NUR 504 3P APEA, 3P Practice Questions, APEA
3P, 3 P's Exam, 3P, Exit Exam Part 2 QUESTIONS
AND ANSWERS GRADED A+
A 70 years old man walks 20 minutes most days of the week. He has begun to
complain of pain of his left calf when he is walking. The problem has gotten
gradually worse and now he
is unable to complete his 20 minutes walks without stopping to rest. What choice
best describes the pain associated with peripheral artery disease? - ANSWER -A
dull pain and cramp
Papilledema is a cause for concern because it is suggestive of - ANSWER -
Increased intracranial pressure
A 38-year-old patient with a history of abdominal pain presents to the nurse
practitioner. Findings reveal superficial edema and bruising in the subcutaneous
fatty tissue around the umbilicus. Hemorrhagic pancreatic is suspected because of
which finding? - ANSWER -A positive cullens sign-indicates internal bleeding.
A 57 years old post-menopausal female presents with a complaint of vaginal
burning, pruritus and painful intercourse. On examination, the nurse practitioner
would be most concern with the findings - ANSWER -A friable cervix
What intervention does the American College of Rheumatology recommend as
first line therapy for Osteoarthritis, rheumatoid arthritis or something else -
ANSWER -Exercise and weight loss
Which of the following drugs is not contraindicated for concurrent use with
warfarin (Coumadin)? - ANSWER -Amoxicillin
The lymphatic ducts drain into the - ANSWER -venous system
Which of the following is the most appropriate treatment for trichomoniasis in a
non- pregnant woman? - ANSWER -Flagyl
,Osteosarcoma in a pediatric patient is most often diagnosed when there is: -
ANSWER -Pain in the affected bone
In a patient who has a history of migraine headaches, which characteristics is most
common? - ANSWER -Family history
Symptoms associated with small bowel obstruction usually include: - ANSWER -
nausea vomitting
Unilateral rhinitis could be caused by all of the following except - ANSWER -
Drug induced rhinitis
A 7 years old child has been diagnosed with acute sinusitis. The drug class that
should be avoided is: - ANSWER -Antihistimines
A patient present with an elongated head with bony prominence of the forehead,
nose and lower jaw. These facial features could be suggestive of: - ANSWER -
Acromegaly
Why would a child diagnosed with beta thalassemia and hemosiderosis receive
deferoxamine (desferal)? - ANSWER -To eliminate excessive iron and prevent
organ damage
A patient has newly diagnosed hypothyroidism. What are the patients TSH level
expected to be? - ANSWER -Higher than normal
Which of the following symptoms would be a clinical manifestation noted during
the secondary stage of syphilis? - ANSWER -Rash marked by red or reddish-
brown, penny-sized lesions over the palms and soles
An 84yo male with prostatic hypertrophy is at an increased risk of - ANSWER -
UTIs
A characteristic lesion observed in a male with primary syphilis is a: - ANSWER
-Chancre
During an acute attack of gout, the nurse practitioner knows NOT to prescribe -
ANSWER -Allopurinol (zyloprim)
,What two vitamins and minerals should be included in oral multivitamins in
women - ANSWER -folic acid and iron
n a patient with bacterial meningitis, the most common reason for finding of
headaches: - ANSWER -increased intracranial pressure
Janeway lesions, petechiae and Oster nodes are associated with: - ANSWER -
Infective endocarditis
A patient present with decreased hearing related to antibiotic use. Which class of
antibiotics is this? - ANSWER -Aminoglycosides
Which antihypertensive would be appropriate to prescribe for a hypertensive
patient (B/P 150/95) that is in her third trimester? - ANSWER -Methyldopa
A 40-year-old admits to multiple sex partners presents with several lesions over
his body. Finding reveals hemorrhagic vesiculopustular lesions over the hands and
feet. These lesions are most likely associated with: - ANSWER -Gonococcemia
Which agent is NOT useful in prophylactic treatment of migraine headaches? -
ANSWER -Sumatriptan (Imitrex)
The right lymph duct drains lymphatic fluid from all the following expect the -
ANSWER -Right leg
Acute lymphocytic leukemia is usually diagnosed by: - ANSWER -a bone
marrow examination
The medication that blocks the transportation of glucose across the intestines into
the blood stream to target prandial blood glucose is: - ANSWER -Acarbose
(Precose)
Prostate pain is usually located in the: - ANSWER -Perineum
A nurse practitioner examines the skin of an elderly patient which finding below is
NOT benign lesion associated with the aging process? - ANSWER -
Dermatophytosis (ringworm)
, A 65-year-old male presents with findings of symmetric thorax with moderate
kyphosis and anterior diameter. Chest expansion is decreased and the diaphragm
descending 2 cm bilaterally. These findings relate to: - ANSWER -COPD
Phenazopyridine (Pyridium) is recommended for very short-term use in patients
with urinary tract infections (UTIs) because: - ANSWER -Occurence of hemolytic
anemia
Estrogen-progestin contraceptives should be avoided in women with: - ANSWER
-migraines with aura
The addition of benzoyl peroxide to erythromycin for the topical treatment of
acne: - ANSWER -Improves the efficacy of erythromycin
An elderly male with benign prostate hyperplasia (BPH) should be advised to
avoid antihistamines. What is the reason for this? - ANSWER -Urinary retention
Examination of the hair reveals a fine silky appearance. This finding may be seen
in patients that have: - ANSWER -Hyperthyroidism
A patient develops a cough secondary to an angiotensin-converting-enzyme
(ACE). The most appropriate statement related to ACE-I cough is that the cough
typically: - ANSWER -Resolves within a week after stopping the ACE inhibitor
A patient with a diagnosis of giardiasis is being treated with metronidazole
(flagyl). What information would be important to obtain before prescribing this
medication? - ANSWER -If the patient drinks alcohol
A 20 years old male living in the college dorm, complains of a dry cough for the
past month. Assessment finding associated with an atypical, community acquired
pneumonia would include: - ANSWER -A low grade fever, malaise, and clear
lung fields on auscultation
The most appropriate medication indicated for reversing the anticoagulated effects
of dabigatran etexilate (Pradaxa) - ANSWER -Idarucizumab (Praxibind)
A common pathological finding in a patient with asthma - ANSWER -
hypertrophy of smooth muscle
What cranial nerves are responsible for eye movement - ANSWER -III, IV, VI