APEA Pre-Predictor NP Exam 2026 | Practice Questions & Answers | NP Exam Prep

10/6/2026,
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APEA PRE-PREDICTOR


NP EXAM QUESTIONS


AND ANSWERS 2024 -


2025



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, 10/6/2026,
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1. Prescriptive authority:: may be exercised by giving a verbal medication order to

a pharmacist.




An example of exercising prescriptive authority is giving a verbal order to a pharma-

cist or writing an order for a prescription medication. Prescriptive authority rules and

regulations vary from state to state. Prescriptive authority is granted only to those

APRNs who meet the requirements of the governing body for the state in which the

APRN practices.

2. When examining a pregnant patient, where should the fundal height be at

22 weeks?: Above the umbilicus




Between 18 and 32 weeks, there is good correlation between fundal height and

gestational age of the fetus. The expected heights are: 10-12 weeks: fundus slightly

above the symphysis pubis 16 weeks: fundus midway between the symphysis pubis

and umbilicus 20 weeks: fundus at the level of umbilicus 28 weeks: fundus 3

fingerbreadths above the umbilicus 36 weeks: fundus just below the xiphoid process

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, 10/6/2026,
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3. What intervention does the American College of Rheumatology recommend

as first-line therapy for osteoarthritis?: Exercise and weight loss




Exercise, weight loss, and rest are recommended by the American College of

Rheumatology guidelines for the initial management of osteoarthritis (OA). Given the

adverse effects of medications used to treat OA, it is best to minimize dosage and

delay use as long as possible. An extensive diagnostic workup is not recommended

unless the presentation is in question. Patients who have severe degenerative

joint disease (DJD), joint fusion, or whose pain severity is not relieved by more

conservative therapies may be candidates for joint replacement. Acetaminophen is

recommended as a first-line medication.

4. A 63-year-old male retired accountant complains of pain and stiffness in

his feet and hands of several years duration. He reports that the pain and

stiffness become worse with activity. On examination, he is noted to have

Heberden's nodes but no other bony deformities. Which of the following is the

most probable diagnosis?: Osteoarthritis (OA)

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, 10/6/2026,
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Although his vocation involved sedentary activity, this patient is not at great risk

for osteoarthritis. Rheumatoid arthritis is characterized by several joint deformities,

usually bilaterally symmetrical. RA is characterized by inflammatory processes,

while OA is not. RA and OA are chronic conditions. Gout is characterized by

acute exacerbations related to a defect in purine metabolism, increased uric acid

production, or decreased uric acid excretion.





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