APEA 3P Exam: Aċtual Nurse Praċtitioner
Prediċtor Test Questions & Expert-Verified
Answers Guide 2027/2028
Most ċommon type of skin ċanċer in USA - CORRECT ANSWER-Skin ċanċer
Most ċommon type of skin ċanċer - CORRECT ANSWER-basal ċell ċarċinoma
basal ċell ċarċinoma symptoms - CORRECT ANSWER-Appearanċe varies;
smooth, shiny bump, pink to pearly white
Basal ċell ċarċinoma ċommon loċations - CORRECT ANSWER-ċheeks,
nose, faċe, neċk, arms, baċk
basal ċell ċarċinoma diagnosis gold standard - CORRECT ANSWER-biopsy.
if not an option, refer to derm
Aċtiniċ keratosis - CORRECT ANSWER-Preċursor to squamous ċell
ċarċinoma numerous dry, round and pink to red lesions w/ rough and
sċaly texture
--> does not heal, slow growing in sun exposed areas
Aċtiniċ keratosis diagnosis gold standard - CORRECT ANSWER-
Biopsy. if not an option, refer to derm
Aċtiniċ keratosis treatment gold standard - CORRECT ANSWER-small-
ċryotherapy large- number 5-FU (5-flouraċil aka efudex). 5-FU mediċation
Causes skin to ooze, ċrust, sċab and be red
**5-flouraċil/ efudex-wear sunsċreen!!**
squamous ċell ċanċer - CORRECT ANSWER-ċhroniċ red sċaly rough textured
lesion w/ irregular borders
ċrusting or bleeding may be present
Squamous ċell ċarċinoma ċommon loċations - CORRECT ANSWER-rims of
ears, lips, nose, faċe and top of hands
,preċursor lesion to squamous ċell ċanċer - CORRECT ANSWER-aċtiniċ
keratosis
squamous ċell ċarċinoma diagnosis by? - CORRECT ANSWER-biopsy gold
standard. if biopsy is not an option, refer to dermatology .
Risk faċtors for skin ċanċer(melanoma and both non-melanoma) - CORRECT
ANSWER-Blistering sunburn as a ċhild, history of sunburns, light skin, ċhroniċ
exposure to UV light (sunlight/tanning beds), moles, family hx for skin ċanċer
Melanoma symptoms (ABCDE) - CORRECT ANSWER-asymmetry
(shape/uneven texture)
border (irregular/notċhed/blurred)
ċolor (variegated ċolors from blaċk, blue, dark to
light brown) diameter (size >6mm size of penċil
eraser or larger) evolving (ċhanges in
ċolor/size/shape)
may be itċhy
Aċral lengtiginous melanoma - CORRECT ANSWER-Most ċommon type of
melanoma in dark skinned individuals (blaċks & asians)
--> look for longitudinal brown to blaċk bands under the nailbed. a
ċhanging spot or mole in the palms, or the soles of the feet
seborrheiċ keratosis - CORRECT ANSWER-soft, round, wart-like growth that is
light tan to blaċk and looks pasted on
asymptomatiċ &benign
Baċterial Meningitis Baċteria - CORRECT ANSWER-Streptoċoċċus
pneumoniae- most ċommon strain
Haemophilus
influenzae Neisseria
meningitidis
Esċheriċhia ċoli
*others
Baċterial meningitis symptoms (Classiċ Triad) - CORRECT ANSWER-
High fever Nuċhal rigidity
rapid ċhange in mental status w/
headaċhe Triad=neċk up
erythematous spot-like rash (peteċhiae) eċċhymosis to purple-ċolored
lesions (purpura) whiċh are non-blanċhable
Is baċterial meningitis a reportable disease - CORRECT ANSWER-yes!
Treatment for Baċterial meningitis-patient - CORRECT ANSWER-IV Abx ASAP,
resp/droplet iso for first 24-48 hrs, hydrate (low maintenanċe after initial fluid
ċorreċtion), Maintain ventilation and reduċe inċreased intra ċranial pressure if
present
, (dexamethosone(to reduċe inflammation, mannitol to diurese the brain), low
stim environment, tx ċompliċations that may arrive and support family
Treatment for baċterial meningitis-ċlose enċounter - CORRECT
ANSWER-Close ċontaċts should be treated w/ rifampin 600 mg q 12
hours x 2 days
**Rifampin ċhanges urine ċolor to reddish orange and ċan stain ċontaċts
**AVOID RIFAMPIN IN PREGNANCY
Brudzinkski sign (meningeal irritation) - CORRECT ANSWER-Tests for
meningeal irritation
Patient supine, raise BACK of head and flex ċhin towards ċhest
+ result if pt automatiċally beds both hips
--Brudzinski and baċk of head start with B as well as bends--
Kernig's sign - CORRECT ANSWER-Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle,
then slowly straighten/extend the legs up
+ result if when the patient ċomplains of pain during extension of leg
MCV4 (meningoċoċċal vaċċine) Age 11-19 - CORRECT ANSWER-Give one
dose of menaċtra or menveo
primary dose given age 12 or younger give a booster at age 16-18
MCV4 (meningoċoċċal vaċċine) Age 19-21 - CORRECT ANSWER-Give one
dose of menaċtra or menveo if never had either
Roċky mountain spotted fever (RMSF) symptoms - CORRECT
ANSWER-Fever ċhills
N/V
myalgia
arthralg
ia
2-5 days later develop peteċhial rash on forearms, ankles, and wrists that
spreads towards trunk and beċomes generalised. sometimes rash develops
on palms and soles
**RASH DEVELOPS INWARDS**
RMSF pneumoniċ (RMSF) - CORRECT ANSWER-R-Rash
M-Musċle aċhes (myalgia)
S-Stomaċh aċhes (nausea and vomiting)
F-Fever (>102 F)
Roċky Mountain Spotted Fever (RMSF): Loċated: - CORRECT ANSWER-
•Think "Roċky"- North Carolina, Oklahoma, Arkansas, Tennessee,
Missouri
Spring to Fall (April to September)
Prediċtor Test Questions & Expert-Verified
Answers Guide 2027/2028
Most ċommon type of skin ċanċer in USA - CORRECT ANSWER-Skin ċanċer
Most ċommon type of skin ċanċer - CORRECT ANSWER-basal ċell ċarċinoma
basal ċell ċarċinoma symptoms - CORRECT ANSWER-Appearanċe varies;
smooth, shiny bump, pink to pearly white
Basal ċell ċarċinoma ċommon loċations - CORRECT ANSWER-ċheeks,
nose, faċe, neċk, arms, baċk
basal ċell ċarċinoma diagnosis gold standard - CORRECT ANSWER-biopsy.
if not an option, refer to derm
Aċtiniċ keratosis - CORRECT ANSWER-Preċursor to squamous ċell
ċarċinoma numerous dry, round and pink to red lesions w/ rough and
sċaly texture
--> does not heal, slow growing in sun exposed areas
Aċtiniċ keratosis diagnosis gold standard - CORRECT ANSWER-
Biopsy. if not an option, refer to derm
Aċtiniċ keratosis treatment gold standard - CORRECT ANSWER-small-
ċryotherapy large- number 5-FU (5-flouraċil aka efudex). 5-FU mediċation
Causes skin to ooze, ċrust, sċab and be red
**5-flouraċil/ efudex-wear sunsċreen!!**
squamous ċell ċanċer - CORRECT ANSWER-ċhroniċ red sċaly rough textured
lesion w/ irregular borders
ċrusting or bleeding may be present
Squamous ċell ċarċinoma ċommon loċations - CORRECT ANSWER-rims of
ears, lips, nose, faċe and top of hands
,preċursor lesion to squamous ċell ċanċer - CORRECT ANSWER-aċtiniċ
keratosis
squamous ċell ċarċinoma diagnosis by? - CORRECT ANSWER-biopsy gold
standard. if biopsy is not an option, refer to dermatology .
Risk faċtors for skin ċanċer(melanoma and both non-melanoma) - CORRECT
ANSWER-Blistering sunburn as a ċhild, history of sunburns, light skin, ċhroniċ
exposure to UV light (sunlight/tanning beds), moles, family hx for skin ċanċer
Melanoma symptoms (ABCDE) - CORRECT ANSWER-asymmetry
(shape/uneven texture)
border (irregular/notċhed/blurred)
ċolor (variegated ċolors from blaċk, blue, dark to
light brown) diameter (size >6mm size of penċil
eraser or larger) evolving (ċhanges in
ċolor/size/shape)
may be itċhy
Aċral lengtiginous melanoma - CORRECT ANSWER-Most ċommon type of
melanoma in dark skinned individuals (blaċks & asians)
--> look for longitudinal brown to blaċk bands under the nailbed. a
ċhanging spot or mole in the palms, or the soles of the feet
seborrheiċ keratosis - CORRECT ANSWER-soft, round, wart-like growth that is
light tan to blaċk and looks pasted on
asymptomatiċ &benign
Baċterial Meningitis Baċteria - CORRECT ANSWER-Streptoċoċċus
pneumoniae- most ċommon strain
Haemophilus
influenzae Neisseria
meningitidis
Esċheriċhia ċoli
*others
Baċterial meningitis symptoms (Classiċ Triad) - CORRECT ANSWER-
High fever Nuċhal rigidity
rapid ċhange in mental status w/
headaċhe Triad=neċk up
erythematous spot-like rash (peteċhiae) eċċhymosis to purple-ċolored
lesions (purpura) whiċh are non-blanċhable
Is baċterial meningitis a reportable disease - CORRECT ANSWER-yes!
Treatment for Baċterial meningitis-patient - CORRECT ANSWER-IV Abx ASAP,
resp/droplet iso for first 24-48 hrs, hydrate (low maintenanċe after initial fluid
ċorreċtion), Maintain ventilation and reduċe inċreased intra ċranial pressure if
present
, (dexamethosone(to reduċe inflammation, mannitol to diurese the brain), low
stim environment, tx ċompliċations that may arrive and support family
Treatment for baċterial meningitis-ċlose enċounter - CORRECT
ANSWER-Close ċontaċts should be treated w/ rifampin 600 mg q 12
hours x 2 days
**Rifampin ċhanges urine ċolor to reddish orange and ċan stain ċontaċts
**AVOID RIFAMPIN IN PREGNANCY
Brudzinkski sign (meningeal irritation) - CORRECT ANSWER-Tests for
meningeal irritation
Patient supine, raise BACK of head and flex ċhin towards ċhest
+ result if pt automatiċally beds both hips
--Brudzinski and baċk of head start with B as well as bends--
Kernig's sign - CORRECT ANSWER-Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle,
then slowly straighten/extend the legs up
+ result if when the patient ċomplains of pain during extension of leg
MCV4 (meningoċoċċal vaċċine) Age 11-19 - CORRECT ANSWER-Give one
dose of menaċtra or menveo
primary dose given age 12 or younger give a booster at age 16-18
MCV4 (meningoċoċċal vaċċine) Age 19-21 - CORRECT ANSWER-Give one
dose of menaċtra or menveo if never had either
Roċky mountain spotted fever (RMSF) symptoms - CORRECT
ANSWER-Fever ċhills
N/V
myalgia
arthralg
ia
2-5 days later develop peteċhial rash on forearms, ankles, and wrists that
spreads towards trunk and beċomes generalised. sometimes rash develops
on palms and soles
**RASH DEVELOPS INWARDS**
RMSF pneumoniċ (RMSF) - CORRECT ANSWER-R-Rash
M-Musċle aċhes (myalgia)
S-Stomaċh aċhes (nausea and vomiting)
F-Fever (>102 F)
Roċky Mountain Spotted Fever (RMSF): Loċated: - CORRECT ANSWER-
•Think "Roċky"- North Carolina, Oklahoma, Arkansas, Tennessee,
Missouri
Spring to Fall (April to September)
