APEA - Study Guide Question s with
Correct Answers 100% Verifie d
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: ✔✔Refer the patient to an
ophthalmologist
The American psychiatric association's diagnostic and statistical manual of mental disorder
defines Munchausen Syndrome by proxy: ✔✔a caregiver making up or causing an illness or
injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? ✔✔dopamine
Which lesion is dark, raised, and asymmetric with irregular border? ✔✔Melanoma
A 32 -year-old woman presents with dull puffiness of the eyes pronounced not pitting periorbital
edema this finding is suggestive of this condition? ✔✔Myxedema
A 42 -year-old woman with a past medical history of migraine headaches is requesting
prophylactic medication treatment. Which medication should the Nurse Practitioner prescribe?
✔✔Amitriptyline (Elavil)
A pediatric has areas of scaling on the scalp with round patches of alopecia. this clinical finding
is consistent with: ✔✔Tinea Capitis
What is the appropriate prophylactic medication for an 18 -year-old woman with a past medical
history of migraine headaches? ✔✔Propanolol (Inderal)
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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: ✔✔Her
age and tobacco use
During the breast examination of a perimenopausal woman, the NP detects a bloody spontaneous
discharge from the right nipple. This indicates further evaluation. ✔✔An intraductal papilloma
Intraductal papilloma are usually solitary and smaller than 1 cm. They are located in large
lactiferous sinuses or ducts and have a tendency to bleed.
Rh negative women should receive Rho(D) immunoglobulin at what gestational time? ✔✔28
weeks
When interpreting a complete blood count (CBC) lab report which of the following results
describes the size of the RBCs? ✔✔Mean corpuscular volume (MVC)
What medication should be avoided when prescribing prophylactic therapy for headaches?
✔✔Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the
great arteries? ✔✔To produce vasodilation and adequate oxygen saturation
Which of the following complaints best describes lower extremity calf pain associated with
peripheral artery disease: ✔✔A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47 -year-
old premenopausal woman? ✔✔Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which medication
should be given to relieve the symptom? ✔✔Short acting bronchodilator
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Which immunization reduces a patient's risk for infection with the virus that causes painful
localized blistering rash? ✔✔Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following EXCEPT:
✔✔Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron supplement: ✔✔on an
empty stomach between meals
Which one of the following statements is true of muchausen syndrome by proxy? ✔✔Under the
supervision of adults other than the abuser, the patient does not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse in adolescents?
✔✔Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a
set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL
system to document her maternal status: ✔✔Gravida 4, Para 1314
Gravida, Term babies, Preterm Babies, Abort and Living Child
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 year old
patient. The nurse practitioner should assess the patients: ✔✔right forearm and hand
Anticholinergics are indicated for the treatment of: ✔✔Urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous
distention. Their finding is consistent with: ✔✔Heart failure
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Correct Answers 100% Verifie d
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: ✔✔Refer the patient to an
ophthalmologist
The American psychiatric association's diagnostic and statistical manual of mental disorder
defines Munchausen Syndrome by proxy: ✔✔a caregiver making up or causing an illness or
injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? ✔✔dopamine
Which lesion is dark, raised, and asymmetric with irregular border? ✔✔Melanoma
A 32 -year-old woman presents with dull puffiness of the eyes pronounced not pitting periorbital
edema this finding is suggestive of this condition? ✔✔Myxedema
A 42 -year-old woman with a past medical history of migraine headaches is requesting
prophylactic medication treatment. Which medication should the Nurse Practitioner prescribe?
✔✔Amitriptyline (Elavil)
A pediatric has areas of scaling on the scalp with round patches of alopecia. this clinical finding
is consistent with: ✔✔Tinea Capitis
What is the appropriate prophylactic medication for an 18 -year-old woman with a past medical
history of migraine headaches? ✔✔Propanolol (Inderal)
1 / 3
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: ✔✔Her
age and tobacco use
During the breast examination of a perimenopausal woman, the NP detects a bloody spontaneous
discharge from the right nipple. This indicates further evaluation. ✔✔An intraductal papilloma
Intraductal papilloma are usually solitary and smaller than 1 cm. They are located in large
lactiferous sinuses or ducts and have a tendency to bleed.
Rh negative women should receive Rho(D) immunoglobulin at what gestational time? ✔✔28
weeks
When interpreting a complete blood count (CBC) lab report which of the following results
describes the size of the RBCs? ✔✔Mean corpuscular volume (MVC)
What medication should be avoided when prescribing prophylactic therapy for headaches?
✔✔Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the
great arteries? ✔✔To produce vasodilation and adequate oxygen saturation
Which of the following complaints best describes lower extremity calf pain associated with
peripheral artery disease: ✔✔A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47 -year-
old premenopausal woman? ✔✔Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which medication
should be given to relieve the symptom? ✔✔Short acting bronchodilator
2 / 3
Which immunization reduces a patient's risk for infection with the virus that causes painful
localized blistering rash? ✔✔Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following EXCEPT:
✔✔Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron supplement: ✔✔on an
empty stomach between meals
Which one of the following statements is true of muchausen syndrome by proxy? ✔✔Under the
supervision of adults other than the abuser, the patient does not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse in adolescents?
✔✔Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a
set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL
system to document her maternal status: ✔✔Gravida 4, Para 1314
Gravida, Term babies, Preterm Babies, Abort and Living Child
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 year old
patient. The nurse practitioner should assess the patients: ✔✔right forearm and hand
Anticholinergics are indicated for the treatment of: ✔✔Urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous
distention. Their finding is consistent with: ✔✔Heart failure
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