NUR 504 3P APEA EXAM
The NP is counseling a 25 y/o sexually active male patient about condom use, which of the following
statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms - verified answer c. Make sure the condom is tight against the head of the
penis
The NP is counseling a 25 y/o sexually active male patient about condom use, which of the following
statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms - verified answer c. Make sure the condom is tight against the head of the
penis
Which of the following descriptions of Denver II Developmental Screening Test is most accurate?
a. Applicable to children from birth to 2 years; evaluates four major categories of development:
motor, intellectual, emotional, and language to determine whether a child is within normal range for
various behaviors or is developmentally delayed
b. Applicable to children from birth to 5 years; evaluates four major categories of development:
motor, vision, hearing and psychosocial to determine whether a child is normal or developmentally
compromised
d. Applicable to children from birth to 6 years; evaluates four major categories of development:
gross motor, fine motor-adaptive, language, and personal social to determine whether a child is
within normal range for behaviors or is developmentally delayed. - verified answer d. Applicable to
children from birth to 6 years; evaluates four major categories of development: gross motor, fine
motor-adaptive, language, and personal social to determine whether a child is within normal range
for behaviors or is developmentally delayed.
A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for
about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects
mononucleosis. Which of the following is the LEAST appropriate intervention?
,a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - verified answer d. Obtain an urinalyses
and serum for LFTs and amylase
A 32 years old male patient complaint of urinary frequency and burning on urination for 3 days.
Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx of urinary tract infections.
The initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose - verified answer a. trimethoprim-sulfamethoxazole
(Bactrim, Sulfatrim) for 7-10 day
Which agent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetracycline
d. Isotretinoin - verified answer d. Isotretinoin
An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use
a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of migraines.
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
d. if she forgets to take a single dose of the contraceptive - verified answer b. If prescribed
topiramate (Topamax) for the treatment of migraines.
A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5mmol/L), LDL=
190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L).
What agent have the greatest effect on improving her lipid profile and reducing morbidity and
mortality associates with dyslipidemia?
a. Niacin (Niaspan)
, b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates - verified answer b. Atorvastatin
A NP has recently been hired to work in a fast track facility. The NP employer asked if she has "a
problem prescribing medications for emergency contraception." The NP replies affirmatively. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
c. Illegal according to the standards of nursing
d. Patient abandonment. - verified answer b. An ethical dilemma for the NP
30 years old female comes into a clinic with classic signs and symptoms of appendicitis. The NP fails
to refer the patient to a surgeon. The appendix ruptures and the woman die. This is an example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice - verified answer d. Malpractice
A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this
condition be managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream - verified answer c. Topical corticosteroids cream
Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use - verified answer d. Gradually tapers SSRI use
The NP is counseling a 25 y/o sexually active male patient about condom use, which of the following
statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms - verified answer c. Make sure the condom is tight against the head of the
penis
The NP is counseling a 25 y/o sexually active male patient about condom use, which of the following
statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Explanation: Condoms - verified answer c. Make sure the condom is tight against the head of the
penis
Which of the following descriptions of Denver II Developmental Screening Test is most accurate?
a. Applicable to children from birth to 2 years; evaluates four major categories of development:
motor, intellectual, emotional, and language to determine whether a child is within normal range for
various behaviors or is developmentally delayed
b. Applicable to children from birth to 5 years; evaluates four major categories of development:
motor, vision, hearing and psychosocial to determine whether a child is normal or developmentally
compromised
d. Applicable to children from birth to 6 years; evaluates four major categories of development:
gross motor, fine motor-adaptive, language, and personal social to determine whether a child is
within normal range for behaviors or is developmentally delayed. - verified answer d. Applicable to
children from birth to 6 years; evaluates four major categories of development: gross motor, fine
motor-adaptive, language, and personal social to determine whether a child is within normal range
for behaviors or is developmentally delayed.
A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for
about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects
mononucleosis. Which of the following is the LEAST appropriate intervention?
,a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - verified answer d. Obtain an urinalyses
and serum for LFTs and amylase
A 32 years old male patient complaint of urinary frequency and burning on urination for 3 days.
Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx of urinary tract infections.
The initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose - verified answer a. trimethoprim-sulfamethoxazole
(Bactrim, Sulfatrim) for 7-10 day
Which agent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetracycline
d. Isotretinoin - verified answer d. Isotretinoin
An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use
a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of migraines.
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
d. if she forgets to take a single dose of the contraceptive - verified answer b. If prescribed
topiramate (Topamax) for the treatment of migraines.
A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5mmol/L), LDL=
190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L).
What agent have the greatest effect on improving her lipid profile and reducing morbidity and
mortality associates with dyslipidemia?
a. Niacin (Niaspan)
, b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates - verified answer b. Atorvastatin
A NP has recently been hired to work in a fast track facility. The NP employer asked if she has "a
problem prescribing medications for emergency contraception." The NP replies affirmatively. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
c. Illegal according to the standards of nursing
d. Patient abandonment. - verified answer b. An ethical dilemma for the NP
30 years old female comes into a clinic with classic signs and symptoms of appendicitis. The NP fails
to refer the patient to a surgeon. The appendix ruptures and the woman die. This is an example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice - verified answer d. Malpractice
A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this
condition be managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream - verified answer c. Topical corticosteroids cream
Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use - verified answer d. Gradually tapers SSRI use
