APEA FNP Predictor Exam Questions And Verified Solutions
[Updated]
The most likely working diagnosis for a 14 year old patient who fell on an outstretched hand,
complains of proximal forearm pain, and has a positive fat pad sign on X-ray. - Radial head fracture
The child quickly begins to use the affected arm after closed manipulation. - Successful treatment
indication for radial head subluxation
A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with an
erythematous base on the buccal mucosa suggests this diagnosis. - Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the table. -
Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever, right
pleuritic chest pain, and green sputum. - Right lower lobe crackles
The diagnostic test that should be performed immediately for a 15-year-old female with burning
urination after treatment for trichomonas vaginitis. - Microscopic exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which was surgically
repaired. - Testicular self-examination
The first action a school nurse should take when a child with type I diabetes mellitus reports
sweating and weakness after insulin injection. - Measure the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting while on Ortho-
Novum 7/7/7. - Providing reassurance
The most appropriate diagnostic tests to order for a 17-year-old female suspected of having
polycystic ovary syndrome, in addition to testosterone. - FSH, LH, TSH
The most likely diagnosis for a 17-year-old female who has never had her menses and is at Tanner
stage III of sexual development. - Primary amenorrhea
,Condition suspected for a 20-year-old male with a 1-month history of a bump on his testicle and a
history of unprotected intercourse. - Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly purulent
discharge from her left eye. - Gonococcal conjunctivitis
Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding, rigid abdominal
musculature, rebound tenderness at McBurney's point, and leukocytosis. - Appendicitis
A question to consider when analyzing a 22-year-old college student's heart rate of 48/minute and
regular during a routine physical examination. - Is this student an athlete?
Advice for a 24-year-old female taking oral contraceptives who has missed her last 2 pills to minimize
her risk of pregnancy. - Double today's dose and tomorrow's dose and use a barrier method for the
rest of the month
Contraceptive technique to prevent pregnancy. - Barrier method
Common cause of recurrent candidal infections. - Diabetes mellitus
Non-tender breast mass with nipple discharge. - Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms. - Chlamydia infection
Skin rash caused by irritants or allergens. - Contact dermatitis
Test to identify pathogens in respiratory secretions. - Sputum culture
Autoimmune condition causing joint inflammation and stiffness. - Rheumatoid arthritis
Infection causing pelvic pain and urinary symptoms. - Acute bacterial prostatitis
, Ultrasound imaging to assess internal structures. - Sonogram
Referral for specialized evaluation of reproductive issues. - Gynecological consultation
Emergency condition causing acute testicular pain. - Testicular torsion
Typically decreases, causing light-headedness when standing. - Blood pressure changes in pregnancy
Class of antibiotics effective against bacterial infections. - Macrolide antibiotic
Agency to report suspected child abuse or neglect. - Child protective services
Movement of a joint without patient effort. - Passive range of motion (ROM)
Benign tumors causing heavy menstrual bleeding. - Uterine leiomyomas
Fluid released from the nipple, may indicate pathology. - Nipple discharge
Inflammation of bronchial tubes, often due to infection. - Acute bronchitis
Indicates possible bacterial infection in respiratory tract. - Foul-smelling sputum
Routine examination to detect precancerous changes. - Cervical cancer screening
Common symptom in inflammatory joint diseases. - Morning stiffness
Red, flat rash often indicating skin irritation. - Erythematous macular rash
Urine samples collected during normal urination. - Voided urine specimens
Reflex causing testicle elevation when thigh is stroked. - Cremasteric reflex
[Updated]
The most likely working diagnosis for a 14 year old patient who fell on an outstretched hand,
complains of proximal forearm pain, and has a positive fat pad sign on X-ray. - Radial head fracture
The child quickly begins to use the affected arm after closed manipulation. - Successful treatment
indication for radial head subluxation
A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with an
erythematous base on the buccal mucosa suggests this diagnosis. - Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the table. -
Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever, right
pleuritic chest pain, and green sputum. - Right lower lobe crackles
The diagnostic test that should be performed immediately for a 15-year-old female with burning
urination after treatment for trichomonas vaginitis. - Microscopic exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which was surgically
repaired. - Testicular self-examination
The first action a school nurse should take when a child with type I diabetes mellitus reports
sweating and weakness after insulin injection. - Measure the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting while on Ortho-
Novum 7/7/7. - Providing reassurance
The most appropriate diagnostic tests to order for a 17-year-old female suspected of having
polycystic ovary syndrome, in addition to testosterone. - FSH, LH, TSH
The most likely diagnosis for a 17-year-old female who has never had her menses and is at Tanner
stage III of sexual development. - Primary amenorrhea
,Condition suspected for a 20-year-old male with a 1-month history of a bump on his testicle and a
history of unprotected intercourse. - Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly purulent
discharge from her left eye. - Gonococcal conjunctivitis
Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding, rigid abdominal
musculature, rebound tenderness at McBurney's point, and leukocytosis. - Appendicitis
A question to consider when analyzing a 22-year-old college student's heart rate of 48/minute and
regular during a routine physical examination. - Is this student an athlete?
Advice for a 24-year-old female taking oral contraceptives who has missed her last 2 pills to minimize
her risk of pregnancy. - Double today's dose and tomorrow's dose and use a barrier method for the
rest of the month
Contraceptive technique to prevent pregnancy. - Barrier method
Common cause of recurrent candidal infections. - Diabetes mellitus
Non-tender breast mass with nipple discharge. - Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms. - Chlamydia infection
Skin rash caused by irritants or allergens. - Contact dermatitis
Test to identify pathogens in respiratory secretions. - Sputum culture
Autoimmune condition causing joint inflammation and stiffness. - Rheumatoid arthritis
Infection causing pelvic pain and urinary symptoms. - Acute bacterial prostatitis
, Ultrasound imaging to assess internal structures. - Sonogram
Referral for specialized evaluation of reproductive issues. - Gynecological consultation
Emergency condition causing acute testicular pain. - Testicular torsion
Typically decreases, causing light-headedness when standing. - Blood pressure changes in pregnancy
Class of antibiotics effective against bacterial infections. - Macrolide antibiotic
Agency to report suspected child abuse or neglect. - Child protective services
Movement of a joint without patient effort. - Passive range of motion (ROM)
Benign tumors causing heavy menstrual bleeding. - Uterine leiomyomas
Fluid released from the nipple, may indicate pathology. - Nipple discharge
Inflammation of bronchial tubes, often due to infection. - Acute bronchitis
Indicates possible bacterial infection in respiratory tract. - Foul-smelling sputum
Routine examination to detect precancerous changes. - Cervical cancer screening
Common symptom in inflammatory joint diseases. - Morning stiffness
Red, flat rash often indicating skin irritation. - Erythematous macular rash
Urine samples collected during normal urination. - Voided urine specimens
Reflex causing testicle elevation when thigh is stroked. - Cremasteric reflex
