APAPEA Predictor Exam Questions and 100% Correct Answers with Rationale Pre-Predictor LATEST VERSION EA Predictor Exam Questions and 100% Correct Answers with Rationale Pre-Predictor LATEST VERSION

APEA Predictor Exam Questions and 100% Correct Answers with Rationale Pre-Predictor LATEST VERSION A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the greatest effect on improving her lipid profile and reducing morbidity and mortality associates with dyslipidemia? Atorvastatin Niacin (Niaspan) Omega 3 fatty acids Fenofibrates - ANSWER -Atorvastatin Explanation: First and foremost, it is essential to educate individuals on a heart healthy lifestyle. LDL-C is one of the major culprits in the development of atherosclerotic heart disease. The target level of LDL-C is between 50 to 70mg/dl to prevent plaque formation in the blood vessels. Guidelines strongly recommend statin therapy because they primarily lower LDL-C levels, but they also have the secondary effects of lowering triglyceride and increasing HDL-C levels. A 30 years old female comes into a clinic with classic signs and symptoms of appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman die. This is an example of Failure of diligence Professional liability Negligence Malpractice - ANSWER -Malpractice Explanation: malpractice, a negligence tort, occurs when a health care professional's actions fall bellow the appropriate standard of care and hurts the patient. In this case the patient came with sings and symptoms indicating appendicitis and the NP failed to refer the patient. A NP has recently been hired to work in a fast track facility. The NP employer asked if she has "a problem prescribing medications for emergency contraception." The NP replies affirmatively. This is: a. Grounds for dismissal An ethical dilemma for the NP Illegal according to the standards of nursing Patient abandonment. - ANSWER -An ethical dilemma for the NP Explanation: in this instance, the NP has a difference of opinion with her employer based on her religious or moral belief about providing emergency contraception. This situation is an example of an ethical dilemma. Failure to participate in the provision of care to the patient based on the NP's beliefs is neither against the law nor a violation of the standards of practice A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this condition be managed? . Topical antifungal cream or ointment Oral antibiotics Topical corticosteroids cream . Topical anti-fungal/ steroid cream - ANSWER -Topical corticosteroids cream Explanation: Psoriasis is characterized by erythematous papules, as well as itchy, red, precisely defined plaques with silvery scales. Auspitz sings is another common finding. Topical agents containing tar and salicylic acid may be used. Topical steroids, such as betamethasone, may also be ordered. Antidepressant discontinuation syndrome is less likely if the patient Is male Is less than 35 y/o Has taken an SSRI with a short half life Gradually tapers SSRI use - ANSWER -Gradually tapers SSRI use Explanation: Antidepressant discontinuation syndrome is most often seen in the primary care office in association with SSRI discontinuation, because SSRIs are the most commonly prescribed class of antidepressant medications. Interruption of treatment with an anti-depressant medication is sometimes associated with an antidepressant discontinuation syndrome; in early reports it was referred to as a "withdrawal reaction. Symptoms of antidepressant discontinuation syndrome can include flu-like symptoms, insomnia, nausea, imbalance, sensory disturbances, and hyperarousal. Tapering is recommended by experts. Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the following drug classes? . Alpha adrenergic antagonist Anti-androgen agents Tricyclic antidepressant (TCA) Sulfonamides - ANSWER -Tricyclic antidepressant (TCA) Explanation: tricyclic antidepressant should not be used by men with benign prostatic hyperplasia because of the increased risk of urinary retention secondary to the anticholigergic effects of TCAs. Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse? What was it that you did to make him angry? You must seek refuge immediately I am concerned about your safety I am going to call a shelter for you - ANSWER -I am concerned about your safety Explanation: The first step is to establish trust in the therapeutic relationship. without trust future collaboration, intervention and client outcome cannot be accomplished to facilitate appropriate and safe behavior. The experience of abuse is a traumatic psychological crisis that must be addressed as such. The healthcare