APEA PREDICTOR NP TEST EXAM QUESTIONS AND
VERIFIED ANSWERS 2024 NEWEST UPDATE
ALREADY GRADED A+
A 47-yo patient presents with complaints of upper abdominal discomfort with nausea and
burning after eating. The patient is not currently taking any medications. The most likely
differential diagnoses would include:
A. colitis and peptic ulcer disease
B. Colitis and small bowel disease
C. Gastritis and Crohn's disease
D. Gastritis and peptic ulcer disease - ANSWER...D. Gastritis and peptic ulcer disease.
To assess spinal function at the S1 level, which deep tendon reflex should be tested?
A. Patellar
B. Cremasteric
C. Achilles
D. Anal wink - ANSWER...C. Achilles
A 66- yo patient presents with bilateral otis media with effusion and white patches in the mouth
that do not rub off when wiped with a 4 x 4. The patient should be evaluated for:
A. HIV infection
B. Myelodysplastic syndrome
C. Congenital lymphoproliferative disease
D. non-Hodgkin's lymphoma - ANSWER...A. HIV infection
A nurse practitioner is suturing a simple laceration on an 11-yo patient. The use of lidocaine with
epinephrine is contraindicated in all of the following areas EXCEPT the:
A. Scalp
B. Nose
C. Fingers
D. Earlobe - ANSWER...A. Scalp
A common rule to follow when prescribing many medications for the elderly is to: -
ANSWER...Start at a lower dose than what is commonly prescribed for adults, and increase the
dose slowly.
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: -
ANSWER...the meaning of a common proverb
,Cremasteric Reflex - ANSWER...a superficial (i.e., close to the skin's surface) reflex observed in
human males. This reflex is elicited by lightly stroking the superior and medial (inner) part of the
thigh-regardless of the direction of stroke. The normal response is an immediate contraction of
the cremaster muscle that pulls up the ipsilateral testis.
Edema from extravascular fluid retention is visible in conditions like - ANSWER...heart failure,
nephrotic syndrome and liver failure.
Drugs associated with weight gain include - ANSWER...Tricyclic antidepressants, insulin and
sulfonulurea, contraceptives, glucocorticoids, progestational steroids, mirtazapine and
paroxetine, gabapentin and valproate and propanolol
Causes of weight loss include - ANSWER...GI deases; endocrine disorders (diabetes,
hyperthyroidism, adrenal insufficiency); chronic infections, HIV/AIDS; malignancy; chronic
cardiac, pulmonary, or renal failure; depression; and anorexia nervosa or bulimia;
Appendicitis is a common cause of acute abdominal pain. - ANSWER...Assess for positive
McBurney's point tenderness, Rovsing's sign, the psoas sign, and obturator sign.
Rovsing's sign - ANSWER...Pain in the RIGHT lower quadrant during LEFT-sided pressure is a
positive Rovsing's sign. Indicates appendicitis
Psoas Sign - ANSWER...Increased abdominal pain when patient attempts to raise thigh against
your hand or when asking the patient to extend their right leg at the hip. Indicates Appendicits
Oburator Sign - ANSWER...right hypogastric pain constitiutes a positive obturator sign. Ask
patient to flex right thigh at the hip, with the knee bent, and rotate the leg internally at the hip.
Positive Murphy's sign - ANSWER...indicates Acute Cholecystitis. Right upper Quadrant
What test is used to assess peripheral arterial disease (PAD)? - ANSWER...ankle-brachial index.
Heberdens nodes - ANSWER...Found at the distal interphalangeal joint (DIP). Seen in
osteoarthritis.
Finkelstein's Test - ANSWER...If positive, Indicates de Quervain's tenosynovitis. Grasp the
thumb against the palm and then move the wrist toward the midline in the ulnar deviation
Carpal Tunnel maneuvers - ANSWER...Tinnel's and Phalen's
,Evaluation of a meniscal tear using - ANSWER...McMurray Sign and a locking on full knee
extension
Abduction (Valgus) stress test - ANSWER...Evaluate for Medial Collateral Ligament (MCL)
injury
Adduction (Varus) Stress test - ANSWER...Evaluate for lateral collateral ligament (LCL) injury
Evaluation of Anterior Cruciate Ligament (ACL) injury - ANSWER...Anterior Drawer sign and
Lachman test
Evaluating Posterior Cruciate Ligament (PCL) injury - ANSWER...Posterior drawer sign
Cranial Nerve I - ANSWER...Smell (1 nose)
Cranial Nerve II - ANSWER...Vision (2 eyes)
Cranial nerve III, IV, VI - ANSWER...Eye movement
Cranial Nerve V,VII,X,XII - ANSWER...Voice and speech
Cranial Nerve VIII - ANSWER...Acoustic (Hearing and balance)
Cranial nerve IX - ANSWER...Glossopharyngeal- swallowing and rise of the palate, gag reflex
Cranial Nerve XI - ANSWER...Spinal Accessory (upper trapezius)
Deep tendon reflex - ANSWER...Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale - ANSWER...CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
, In the majority of children, the first permanent teeth start to erupt at the age of 6 years. Which of
the following are the first permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - ANSWER...A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping - ANSWER...D. Grocery shopping
You note the following result on a routine urinalysis of a 37-year old primigravida who is at 30
weeks gestation. Leukocyte=trace, nitrite=negative, protein=2+, blood=negative. Her weight has
increased by 5 lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - ANSWER...B. Pregnancy-induced hypertension (pre-eclampsia).
Classic triad of symptoms of preeclampsia include hypertension, edema (weight gain), and
proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that her child had a high
fever for several days, which spontaneously resolved. After the fever resolved, the child
developed a maculopapular rash. Which of the following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - ANSWER...B. Roseola Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2 days. He
denies eye pain, visual changes, or headaches. He has a new onset of cough from a recent viral
upper respiratory infection. The only medicine he is on Bayer aspirin, 1 tablet a day. Which of
the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
VERIFIED ANSWERS 2024 NEWEST UPDATE
ALREADY GRADED A+
A 47-yo patient presents with complaints of upper abdominal discomfort with nausea and
burning after eating. The patient is not currently taking any medications. The most likely
differential diagnoses would include:
A. colitis and peptic ulcer disease
B. Colitis and small bowel disease
C. Gastritis and Crohn's disease
D. Gastritis and peptic ulcer disease - ANSWER...D. Gastritis and peptic ulcer disease.
To assess spinal function at the S1 level, which deep tendon reflex should be tested?
A. Patellar
B. Cremasteric
C. Achilles
D. Anal wink - ANSWER...C. Achilles
A 66- yo patient presents with bilateral otis media with effusion and white patches in the mouth
that do not rub off when wiped with a 4 x 4. The patient should be evaluated for:
A. HIV infection
B. Myelodysplastic syndrome
C. Congenital lymphoproliferative disease
D. non-Hodgkin's lymphoma - ANSWER...A. HIV infection
A nurse practitioner is suturing a simple laceration on an 11-yo patient. The use of lidocaine with
epinephrine is contraindicated in all of the following areas EXCEPT the:
A. Scalp
B. Nose
C. Fingers
D. Earlobe - ANSWER...A. Scalp
A common rule to follow when prescribing many medications for the elderly is to: -
ANSWER...Start at a lower dose than what is commonly prescribed for adults, and increase the
dose slowly.
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: -
ANSWER...the meaning of a common proverb
,Cremasteric Reflex - ANSWER...a superficial (i.e., close to the skin's surface) reflex observed in
human males. This reflex is elicited by lightly stroking the superior and medial (inner) part of the
thigh-regardless of the direction of stroke. The normal response is an immediate contraction of
the cremaster muscle that pulls up the ipsilateral testis.
Edema from extravascular fluid retention is visible in conditions like - ANSWER...heart failure,
nephrotic syndrome and liver failure.
Drugs associated with weight gain include - ANSWER...Tricyclic antidepressants, insulin and
sulfonulurea, contraceptives, glucocorticoids, progestational steroids, mirtazapine and
paroxetine, gabapentin and valproate and propanolol
Causes of weight loss include - ANSWER...GI deases; endocrine disorders (diabetes,
hyperthyroidism, adrenal insufficiency); chronic infections, HIV/AIDS; malignancy; chronic
cardiac, pulmonary, or renal failure; depression; and anorexia nervosa or bulimia;
Appendicitis is a common cause of acute abdominal pain. - ANSWER...Assess for positive
McBurney's point tenderness, Rovsing's sign, the psoas sign, and obturator sign.
Rovsing's sign - ANSWER...Pain in the RIGHT lower quadrant during LEFT-sided pressure is a
positive Rovsing's sign. Indicates appendicitis
Psoas Sign - ANSWER...Increased abdominal pain when patient attempts to raise thigh against
your hand or when asking the patient to extend their right leg at the hip. Indicates Appendicits
Oburator Sign - ANSWER...right hypogastric pain constitiutes a positive obturator sign. Ask
patient to flex right thigh at the hip, with the knee bent, and rotate the leg internally at the hip.
Positive Murphy's sign - ANSWER...indicates Acute Cholecystitis. Right upper Quadrant
What test is used to assess peripheral arterial disease (PAD)? - ANSWER...ankle-brachial index.
Heberdens nodes - ANSWER...Found at the distal interphalangeal joint (DIP). Seen in
osteoarthritis.
Finkelstein's Test - ANSWER...If positive, Indicates de Quervain's tenosynovitis. Grasp the
thumb against the palm and then move the wrist toward the midline in the ulnar deviation
Carpal Tunnel maneuvers - ANSWER...Tinnel's and Phalen's
,Evaluation of a meniscal tear using - ANSWER...McMurray Sign and a locking on full knee
extension
Abduction (Valgus) stress test - ANSWER...Evaluate for Medial Collateral Ligament (MCL)
injury
Adduction (Varus) Stress test - ANSWER...Evaluate for lateral collateral ligament (LCL) injury
Evaluation of Anterior Cruciate Ligament (ACL) injury - ANSWER...Anterior Drawer sign and
Lachman test
Evaluating Posterior Cruciate Ligament (PCL) injury - ANSWER...Posterior drawer sign
Cranial Nerve I - ANSWER...Smell (1 nose)
Cranial Nerve II - ANSWER...Vision (2 eyes)
Cranial nerve III, IV, VI - ANSWER...Eye movement
Cranial Nerve V,VII,X,XII - ANSWER...Voice and speech
Cranial Nerve VIII - ANSWER...Acoustic (Hearing and balance)
Cranial nerve IX - ANSWER...Glossopharyngeal- swallowing and rise of the palate, gag reflex
Cranial Nerve XI - ANSWER...Spinal Accessory (upper trapezius)
Deep tendon reflex - ANSWER...Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale - ANSWER...CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
, In the majority of children, the first permanent teeth start to erupt at the age of 6 years. Which of
the following are the first permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - ANSWER...A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping - ANSWER...D. Grocery shopping
You note the following result on a routine urinalysis of a 37-year old primigravida who is at 30
weeks gestation. Leukocyte=trace, nitrite=negative, protein=2+, blood=negative. Her weight has
increased by 5 lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - ANSWER...B. Pregnancy-induced hypertension (pre-eclampsia).
Classic triad of symptoms of preeclampsia include hypertension, edema (weight gain), and
proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that her child had a high
fever for several days, which spontaneously resolved. After the fever resolved, the child
developed a maculopapular rash. Which of the following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - ANSWER...B. Roseola Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2 days. He
denies eye pain, visual changes, or headaches. He has a new onset of cough from a recent viral
upper respiratory infection. The only medicine he is on Bayer aspirin, 1 tablet a day. Which of
the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
