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APEA PRE-PREDICTOR NP EXAM DETAILED ANSWERS
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)
Cranial nerve IX - answer-Glossopharyngeal- swallowing and rise of the palate, gag
reflex
Cranial Nerve VIII - answer-Acoustic (Hearing and balance)
Cranial Nerve XI - answer-Spinal Accessory (upper trapezius)
Deep tendon reflex - answer-Ankle- S1 primarily
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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
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
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B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - answer-D. Subconjunctival hemorrhage. Bright red
blood in a sharply defined area surrounded by normal-appearing conjunctiva indicates
subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A
microscopy slide reveals a large number of atrophic squamous epithelial cells. The
vaginal pH is 4.0. There are very few leukocytes and no RBCs are seen on the wet
smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - answer-A. Atrophic vaginitis. Symptoms of atrophic
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a decrease
in pH. Vaginal atrophy is caused by lack of or imbalance of estrogen. Normal pH of the
vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - answer-B. Basal skin cancer. It is several times more common that
squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - answer-B. Measles. S/S include fever over 101, coryza, cough,
conjunctivitis, rash, and koplik's spots on buccal mucosa
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At what level of prevention would you classify for lung cancer?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - answer-D. primordial prevention. Screening for lung cancer is
not currently recommended in the general population, but it is secondary prevention.
A test called the visual fields by confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation - answer-A. Peripheral vision
What is the most common cause of Cushing's syndrome? - answer-Administration of a
glucocorticoid or ACTH.
Iatrogenic Cushing's syndrome is the most common type. Exogenous glucocorticoid
administration produces a Cushing's Syndrome that is reversible by discontinuation of
the medication.
13. Clinical indications for CABG include the following, except?
A. Disease of the Left main coronary artery (LMCA).
B. Disease of all three coronary vessels (LAD, LCX and RCA)
C. Diffuse disease not amenable to treatment with a PCI.
D. CABG is the preferred treatment with low-risk patients - answer-D. CABG is the
preferred treatment with low-risk patients
14. Clinical indications for PCI include the following, except:
A. Acute ST-elevation myocardial infarction (STEMI)
B. Non-ST-elevation acute coronary syndrome (NSTE-ACS)
C. Unstable angina
APEA PRE-PREDICTOR NP EXAM DETAILED ANSWERS
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)
Cranial nerve IX - answer-Glossopharyngeal- swallowing and rise of the palate, gag
reflex
Cranial Nerve VIII - answer-Acoustic (Hearing and balance)
Cranial Nerve XI - answer-Spinal Accessory (upper trapezius)
Deep tendon reflex - answer-Ankle- S1 primarily
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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
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
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B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - answer-D. Subconjunctival hemorrhage. Bright red
blood in a sharply defined area surrounded by normal-appearing conjunctiva indicates
subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A
microscopy slide reveals a large number of atrophic squamous epithelial cells. The
vaginal pH is 4.0. There are very few leukocytes and no RBCs are seen on the wet
smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - answer-A. Atrophic vaginitis. Symptoms of atrophic
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a decrease
in pH. Vaginal atrophy is caused by lack of or imbalance of estrogen. Normal pH of the
vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - answer-B. Basal skin cancer. It is several times more common that
squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - answer-B. Measles. S/S include fever over 101, coryza, cough,
conjunctivitis, rash, and koplik's spots on buccal mucosa
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At what level of prevention would you classify for lung cancer?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - answer-D. primordial prevention. Screening for lung cancer is
not currently recommended in the general population, but it is secondary prevention.
A test called the visual fields by confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation - answer-A. Peripheral vision
What is the most common cause of Cushing's syndrome? - answer-Administration of a
glucocorticoid or ACTH.
Iatrogenic Cushing's syndrome is the most common type. Exogenous glucocorticoid
administration produces a Cushing's Syndrome that is reversible by discontinuation of
the medication.
13. Clinical indications for CABG include the following, except?
A. Disease of the Left main coronary artery (LMCA).
B. Disease of all three coronary vessels (LAD, LCX and RCA)
C. Diffuse disease not amenable to treatment with a PCI.
D. CABG is the preferred treatment with low-risk patients - answer-D. CABG is the
preferred treatment with low-risk patients
14. Clinical indications for PCI include the following, except:
A. Acute ST-elevation myocardial infarction (STEMI)
B. Non-ST-elevation acute coronary syndrome (NSTE-ACS)
C. Unstable angina
