Advanced Practice Education Associates (APEA) 3P Test Bank
Questions and Answers
1. When discussing the musculoskeletal system, all of the following statements related to
articular structure disease are true except which one?
Articular disease is usually due to stiffness or pain
2. Focal tenderness over the trochanter confirms:
Bursitis
3. Assessing the neurological status of a child with a ventriculoperitoneal shunt should
include:
Use of the Glasgow coma scale
4. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
Salty taste on the skin
5. A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be
present at birth and enlarge during the first 10 to 15 months is characteristic of a:
Cavernous hemangioma
6. The hamstring muscles flex the knee and are located on the:
Posterior aspect of the thigh
7. Ophthalmoscopic examination reveals dark specks noted between the fundus and the
lens. These specks are most likely:
Vitreous floaters
8. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and
head are not easily palpated at the fundus, the fetus is said to be in:
Transverse lie
9. When performing a musculoskeletal examination, the nurse practitioner instructs the
patient to move his arm in front of his body. This motion of the shoulder girdle would be
an example of:
Flexion
10. To locate the twelfth rib, palpate:
Between the spine and the lateral chest
11. Walking on the toes and heels may reveal:
Distal muscular weakness in the legs
, 12. The groove of the metatarsophalangeal joint can be palpated by having the patient:
Flex his hand
13. When auscultating breath sounds in a patient who has left sided heart failure, the breath
sounds are:
Vesicular with late inspiratory crackles in the dependent portions of the lungs and
resonant on percussion
14. The ankle-brachial index is a screening test used to assess a person’s risk for:
Peripheral artery disease
15. Olecranon bursitis may be caused by all of the following except:
Frozen shoulder
16. In patients who have allergic rhinitis, the nasal mucosa appears:
Pale
17. A term used to describe an increase in muscular bulk with diminished strength is:
Pseudo hypertrophy
18. If abdominal pain persists when the patient raises his head and shoulders, the origin of the
tenderness is probably:
In the abdominal wall
19. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide
with abdominal cramps. These findings are most consistent with:
Intestinal obstruction
20. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around
the macular area. These findings are consistent with:
Microaneurysms
21. Symptoms of a subdural hematoma include:
Noticeable bleeding between the dura and the cerebrum on x-ray
22. On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and
shuffling gait are observed. These findings are consistent with:
Parkinson’s disease
23. To palpate the right ovary when performing the bimanual vaginal exam, the abdominal
hand should be on the right lower quadrant and the pelvic hand needs to be:
In the right lateral fornix
Questions and Answers
1. When discussing the musculoskeletal system, all of the following statements related to
articular structure disease are true except which one?
Articular disease is usually due to stiffness or pain
2. Focal tenderness over the trochanter confirms:
Bursitis
3. Assessing the neurological status of a child with a ventriculoperitoneal shunt should
include:
Use of the Glasgow coma scale
4. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
Salty taste on the skin
5. A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be
present at birth and enlarge during the first 10 to 15 months is characteristic of a:
Cavernous hemangioma
6. The hamstring muscles flex the knee and are located on the:
Posterior aspect of the thigh
7. Ophthalmoscopic examination reveals dark specks noted between the fundus and the
lens. These specks are most likely:
Vitreous floaters
8. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and
head are not easily palpated at the fundus, the fetus is said to be in:
Transverse lie
9. When performing a musculoskeletal examination, the nurse practitioner instructs the
patient to move his arm in front of his body. This motion of the shoulder girdle would be
an example of:
Flexion
10. To locate the twelfth rib, palpate:
Between the spine and the lateral chest
11. Walking on the toes and heels may reveal:
Distal muscular weakness in the legs
, 12. The groove of the metatarsophalangeal joint can be palpated by having the patient:
Flex his hand
13. When auscultating breath sounds in a patient who has left sided heart failure, the breath
sounds are:
Vesicular with late inspiratory crackles in the dependent portions of the lungs and
resonant on percussion
14. The ankle-brachial index is a screening test used to assess a person’s risk for:
Peripheral artery disease
15. Olecranon bursitis may be caused by all of the following except:
Frozen shoulder
16. In patients who have allergic rhinitis, the nasal mucosa appears:
Pale
17. A term used to describe an increase in muscular bulk with diminished strength is:
Pseudo hypertrophy
18. If abdominal pain persists when the patient raises his head and shoulders, the origin of the
tenderness is probably:
In the abdominal wall
19. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide
with abdominal cramps. These findings are most consistent with:
Intestinal obstruction
20. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around
the macular area. These findings are consistent with:
Microaneurysms
21. Symptoms of a subdural hematoma include:
Noticeable bleeding between the dura and the cerebrum on x-ray
22. On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and
shuffling gait are observed. These findings are consistent with:
Parkinson’s disease
23. To palpate the right ovary when performing the bimanual vaginal exam, the abdominal
hand should be on the right lower quadrant and the pelvic hand needs to be:
In the right lateral fornix
