APEA 3P Actual Exam Test Bank
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,1. When performing a visual acuity test the nurse practitioner notes 20/30 in the
left eye and 20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
2. The American psychiatric association’s diagnostic and statistical manual of
mental disorder defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under
his or her care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The
caretaker of a child, most often a mother, either makes up fake symptoms or causes real
symptoms to make it look like the child is sick.
3. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter 20
a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes
pronounced not pitting periorbital edema this finding is suggestive of this
condition? APEA
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if
patients with advanced hypothyroidism. The classic skin changes are: swelling of face,
lips, eyelids, and tongue or swelling and thickening of skin anywhere on the body,
especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of
hyperthyroidism. Myxedema can also occur in Hashimoto’s thyroiditis a form of
hypothyroidism.
,6. A 42 years old woman with a past medical history of migraine headaches is
requesting prophylactic medication treatment. Which medication should the
Nurse practitioner prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for
prophylactic treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort
migraine
7. A pediatric patient has areas of scaling on the scalp with round patches of
alopecia. This clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
8. What is the appropriate prophylactic medication for an 18 years old woman
with a past medical history of migraine headaches?
a) Sumatriptan
(Imitrex) b)
Propanolol (Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
9. Why would a combined hormonal contraceptive be contraindicated in a 36
year old patient with a past medical history of type 2 diabetes, obesity, chronic
smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45, breastfeeding,
smoking, HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the NP
detects a bloody spontaneous discharge from the right nipple. This
indicates further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or
dark brown nonbloody nipple discharge that tends to leak without pressure
or squeezing
c) An intraductal papilloma
, d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are located
in large lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple
Discharge
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,1. When performing a visual acuity test the nurse practitioner notes 20/30 in the
left eye and 20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
2. The American psychiatric association’s diagnostic and statistical manual of
mental disorder defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under
his or her care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The
caretaker of a child, most often a mother, either makes up fake symptoms or causes real
symptoms to make it look like the child is sick.
3. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter 20
a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes
pronounced not pitting periorbital edema this finding is suggestive of this
condition? APEA
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if
patients with advanced hypothyroidism. The classic skin changes are: swelling of face,
lips, eyelids, and tongue or swelling and thickening of skin anywhere on the body,
especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of
hyperthyroidism. Myxedema can also occur in Hashimoto’s thyroiditis a form of
hypothyroidism.
,6. A 42 years old woman with a past medical history of migraine headaches is
requesting prophylactic medication treatment. Which medication should the
Nurse practitioner prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for
prophylactic treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort
migraine
7. A pediatric patient has areas of scaling on the scalp with round patches of
alopecia. This clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
8. What is the appropriate prophylactic medication for an 18 years old woman
with a past medical history of migraine headaches?
a) Sumatriptan
(Imitrex) b)
Propanolol (Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
9. Why would a combined hormonal contraceptive be contraindicated in a 36
year old patient with a past medical history of type 2 diabetes, obesity, chronic
smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45, breastfeeding,
smoking, HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the NP
detects a bloody spontaneous discharge from the right nipple. This
indicates further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or
dark brown nonbloody nipple discharge that tends to leak without pressure
or squeezing
c) An intraductal papilloma
, d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are located
in large lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple
Discharge
