APEA 3P Actual Exam questions and answers 2026 update (A+)

APEA3PActual Exam questions and
answers 2026 update
(A+)
1. When h,performing h,a h,visual h,acuity h,test h,the h,nurse h,practitioner h,notes h,20/30 h,in h,the
h,left h,e h,ye h,and h,20/40 h,in h,the h,right h,eye h,using h,the h,Snellen h,eye h,chart. h,This h,means:

a) have h,the h,patient h,returning h,in h,two h,weeks h,for h,a h,follow h,up h,vision h,screen
b) dilated h,the h,eye h,and h,retest
c) refer h,the h,patient h,to h,an h,ophthalmologist
d) document h,this h,as h,a h,normal h,finding

2. The h,American h,psychiatric h,association’s h,diagnostic h,and h,statistical h,manual h,of
h,menta h,l h,disorder h,defines h,Munchausen h,Syndrome h,By h,Proxy h,a) h,a h,self-

inflicted h,injury h,to h,gain h,attention
b) a h,caregiver h,making h,up h,or h,causing h,an h,illness h,or h,injury h,in h,a h,person
h,under h,his h,or h,her h,care

c) an h,abusive h,behavior h,that h,does h,not h,involve h,the h,caregiver
d) a h,situation h,in h,which h,the h,abuser h,is h,often h,inattentive h,and h,uncaring h,toward h,the h,victim

Munchausen h,syndrome h,by h,proxy h,is h,a h,mental h,illness h,and h,a h,form h,of h,child h,abuse. h,The
h,caret h,aker

of h,a h,child, h,most h,often h,a h,mother, h,either h,makes h,up h,fake h,symptoms h,or h,causes h,real
h,symptom h,s h,to h , make h,it h,look h,like h,the h,child h,is h,sick.




3. Symptoms h,of h,depression h,are h,a h,side h,effect h,of h,which h,neurotransmitter h,medication?
a) dopamine serotonin, h,norepinephrine
b) gabapentin
c) mil
d) cortisol

4. Which h,lesion h,is h,darkAraised h,and h,asymmetric h,with h,irregular h,border? h,Quizlet h,Bates
h,Cha h,pter h,20 h,a) h,Nevus

b) Actinic h,keratosis
c) Keratoacanthoma
d) Melanoma

5. A h,32 h,years h,old h,woman h,presents h,with h,dull h,puffiness h,of h,the h,ayes
h,pronounced h,n h,ot h,pitting h,periorbital h,edema h,this h,finding h,is h,suggestive h,of

h,this h,condition? h,APE h , A

a) Nephrotic h,syndrome
b) Myxedema
c) Cushing h,syndrome

, d) Sinusitis
Myxedema h,is h,a h,deposition h,of h,mucopolysaccarides h,in h,the h,dermis. h,Is h,commonly h,found
h,if h,pa h,tient

s h,with h,advanced h,hypothyroidism. h,The h,classic h,skin h,changes h,are: h,swelling h,of h,face, h,lips,
h,ey h,elids,

and h,tongue h,or h,swelling h,and h,thickening h,of h,skin h,anywhere h,on h,the h,body, h,especially h,in
h,the h,lo h,wer h,l h,egs.

Myxedema h,is h,the h,hallmark h,of h,Grave’s h,disease, h,an h,autoimmune h,form h,of h,hyperthyroidis
m. h,Myxedema h,can h,also h,occur h,in h,Hashimoto’s h,thyroiditis h,a h,form h,of h,hypothyroidism.

6. A h,42 h,years h,old h,woman h,with h,a h,past h,medical h,history h,of h,migraine h,headaches
h,is h,req h,uesting h,prophylactic h,medication h,treatment. h,Which h,medication h,should

h,the h,Nurse h,p h,ractitioner h,prescribe?

a) Sumatriptan h,(Imitrex)
b) Amitriptyline h,(Elavil)
c) Verapamil h,(verelan)
d) Metoprolol h,(Lopressor)

Amitriptyline h,(Elavil) h,is h,a h,tricyclicAantidepresant h,and h,is h,considered h,offlabel h,use h,for
h,prophyl h,actic h,tr h,eatment h,of h, migrane. h,Sumatriptan h,(Imimtrex) h,Is h,aTriptans h,used h,to

h,abort h,migraine




7. A h,pediatric h,patient h,has h,areas h,of h,scaling h,on h,the h,scalp h,with h,round h,patches h,of h,alopeci
a. h,This h,clinical h,finding h,is h,consistentAwith:
a) Tinea h,capitis
b) Seborrheic h,dermatitis
c) Trichotillomania
d) Alopecia h,areata

8. What h,is h,the h,appropriate h,prophylactic h,medication h,for h,an h,18 h,years h,old h,woman
h,with h,a h,past h,medical h,history h,of h,migraine h,headaches? h,a) h,Sumatriptan h,(Imitre

x) h,b)APropanolol h,(Inde
h,ral)

c) Ibuprofeno h,(motrin)
d) Dihydroergotamine h,(DHE)

9. Why h,would h,a h,combined h,hormonal h,contraceptive h,be h,contraindicated h,in h,a h,36
h,year h,ol h,d h,patient h,with h,a h,pastAmedical h,history h,of h,type h,2 h,diabetes, h,obesity,

h,chronic h,smoking h,and h,sedentary h,life h,a) h,She h,is h,obese

b) She h,has h,type h,2 h,diabetes h,mellitus
c) Her h,age h,and h,tobacco h,use
d) She h,leads h,a h,sedentary h,lifestyle
Combined h,oral h,contraceptive h,is h,contraindicated h,in h,women h,older h,than h,45, h,breastfeeding, h,s
h, moking, h , HTN, h,diabetes h,or h,hxAof h,stroke




10. During h,the h,breast h,examination h,of h,a h,perimenopausal h,woman h,the h,NP
h,detects h,a h,bloody h,spontaneous h,discharge h,from h,the h,right h,nipple. h,This

h,indicates h,furth h,er h,evaluation.