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APEA Predictor Exam 2026 | Family Nurse Practitioner Practice Questions with Answers and Rationales

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This document provides APEA Predictor Exam-style practice questions for 2026 preparation, designed to reflect the structure and difficulty of family nurse practitioner board readiness assessments. It covers primary care topics including assessment, diagnosis, pharmacology, and management of acute and chronic conditions. Each question includes detailed answers and rationales to support clinical reasoning and exam readiness aligned with Advanced Practice Education Associates standards.

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APEA PREDICTOR EXAM (ACTUAL) 2024 WITH
VERIFIED A+ RATED ANSWERS

What is Morton's neuroma? – ANSWER a mass between the 3rd and 4th toes that
feels like a pebble; most common in women who wear high heels or tight shoes


How is Morton's neuroma diagnosed? – ANSWER via a positive Muddler's or
squeeze test causing pain


What is the hook test? – ANSWER used to assess for a bicep tendon issue


How do we treat any rotator cuff injuries? – ANSWER wear a sling to stabilize the
arm and refer to ortho


How long do migraine headaches last? - ANSWER_4-72 hours


How can we abort cluster headaches? – ANSWER calcium or 100% oxygen
application


Which type of headaches come with lacrimation and sinus symptoms? – ANSWER
cluster headaches


What does the apprehension test assess for? – ANSWER used to assess for stability
of the shoulder or knee; assesses for stability




What does an ASC-US (atypical squamos cells of undetermined significance) pap
smear result necessitate? – ANSWER Do HPV testing with this. If positive, repeat
in one year if age 21-24 or send for colposcopy if older than 25. If negative, repeat
pap in 3 years

, APEA PREDICTOR EXAM (ACTUAL) 2024 WITH
VERIFIED A+ RATED ANSWERS



What is the biggest side effect of colchicine? – ANSWER diarrhea


How would you describe the appearance of molluscum contagiosum? – ANSWER
papules that are umbilicated and contain a caseous plug
What is the recommended treatment for chronic bacterial prostatitis? – ANSWER a
fluoroquinolone (cipro or levo) + bactrim


How do we treat a broken clavicle in an infant? – ANSWER no treatment; it
should heal on it's own


At what week of pregnancy is the uterus palpable just above the pubic symphysis?
– ANSWER week 12


At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? – ANSWER week 16


At what week of pregnancy is the fundus of the uterus at the umbilicus? –
ANSWER week 20


At what week of pregnancy is the fundus of the uterus halfway between the
xiphoid process and umbilicus? – ANSWER week 28


At what week of pregnancy is the fundus just below the xiphoid process? –
ANSWER week 34

, APEA PREDICTOR EXAM (ACTUAL) 2024 WITH
VERIFIED A+ RATED ANSWERS

Increased sweat production is a sign of what endocrine disorder? – ANSWER
hyperthyroidism
What is the recommended treatment for acute prostatitis? – ANSWER cipro (if not
STI related) or ceftriaxone


What are s/s of an intraductal breast papilloma? – ANSWER clear to bloody
unilateral nipple discharge (bilateral is usually benign), and also a wart like lump
palpated in the nipple area


What are s/s of peripheral vascular disease? – ANSWER think V meaning volume
overload aka edema, may ache or be uncomfortable but is not painful, bounding
pulses, ruddy discoloration


If a patient is on Coumadin but then they may need to go on an antibiotic for an
infection and Bactrim is the drug of choice, what should you do? – ANSWER
Bactrim increases INR so we would want to decrease the coumadin dose while the
patient is on this


If a patient is on Coumadin but then they may need to go on Rifampin, what should
you do? – ANSWER Rifampin decreases INR so we'd want to increase the
coumadin dose


If a patient on coumadin's INR is 3.1-4 ,what should you do? – ANSWER decrease
the weekly dose by 5-10%


If a patient on coumadin's INR is 4.1-5.0, what should you do? – ANSWER hold
one dose then decrease the weekly dose by 10%

, APEA PREDICTOR EXAM (ACTUAL) 2024 WITH
VERIFIED A+ RATED ANSWERS

What are s/s of peripheral vascular disease? – ANSWER think V meaning volume
overload aka edema, may ache or be uncomfortable but is not painful, bounding
pulses, ruddy discoloration


If a patient is on Coumadin but then they may need to go on an antibiotic for an
infection and Bactrim is the drug of choice, what should you do? – ANSWER
Bactrim increases INR so we would want to decrease the coumadin dose while the
patient is on this


If a patient is on Coumadin but then they may need to go on Rifampin, what should
you do? – ANSWER Rifampin decreases INR so we'd want to increase the
coumadin dose


If a patient on coumadin's INR is 3.1-4 ,what should you do? – ANSWER decrease
the weekly dose by 5-10%


If a patient on coumadin's INR is 4.1-5.0, what should you do? – ANSWER hold
one dose then decrease the weekly dose by 10%


If a patient has GABHS but has an allergy to penicillins, what is the second line
option? - ANSWER_first generation cephalosporins, unless the allergy is severe,
then you would consider macrolides like a -mycin


How do we treat Paget's diseease? - ANSWER_bisphosphonates


How should pregnant women wear their seatbelt? - ANSWER_with the shoulder
strap like a normal person and then the groin strap below the belly and across the
hips

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