NUR 504 3P APEA LATEST EXAM ACTUAL
COMPLETE REAL EXAM NEWEST 2026-2027
QUESTIONS AND CORRECT ANSWERS ( EXPERT
VERIFIED AND DETAILED ANSWERS) FOR
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A 48 y/o female complains of pain and stiffness in her right hip and
knee that is mild on awakening in the morning, get worse as the day
progresses and is relived with hot baths and ibuprofen. Crepitus is
palpated on range of motion of the knee. Signs of inflammation are
notably absent. What is the most likely diagnosis?
a. Rheumatoid arthritis (RA)
b. Gout
c. Osteoarthritis (OA)
d. Osteoporosis - ANSWER-c. Osteoarthritis (OA)
A middle-aged female complains of insomnia, night sweats, feeling
intensely hot, emotional lability, extreme nervousness and impatience.
The LEAST likely cause of her symptoms is
a. Thyrotoxicosis
b. Menopausal vasomotor instability
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c. Alcohol or another drug withdrawal
d. New onset type 2 diabetes mellitus - ANSWER-New onset
type 2 diabetes mellitus
A very active 35 years old male has painful hemorrhoid, but he does
not want hemorrhoidal surgery at this time. His diet has been
indiscriminate as his job requires frequent travel. The most appropriate
recommendation is for him to select food that are:
a. Low in fiber such as milk and other dairy products
b. High in simple carbohydrates such as white bread and mashed
potatoes
c. High in fiber such as bran, complex carbohydrates and fresh fruit
d. High protein such a meat, poultry and fish - ANSWERHigh in fiber
such as bran, complex carbohydrates and fresh fruit
which of the following physical modalities recommended for
treatment of
rheumatic
arthritis
provides the most effective long-term pain
relief?
a. Superficial and deep
heat
b. Application of
cold
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c. Transcutaneous electrical nerve
stimulation (TENS)
d. Exercise - ANSWER-d.
Exercise
40 y/o female with hx. Of frequent sun exposure present with
multicolored lesion on her back it has irregular borders and is about
11 mm in diameter. What should the NP suspect? a. Squamous cell
carcinoma b. Malignant melanoma
c. Common Nevis
d. Basal cell carcinoma - ANSWER-b. Malignant melanoma
following the finding of prostate gland abnormalities on
DRE, The NP orders appropriate labs. When preparing to
review with the patient, the NP knows all of the following are true
EXCEPT a. Normal PSA is 10 mg/ml or less
b. PSA is elevated in the presence of malignant prostate
epithelium
c. PSA is elevated in the presence of BPH
d. Positive serum acid phosphatase reflects malignancy of the prostate
gland with bone metastasis. - ANSWERNormal PSA is 10 mg/ml or
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less in which of the following presentations is further diagnostic
testing NOT warranted?
a. Bilateral gynecomastia in a prepubertal male of average
weight; Tanner stage 1
b. Bilateral gynecomastia in a 13 y/o male with normal
testicular size and volume
c. Recent onset gynecomastia in a 20-year-old male with
breast tenderness
d. Unilateral breast mass which is 5 centimeters in diameter -
ANSWER-b. Bilateral gynecomastia in a 13 y/o male with normal
testicular size and volume
59 years old post-menopausal woman has atrophic vaginitis.
She has a hx.
Of breast cancerat age 40 years. What is the appropriate initial
treatment