3P APEA /APEA 3P EXAM AND STUDYGUIDE
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2024 ACTUAL EXAM COMPLETE 400 QUES
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TIONS AND CORRECT ANSWERS (VERIFIED
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ANSWERS) |ALREADY GRADED A+||BRAN
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D NEW VERSION!!
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A#patient#presents#with#pruritic#lesions#on#both#knees.#There#are#visible#silver#scales.#How#should#t
his#condition#be#managed?
a. Topical#antifungal#cream#or#ointment
b. Oral#antibiotics
c. Topical#corticosteroids#cream
d. Topical#anti-fungal/#steroid#cream#CORRECT#ANSWER:#c
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#CORRECT#ANSWER:#d
Patient#with#benign#prostatic#hyperplasia#(BPH)#should#be#taught#to#avoid#which#one#of#the#followi
ng#drug#classes?
a.Alpha#adrenergic#antagonist#b.
Anti-
androgen#agents#c.Tricyclic#antid
epressant#(TCA)
d.#Sulfonamides#CORRECT#ANSWER:#C
,Which#of#the#following#is#the#best#response#to#a#woman#who#has#just#admitted#she#is#a#victim#of#sp
ousal#abuse?
a. What#was#if#you#did#to#make#him#angry?
b. You#must#seek#refuge#immediately
c. I#am#concerned#about#your#safety
d. I#am#going#to#call#a#shelter#for#you#CORRECT#ANSWER:#C
For#which#patient#group#does#the#US#Preventive#Services#Task#Force#recommend#routine#screenin
g#for#asymptomatic#bacteriuria?
a. pregnant#woman
b. Children
c. Patients#with#diabetes
d. patients#over#the#age#of#70#CORRECT#ANSWER:#A
What#diabetic#complications#result#from#hyperglycemia?
1. Retinopathy
2. Hypertension#resistant#to#treatment
3. Peripheral#neuropathy
4. Accelerated#atherosclerosis
a. 1,2,3
b. 2,3,4
c. 1,3,4
d. 1,2,4#CORRECT#ANSWER:#C
A#6#y/o#presents#w/#complaints#of#sore#throat#and#fever#for#2#days.#He#has#multiple#vesiculated#ulce
rations#on#his#tonsils#and#uvula.#There#are#no#other#remarkable#findings.#What#is#the#most#likely#di
agnosis?
a. Viral#pharyngitis
b. Herpangina
c. Epiglottitis
,d. Tonsillitis#CORRECT#ANSWER:#B
A#patient#has#Kawasaki#syndrome.#Which#characteristics#would#be#UNUSUAL?
a. Age#>#15# years
b. Fever#>#101#F#(38.3#C)
c. Exudative#pharyngitis
d. Painful#rash#CORRECT#ANSWER:#A
According#to#the#JNC#8#guideline#hypertension#in#a#40#y/o#can#be#diagnosed#when#blood#pressur
e#exceeds?
a. 140/90
b. 130/90
c. 125/85
d. 150/100#CORRECT#ANSWER:#A
A#48#y/o#female#complains#of#pain#and#stiffness#in#her#right#hip#and#knee#that#is#mild#on#awakenin
g#in#the#morning,#get#worse#as#the#day#progresses#and#is#relived#with#hot#baths#and#ibuprofen.#Crep
itus#is#palpated#on#range#of#motion#of#the#knee.#Signs#of#inflammation#are#notably#absent.#What#is#
the#most#likely#diagnosis?
a. Rheumatoid#arthritis#(RA)
b. Gout
c. Osteoarthritis#(OA)
d. Osteoporosis#CORRECT#ANSWER:#C
A#7-
year#old#female#patient#presents#with#severe#injuries#that#are#inconsistent#with#the#explanation#giv
en#for#them.#The#nurse#practitioner#questions#the#mother#about#abuse.#She#admits#that#her#husband
,#the#child's#father,#beat#the#child.#How#should#the#nurse#practitioner#proceed?
a. Inform#the#mother#that#the#abuse#must#be#reported#to#child#protection#authorities.
b. Counsel#the#mother#that#if#it#happens#again#it#will#be#reported#to#child#protection#service.
, c. Ask#the#child#what#she#did#to#cause#the#punishment
d. Refer#the#family#to#the#National#Domestic#Violence#hotline.#CORRECT#ANSWER:#A
A#1-month-
old#presents#with#reported#recurrent#diarrhea,#screaming,#and#drawing#up#of#the#legs#followed#by#p
eriods#of#lethargy.#On#physical#examination,#a#"sausage-
like"#mass#in#the#upper#right#quadrant#of#the#distended#abdomen.#Which#of#the#following#is#the#mo
st#likely#diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's#disease
d. Foreign#body#in#the#GI#tract#CORRECT#ANSWER:#A
A#middle-
aged#female#complains#of#insomnia,#night#sweats,#feeling#intensely#hot,#emotional#lability,#ex
treme#nervousness#and#impatience.#The#LEAST#likely#cause#of#her#symptoms#is?
a. Thyrotoxicosis
b. Menopausal#vasomotor#instability
c. Alcohol#or#another#drug#withdrawal
d. New#onset#type#2#diabetes#mellitus#CORRECT#ANSWER:#D
Which#of#the#following#indicated#need#for#further#evaluation?
a. A#7#y/o#girl#with#vaginal#bleeding
b. A#7#years#old#girl#with#no#true#pubic#hair
c. A#12#years#old#boy#with#sparse,#slightly#pigmented#pubic#hair
d. A#12-year-old#girl#with#breast#buds#CORRECT#ANSWER:#A
A#young#couple#is#being#seen#by#the#NP#for#preconception#counseling.#They#express#a#wish#f
or#pregnancy#within#the#next#3#month#and#are#very#eager#to#know#what#they#can#do#now#to#"
make#the#baby#as#healthy#as#possible".#Which#of#the#following#should#the#NP#encourage#to#de
crease#the#chance#of#neural#tube#defect#in#the#fetus?
a. Maternal#alpha-fetoprotein#level
# # # # # #
2024 ACTUAL EXAM COMPLETE 400 QUES
# # # # #
TIONS AND CORRECT ANSWERS (VERIFIED
# # # # #
ANSWERS) |ALREADY GRADED A+||BRAN
# # #
D NEW VERSION!!
# #
A#patient#presents#with#pruritic#lesions#on#both#knees.#There#are#visible#silver#scales.#How#should#t
his#condition#be#managed?
a. Topical#antifungal#cream#or#ointment
b. Oral#antibiotics
c. Topical#corticosteroids#cream
d. Topical#anti-fungal/#steroid#cream#CORRECT#ANSWER:#c
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#CORRECT#ANSWER:#d
Patient#with#benign#prostatic#hyperplasia#(BPH)#should#be#taught#to#avoid#which#one#of#the#followi
ng#drug#classes?
a.Alpha#adrenergic#antagonist#b.
Anti-
androgen#agents#c.Tricyclic#antid
epressant#(TCA)
d.#Sulfonamides#CORRECT#ANSWER:#C
,Which#of#the#following#is#the#best#response#to#a#woman#who#has#just#admitted#she#is#a#victim#of#sp
ousal#abuse?
a. What#was#if#you#did#to#make#him#angry?
b. You#must#seek#refuge#immediately
c. I#am#concerned#about#your#safety
d. I#am#going#to#call#a#shelter#for#you#CORRECT#ANSWER:#C
For#which#patient#group#does#the#US#Preventive#Services#Task#Force#recommend#routine#screenin
g#for#asymptomatic#bacteriuria?
a. pregnant#woman
b. Children
c. Patients#with#diabetes
d. patients#over#the#age#of#70#CORRECT#ANSWER:#A
What#diabetic#complications#result#from#hyperglycemia?
1. Retinopathy
2. Hypertension#resistant#to#treatment
3. Peripheral#neuropathy
4. Accelerated#atherosclerosis
a. 1,2,3
b. 2,3,4
c. 1,3,4
d. 1,2,4#CORRECT#ANSWER:#C
A#6#y/o#presents#w/#complaints#of#sore#throat#and#fever#for#2#days.#He#has#multiple#vesiculated#ulce
rations#on#his#tonsils#and#uvula.#There#are#no#other#remarkable#findings.#What#is#the#most#likely#di
agnosis?
a. Viral#pharyngitis
b. Herpangina
c. Epiglottitis
,d. Tonsillitis#CORRECT#ANSWER:#B
A#patient#has#Kawasaki#syndrome.#Which#characteristics#would#be#UNUSUAL?
a. Age#>#15# years
b. Fever#>#101#F#(38.3#C)
c. Exudative#pharyngitis
d. Painful#rash#CORRECT#ANSWER:#A
According#to#the#JNC#8#guideline#hypertension#in#a#40#y/o#can#be#diagnosed#when#blood#pressur
e#exceeds?
a. 140/90
b. 130/90
c. 125/85
d. 150/100#CORRECT#ANSWER:#A
A#48#y/o#female#complains#of#pain#and#stiffness#in#her#right#hip#and#knee#that#is#mild#on#awakenin
g#in#the#morning,#get#worse#as#the#day#progresses#and#is#relived#with#hot#baths#and#ibuprofen.#Crep
itus#is#palpated#on#range#of#motion#of#the#knee.#Signs#of#inflammation#are#notably#absent.#What#is#
the#most#likely#diagnosis?
a. Rheumatoid#arthritis#(RA)
b. Gout
c. Osteoarthritis#(OA)
d. Osteoporosis#CORRECT#ANSWER:#C
A#7-
year#old#female#patient#presents#with#severe#injuries#that#are#inconsistent#with#the#explanation#giv
en#for#them.#The#nurse#practitioner#questions#the#mother#about#abuse.#She#admits#that#her#husband
,#the#child's#father,#beat#the#child.#How#should#the#nurse#practitioner#proceed?
a. Inform#the#mother#that#the#abuse#must#be#reported#to#child#protection#authorities.
b. Counsel#the#mother#that#if#it#happens#again#it#will#be#reported#to#child#protection#service.
, c. Ask#the#child#what#she#did#to#cause#the#punishment
d. Refer#the#family#to#the#National#Domestic#Violence#hotline.#CORRECT#ANSWER:#A
A#1-month-
old#presents#with#reported#recurrent#diarrhea,#screaming,#and#drawing#up#of#the#legs#followed#by#p
eriods#of#lethargy.#On#physical#examination,#a#"sausage-
like"#mass#in#the#upper#right#quadrant#of#the#distended#abdomen.#Which#of#the#following#is#the#mo
st#likely#diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's#disease
d. Foreign#body#in#the#GI#tract#CORRECT#ANSWER:#A
A#middle-
aged#female#complains#of#insomnia,#night#sweats,#feeling#intensely#hot,#emotional#lability,#ex
treme#nervousness#and#impatience.#The#LEAST#likely#cause#of#her#symptoms#is?
a. Thyrotoxicosis
b. Menopausal#vasomotor#instability
c. Alcohol#or#another#drug#withdrawal
d. New#onset#type#2#diabetes#mellitus#CORRECT#ANSWER:#D
Which#of#the#following#indicated#need#for#further#evaluation?
a. A#7#y/o#girl#with#vaginal#bleeding
b. A#7#years#old#girl#with#no#true#pubic#hair
c. A#12#years#old#boy#with#sparse,#slightly#pigmented#pubic#hair
d. A#12-year-old#girl#with#breast#buds#CORRECT#ANSWER:#A
A#young#couple#is#being#seen#by#the#NP#for#preconception#counseling.#They#express#a#wish#f
or#pregnancy#within#the#next#3#month#and#are#very#eager#to#know#what#they#can#do#now#to#"
make#the#baby#as#healthy#as#possible".#Which#of#the#following#should#the#NP#encourage#to#de
crease#the#chance#of#neural#tube#defect#in#the#fetus?
a. Maternal#alpha-fetoprotein#level
