NUR 504 3P APEA 2026 LATEST
UPDATE COMPLETE 400 QUESTIONS
CHAMBERLAIN COLLEGE OF NURSING
A 15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of
this
information, it is essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex
A
A pt. present with classic symptoms of gastroesophageal reflux diseases' (GERD). He
is
instructed in lifestyle modification, and drug initialed. Two month later, he returns
and report that
he still has symptoms. The next steps are to.
a) Refer for surgical interventions such as partial or complete fundoplication.
b) Refer for endoscopy, namometry, and/or PH testing
c) Repeat the 8*-week course of drug therapy while continuing lifestyles
modifications.
d) Review proper proton pump inhibitor dosing
time and adherence with the patient
D
A 51 -year- old post-menopausal female, request guidance regarding osteoporosis
risk.
The NP would be correct to recommend all of the following EXCEPT
a. Moderate weight bearing exercise 3 times per week
b. 1200 - 1500 mg calcium daily
c. Avoidance of alcoholic beverages
d.Weight loss
D
,According to Erickson, the developmental task of the elderly adult is:
a. Intimacy VS isolation
b. Ego integrity VS despair
c. Industry VS self-doubt
d. Trust Vs mistrust
B
Moderate weight loss, particularly of visceral adipose tissue in patients with type 2
diabetes
mellitus may have all of the following beneficial effects EXCEPT:
a. Improved insulin sensitivity
b. Increased glucose uptake and utilization by the cells
c. Increase lean muscle mass'
d. Improved lipid profile
C
A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute otitis
media
because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls
and immobile.
d. Canal is narrowed, erythematous, and exquisitely tender with speculum contact
C
The NP should instruct the mother of an infant with thrush to:
a. Take oral nystatin since she is breastfeeding
b. Stop breast feeding until the thrush has resolved
c. administer antifungal medication to the infant prior to feeding
d. sterilized pacifiers and bottle nipples
D
,A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has followed
recommendations of her nurse midwife. She is in the office to discuss results of her
maternal serum alpha-fetoprotein (MSAFP) test. which show elevation in this
particular pregnancy?
A Elevated MSAFPO is an indicator of Down Syndrome
B Low MSAFP is expected at 18 weeks' gestation
C Neural tube defects are highly probable
D Elevated MSAFP is an expected finding
D
The hallmark of neurofibromatosis (von Recklinghousen disease) present in almost
100% of patients is:
A. Acoustic neuromab.
B Astrocytoma of the retina
C. Distinctive osseous lesiond.
D Café au lait spots
D
The NP correctly teaches an elderly patient with pernicious anemia that food sources
of B12 include
Neurofibromatosis type 1 and neurofibromatosis are differentiated by clinical
features.
They both include benign tumors of the nerve tissue (neurofibromas). Only
neurofibromatosis
type 1 (90%) has prominent clinical features, such as cafe-au-lait pigmentation.
Neurofibromatosis type 2 consists of neurofibromas only without clinical features.
A Red meat, poultry, fish, eggs, dairy products
B Canned and frozen fruit
C Whole grain breads, cereals and pastas
D Fresh vegetables
A
, An 18-year-old female applying for college admission present to the health clinic
because evidence of rubella vaccination is required for admission. She says, "don't
remember ever getting that shot" She has negative serologic evidence of rubella
antibody. The NP should:a. A Tell her that her serologic evidence demonstrates that
she is immune to the rubella and that she probably has the disease as a child
B Adminster the vaccination after a negative pregnancy test and advise the patient
that she must not get pregnant for 28 days.
C. Tell her that she needs the immunization and can get today if her pregnancy test is
negatived.
D Administer the rubella vaccination after a negative pregnancy test and advise her
not to get pregnant for at least 6 months.
B
A 45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ
pain and epigastric "crampy pain". Symptoms are exacerbated by high-fat meal.
What is the most likely diagnosis?
A. Hepatitis
B Chronic cholecystitis
C Acute pancreatitis
D Myocarditis
B
A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical
adenopathy, and palatine petechia. With for this patient, what drug would be the
LEAST appropriate to prescribe?
A Ibuprofen
B Erythromycin
C Ampicillin
D Doxycycline
C
A characteristic of delirium that is typically absent in dementia is
A Acute onset of confusion in a previously alert and oriented patient
B Gradual loss of short-term memory
C Loss of language skills
D Long term memory gaps filled in with confabulation
A
UPDATE COMPLETE 400 QUESTIONS
CHAMBERLAIN COLLEGE OF NURSING
A 15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of
this
information, it is essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex
A
A pt. present with classic symptoms of gastroesophageal reflux diseases' (GERD). He
is
instructed in lifestyle modification, and drug initialed. Two month later, he returns
and report that
he still has symptoms. The next steps are to.
a) Refer for surgical interventions such as partial or complete fundoplication.
b) Refer for endoscopy, namometry, and/or PH testing
c) Repeat the 8*-week course of drug therapy while continuing lifestyles
modifications.
d) Review proper proton pump inhibitor dosing
time and adherence with the patient
D
A 51 -year- old post-menopausal female, request guidance regarding osteoporosis
risk.
The NP would be correct to recommend all of the following EXCEPT
a. Moderate weight bearing exercise 3 times per week
b. 1200 - 1500 mg calcium daily
c. Avoidance of alcoholic beverages
d.Weight loss
D
,According to Erickson, the developmental task of the elderly adult is:
a. Intimacy VS isolation
b. Ego integrity VS despair
c. Industry VS self-doubt
d. Trust Vs mistrust
B
Moderate weight loss, particularly of visceral adipose tissue in patients with type 2
diabetes
mellitus may have all of the following beneficial effects EXCEPT:
a. Improved insulin sensitivity
b. Increased glucose uptake and utilization by the cells
c. Increase lean muscle mass'
d. Improved lipid profile
C
A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute otitis
media
because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls
and immobile.
d. Canal is narrowed, erythematous, and exquisitely tender with speculum contact
C
The NP should instruct the mother of an infant with thrush to:
a. Take oral nystatin since she is breastfeeding
b. Stop breast feeding until the thrush has resolved
c. administer antifungal medication to the infant prior to feeding
d. sterilized pacifiers and bottle nipples
D
,A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has followed
recommendations of her nurse midwife. She is in the office to discuss results of her
maternal serum alpha-fetoprotein (MSAFP) test. which show elevation in this
particular pregnancy?
A Elevated MSAFPO is an indicator of Down Syndrome
B Low MSAFP is expected at 18 weeks' gestation
C Neural tube defects are highly probable
D Elevated MSAFP is an expected finding
D
The hallmark of neurofibromatosis (von Recklinghousen disease) present in almost
100% of patients is:
A. Acoustic neuromab.
B Astrocytoma of the retina
C. Distinctive osseous lesiond.
D Café au lait spots
D
The NP correctly teaches an elderly patient with pernicious anemia that food sources
of B12 include
Neurofibromatosis type 1 and neurofibromatosis are differentiated by clinical
features.
They both include benign tumors of the nerve tissue (neurofibromas). Only
neurofibromatosis
type 1 (90%) has prominent clinical features, such as cafe-au-lait pigmentation.
Neurofibromatosis type 2 consists of neurofibromas only without clinical features.
A Red meat, poultry, fish, eggs, dairy products
B Canned and frozen fruit
C Whole grain breads, cereals and pastas
D Fresh vegetables
A
, An 18-year-old female applying for college admission present to the health clinic
because evidence of rubella vaccination is required for admission. She says, "don't
remember ever getting that shot" She has negative serologic evidence of rubella
antibody. The NP should:a. A Tell her that her serologic evidence demonstrates that
she is immune to the rubella and that she probably has the disease as a child
B Adminster the vaccination after a negative pregnancy test and advise the patient
that she must not get pregnant for 28 days.
C. Tell her that she needs the immunization and can get today if her pregnancy test is
negatived.
D Administer the rubella vaccination after a negative pregnancy test and advise her
not to get pregnant for at least 6 months.
B
A 45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ
pain and epigastric "crampy pain". Symptoms are exacerbated by high-fat meal.
What is the most likely diagnosis?
A. Hepatitis
B Chronic cholecystitis
C Acute pancreatitis
D Myocarditis
B
A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical
adenopathy, and palatine petechia. With for this patient, what drug would be the
LEAST appropriate to prescribe?
A Ibuprofen
B Erythromycin
C Ampicillin
D Doxycycline
C
A characteristic of delirium that is typically absent in dementia is
A Acute onset of confusion in a previously alert and oriented patient
B Gradual loss of short-term memory
C Loss of language skills
D Long term memory gaps filled in with confabulation
A
