TEST BANK OF APEA 3P ACTUAL EXAM QUESTIONS WITH 100%
CORRECT AND VERIFIED ANSWERS 2025
A 68-year-old smoker with a history of well-controlled hypertension
describes an event that occurred yesterday while mowing his lawn. He felt
very dizzy and "passed out" for less than 1 minute. He awakened
spontaneously. Today, he has no complaints and states that he feels fine.
Initially, the NP should:
a. perform a complete
neurological and cardiac exam with auscultation of the carotid arteries.
b. order a 12-lead ECG and carotid ultrasound, and perform a physical
exam.
c. order a CT of the brain, blood clotting studies, and cardiac enzymes
d. check blood pressure in three positions, order a 12-lead ECG, and
schedule an
exercise stress test. - ANSWER-a. perform a complete
neurological and cardiac exam with auscultation of the carotid arteries.
Which characteristic is true of tension headaches, but not of cluster
headaches?
a. Cluster headaches are always bilateral.
b. Tension headaches are always bilateral.
c. Cluster headaches always cause nausea.
d. Tension headaches cause photosensitivity - ANSWER-a. Cluster
headaches are always bilateral.
,A patient who had an embolic stroke has recovered and is performing all of
her activities
of daily living. Taking aspirin for stroke prevention is an example of:
a. primary prevention
b. secondary prevention.
c. tertiary prevention
d. quaternary prevention - ANSWER-b. secondary prevention
An older adult patient with organic brain syndrome is at increased risk of
abuse because
she:
a. lives in a nursing home
b. has multiple caregivers
c. is incontinent of stool and urine
d. has declining cognitive function - ANSWER-d. has declining cognitive
function
A patient with migraine headaches and hypertension should receive which
medication class with caution?
a. beta blockers
b. triptans
c. pain medications
d. ACE inhibitors - ANSWER-b. triptans
,A patient who is 60 years old complains of low back pain for the last 5-6
weeks. She states that the severity is about 4/10 and that she gets no relief
from sitting, standing, or
lying. The NP should consider?
a. sciatica
b. ankylosing spondylitis
c. disk disease
d. systemic illness - ANSWER-d. systemic illness
A patient complains of severe right-sided facial pain. She states that her
symptoms
have worsened over the past 48 hours. Which diagnosis below is NOT part
of the
differential diagnosis?
a. Bell's palsy
b. trigeminal neuralgia
c. tooth abscess
d. shingles - ANSWER-a. Bell's Palsy
A patient has developed loss of hearing over the past several weeks. His
otoscopic
exam is normal. What cranial nerve should be assessed?
a. cranial nerve III
b. cranial nerve V
, c. cranial nerve VIII
d. cranial nerve X - ANSWER-c. cranial nerve VIII
Which condition listed below does NOT impact an elder's ability to eat?
a. Stroke
b. Parkinson's disease
c. Dysphagia
d. Hyperlipidemia - ANSWER-d. Hyperlipidemia
Mr. Williams has moderate cognitive deficits attributed to Alzheimer's
disease and has
been started on a cholinesterase inhibitor. The purpose of this drug is to:
a. decrease agitation.
b. increase anticholinergic stimulation of the brain.
c. improve depression.
d. slow progression of his cognitive deficits - ANSWER-d. slow progression
of his cognitive deficits
A neurologic disease that produces demyelination of the nerve cells in the
brain and
spinal cord is?
a. Parkinson's disease.
b. late stage Lyme disease.
CORRECT AND VERIFIED ANSWERS 2025
A 68-year-old smoker with a history of well-controlled hypertension
describes an event that occurred yesterday while mowing his lawn. He felt
very dizzy and "passed out" for less than 1 minute. He awakened
spontaneously. Today, he has no complaints and states that he feels fine.
Initially, the NP should:
a. perform a complete
neurological and cardiac exam with auscultation of the carotid arteries.
b. order a 12-lead ECG and carotid ultrasound, and perform a physical
exam.
c. order a CT of the brain, blood clotting studies, and cardiac enzymes
d. check blood pressure in three positions, order a 12-lead ECG, and
schedule an
exercise stress test. - ANSWER-a. perform a complete
neurological and cardiac exam with auscultation of the carotid arteries.
Which characteristic is true of tension headaches, but not of cluster
headaches?
a. Cluster headaches are always bilateral.
b. Tension headaches are always bilateral.
c. Cluster headaches always cause nausea.
d. Tension headaches cause photosensitivity - ANSWER-a. Cluster
headaches are always bilateral.
,A patient who had an embolic stroke has recovered and is performing all of
her activities
of daily living. Taking aspirin for stroke prevention is an example of:
a. primary prevention
b. secondary prevention.
c. tertiary prevention
d. quaternary prevention - ANSWER-b. secondary prevention
An older adult patient with organic brain syndrome is at increased risk of
abuse because
she:
a. lives in a nursing home
b. has multiple caregivers
c. is incontinent of stool and urine
d. has declining cognitive function - ANSWER-d. has declining cognitive
function
A patient with migraine headaches and hypertension should receive which
medication class with caution?
a. beta blockers
b. triptans
c. pain medications
d. ACE inhibitors - ANSWER-b. triptans
,A patient who is 60 years old complains of low back pain for the last 5-6
weeks. She states that the severity is about 4/10 and that she gets no relief
from sitting, standing, or
lying. The NP should consider?
a. sciatica
b. ankylosing spondylitis
c. disk disease
d. systemic illness - ANSWER-d. systemic illness
A patient complains of severe right-sided facial pain. She states that her
symptoms
have worsened over the past 48 hours. Which diagnosis below is NOT part
of the
differential diagnosis?
a. Bell's palsy
b. trigeminal neuralgia
c. tooth abscess
d. shingles - ANSWER-a. Bell's Palsy
A patient has developed loss of hearing over the past several weeks. His
otoscopic
exam is normal. What cranial nerve should be assessed?
a. cranial nerve III
b. cranial nerve V
, c. cranial nerve VIII
d. cranial nerve X - ANSWER-c. cranial nerve VIII
Which condition listed below does NOT impact an elder's ability to eat?
a. Stroke
b. Parkinson's disease
c. Dysphagia
d. Hyperlipidemia - ANSWER-d. Hyperlipidemia
Mr. Williams has moderate cognitive deficits attributed to Alzheimer's
disease and has
been started on a cholinesterase inhibitor. The purpose of this drug is to:
a. decrease agitation.
b. increase anticholinergic stimulation of the brain.
c. improve depression.
d. slow progression of his cognitive deficits - ANSWER-d. slow progression
of his cognitive deficits
A neurologic disease that produces demyelination of the nerve cells in the
brain and
spinal cord is?
a. Parkinson's disease.
b. late stage Lyme disease.
