APEA ASSESSMENT EXAM QUESTIONS AND ANSWERS GRADED A+
1. Which of the following findings is most often associated with
a benign heart murmur in a school-aged child? A soft, continuous hum
eliminated when supine.
2. A pediatric patient presents with erythema marginatum,
chorea, and a heart murmur. Which of the following
conditions is most likely associated with his findings? Acute
rheumatic fever
3. An NP is assessing an infant who has acquired heart
failure. Which of the following clinical manifestations is
most likely related to heart failure? poor feeding and growth
4. During an adult patient's cardiac examination, an NP should
instruct the patient to perform which of the following
maneuvers to best auscultate a murmur from aortic regurgitation?
Sitting, leaning forward, and holding their breath after exhalation.
5. An NP is assessing an adult patient with lower extremity
aching and swelling. Which of the following diagnostic studies
is recommended to assess for varicosities in the lower
extremities? venous duplex ultrasound
6. An NP is assessing a patient who presents with chest pain.
Which of the following historical findings suggests that the
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13
, pain has a cardiovascular ore-gin? The pain is associated with nausea and
not relieved by rest
7. An NP is assessing an adult patient after a syncopal
episode which of the following prodromal symptoms
(immediately before the syncopal episode) would support
the diagnosis of orthostatic hypotension? Lightheadedness
8. An NP is performing a routine follow-up appointment with
an adult patient with previously asymptomatic aortic stenosis.
The NP asks about new sump-toms the patient has noticed in
the last six months since they were last seen. Which of the
following symptoms reported by the patient most commonly
indicates early symptoms of this condition? Exertional angina and
dizziness.
9. An NP is evaluating an adult patient who presents with a
heart rate of 140 and regular at rest. How should this be
documented in the patient's examination note? Sinus
Tachycardia
10. An NP is performing a routine well check on an adult
patient and auscultates a bruit immediately above the
umbilicus. Which of the following diagnostic studies is
considered a gold standard to diagnose the potentially
2/
13
1. Which of the following findings is most often associated with
a benign heart murmur in a school-aged child? A soft, continuous hum
eliminated when supine.
2. A pediatric patient presents with erythema marginatum,
chorea, and a heart murmur. Which of the following
conditions is most likely associated with his findings? Acute
rheumatic fever
3. An NP is assessing an infant who has acquired heart
failure. Which of the following clinical manifestations is
most likely related to heart failure? poor feeding and growth
4. During an adult patient's cardiac examination, an NP should
instruct the patient to perform which of the following
maneuvers to best auscultate a murmur from aortic regurgitation?
Sitting, leaning forward, and holding their breath after exhalation.
5. An NP is assessing an adult patient with lower extremity
aching and swelling. Which of the following diagnostic studies
is recommended to assess for varicosities in the lower
extremities? venous duplex ultrasound
6. An NP is assessing a patient who presents with chest pain.
Which of the following historical findings suggests that the
1/
13
, pain has a cardiovascular ore-gin? The pain is associated with nausea and
not relieved by rest
7. An NP is assessing an adult patient after a syncopal
episode which of the following prodromal symptoms
(immediately before the syncopal episode) would support
the diagnosis of orthostatic hypotension? Lightheadedness
8. An NP is performing a routine follow-up appointment with
an adult patient with previously asymptomatic aortic stenosis.
The NP asks about new sump-toms the patient has noticed in
the last six months since they were last seen. Which of the
following symptoms reported by the patient most commonly
indicates early symptoms of this condition? Exertional angina and
dizziness.
9. An NP is evaluating an adult patient who presents with a
heart rate of 140 and regular at rest. How should this be
documented in the patient's examination note? Sinus
Tachycardia
10. An NP is performing a routine well check on an adult
patient and auscultates a bruit immediately above the
umbilicus. Which of the following diagnostic studies is
considered a gold standard to diagnose the potentially
2/
13
