APEA 3P EXAM TEST BANK 2026 Latest Edition – 150
Practice Questions Real Exam-Based Questions & Verified
Answers | 100% Accuracy Advanced Practice Nursing (NP)
& Paramedic Program Admission Prep | Graded A+
CORE DOMAINS COVERED:
Domain Key Topics
Pharmacology Drug mechanisms, adverse effects, dosing, drug interactions, prescribing guidelines
Pathophysiology Disease processes, etiology, clinical manifestations, diagnostic findings
Physical
History taking, examination techniques, differential diagnosis, clinical reasoning
Assessment
Professional
Ethics, legal considerations, patient education, cultural competence
Issues
Question 1
A 37-year-old female with hypothyroidism complains of poor concentration and fatigue.
What should the NP initially do?
A) Order an MRI
B) Review thyroid function tests
C) Prescribe antidepressants
D) Recommend a sleep study
Rationale: Hypothyroidism can cause fatigue and poor concentration; reviewing thyroid
function tests (TSH, free T4) assesses treatment efficacy and determines if dosage
adjustment is needed before pursuing other causes.
,Question 2
A 16-year-old athlete reports pain under his heel with a verrucous surface. What should the
NP prescribe?
A) Oral antibiotics
B) Topical antifungal with padding
C) Analgesics
D) Topical salicylic acid with padding
Rationale: The verrucous (wart-like) surface suggests a plantar wart (verruca plantaris).
Topical salicylic acid is first-line treatment, with padding to relieve pressure. Antifungals are
not effective for warts.
Question 3
A 35-year-old with mitral valve prolapse is scheduled for dental cleaning. What should the
NP recommend?
A) No prophylaxis
B) Antibiotic prophylaxis
C) Aspirin pre-procedure
D) Sedation
Rationale: Antibiotic prophylaxis is recommended for patients with certain cardiac
conditions (including mitral valve prolapse with regurgitation) undergoing dental procedures
to prevent infective endocarditis.
Question 4
A patient has 20/30 vision in the left eye and 20/40 in the right eye. What does this indicate?
A) Normal vision
B) Mild visual impairment
C) Severe vision loss
D) Refer to ophthalmologist
,Rationale: 20/30 and 20/40 indicate mild impairment below normal 20/20 vision. While not
severe, they warrant evaluation and monitoring.
Question 5
A caregiver reports causing illness in a child. What is this called?
A) Self-inflicted injury
B) Munchausen Syndrome by Proxy
C) Neglect
D) Attention-seeking behavior
Rationale: Caregiver-induced illness defines Munchausen Syndrome by Proxy (now called
Factitious Disorder Imposed on Another), a form of abuse where a caregiver fabricates or
induces illness in a dependent person.
Question 6
A patient with atrial fibrillation needs anticoagulation. What laboratory value should be
monitored?
A) Blood glucose
B) INR
C) Hemoglobin
D) Creatinine
Rationale: INR monitors warfarin efficacy in preventing thromboembolism. Target INR for
atrial fibrillation is typically 2.0-3.0.
Question 7
A patient with peripheral artery disease has leg pain with walking. What should the NP
assess?
A) Pulse oximetry
B) Ankle-brachial index (ABI)
C) Chest X-ray
D) ECG
, Rationale: ABI assesses blood flow and severity of peripheral artery disease. A normal ABI
is 1.0-1.4; values < 0.90 indicate PAD.
Question 8
A patient with varicose veins complains of leg heaviness. What should the NP recommend?
A) Prolonged standing
B) Compression stockings
C) High heels
D) Hot packs
Rationale: Compression stockings improve venous return and reduce symptoms of venous
insufficiency, including leg heaviness and edema.
Question 9
A patient presents with sudden onset of severe headache, nausea, and photophobia. What
should the NP suspect?
A) Tension headache
B) Migraine without aura
C) Subarachnoid hemorrhage
D) Cluster headache
Rationale: Sudden severe headache with nausea and photophobia may indicate
subarachnoid hemorrhage (SAH), a life-threatening emergency requiring immediate
evaluation.
Question 10
A patient with type 2 diabetes has a HbA1c of 9.5%. What is the most appropriate initial
intervention?
A) Insulin therapy
B) Review and intensify current treatment plan
C) Refer to endocrinology
D) Order a fasting glucose
Practice Questions Real Exam-Based Questions & Verified
Answers | 100% Accuracy Advanced Practice Nursing (NP)
& Paramedic Program Admission Prep | Graded A+
CORE DOMAINS COVERED:
Domain Key Topics
Pharmacology Drug mechanisms, adverse effects, dosing, drug interactions, prescribing guidelines
Pathophysiology Disease processes, etiology, clinical manifestations, diagnostic findings
Physical
History taking, examination techniques, differential diagnosis, clinical reasoning
Assessment
Professional
Ethics, legal considerations, patient education, cultural competence
Issues
Question 1
A 37-year-old female with hypothyroidism complains of poor concentration and fatigue.
What should the NP initially do?
A) Order an MRI
B) Review thyroid function tests
C) Prescribe antidepressants
D) Recommend a sleep study
Rationale: Hypothyroidism can cause fatigue and poor concentration; reviewing thyroid
function tests (TSH, free T4) assesses treatment efficacy and determines if dosage
adjustment is needed before pursuing other causes.
,Question 2
A 16-year-old athlete reports pain under his heel with a verrucous surface. What should the
NP prescribe?
A) Oral antibiotics
B) Topical antifungal with padding
C) Analgesics
D) Topical salicylic acid with padding
Rationale: The verrucous (wart-like) surface suggests a plantar wart (verruca plantaris).
Topical salicylic acid is first-line treatment, with padding to relieve pressure. Antifungals are
not effective for warts.
Question 3
A 35-year-old with mitral valve prolapse is scheduled for dental cleaning. What should the
NP recommend?
A) No prophylaxis
B) Antibiotic prophylaxis
C) Aspirin pre-procedure
D) Sedation
Rationale: Antibiotic prophylaxis is recommended for patients with certain cardiac
conditions (including mitral valve prolapse with regurgitation) undergoing dental procedures
to prevent infective endocarditis.
Question 4
A patient has 20/30 vision in the left eye and 20/40 in the right eye. What does this indicate?
A) Normal vision
B) Mild visual impairment
C) Severe vision loss
D) Refer to ophthalmologist
,Rationale: 20/30 and 20/40 indicate mild impairment below normal 20/20 vision. While not
severe, they warrant evaluation and monitoring.
Question 5
A caregiver reports causing illness in a child. What is this called?
A) Self-inflicted injury
B) Munchausen Syndrome by Proxy
C) Neglect
D) Attention-seeking behavior
Rationale: Caregiver-induced illness defines Munchausen Syndrome by Proxy (now called
Factitious Disorder Imposed on Another), a form of abuse where a caregiver fabricates or
induces illness in a dependent person.
Question 6
A patient with atrial fibrillation needs anticoagulation. What laboratory value should be
monitored?
A) Blood glucose
B) INR
C) Hemoglobin
D) Creatinine
Rationale: INR monitors warfarin efficacy in preventing thromboembolism. Target INR for
atrial fibrillation is typically 2.0-3.0.
Question 7
A patient with peripheral artery disease has leg pain with walking. What should the NP
assess?
A) Pulse oximetry
B) Ankle-brachial index (ABI)
C) Chest X-ray
D) ECG
, Rationale: ABI assesses blood flow and severity of peripheral artery disease. A normal ABI
is 1.0-1.4; values < 0.90 indicate PAD.
Question 8
A patient with varicose veins complains of leg heaviness. What should the NP recommend?
A) Prolonged standing
B) Compression stockings
C) High heels
D) Hot packs
Rationale: Compression stockings improve venous return and reduce symptoms of venous
insufficiency, including leg heaviness and edema.
Question 9
A patient presents with sudden onset of severe headache, nausea, and photophobia. What
should the NP suspect?
A) Tension headache
B) Migraine without aura
C) Subarachnoid hemorrhage
D) Cluster headache
Rationale: Sudden severe headache with nausea and photophobia may indicate
subarachnoid hemorrhage (SAH), a life-threatening emergency requiring immediate
evaluation.
Question 10
A patient with type 2 diabetes has a HbA1c of 9.5%. What is the most appropriate initial
intervention?
A) Insulin therapy
B) Review and intensify current treatment plan
C) Refer to endocrinology
D) Order a fasting glucose
