APEA FNP Predictor Exam Test Bank 2024-2025 yes
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. - (correct Answer) - Radial head
fracture
The child quickly begins to use the affected arm after closed manipulation. - (correct Answer) -
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. - (correct Answer) - Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the table. - (correct
Answer) - Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever, right pleuritic
chest pain, and green sputum. - (correct Answer) - 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. - (correct Answer) - Microscopic exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which was surgically repaired.
- (correct Answer) - 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. - (correct Answer) - Measure the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting while on Ortho-
Novum 7/7/7. - (correct Answer) - 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. - (correct Answer) - 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. - (correct Answer) - 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. - (correct Answer) - Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly purulent
discharge from her left eye. - (correct Answer) - 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. - (correct Answer) -
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. - (correct Answer) - 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. - (correct Answer) - Double today's dose and tomorrow's dose and use a barrier
method for the rest of the month
Contraceptive technique to prevent pregnancy. - (correct Answer) - Barrier method
Common cause of recurrent candidal infections. - (correct Answer) - Diabetes mellitus
Non-tender breast mass with nipple discharge. - (correct Answer) - Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms. - (correct Answer) - Chlamydia infection
Skin rash caused by irritants or allergens. - (correct Answer) - Contact dermatitis
Test to identify pathogens in respiratory secretions. - (correct Answer) - Sputum culture
Autoimmune condition causing joint inflammation and stiffness. - (correct Answer) - Rheumatoid
arthritis
Infection causing pelvic pain and urinary symptoms. - (correct Answer) - Acute bacterial prostatitis
Ultrasound imaging to assess internal structures. - (correct Answer) - Sonogram
Referral for specialized evaluation of reproductive issues. - (correct Answer) - Gynecological consultation
Emergency condition causing acute testicular pain. - (correct Answer) - Testicular torsion
Typically decreases, causing light-headedness when standing. - (correct Answer) - Blood pressure
changes in pregnancy
Class of antibiotics effective against bacterial infections. - (correct Answer) - Macrolide antibiotic
Agency to report suspected child abuse or neglect. - (correct Answer) - Child protective services
Movement of a joint without patient effort. - (correct Answer) - Passive range of motion (ROM)
Benign tumors causing heavy menstrual bleeding. - (correct Answer) - Uterine leiomyomas
Fluid released from the nipple, may indicate pathology. - (correct Answer) - Nipple discharge
Inflammation of bronchial tubes, often due to infection. - (correct Answer) - Acute bronchitis
Indicates possible bacterial infection in respiratory tract. - (correct Answer) - Foul-smelling sputum
Routine examination to detect precancerous changes. - (correct Answer) - Cervical cancer screening
Common symptom in inflammatory joint diseases. - (correct Answer) - Morning stiffness
Red, flat rash often indicating skin irritation. - (correct Answer) - Erythematous macular rash
Urine samples collected during normal urination. - (correct Answer) - Voided urine specimens
Reflex causing testicle elevation when thigh is stroked. - (correct Answer) - Cremasteric reflex
, Observations made during a clinical examination. - (correct Answer) - Physical exam findings
Minimal fluid release from the nipple, may indicate benign condition. - (correct Answer) - Scant nipple
discharge
Discomfort in lower abdomen, often related to reproductive organs. - (correct Answer) - Pelvic pain
Agency for reporting child abuse suspicions. - (correct Answer) - Child Protective Services
Discomfort in the rectal area, often with bleeding. - (correct Answer) - Rectal Pain
Test for hidden blood in stool. - (correct Answer) - Guaiac Test
Medication for rectal inflammation and discomfort. - (correct Answer) - Hydrocortisone Suppositories
Inflammation of the stomach lining. - (correct Answer) - Gastritis
Ulcers in the stomach or duodenum. - (correct Answer) - Peptic Ulcer Disease
Difficulty in achieving ejaculation during intercourse. - (correct Answer) - Delayed Ejaculation
Antidepressant causing sexual side effects. - (correct Answer) - Paroxetine
Lung infection causing cough and fever. - (correct Answer) - Pneumonia (pna)
Antibiotic used for treating pneumonia. - (correct Answer) - Clarithromycin
Infection from Group A Streptococcus, causes rash. - (correct Answer) - Scarlet Fever
Nonblanching rash on flexor surfaces in scarlet fever. - (correct Answer) - Pastia Lines
Condition causing muscle pain and stiffness. - (correct Answer) - Polymyalgia Rheumatica
Condition where heart can't pump effectively. - (correct Answer) - Heart Failure
Cardiac marker indicating myocardial infarction. - (correct Answer) - Troponin I
Middle ear infection in both ears. - (correct Answer) - Bilateral Otitis Media
Viral infection affecting the immune system. - (correct Answer) - HIV Infection
Medication for heart conditions, risk of toxicity. - (correct Answer) - Digoxin
Diuretic that may cause digoxin toxicity. - (correct Answer) - HCTZ
Inflammation of blood vessels, causing headaches. - (correct Answer) - Temporal Arteritis
Vitamin B12 deficiency due to absorption issues. - (correct Answer) - Pernicious Anemia
Bright red spot in the eye from bleeding. - (correct Answer) - Subconjunctival Hemorrhage
Indicator of inflammation in the body. - (correct Answer) - Elevated SED Rate
Anemia associated with chronic illness. - (correct Answer) - Anemia of Chronic Disease
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. - (correct Answer) - Radial head
fracture
The child quickly begins to use the affected arm after closed manipulation. - (correct Answer) -
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. - (correct Answer) - Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the table. - (correct
Answer) - Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever, right pleuritic
chest pain, and green sputum. - (correct Answer) - 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. - (correct Answer) - Microscopic exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which was surgically repaired.
- (correct Answer) - 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. - (correct Answer) - Measure the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting while on Ortho-
Novum 7/7/7. - (correct Answer) - 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. - (correct Answer) - 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. - (correct Answer) - 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. - (correct Answer) - Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly purulent
discharge from her left eye. - (correct Answer) - 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. - (correct Answer) -
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. - (correct Answer) - 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. - (correct Answer) - Double today's dose and tomorrow's dose and use a barrier
method for the rest of the month
Contraceptive technique to prevent pregnancy. - (correct Answer) - Barrier method
Common cause of recurrent candidal infections. - (correct Answer) - Diabetes mellitus
Non-tender breast mass with nipple discharge. - (correct Answer) - Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms. - (correct Answer) - Chlamydia infection
Skin rash caused by irritants or allergens. - (correct Answer) - Contact dermatitis
Test to identify pathogens in respiratory secretions. - (correct Answer) - Sputum culture
Autoimmune condition causing joint inflammation and stiffness. - (correct Answer) - Rheumatoid
arthritis
Infection causing pelvic pain and urinary symptoms. - (correct Answer) - Acute bacterial prostatitis
Ultrasound imaging to assess internal structures. - (correct Answer) - Sonogram
Referral for specialized evaluation of reproductive issues. - (correct Answer) - Gynecological consultation
Emergency condition causing acute testicular pain. - (correct Answer) - Testicular torsion
Typically decreases, causing light-headedness when standing. - (correct Answer) - Blood pressure
changes in pregnancy
Class of antibiotics effective against bacterial infections. - (correct Answer) - Macrolide antibiotic
Agency to report suspected child abuse or neglect. - (correct Answer) - Child protective services
Movement of a joint without patient effort. - (correct Answer) - Passive range of motion (ROM)
Benign tumors causing heavy menstrual bleeding. - (correct Answer) - Uterine leiomyomas
Fluid released from the nipple, may indicate pathology. - (correct Answer) - Nipple discharge
Inflammation of bronchial tubes, often due to infection. - (correct Answer) - Acute bronchitis
Indicates possible bacterial infection in respiratory tract. - (correct Answer) - Foul-smelling sputum
Routine examination to detect precancerous changes. - (correct Answer) - Cervical cancer screening
Common symptom in inflammatory joint diseases. - (correct Answer) - Morning stiffness
Red, flat rash often indicating skin irritation. - (correct Answer) - Erythematous macular rash
Urine samples collected during normal urination. - (correct Answer) - Voided urine specimens
Reflex causing testicle elevation when thigh is stroked. - (correct Answer) - Cremasteric reflex
, Observations made during a clinical examination. - (correct Answer) - Physical exam findings
Minimal fluid release from the nipple, may indicate benign condition. - (correct Answer) - Scant nipple
discharge
Discomfort in lower abdomen, often related to reproductive organs. - (correct Answer) - Pelvic pain
Agency for reporting child abuse suspicions. - (correct Answer) - Child Protective Services
Discomfort in the rectal area, often with bleeding. - (correct Answer) - Rectal Pain
Test for hidden blood in stool. - (correct Answer) - Guaiac Test
Medication for rectal inflammation and discomfort. - (correct Answer) - Hydrocortisone Suppositories
Inflammation of the stomach lining. - (correct Answer) - Gastritis
Ulcers in the stomach or duodenum. - (correct Answer) - Peptic Ulcer Disease
Difficulty in achieving ejaculation during intercourse. - (correct Answer) - Delayed Ejaculation
Antidepressant causing sexual side effects. - (correct Answer) - Paroxetine
Lung infection causing cough and fever. - (correct Answer) - Pneumonia (pna)
Antibiotic used for treating pneumonia. - (correct Answer) - Clarithromycin
Infection from Group A Streptococcus, causes rash. - (correct Answer) - Scarlet Fever
Nonblanching rash on flexor surfaces in scarlet fever. - (correct Answer) - Pastia Lines
Condition causing muscle pain and stiffness. - (correct Answer) - Polymyalgia Rheumatica
Condition where heart can't pump effectively. - (correct Answer) - Heart Failure
Cardiac marker indicating myocardial infarction. - (correct Answer) - Troponin I
Middle ear infection in both ears. - (correct Answer) - Bilateral Otitis Media
Viral infection affecting the immune system. - (correct Answer) - HIV Infection
Medication for heart conditions, risk of toxicity. - (correct Answer) - Digoxin
Diuretic that may cause digoxin toxicity. - (correct Answer) - HCTZ
Inflammation of blood vessels, causing headaches. - (correct Answer) - Temporal Arteritis
Vitamin B12 deficiency due to absorption issues. - (correct Answer) - Pernicious Anemia
Bright red spot in the eye from bleeding. - (correct Answer) - Subconjunctival Hemorrhage
Indicator of inflammation in the body. - (correct Answer) - Elevated SED Rate
Anemia associated with chronic illness. - (correct Answer) - Anemia of Chronic Disease
