APEA 3P Actual Exam Test Bank
NEWEST
1. The medication that blocks the transportation of glucose across the intestines into the blood stream to
target prandial blood glucose is:
a) Metformin (Glucophage XR)
b) Acarbose (Precose
c) Rosiglitazone (Avandia)
d) Glipizide (Glucotrol XL)
Acarbose inhibits enzymes (glycoside hydrolases) needed to digest carbohydrates,
specifically, alpha-glucosidase enzymes in the brush border of the small intestines, and
pancreatic alpha- amylase.
2. At what point in pregnancy should Rh-negative women be administered Rho (D)
immunoglobulin?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
If an Rh-negative client shows a negative antibody screen, she will need ongoing antibody
screenings and must receive Rho(D) immunoglobulin (RhoGAM) at 28 weeks of pregnancy.
3. Which symptom is NOT typically associated with hyperprolactinemia in a 47-year-old
premenopausal woman?
e) Excessive hair growth (Hirsutism)
f) Development of male breast tissue (Gynecomastia)
g) Infrequent menstruation (Oligomenorrhea)
h) Acne
Hyperprolactinemia in premenopausal women mainly leads to reproductive symptoms like
infertility and irregular menstruation rather than skin conditions like acne.
,4. During a vision assessment using the Snellen chart, the nurse practitioner records 20/30 vision in
the left eye and 20/40 in the right eye. What should be the next step?
i) Schedule a follow-up vision test in two weeks.
j) Perform eye dilation before retesting.
k) Refer the patient to an ophthalmologist
l) Note this as normal vision.
5. which of the following condition is NOT associated with the symptoms ofhemoptysis?
a) Pulmonary emboli
b) Chronic bronchitis
c) Viral pneumonia
d) Neoplasm of the lung
6. According to the Diagnostic and Statistical Manual of Mental Disorders by the American
Psychiatric Association, Munchausen Syndrome by Proxy is identified as:
m) Self-inflicted harm for attention.
n) A caregiver making up or causing an illness or injury in a person under his or her care
o) Abuse not involving the caregiver.
p) Neglectful behavior from the abuser towards the victim.
Munchausen syndrome by proxy involves a caregiver, often the mother, creating or exaggerating
symptoms in a child to appear ill.
7. Which medication linked to neurotransmitter activity can cause depression as a side effect?
q) Dopamine
r) Gabapentin
s) Mil
t) Cortisol
,8. Identify the lesion that is elevated, dark, asymmetrical, and has an irregular border:
u) Nevus
v) Actinic keratosis
w) Keratoacanthoma
x) Melanoma
9. A 32-year-old female reports dull puffiness around the eyes without pitting periorbital edema.
Which condition does this suggest?
y) Nephrotic syndrome
z) Myxedema
aa) Cushing syndrome
bb) Sinusitis
Myxedema involves mucopolysaccharide accumulation in the dermis, often seen with advanced
hypothyroidism, including facial and skin swelling.
10. For a 42-year-old female seeking preventive treatment for migraine headaches, which
medication is advisable?
cc) Sumatriptan (Imitrex)
dd) Amitriptyline (Elavil)
ee) Verapamil (Verelan)
ff) Metoprolol (Lopressor)
Amitriptyline (Elavil) is used off-label for migraine prophylaxis.
, 11. Scalp scaling and circular alopecia patches in a pediatric patient likely indicate:
gg) Tinea capitis
hh) Seborrheic dermatitis
ii) Trichotillomania
jj) Alopecia areata
12. The most suitable preventive migraine medication for an 18-year-old female with a history of
migraines is:
kk) Sumatriptan (Imitrex)
ll) Propranolol (Inderal)
mm) Ibuprofen (Motrin)
nn) Dihydroergotamine (DHE)
13. What reason makes combined hormonal contraceptives a poor choice for a 36-year-old woman
with type 2 diabetes, obesity, chronic smoking, and a sedentary lifestyle?
oo) Obesity
pp) Type 2 diabetes
qq) Her age and smoking habits
rr) Sedentary lifestyle
Combined oral contraceptives are not recommended for women over 45, smokers, those with
hypertension, diabetes, or a history of stroke.
14. A bloody and spontaneous nipple discharge detected during a breast exam of a
perimenopausal woman necessitates further investigation. This symptom could indicate:
NEWEST
1. The medication that blocks the transportation of glucose across the intestines into the blood stream to
target prandial blood glucose is:
a) Metformin (Glucophage XR)
b) Acarbose (Precose
c) Rosiglitazone (Avandia)
d) Glipizide (Glucotrol XL)
Acarbose inhibits enzymes (glycoside hydrolases) needed to digest carbohydrates,
specifically, alpha-glucosidase enzymes in the brush border of the small intestines, and
pancreatic alpha- amylase.
2. At what point in pregnancy should Rh-negative women be administered Rho (D)
immunoglobulin?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
If an Rh-negative client shows a negative antibody screen, she will need ongoing antibody
screenings and must receive Rho(D) immunoglobulin (RhoGAM) at 28 weeks of pregnancy.
3. Which symptom is NOT typically associated with hyperprolactinemia in a 47-year-old
premenopausal woman?
e) Excessive hair growth (Hirsutism)
f) Development of male breast tissue (Gynecomastia)
g) Infrequent menstruation (Oligomenorrhea)
h) Acne
Hyperprolactinemia in premenopausal women mainly leads to reproductive symptoms like
infertility and irregular menstruation rather than skin conditions like acne.
,4. During a vision assessment using the Snellen chart, the nurse practitioner records 20/30 vision in
the left eye and 20/40 in the right eye. What should be the next step?
i) Schedule a follow-up vision test in two weeks.
j) Perform eye dilation before retesting.
k) Refer the patient to an ophthalmologist
l) Note this as normal vision.
5. which of the following condition is NOT associated with the symptoms ofhemoptysis?
a) Pulmonary emboli
b) Chronic bronchitis
c) Viral pneumonia
d) Neoplasm of the lung
6. According to the Diagnostic and Statistical Manual of Mental Disorders by the American
Psychiatric Association, Munchausen Syndrome by Proxy is identified as:
m) Self-inflicted harm for attention.
n) A caregiver making up or causing an illness or injury in a person under his or her care
o) Abuse not involving the caregiver.
p) Neglectful behavior from the abuser towards the victim.
Munchausen syndrome by proxy involves a caregiver, often the mother, creating or exaggerating
symptoms in a child to appear ill.
7. Which medication linked to neurotransmitter activity can cause depression as a side effect?
q) Dopamine
r) Gabapentin
s) Mil
t) Cortisol
,8. Identify the lesion that is elevated, dark, asymmetrical, and has an irregular border:
u) Nevus
v) Actinic keratosis
w) Keratoacanthoma
x) Melanoma
9. A 32-year-old female reports dull puffiness around the eyes without pitting periorbital edema.
Which condition does this suggest?
y) Nephrotic syndrome
z) Myxedema
aa) Cushing syndrome
bb) Sinusitis
Myxedema involves mucopolysaccharide accumulation in the dermis, often seen with advanced
hypothyroidism, including facial and skin swelling.
10. For a 42-year-old female seeking preventive treatment for migraine headaches, which
medication is advisable?
cc) Sumatriptan (Imitrex)
dd) Amitriptyline (Elavil)
ee) Verapamil (Verelan)
ff) Metoprolol (Lopressor)
Amitriptyline (Elavil) is used off-label for migraine prophylaxis.
, 11. Scalp scaling and circular alopecia patches in a pediatric patient likely indicate:
gg) Tinea capitis
hh) Seborrheic dermatitis
ii) Trichotillomania
jj) Alopecia areata
12. The most suitable preventive migraine medication for an 18-year-old female with a history of
migraines is:
kk) Sumatriptan (Imitrex)
ll) Propranolol (Inderal)
mm) Ibuprofen (Motrin)
nn) Dihydroergotamine (DHE)
13. What reason makes combined hormonal contraceptives a poor choice for a 36-year-old woman
with type 2 diabetes, obesity, chronic smoking, and a sedentary lifestyle?
oo) Obesity
pp) Type 2 diabetes
qq) Her age and smoking habits
rr) Sedentary lifestyle
Combined oral contraceptives are not recommended for women over 45, smokers, those with
hypertension, diabetes, or a history of stroke.
14. A bloody and spontaneous nipple discharge detected during a breast exam of a
perimenopausal woman necessitates further investigation. This symptom could indicate:
