APEA EXAM WITH CORRECT
ANSWERS 2025
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( correct answers ) 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?
e.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. ( correct answers ) 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?
c. Palpate the lymph nodes and spleen
d. Examine the posterior oropharynx for petechiae
e. Obtain a CBC, throat culture, and heterophil antibody test.
f.Obtain an urinalyses and serum for LFTs and amylase
( correct answers ) 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:
g. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
h. ciprofloxacin (Cipro) for 3-5 days
GRADED
i. Trimethoprim-Sulfamethoxazole for 3 days
A+
, d. 750 mg ciprofloxacin as a one-time dose ( correct answers ) 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 ( correct answers ) 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
e. Throughout the week of placebo pills
f. If prescribed topiramate (Topamax) for the treatment of migraines.
g. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
h.if she forgets to take a single dose of the contraceptive ( correct
answers ) 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?
i. Niacin (Niaspan)
j. Atorvastatin
k. Omega 3 fatty acids
l. Fenofibrates ( correct answers ) 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:
m.Grounds for dismissal
n. An ethical dilemma for the NP
o. Illegal according to the standards of nursing
p. Patient abandonment. ( correct answers ) 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
q. Failure of diligence
r. Professional liability
s. Negligence
t. Malpractice ( correct answers ) d. Malpractice
A patient presents with pruritic lesions on both knees. There are visible
silver scales. How Should this condition be managed?
u. Topical antifungal cream or ointment
GRADED
A+
ANSWERS 2025
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( correct answers ) 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?
e.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. ( correct answers ) 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?
c. Palpate the lymph nodes and spleen
d. Examine the posterior oropharynx for petechiae
e. Obtain a CBC, throat culture, and heterophil antibody test.
f.Obtain an urinalyses and serum for LFTs and amylase
( correct answers ) 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:
g. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
h. ciprofloxacin (Cipro) for 3-5 days
GRADED
i. Trimethoprim-Sulfamethoxazole for 3 days
A+
, d. 750 mg ciprofloxacin as a one-time dose ( correct answers ) 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 ( correct answers ) 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
e. Throughout the week of placebo pills
f. If prescribed topiramate (Topamax) for the treatment of migraines.
g. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
h.if she forgets to take a single dose of the contraceptive ( correct
answers ) 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?
i. Niacin (Niaspan)
j. Atorvastatin
k. Omega 3 fatty acids
l. Fenofibrates ( correct answers ) 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:
m.Grounds for dismissal
n. An ethical dilemma for the NP
o. Illegal according to the standards of nursing
p. Patient abandonment. ( correct answers ) 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
q. Failure of diligence
r. Professional liability
s. Negligence
t. Malpractice ( correct answers ) d. Malpractice
A patient presents with pruritic lesions on both knees. There are visible
silver scales. How Should this condition be managed?
u. Topical antifungal cream or ointment
GRADED
A+
