REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)
APEA 3P High Stakes Exam
Exam Coverage
Exam coverage for the APEA 3P High Stakes Exam includes the advanced
practice nursing concepts commonly known as the Three Ps: Advanced
Pathophysiology, Advanced Pharmacology, and Advanced Physical
Assessment. It focuses on disease mechanisms and physiological
alterations, pharmacokinetics and pharmacodynamics, medication selection
and management, comprehensive health assessment techniques, diagnostic
reasoning, and interpretation of clinical findings. The exam also evaluates
understanding of differential diagnosis, patient evaluation across the
lifespan, clinical decision-making, evidence-based practice, therapeutic
interventions, safety considerations, patient education, and the application
of advanced practice nursing knowledge in primary and acute care settings.
Taking Pyridium for UTI, what can Pyridium cause?
Hemolytic Anemia
What can PCOS result in?
Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism
,What are the anti-hypertensives used in pregnancy?
Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa?
Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis?
Tender, warm, swollen joints
Medications that can cause ototoxicity?
Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal
decongestants
What is the treatment time for enterobiasis?
2 weeks
What would cause decrease in Digoxin levels?
Antacids
, What does MCV lab value measure?
Mean Corpuscular Volume helps diagnose different types of anemia
such as B12 & Folate (Macrocytic) and Fe anemia (Microcytic)
Rhogam is given at how many week gestation?
27-28 weeks
What are Janeway lesions and what do they indicate?
They are irregular, non-tender hemorrhagic macules located on the
hands and feet. Seen in Infective Endocarditis
What are Osler's Nodes and what do they indicate?
They are split pea-sized, erythematous, tender nodules located on the pads of
the fingers and toes. Seen in Infective Endocarditis
, What is the recommendation for Warfarin management when a patient
misses a dose?
If within 12 hours of the dose time, take it. If over 12 hours patient will
need a INR redraw
What do we need to know about ACEs and ARBs?
A dry hacking cough is a common side effect of ACEs and will go
away within a week after discontinuing. ACEs & ARBs are indicated
for patients with DM, CKD, and HTN. Not recommended as 1st line
agent with African Americans & can cause angioedema.
Contraindications for Hydrochlorothiazide
Sulfa allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign)
MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur
(Asymptomatic) AS = Aortic Stenosis (Angina,
Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest
Pain
Diastolic Murmurs (Abnormal)
AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest
Pain) MS = Mitral Stenosis (Dyspnea, AFib)