APEA PREDICTOR ACTUAL EXAM LATEST 2024/2025
QUESTIONS AND VERIFIED CORRECT ANSWERS/ALREADY
GRADED A++
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
D. Sub-conjunctival hemorrhage - ANSWER D. Subconjunctival
hemorrhage. Bright red blood in a sharply defined area surrounded by
normal-appearing conjunctiva indicates sub-conjunctival 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
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. Accommodation - 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.
, A patient with no significant medical history has vericose veins. She
complains of '"aching legs". The intervention that will provide the greatest
relief for her complaint is to: - ANSWER Elevate her legs periodically.
The intervention that will provide the greatest relief for this patient is
elevating her legs periodically. This will facilitate venous return. Use of
support stockings will prolong the length of time she is able to stand in
place, but will not provide relief after her legs begin aching. Support
stockings should be applied prior to getting out of bed.
A 25-yo female patient presents for a routine well-women exam. On
physical exam, the NP notes a scant nipple discharge, absence of palpable
mass, and absence of lymph node enlargement. What is the most likely
diagnosis? - ANSWER Itraductal papilloma.
Intraductal papilloma often presents as a non-tender mass with serous or
bloody nipple discharge located in the ductal system near the areola.
Breast cancer, although usually non-tender, may present with pain. Chest
wall syndrome may present in some women as breast pain. Fibrocystic
breast disease often presents with bilateral breast pain.
According to the ANA, the role of the NP who provides primary health care
is the: - ANSWER Direct nursing care role.
The NP with a traditional nursing care role is a primary health care
provider. Increasing numbers of nurse practitioners are assuming indirect
roles such as educator, administrator, researcher, and consultant.
An 8-mo male presents with hemarthrosis of both knees and hematuria.
The parents give no history of trauma, but say " he has always bruised
easily" The most likely diagnosis is: - ANSWER A type of hemophilia.
Hemophilia is usually diagnosed within the first year of life. It commonly
presents with hemarthrosis, bleeding into soft tissue, hematuria, and
prolonged bleeding times.
The nurse practitioner is following a child with juvemile rheumatoid arthritis
(JRA) who has been previously diagnosed and is being managed for the
disease by a pediatric rheumatologist. The mother asks for information
about the child's long-term prognosis. The appropriate reply is that: -
ANSWER most children with JRA achieve complete remission by
adulthood, but its effects might cause lifelong limitations.
Although the active disease does not continue into adulthood, the
contractures, growth retardation, bone deformities, and visual impairment
QUESTIONS AND VERIFIED CORRECT ANSWERS/ALREADY
GRADED A++
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
D. Sub-conjunctival hemorrhage - ANSWER D. Subconjunctival
hemorrhage. Bright red blood in a sharply defined area surrounded by
normal-appearing conjunctiva indicates sub-conjunctival 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
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. Accommodation - 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.
, A patient with no significant medical history has vericose veins. She
complains of '"aching legs". The intervention that will provide the greatest
relief for her complaint is to: - ANSWER Elevate her legs periodically.
The intervention that will provide the greatest relief for this patient is
elevating her legs periodically. This will facilitate venous return. Use of
support stockings will prolong the length of time she is able to stand in
place, but will not provide relief after her legs begin aching. Support
stockings should be applied prior to getting out of bed.
A 25-yo female patient presents for a routine well-women exam. On
physical exam, the NP notes a scant nipple discharge, absence of palpable
mass, and absence of lymph node enlargement. What is the most likely
diagnosis? - ANSWER Itraductal papilloma.
Intraductal papilloma often presents as a non-tender mass with serous or
bloody nipple discharge located in the ductal system near the areola.
Breast cancer, although usually non-tender, may present with pain. Chest
wall syndrome may present in some women as breast pain. Fibrocystic
breast disease often presents with bilateral breast pain.
According to the ANA, the role of the NP who provides primary health care
is the: - ANSWER Direct nursing care role.
The NP with a traditional nursing care role is a primary health care
provider. Increasing numbers of nurse practitioners are assuming indirect
roles such as educator, administrator, researcher, and consultant.
An 8-mo male presents with hemarthrosis of both knees and hematuria.
The parents give no history of trauma, but say " he has always bruised
easily" The most likely diagnosis is: - ANSWER A type of hemophilia.
Hemophilia is usually diagnosed within the first year of life. It commonly
presents with hemarthrosis, bleeding into soft tissue, hematuria, and
prolonged bleeding times.
The nurse practitioner is following a child with juvemile rheumatoid arthritis
(JRA) who has been previously diagnosed and is being managed for the
disease by a pediatric rheumatologist. The mother asks for information
about the child's long-term prognosis. The appropriate reply is that: -
ANSWER most children with JRA achieve complete remission by
adulthood, but its effects might cause lifelong limitations.
Although the active disease does not continue into adulthood, the
contractures, growth retardation, bone deformities, and visual impairment
