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NUR 504 3P APEA EXAM 2025 |
COMPREHENSIVE Q&A FOR GUARANTEED
SUCCESS
a. Refer to a cardiologist as soon as possible -correct-answer-A patient with a past
history of documented coronary arterial blockage less than 70% complains of
chest pain several time p.... which is relived with nitroglycerin. Which is the most
appropriate initial action for the NP?
a. Refer to a cardiologist as soon as possible
b. Prescribe long-acting nitroglycerin
c. Order treadmill stress test
d. Prescribe an ACE inhibitor and re-evaluate in 24 to 48 hours
A 7 y/o girl with vaginal bleeding -correct-answer-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
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a. Infection proximal to the nodes -correct-answer-A 3 y/o has enlarged, warm,
tender cervical lymph nodes, indicating:
a. Infection proximal to the nodes
b. A possible cancer diagnosis
c. Shorty nodes, a common normal variant in children
d. An infectious process distal to the nodes
c. Perform Ortolani and Barlow test -correct-answer-The NP examines a 2-month-
old with unequal gluteal and thigh skin folds. What should the NP do next?
a. Send the infant for x-ray of the hips
b. Send the infant for ultrasound of the hips
c. Perform Ortolani and Barlow test
d. Examine the infant for unequal arm length
High in fiber such as bran, complex carbohydrates and fresh fruit -correct-answer-
A very active 35 years old male has painful hemorrhoid, but he does not want
hemorrhoidal surgery at this time. His diet has been indiscriminate as his job
requires frequent travel. The most appropriate recommendation is for him to
select food that are:
a. Low in fiber such as milk and other dairy products
b. High in simple carbohydrates such as white bread and mashed potatoes
c. High in fiber such as bran, complex carbohydrates and fresh fruit
d. High protein such a meat, poultry and fish
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a. An audible or palpated "click" is positive for a torn meniscus -correct-answer-A
13 y/o pt. complains that he fell while running during football practice. Now his
knee hurts and sometimes "lucks". The NP conducts McMurrays test. Which of the
following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally.
a. Hydrocele -correct-answer-A 20 y/o male patient complains of "scrotal
swelling". He states his scrotum feels heavy but denies pain. On examination, the
NP notes transillumination of the scrotum. What is the most
likely diagnosis?
a. Hydrocele
b. Orchitis
c. Testicular torsion
d. Indirect inguinal hernia
a. A rear-facing infant car seat secured in the backseat is required until the infant
weight 20lbs. -correct-answer-Correct instructions to give new parent who are
transporting their newborn infant is
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a. A rear-facing infant car seat secured in the backseat is required until the infant
weight 20lbs.
b. The infant car set may be secured in the back or front seat, but must rear-facing
c. The infant car seat may be front facing when the infant is 1 year old
d. A rear or front-facing infant car seat must be secured in the back seat until the
infant weight 20 lbs.
d) Review proper proton pump inhibitor dosing time and adherence with the
patient. -correct-answer-A pt. present with classic symptoms of gastroesophageal
reflux diseases' (GERD). He is instructed in lifestyle modification, and drug
initialed. Two month later, he returns and report that he still has symptoms. The
next steps are to.
a) Refer for surgical interventions such as partial or complete fundoplication.
b) Refer for endoscopy, namometry, and/or PH testing
c) Repeat the 8*-week course of drug therapy while continuing lifestyles
modifications.
d) Review proper proton pump inhibitor dosing time and adherence with the
patient.
d. Weight loss -correct-answer-A 51 -year- old post-menopausal female, request
guidance regarding osteoporosis risk.
The NP would be correct to recommend all of the following EXCEPT
a. Moderate weight bearing exercise 3 times per week
b. 1200 - 1500 mg calcium daily
NUR 504 3P APEA EXAM 2025 |
COMPREHENSIVE Q&A FOR GUARANTEED
SUCCESS
a. Refer to a cardiologist as soon as possible -correct-answer-A patient with a past
history of documented coronary arterial blockage less than 70% complains of
chest pain several time p.... which is relived with nitroglycerin. Which is the most
appropriate initial action for the NP?
a. Refer to a cardiologist as soon as possible
b. Prescribe long-acting nitroglycerin
c. Order treadmill stress test
d. Prescribe an ACE inhibitor and re-evaluate in 24 to 48 hours
A 7 y/o girl with vaginal bleeding -correct-answer-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
,2|Page
a. Infection proximal to the nodes -correct-answer-A 3 y/o has enlarged, warm,
tender cervical lymph nodes, indicating:
a. Infection proximal to the nodes
b. A possible cancer diagnosis
c. Shorty nodes, a common normal variant in children
d. An infectious process distal to the nodes
c. Perform Ortolani and Barlow test -correct-answer-The NP examines a 2-month-
old with unequal gluteal and thigh skin folds. What should the NP do next?
a. Send the infant for x-ray of the hips
b. Send the infant for ultrasound of the hips
c. Perform Ortolani and Barlow test
d. Examine the infant for unequal arm length
High in fiber such as bran, complex carbohydrates and fresh fruit -correct-answer-
A very active 35 years old male has painful hemorrhoid, but he does not want
hemorrhoidal surgery at this time. His diet has been indiscriminate as his job
requires frequent travel. The most appropriate recommendation is for him to
select food that are:
a. Low in fiber such as milk and other dairy products
b. High in simple carbohydrates such as white bread and mashed potatoes
c. High in fiber such as bran, complex carbohydrates and fresh fruit
d. High protein such a meat, poultry and fish
,3|Page
a. An audible or palpated "click" is positive for a torn meniscus -correct-answer-A
13 y/o pt. complains that he fell while running during football practice. Now his
knee hurts and sometimes "lucks". The NP conducts McMurrays test. Which of the
following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally.
a. Hydrocele -correct-answer-A 20 y/o male patient complains of "scrotal
swelling". He states his scrotum feels heavy but denies pain. On examination, the
NP notes transillumination of the scrotum. What is the most
likely diagnosis?
a. Hydrocele
b. Orchitis
c. Testicular torsion
d. Indirect inguinal hernia
a. A rear-facing infant car seat secured in the backseat is required until the infant
weight 20lbs. -correct-answer-Correct instructions to give new parent who are
transporting their newborn infant is
, 4|Page
a. A rear-facing infant car seat secured in the backseat is required until the infant
weight 20lbs.
b. The infant car set may be secured in the back or front seat, but must rear-facing
c. The infant car seat may be front facing when the infant is 1 year old
d. A rear or front-facing infant car seat must be secured in the back seat until the
infant weight 20 lbs.
d) Review proper proton pump inhibitor dosing time and adherence with the
patient. -correct-answer-A pt. present with classic symptoms of gastroesophageal
reflux diseases' (GERD). He is instructed in lifestyle modification, and drug
initialed. Two month later, he returns and report that he still has symptoms. The
next steps are to.
a) Refer for surgical interventions such as partial or complete fundoplication.
b) Refer for endoscopy, namometry, and/or PH testing
c) Repeat the 8*-week course of drug therapy while continuing lifestyles
modifications.
d) Review proper proton pump inhibitor dosing time and adherence with the
patient.
d. Weight loss -correct-answer-A 51 -year- old post-menopausal female, request
guidance regarding osteoporosis risk.
The NP would be correct to recommend all of the following EXCEPT
a. Moderate weight bearing exercise 3 times per week
b. 1200 - 1500 mg calcium daily
