APEA 3P 2.0QUESTIONS AND
ANSWERS
Whenzperformingzazvisualzacuityztestztheznursezpractitionerznotesz20/30zinzthezleftzeyezandz
20/40zinzthezrightzeyezusingzthezSnellenzeyezchart.zThiszmeans:z-zans--
✔✔referzthezpatientztozanzophthalmologist
Thezamericanzpsychiatriczassociation'szdiagnosticzandzstatisticalzmanualzofzmentalzdisord
erzdefineszMunchausenzSyndromezbyzProxyz-zans--
✔✔azcaregiverzmakingzupzorzcausingzanzillnesszorzinjuryzinzazpersonzunderzhiszorzherzcare
Symptomszofzdepressionzarezazsidezeffectzofzwhichzneurotransmitterzmedication?z-zans--
✔✔dopamine
Whichzlesionziszdarkzraisedzandzasymmetriczwithzirregularzborders?z-zans--✔✔melanoma
Az32zyearzoldzwomanzpresentszwithzdullzpuffinesszofzthezeyeszpronouncedznonpittingzperior
bitalzedema,zthiszfindingziszsuggestivezofzwhichzcondition?z-zans--✔✔myxedema
az42zyearzoldzwomanzwithzazPMHzofzmigrainezheadachesziszrequestingzprophylacticzmedic
ationztreatment.zWhichzmedicationzshouldztheznursezpractitionerzprescribe?z-zans--
✔✔amitriptylinez(elavil)
Azpediatriczpatientzhaszareaszofzscalingzonzthezscalpzwithzroundzpatcheszofzalopecia.zthiszcli
nicalzfindingziszconsistentzwith:z-zans--✔✔tineazcapitis
whatziszthezappropriatezprophylacticzmedicationzforzanz18zyearzoldzwomanzwithzazpastzmedi
calzhistoryzofzmigrainezheadaches?z-zans--✔✔propanololz(inderal)
, Whyzwouldzazcombinedzhormonalzcontraceptivezbezcontraindicatedzinzaz36zyearzoldzpatient
zwithzazPMHzofztypez2zdiabetes,zobesity,zchroniczsmoking,zandzsedentaryzlifestylez-zans--
✔✔herzagezandztobaccozuse
Duringzthezbreastzexaminationzofzazperimenopausalzwoman,zthezNPzdetectszazbloodyzspon
taneouszdischargezfromzthezrightznipple.zThiszindicateszfurtherzevaluationz-zans--
✔✔anzintraductalzpapilloma
whenzinterpretingzazCBCzlabzreportzwhichzofzthezfollowingzresultszdescribeszthezsizezofzthez
RBCsz-zans--✔✔Meanzcorpuscularzvolumez(MCV)
Whatzmedicationzshouldzbezavoidedzwhenzprescribingzprophylacticztherapyzforzheadaches
?z-zans--✔✔Venlataxinz(effexor)
WhichzofzthezfollowingzconditionsziszNOTzaztypicalzfindingzofzhyperprolactinemiazinzaz47zye
arzoldzpremenopausalzwoman?z-zans--✔✔gynecomastia
whichzimmunizationzreduceszazpatientszriskzforzinfectionzwithzthezviruszthatzcauseszpainfulzl
ocalizedzblisteringzrash?z-zans--✔✔shinglesz(herpeszzoster)zvaccine
Thezclientzwithzironzdeficiencyzanemiazshouldzbezadvisedztoztakezthezironzsupplementz-
zans--✔✔onzanzemptyzstomachzbetweenzmeals
WhichzonezofzthezfollowingzstatementszisztruezofzMunchausenzsyndromezbyzproxyz-zans--
✔✔underzthezsupervisionzofzadultszotherzthanzthezabuser,zthezpatientzdoesznotzexhibitzsym
ptoms
Whichzofzthezfollowingziszthezmostzcommonzpresentingzsignzofzsubstancezabusezinzadolesc
ents?z-zans--✔✔changeszinzbehavior
Azwomanzisz11zweekszpregnantzandzhaszazmaternityzhistoryzofzonezfullztermzvaginalzdeliver
y,zazsetzofzprematureztripletszdeliveredzvaginally,zandzazfirstztrimesterzabortion.zUsingzherzT
PALzsystemztozdocumentzherzmaternalzstatusz-zans--✔✔Gravidaz4zParaz1114
theznursezpractitionerzpalpateszanzenlargedzrightzepitrochlearzlymphznodezinzaz30zyearzoldz
patient.zTheznursezpractitionerzshouldzassesszthezpatientsz-zans--
✔✔rightzforearmzandzhand
anticholinergicszarezindicatedzforztheztreatmentzofz-zans--✔✔urgezincontinence
onzexamzofzthezneck,zazdomezshapedzlesionzinzthezdermiszformingzazbenignzclosedzfirmzsac
zattachedztozthezepidermiszisznotedzonzthezrightzlateralzsidezofzthezneck.zThisztypezofzlesionzi
szknownzasz-zans--✔✔azcutaneouszcyst
Symptomszofzheartburnzandzregurgitationzarezassociatedzwithz-zans--✔✔GERD
ANSWERS
Whenzperformingzazvisualzacuityztestztheznursezpractitionerznotesz20/30zinzthezleftzeyezandz
20/40zinzthezrightzeyezusingzthezSnellenzeyezchart.zThiszmeans:z-zans--
✔✔referzthezpatientztozanzophthalmologist
Thezamericanzpsychiatriczassociation'szdiagnosticzandzstatisticalzmanualzofzmentalzdisord
erzdefineszMunchausenzSyndromezbyzProxyz-zans--
✔✔azcaregiverzmakingzupzorzcausingzanzillnesszorzinjuryzinzazpersonzunderzhiszorzherzcare
Symptomszofzdepressionzarezazsidezeffectzofzwhichzneurotransmitterzmedication?z-zans--
✔✔dopamine
Whichzlesionziszdarkzraisedzandzasymmetriczwithzirregularzborders?z-zans--✔✔melanoma
Az32zyearzoldzwomanzpresentszwithzdullzpuffinesszofzthezeyeszpronouncedznonpittingzperior
bitalzedema,zthiszfindingziszsuggestivezofzwhichzcondition?z-zans--✔✔myxedema
az42zyearzoldzwomanzwithzazPMHzofzmigrainezheadachesziszrequestingzprophylacticzmedic
ationztreatment.zWhichzmedicationzshouldztheznursezpractitionerzprescribe?z-zans--
✔✔amitriptylinez(elavil)
Azpediatriczpatientzhaszareaszofzscalingzonzthezscalpzwithzroundzpatcheszofzalopecia.zthiszcli
nicalzfindingziszconsistentzwith:z-zans--✔✔tineazcapitis
whatziszthezappropriatezprophylacticzmedicationzforzanz18zyearzoldzwomanzwithzazpastzmedi
calzhistoryzofzmigrainezheadaches?z-zans--✔✔propanololz(inderal)
, Whyzwouldzazcombinedzhormonalzcontraceptivezbezcontraindicatedzinzaz36zyearzoldzpatient
zwithzazPMHzofztypez2zdiabetes,zobesity,zchroniczsmoking,zandzsedentaryzlifestylez-zans--
✔✔herzagezandztobaccozuse
Duringzthezbreastzexaminationzofzazperimenopausalzwoman,zthezNPzdetectszazbloodyzspon
taneouszdischargezfromzthezrightznipple.zThiszindicateszfurtherzevaluationz-zans--
✔✔anzintraductalzpapilloma
whenzinterpretingzazCBCzlabzreportzwhichzofzthezfollowingzresultszdescribeszthezsizezofzthez
RBCsz-zans--✔✔Meanzcorpuscularzvolumez(MCV)
Whatzmedicationzshouldzbezavoidedzwhenzprescribingzprophylacticztherapyzforzheadaches
?z-zans--✔✔Venlataxinz(effexor)
WhichzofzthezfollowingzconditionsziszNOTzaztypicalzfindingzofzhyperprolactinemiazinzaz47zye
arzoldzpremenopausalzwoman?z-zans--✔✔gynecomastia
whichzimmunizationzreduceszazpatientszriskzforzinfectionzwithzthezviruszthatzcauseszpainfulzl
ocalizedzblisteringzrash?z-zans--✔✔shinglesz(herpeszzoster)zvaccine
Thezclientzwithzironzdeficiencyzanemiazshouldzbezadvisedztoztakezthezironzsupplementz-
zans--✔✔onzanzemptyzstomachzbetweenzmeals
WhichzonezofzthezfollowingzstatementszisztruezofzMunchausenzsyndromezbyzproxyz-zans--
✔✔underzthezsupervisionzofzadultszotherzthanzthezabuser,zthezpatientzdoesznotzexhibitzsym
ptoms
Whichzofzthezfollowingziszthezmostzcommonzpresentingzsignzofzsubstancezabusezinzadolesc
ents?z-zans--✔✔changeszinzbehavior
Azwomanzisz11zweekszpregnantzandzhaszazmaternityzhistoryzofzonezfullztermzvaginalzdeliver
y,zazsetzofzprematureztripletszdeliveredzvaginally,zandzazfirstztrimesterzabortion.zUsingzherzT
PALzsystemztozdocumentzherzmaternalzstatusz-zans--✔✔Gravidaz4zParaz1114
theznursezpractitionerzpalpateszanzenlargedzrightzepitrochlearzlymphznodezinzaz30zyearzoldz
patient.zTheznursezpractitionerzshouldzassesszthezpatientsz-zans--
✔✔rightzforearmzandzhand
anticholinergicszarezindicatedzforztheztreatmentzofz-zans--✔✔urgezincontinence
onzexamzofzthezneck,zazdomezshapedzlesionzinzthezdermiszformingzazbenignzclosedzfirmzsac
zattachedztozthezepidermiszisznotedzonzthezrightzlateralzsidezofzthezneck.zThisztypezofzlesionzi
szknownzasz-zans--✔✔azcutaneouszcyst
Symptomszofzheartburnzandzregurgitationzarezassociatedzwithz-zans--✔✔GERD
