TEST BANK FOR APEA
PRACTICE REAL EXAM 2026
2027 VERIFIED ANSWERS
ACTUAL UPDATED PRACTICE
QUESTIONS HIGH YIELD
STUDY GUIDE EXAM PREP
MATERIAL LATEST VERSION
GRADED A+ SUCCESS
COMPREHENSIVE REVIEW
RESOURCE
1.A 72-year old female patient reports a 6-month history of progressively more swollen and painful distal
interphalangeal (DIP) joints of one hand. There are no systemic symptoms, but the erythrocyte
sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally
elevated. What is the most likely diagnosis?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Infection
D. Lupus
B
2.The nurse practitioner suspects migraine in a 6-year-old male with a 2 month history of recurrent
headache. What finding would support a diagnosis of migraine headache?
A. Family history of migraine headache
B. Localized facial pain and ataxia
C. Problems at home, school, and with peers
,
,D. Ipsilateral weakness and papilledema
A
3.Which of these behaviors should the nurse practitioner recognize as most typical of the adolescent
female who has been sexually abused?
A. Runaway attempts, substance abuse, hysterical seizures, and indiscriminate sexual activity
B. Anorexia or bulimia, difficult mother-daughter relationship, and violence toward siblings
C. Academic over-achievement, social isolation, and lack of religious affiliation
D. Frequent clinic visits for insignificant medical problems and apathetic or bored affect Incorrect A
4.Of the following, the patient who should be referred for periodic colonoscopy is the patient with:
A. diverticulitis resistant to traditional medical management.
B. extensive ulcerative colitis of long duration.
C. irritable bowel syndrome (IBS) complicated by psychiatric illness.
D. lactose intolerance.
B
2026 VERSION GRADED A+
5.A young child is suspected of having pediculosis. The nurse practitioner examines the hair of the child
with a Wood's lamp. The nurse practitioner would expect to see:
A. adult lice glowing fluorescent green.
B. no adult lice, but purple fluorescence where the adults have laid eggs.
C. nits that fluoresce white and gray.
D. no fluorescence unless there are live nits.
C
6.A 16-year-old presents for a sports physical for football. The nurse practitioner auscultates a diastolic
murmur. It is a grade II/VI. He has no history of a murmur. The patient denies symptoms. What is the
most appropriate action for the NP? Diastolic murmurs are never normal.
A. Refer this patient to a cardiologist.
B. Consider this a normal finding and complete his physical exam.
C. Have the patient return in 8-12 weeks and re-assess the murmur.
D. Complete his physical exam and order an EKG.
A
7.A 3½ year old male patient has a systolic murmur, grade I/VI, which becomes difficult to hear when he
stands. He exhibits normal growth and development. Which characteristic does NOT support that this is
an innocent murmur?
A. Age
,
, ,
APEA PRACTICE REAL EXAM
QUESTIONS AND ANSWERS
[ACCURATE ANSWERS] UPDATED
B. Softening of the murmur with standing
C. Gender
D. Grade I/VI
C
8.Which of the following is NOT true about Carpal Tunnel Syndrome?
A. Symptoms present in the first 3 fingers of the affected hand.
B. Symptoms are absent in the 5th finger.
C. Median nerve compression can result in decreased strength and impaired fine motor coordination.
D. Phalen's and Tinel's signs are negative.
D
,
PRACTICE REAL EXAM 2026
2027 VERIFIED ANSWERS
ACTUAL UPDATED PRACTICE
QUESTIONS HIGH YIELD
STUDY GUIDE EXAM PREP
MATERIAL LATEST VERSION
GRADED A+ SUCCESS
COMPREHENSIVE REVIEW
RESOURCE
1.A 72-year old female patient reports a 6-month history of progressively more swollen and painful distal
interphalangeal (DIP) joints of one hand. There are no systemic symptoms, but the erythrocyte
sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally
elevated. What is the most likely diagnosis?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Infection
D. Lupus
B
2.The nurse practitioner suspects migraine in a 6-year-old male with a 2 month history of recurrent
headache. What finding would support a diagnosis of migraine headache?
A. Family history of migraine headache
B. Localized facial pain and ataxia
C. Problems at home, school, and with peers
,
,D. Ipsilateral weakness and papilledema
A
3.Which of these behaviors should the nurse practitioner recognize as most typical of the adolescent
female who has been sexually abused?
A. Runaway attempts, substance abuse, hysterical seizures, and indiscriminate sexual activity
B. Anorexia or bulimia, difficult mother-daughter relationship, and violence toward siblings
C. Academic over-achievement, social isolation, and lack of religious affiliation
D. Frequent clinic visits for insignificant medical problems and apathetic or bored affect Incorrect A
4.Of the following, the patient who should be referred for periodic colonoscopy is the patient with:
A. diverticulitis resistant to traditional medical management.
B. extensive ulcerative colitis of long duration.
C. irritable bowel syndrome (IBS) complicated by psychiatric illness.
D. lactose intolerance.
B
2026 VERSION GRADED A+
5.A young child is suspected of having pediculosis. The nurse practitioner examines the hair of the child
with a Wood's lamp. The nurse practitioner would expect to see:
A. adult lice glowing fluorescent green.
B. no adult lice, but purple fluorescence where the adults have laid eggs.
C. nits that fluoresce white and gray.
D. no fluorescence unless there are live nits.
C
6.A 16-year-old presents for a sports physical for football. The nurse practitioner auscultates a diastolic
murmur. It is a grade II/VI. He has no history of a murmur. The patient denies symptoms. What is the
most appropriate action for the NP? Diastolic murmurs are never normal.
A. Refer this patient to a cardiologist.
B. Consider this a normal finding and complete his physical exam.
C. Have the patient return in 8-12 weeks and re-assess the murmur.
D. Complete his physical exam and order an EKG.
A
7.A 3½ year old male patient has a systolic murmur, grade I/VI, which becomes difficult to hear when he
stands. He exhibits normal growth and development. Which characteristic does NOT support that this is
an innocent murmur?
A. Age
,
, ,
APEA PRACTICE REAL EXAM
QUESTIONS AND ANSWERS
[ACCURATE ANSWERS] UPDATED
B. Softening of the murmur with standing
C. Gender
D. Grade I/VI
C
8.Which of the following is NOT true about Carpal Tunnel Syndrome?
A. Symptoms present in the first 3 fingers of the affected hand.
B. Symptoms are absent in the 5th finger.
C. Median nerve compression can result in decreased strength and impaired fine motor coordination.
D. Phalen's and Tinel's signs are negative.
D
,
