APEA 3P Exam
Contains 75 Questions with Verified Answers
Passing Score: 94.67%.
1. A 15 years old high school student with a mild sore throat and low - grade fever
that has persisted for about 3 weeks. She reports general malaise, fatigue, and
loss of appetite. The NP suspects mononucleosis. Which of the following is the
LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase
Answer> Obtain an urinalyses and serum for LFTs and amylase
2. A 32 years old male patient complaint of urinary frequency and burning on
urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He
denies any past hx of urinary tract infections. The initial treatment should be:
a. trimethoprim - sulfamethoxazole (Bactrim, Sulfatrim) for 7- 10 day
b. ciprofloxacin (Cipro) for 3- 5 days
c. Trimethoprim - Sulfameth oxazole for 3 d ays
d. 750 mg ciprofloxacin as a one - time dose
Answer> trimethoprim - sulfamethoxazole
(Bactrim, Sulfatrim) for 7- 10 day
3. The NP is counseling a 25 y/o sexually active male patient about condom
use, which of the following statement is INCORRECT
, a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms
Answer> Make sure the condom is tight against the head of the penis
4. Which of the following descriptions of Denver II Developmental Screening Test
is most accurate?
a. Applicable to children from birth to 2 years; evaluates four major categories of
development: motor, intellectual, emotional, and language to determine whether
a child is within normal range for various behaviors or is develop - mentally
delayed
b. Applicable to children from birth to 5 years; evaluates four major cate - gories
of development: motor, vision, hearing and psychosocial to determine whether a
child is normal or developmentally compromised
c. Applicable to children from birth to 6 years; evaluates four major categories of
development: gross motor, fine motor - adaptive, language, and personal social to
determine whether a child is within normal range for behaviors or is
developmentally delayed.
Answer> Applicable to children from birth to 6 years; evaluates four major categories
of development: gross motor, fine motor - adaptive, language, and personal social
to determine whether a child is within normal range for behaviors or is
developmentally delayed.
5. Which agent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetra cycline
d. Isotretinoin
Answer> Isotretinoin
, 6. An 18 y/o woman is taking a combined hormonal oral contraceptive. She
should be instructed to use a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate ( Topamax) for the treatment of migraines.
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
d. if she forgets to take a single dose of the contraceptive
Answer> If prescribed topiramate ( Topamax) for the treatment of mi gr aine s .
7. A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250
mg/dl (6.5mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65
mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the
greatest effect on improving her lipid profile and reducing morbidity and
mortality associates with dyslipidemia?
a. Niacin (Niaspan)
b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates
Answer> Atorvastatin
8. A NP has recently been hired to work in a fast track facilit y.The NP employer
asked if she has "a problem prescribing medications for emergency contra -
ception." The NP replies affirmative ly. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
c. Illegal according to the standards of nursing
d. Patient abandonment.
Answer> An ethical dilemma for the NP
9. 30 years old female comes into a clinic with classic signs and symptoms of
appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures
Contains 75 Questions with Verified Answers
Passing Score: 94.67%.
1. A 15 years old high school student with a mild sore throat and low - grade fever
that has persisted for about 3 weeks. She reports general malaise, fatigue, and
loss of appetite. The NP suspects mononucleosis. Which of the following is the
LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase
Answer> Obtain an urinalyses and serum for LFTs and amylase
2. A 32 years old male patient complaint of urinary frequency and burning on
urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He
denies any past hx of urinary tract infections. The initial treatment should be:
a. trimethoprim - sulfamethoxazole (Bactrim, Sulfatrim) for 7- 10 day
b. ciprofloxacin (Cipro) for 3- 5 days
c. Trimethoprim - Sulfameth oxazole for 3 d ays
d. 750 mg ciprofloxacin as a one - time dose
Answer> trimethoprim - sulfamethoxazole
(Bactrim, Sulfatrim) for 7- 10 day
3. The NP is counseling a 25 y/o sexually active male patient about condom
use, which of the following statement is INCORRECT
, a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms
Answer> Make sure the condom is tight against the head of the penis
4. Which of the following descriptions of Denver II Developmental Screening Test
is most accurate?
a. Applicable to children from birth to 2 years; evaluates four major categories of
development: motor, intellectual, emotional, and language to determine whether
a child is within normal range for various behaviors or is develop - mentally
delayed
b. Applicable to children from birth to 5 years; evaluates four major cate - gories
of development: motor, vision, hearing and psychosocial to determine whether a
child is normal or developmentally compromised
c. Applicable to children from birth to 6 years; evaluates four major categories of
development: gross motor, fine motor - adaptive, language, and personal social to
determine whether a child is within normal range for behaviors or is
developmentally delayed.
Answer> Applicable to children from birth to 6 years; evaluates four major categories
of development: gross motor, fine motor - adaptive, language, and personal social
to determine whether a child is within normal range for behaviors or is
developmentally delayed.
5. Which agent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetra cycline
d. Isotretinoin
Answer> Isotretinoin
, 6. An 18 y/o woman is taking a combined hormonal oral contraceptive. She
should be instructed to use a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate ( Topamax) for the treatment of migraines.
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
d. if she forgets to take a single dose of the contraceptive
Answer> If prescribed topiramate ( Topamax) for the treatment of mi gr aine s .
7. A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250
mg/dl (6.5mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65
mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the
greatest effect on improving her lipid profile and reducing morbidity and
mortality associates with dyslipidemia?
a. Niacin (Niaspan)
b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates
Answer> Atorvastatin
8. A NP has recently been hired to work in a fast track facilit y.The NP employer
asked if she has "a problem prescribing medications for emergency contra -
ception." The NP replies affirmative ly. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
c. Illegal according to the standards of nursing
d. Patient abandonment.
Answer> An ethical dilemma for the NP
9. 30 years old female comes into a clinic with classic signs and symptoms of
appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures
