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APEA 3P Exam Study Guide | Nurse Practitioner Predictor Practice Questions with Detailed Explanations

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Comprehensive study resource for the APEA 3P Exam, designed for nurse practitioner students preparing for certification and program assessments. This material reviews the three core domains: Advanced Pathophysiology, Advanced Pharmacology, and Advanced Physical Assessment. Topics include disease processes, pharmacologic therapies, patient assessment, diagnostic reasoning, differential diagnosis, clinical decision-making, health promotion, and evidence-based practice. It serves as a structured companion for reinforcing advanced practice nursing knowledge and preparing for coursework, comprehensive examinations, and certification readiness through practice questions and detailed explanations.

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APEA 3P
Study online at https://quizlet.com/_ecj5o8
1. The groove of the metacarpophalangeal joint can be palpated by having
the patient...: Flex their hand/spread their fingers
2. When auscultating breath sounds in a patient who has left sided heart
failure, the breath sounds are...: Vesicular with late inspiratory crackles in the
dependent portions of the lungs and resonant on percussion
3. The ankle-brachial index is a screening test used to assess a person's risk
for...: Peripheral Artery Disease (PAD)
4. Olecranon bursitis maybe caused by all of the following except...: Frozen
shoulder
5. In patients who have allergic rhinitis, the nasal mucosa appears...: pale 6.
A term used to describe an increase in muscular bulk with diminished
strength is...: Pseudohypertrophy
7. If abdominal pain persists when the patient raises his head and shoulders,
the origin of the tenderness is probably...: In the abdominal wall
8. On auscultation of the abdomen, rushes of high-pitched sounds are
audible and coincide with abdominal cramps. These findings are most
consistent with...: Intestinal obstruction
9. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots
in and around the macular area. These findings are consistent with...: microa-
neurysms
10. Symptoms of subdural hematoma include...: Noticeable bleeding between
the dura and cerebrum on x-ray
11. On examination of the adult patient, symptoms of fixed posture, tremor,
rigidity, and shuffling gait are observed. These findings are consistent
with...-: Parkinson's Disease
12. When discussing the musculoskeletal system, all of the following state-
ments related to articular structure disease are true except which one?: Artic-
ular disease is usually due to stiffness or pain
13. Focal tenderness over the trochanter confirms...: Bursitis
14. Assessing the neurological status of a child with a ventriculoperitoneal
shunt should include...: Use of the Glasgow coma scale
15. The easiest recognizable clinical manifestation(s) of cystic fibrosis in an
infant is...: Salty taste on the skin
16. A reddish blue, irregularly shaped, solid, and spongy mass of blood ves-
sels that may be present at birth and enlarge during the first 10 to 15 months
is characteristic of a...: Cavernous hemangioma
17. The hamstring muscles flex at the knee and are located on the...: Posterior
aspect of the thigh

,1/9

, APEA 3P
Study online at https://quizlet.com/_ecj5o8
18. Ophthalmoscopic examination reveals dark specks noted between the
fundus and the lens. These specks are most likely...: vitreous floaters
19. When performing the first Leopold maneuver on a pregnant woman, if the
buttocks and head are not easily palpated at the fundus, the fetus is said to
be in...: Transverse lie
20. When performing a musculoskeletal examination, the nurse practitioner
instructs the patient to move his arm in front of his body. The motion of the
shoulder girdle would be an example of...: Flexion
21. To locate the twelfth rib, palpate...: Between the spine and lateral chest 22.
Walking on the toes and heals may reveal...: Distal muscular weakness in the
legs
23. When performing a bimanual exam of the vagina, the examiner should
lubricate the index and middle fingers of the gloved hand. From a standing
position, the fingers should be inserted into the vagina while exerting
pressure primarily...: posteriorly
24. During pregnancy, which hormone results in increased blood viscosity?-:
Erythropoietin
25. Resting tremors refer to those tremors that disappear: with voluntary
move-ment
26. A patient presents with complaints of bright red stools over the past
week.
This symptom could be consistent with...: Cancer of the sigmoid colon
27. Mydriasis is a term used to describe: Dilation of the pupils
28. When performing a musculoskeletal exam on a patient with mechanical
low back pain, osteoporosis is expected. Positive findings include all of the
following except...: Calf wasting
29. Which stage of pressure is consistent with findings on dermatologic ex-
amination of a full thickness tissue loss and subcutaneous fat visible with
mild slough on the right hip?: Stage III(Three)
30. The vertebral column angles sharply posteriorly and becomes immovable
at the...: Lumbosacral junction
31. Which one of the following is at the HIGHEST risk of suicide?: A 52-year-
old white man
32. When auscultating heart sounds arising from the aortic valve in an adult
patient, place the stethoscope...: Between the 2nd and 3rd intercostal spaces at
the right upper sternal border
33. Pain and crepitus over the patella suggests...: Roughening of the patellar
undersurface

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