3P, 3P APEA EXAM, NUR 504 APEA FIN, APEA, NUR
504 3P APEA, 3P PRACTICE QUESTIONS, APEA 3P,
3 P'S EXAM, 3P, EXIT EXAM PART 2 EXAM
QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
MOST RECENT EXAM COMPLETE (2026) (LATEST
UPDATE 2026) UPDATE!!
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
c. Alcohol or another drug withdrawal
d. New onset type 2 diabetes mellitus
New onset type 2 diabetes mellitus
A young couple is being seen by the NP for preconception counseling.
They express a wish for pregnancy within the next 3 month and are very
eager to know what they can do now to"make the baby as healthy as
possible". Which of the following should the NP encourage to decrease
the chance of neural tube defect in the fetus?
a. Maternal alpha-fetoprotein level
b. Folic acid 0.4 mg daily
c. Rubella vaccine today
d. Vitamin E 400 IU daily
b. Folic acid 0.4 mg daily
A patient with a past history of documented coronary arterial blockage
less than 70% complains of chest pain several time p.... which is relived
with nitroglycerin. Which is the most appropriate initial action for the
,NP?
a. Refer to a cardiologist as soon as possible
b. Prescribe long-acting nitroglycerin
c. Order treadmill stress test
d. Prescribe an ACE inhibitor and re-evaluate in 24 to 48 hours
a. Refer to a cardiologist as soon as possible
Which of the following indicated need for further evaluation?
a. A 7 y/o girl with vaginal bleeding
b. A 7 years old girl with no true pubic hair
c. A 12 years old boy with sparse, slightly pigmented pubic hair
d. A 12-year-old girl with breast buds
A 7 y/o girl with vaginal bleeding
A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating:
a. Infection proximal to the nodes
b. A possible cancer diagnosis
c. Shorty nodes, a common normal variant in children
d. An infectious process distal to the nodes
a. Infection proximal to the nodes
The NP examines a 2-month-old with unequal gluteal and thigh skin folds.
What should the NP do next?
a. Send the infant for x-ray of the hips
b. Send the infant for ultrasound of the hips
c. Perform Ortolani and Barlow test
d. Examine the infant for unequal arm length
c. Perform Ortolani and Barlow test
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
High in fiber such as bran, complex carbohydrates and fresh fruit
A 13 y/o pt. complains that he fell while running during football practice.
Now his knee hurts and sometimes "lucks". The NP conducts McMurrays
test. Which of the following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally.
a. An audible or palpated "click" is positive for a torn meniscus
A 20 y/o male patient complains of "scrotal swelling". He states his
scrotum feels heavy but denies pain. On examination, the NP notes
transillumination of the scrotum. What is the most
likely diagnosis?
a. Hydrocele
b. Orchitis
c. Testicular torsion
d. Indirect inguinal hernia
a. Hydrocele
Correct instructions to give new parent who are transporting their
newborn infant is
a. A rear-facing infant car seat secured in the backseat is required until
the infant weight 20lbs.
b. The infant car set may be secured in the back or front seat, but must
rear-facing
c. The infant car seat may be front facing when the infant is 1 year old
d. A rear or front-facing infant car seat must be secured in the back seat
until the infant weight 20 lbs.
a. A rear-facing infant car seat secured in the backseat is required until
the infant weight 20lbs.
, 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) Review proper proton pump inhibitor dosing time and adherence with
the patient.
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. Weight loss
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. Testicular self-examination
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
504 3P APEA, 3P PRACTICE QUESTIONS, APEA 3P,
3 P'S EXAM, 3P, EXIT EXAM PART 2 EXAM
QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
MOST RECENT EXAM COMPLETE (2026) (LATEST
UPDATE 2026) UPDATE!!
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
c. Alcohol or another drug withdrawal
d. New onset type 2 diabetes mellitus
New onset type 2 diabetes mellitus
A young couple is being seen by the NP for preconception counseling.
They express a wish for pregnancy within the next 3 month and are very
eager to know what they can do now to"make the baby as healthy as
possible". Which of the following should the NP encourage to decrease
the chance of neural tube defect in the fetus?
a. Maternal alpha-fetoprotein level
b. Folic acid 0.4 mg daily
c. Rubella vaccine today
d. Vitamin E 400 IU daily
b. Folic acid 0.4 mg daily
A patient with a past history of documented coronary arterial blockage
less than 70% complains of chest pain several time p.... which is relived
with nitroglycerin. Which is the most appropriate initial action for the
,NP?
a. Refer to a cardiologist as soon as possible
b. Prescribe long-acting nitroglycerin
c. Order treadmill stress test
d. Prescribe an ACE inhibitor and re-evaluate in 24 to 48 hours
a. Refer to a cardiologist as soon as possible
Which of the following indicated need for further evaluation?
a. A 7 y/o girl with vaginal bleeding
b. A 7 years old girl with no true pubic hair
c. A 12 years old boy with sparse, slightly pigmented pubic hair
d. A 12-year-old girl with breast buds
A 7 y/o girl with vaginal bleeding
A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating:
a. Infection proximal to the nodes
b. A possible cancer diagnosis
c. Shorty nodes, a common normal variant in children
d. An infectious process distal to the nodes
a. Infection proximal to the nodes
The NP examines a 2-month-old with unequal gluteal and thigh skin folds.
What should the NP do next?
a. Send the infant for x-ray of the hips
b. Send the infant for ultrasound of the hips
c. Perform Ortolani and Barlow test
d. Examine the infant for unequal arm length
c. Perform Ortolani and Barlow test
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
High in fiber such as bran, complex carbohydrates and fresh fruit
A 13 y/o pt. complains that he fell while running during football practice.
Now his knee hurts and sometimes "lucks". The NP conducts McMurrays
test. Which of the following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally.
a. An audible or palpated "click" is positive for a torn meniscus
A 20 y/o male patient complains of "scrotal swelling". He states his
scrotum feels heavy but denies pain. On examination, the NP notes
transillumination of the scrotum. What is the most
likely diagnosis?
a. Hydrocele
b. Orchitis
c. Testicular torsion
d. Indirect inguinal hernia
a. Hydrocele
Correct instructions to give new parent who are transporting their
newborn infant is
a. A rear-facing infant car seat secured in the backseat is required until
the infant weight 20lbs.
b. The infant car set may be secured in the back or front seat, but must
rear-facing
c. The infant car seat may be front facing when the infant is 1 year old
d. A rear or front-facing infant car seat must be secured in the back seat
until the infant weight 20 lbs.
a. A rear-facing infant car seat secured in the backseat is required until
the infant weight 20lbs.
, 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) Review proper proton pump inhibitor dosing time and adherence with
the patient.
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. Weight loss
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. Testicular self-examination
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
