APEA TEST STUDY GUIDE 3P EXAM 2025
APEA TEST STUDY GUIDE 3P EXAM 2025 Foundations of Practice for the
Advanced Registered Nurse Practitioner Franklin University
Cardiovascular
a. Atrial Fibrillation:
Atrial fibrillation (AF) is a common arrhythmia characterized by rapid and
irregular beating of the atria. It can lead to thromboembolic events, particularly
stroke, due to the formation of blood clots in the left atrial appendage.
Management includes rate control, rhythm control, and anticoagulation therapy.
b. Peripheral Artery Disease:
Peripheral artery disease (PAD) is a condition where narrowed arteries reduce
blood flow to the limbs, often causing leg pain during exertion (claudication).
Treatment focuses on lifestyle changes, medications to improve blood flow, and
possibly surgical interventions.
c. Varicose Veins:
Varicose veins are enlarged, twisted veins that often appear blue or dark purple.
They occur when valves in the veins fail, leading to pooling of blood. Treatment
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,APEA TEST STUDY GUIDE 3P EXAM 2025
options include lifestyle modifications, compression stockings, sclerotherapy, and
surgical procedures.
d. Heart Failure:
Heart failure is a chronic condition where the heart is unable to pump sufficient
blood to meet the body’s needs. Symptoms include shortness of breath and fatigue.
Management involves lifestyle changes, medications such as diuretics and ACE
inhibitors, and sometimes devices or surgery.
e. Peripheral Edema:
Peripheral edema refers to swelling in the lower extremities due to fluid
accumulation. It can result from various causes including heart failure, kidney
disease, or venous insufficiency. Treatment depends on the underlying cause and
may involve diuretics or compression therapy.
f. Coronary Artery Disease:
Coronary artery disease (CAD) is caused by the buildup of plaque in coronary
arteries leading to reduced blood flow to the heart muscle. Risk factors include
hypertension and hyperlipidemia. Treatment includes lifestyle changes,
medications like statins, and revascularization procedures.
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,APEA TEST STUDY GUIDE 3P EXAM 2025
g. Anticoagulation:
Anticoagulation refers to medications that prevent blood clot formation (e.g.,
warfarin). They are crucial for managing conditions like AF and CAD to reduce
stroke risk but require careful monitoring due to bleeding risks.
h. Hypertension:
Hypertension is defined as persistently elevated blood pressure which increases
cardiovascular risk significantly. Management includes lifestyle modifications and
antihypertensive medications such as diuretics or ACE inhibitors.
i. Infectious Endocarditis:
Infectious endocarditis is an infection of the inner lining of the heart chambers or
valves caused by bacteria or fungi. Symptoms may include fever and heart
murmurs; treatment typically involves prolonged antibiotic therapy.
Dermatology
a. Psoriasis:
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, APEA TEST STUDY GUIDE 3P EXAM 2025
Psoriasis is a chronic autoimmune skin disorder characterized by red patches
covered with thick silvery scales due to accelerated skin cell turnover. Treatments
include topical therapies, phototherapy, and systemic agents like biologics.
b. Tinea Corporis:
Tinea corporis is a fungal infection affecting the skin on non-hairy parts of the
body presenting as ring-shaped lesions with raised edges and clear centers
(“ringworm”). Antifungal creams are commonly used for treatment.
c. Scabies:
Scabies is a contagious skin infestation caused by Sarcoptes scabiei mites resulting
in intense itching and rash due to allergic reactions to mite feces and eggs;
treatment involves topical permethrin or oral ivermectin.
d. Herpes Zoster:
Herpes zoster (shingles) results from reactivation of varicella-zoster virus causing
painful vesicular rash along dermatomes; antiviral medications can help reduce
severity if administered early.
e. Dermal Cyst:
pg. 4
APEA TEST STUDY GUIDE 3P EXAM 2025 Foundations of Practice for the
Advanced Registered Nurse Practitioner Franklin University
Cardiovascular
a. Atrial Fibrillation:
Atrial fibrillation (AF) is a common arrhythmia characterized by rapid and
irregular beating of the atria. It can lead to thromboembolic events, particularly
stroke, due to the formation of blood clots in the left atrial appendage.
Management includes rate control, rhythm control, and anticoagulation therapy.
b. Peripheral Artery Disease:
Peripheral artery disease (PAD) is a condition where narrowed arteries reduce
blood flow to the limbs, often causing leg pain during exertion (claudication).
Treatment focuses on lifestyle changes, medications to improve blood flow, and
possibly surgical interventions.
c. Varicose Veins:
Varicose veins are enlarged, twisted veins that often appear blue or dark purple.
They occur when valves in the veins fail, leading to pooling of blood. Treatment
pg. 1
,APEA TEST STUDY GUIDE 3P EXAM 2025
options include lifestyle modifications, compression stockings, sclerotherapy, and
surgical procedures.
d. Heart Failure:
Heart failure is a chronic condition where the heart is unable to pump sufficient
blood to meet the body’s needs. Symptoms include shortness of breath and fatigue.
Management involves lifestyle changes, medications such as diuretics and ACE
inhibitors, and sometimes devices or surgery.
e. Peripheral Edema:
Peripheral edema refers to swelling in the lower extremities due to fluid
accumulation. It can result from various causes including heart failure, kidney
disease, or venous insufficiency. Treatment depends on the underlying cause and
may involve diuretics or compression therapy.
f. Coronary Artery Disease:
Coronary artery disease (CAD) is caused by the buildup of plaque in coronary
arteries leading to reduced blood flow to the heart muscle. Risk factors include
hypertension and hyperlipidemia. Treatment includes lifestyle changes,
medications like statins, and revascularization procedures.
pg. 2
,APEA TEST STUDY GUIDE 3P EXAM 2025
g. Anticoagulation:
Anticoagulation refers to medications that prevent blood clot formation (e.g.,
warfarin). They are crucial for managing conditions like AF and CAD to reduce
stroke risk but require careful monitoring due to bleeding risks.
h. Hypertension:
Hypertension is defined as persistently elevated blood pressure which increases
cardiovascular risk significantly. Management includes lifestyle modifications and
antihypertensive medications such as diuretics or ACE inhibitors.
i. Infectious Endocarditis:
Infectious endocarditis is an infection of the inner lining of the heart chambers or
valves caused by bacteria or fungi. Symptoms may include fever and heart
murmurs; treatment typically involves prolonged antibiotic therapy.
Dermatology
a. Psoriasis:
pg. 3
, APEA TEST STUDY GUIDE 3P EXAM 2025
Psoriasis is a chronic autoimmune skin disorder characterized by red patches
covered with thick silvery scales due to accelerated skin cell turnover. Treatments
include topical therapies, phototherapy, and systemic agents like biologics.
b. Tinea Corporis:
Tinea corporis is a fungal infection affecting the skin on non-hairy parts of the
body presenting as ring-shaped lesions with raised edges and clear centers
(“ringworm”). Antifungal creams are commonly used for treatment.
c. Scabies:
Scabies is a contagious skin infestation caused by Sarcoptes scabiei mites resulting
in intense itching and rash due to allergic reactions to mite feces and eggs;
treatment involves topical permethrin or oral ivermectin.
d. Herpes Zoster:
Herpes zoster (shingles) results from reactivation of varicella-zoster virus causing
painful vesicular rash along dermatomes; antiviral medications can help reduce
severity if administered early.
e. Dermal Cyst:
pg. 4
