distribution of this document is
illegal extra per year?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
What Recommendation Should Be Made To An Older Adult Who Is Diagnosed With
Mild Dementia?
Driving Will Probably Not Increase Your Risk Of An Accident.
The Healthcare Provider Should Recommend That The Patient Stop Driving Today.
The Healthcare Provider Should Recommend Assessment Of Driving To Determine
Risk Of An Accident.
The Patient May Continue To Drive As Long As He Feels Comfortable.
Dementia Independently Increases The Risk Of Motor Vehicle Accidents If The
Patient Drives. The Healthcare Provider Should Discuss This With The Patient And A
Family Member If A Family Member Is Present During The Older Adult’s Evaluation.
Depending On The Degree Of Impairment, The Healthcare Provider Could
Recommend Stopping Driving, Or Recommend That An Assessment Be Done. The
Assessment Is Usually Completed By Either An Occupational Or Physical Therapist
Or Someone Trained To Assess This.
A Person With 20/60 Vision:
Is Legally Blind.
Will Have Difficulty Reading A Newspaper.
Will Be Unable To See The Big “E” On The Eye Chart.
Has Better Vision Than Someone With 20/80 Vision.
Using The Snellen Nomenclature For Describing Visual Acuity (Example 20/80), The
First Number Represents The Test Distance. In Most Cases This Is 20 Feet. The
Second Number Represents The Distance At Which The Average Eye Can See The
Letters On A Specific Line Of The Chart. In Other Words, The Examinee Can See At
20 Feet What An Average Eye (20/20) Can See At 80 Feet. 20/80 Is A Measure Of
Distant Vision, Not Near Vision Such As Reading A Newspaper. The Big “E”
Represents 20/200 Vision.
20/200 Is Considered Legally Blind By Most Standards.
A Patient Reports A History Of Transient Ischemic Attack (TIA) 6 Months Ago. His
Daily Medications Are Lisinopril, Pravastatin, And Metformin. After Advising Him To
Quit Smoking, What Intervention Is Most Important In Helping To Prevent Stroke In
Him?
Auscultation Of Carotid Arteries At Each Visit
Downloaded by: TUTORNELSON | Want to earn $1.236 Distribution of this document is
illegal extra per year?
