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APEA PMHNP EXAM AND PRACTICE EXAM NEWEST 2026 TEST
BANK| APEA PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER (PMHNP) EXAM PREP WITH COMPLETE EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
A 15 years old high school student with a mild sore throat and low-
grade fever that has persisted for about 3 weeks. She reports general
malaise, fatigue, and loss of appetite. The NP suspects mononucleosis.
Which of the following is the LEAST appropriate intervention?
Palpate the lymph nodes and spleen
Examine the posterior oropharynx for petechiae Obtain a CBC, throat
culture, and heterophil antibody test.
Obtain an urinalyses and serum for LFTs and amylase
......ANSWER......Obtain an urinalyses and serum for LFTs and amylase
Explanation: mononucleosis is a symptomatic infection caused by the
Epstein-Bar virus. Common is people 15-24 years of age. Common
signs and symptoms following incubation period (1-2 months) include
fatigue, chills, malaise, anorexia, white tonsillar exudates and
lymphadenopathy or posterior cervical region. Splenomegaly can be
present. A maculopapular or occasionally a petechial rash occurs in
,2|Page
less than 15% of patients. A diagnosis is usually made using the
Monospot. In addition, neutropenia and lymphocytosis are usually
detected in the CBC
A 32 years old male patient complaint of urinary frequency and burning
on urination for 3 days. Urinalyses reveals bacteriuria and positive
nitrites. He denies any past hx. Of urinary tract infections. The initial
treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose ......ANSWER.......
trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n
appropriate medication to treat urinary tract infections in most
patients. In the case of community resistance to TMPS >20%^, another
medication should be substituted. In men, the appropriate length of
time is 7 10 days. Women may be treated for 3 days for uncomplicated
UTI
Which agent is most effective for the treatment of nodulocystic acne?
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Benzoyl peroxide (Benzac)
Retinoic acid (Retin A)
Topical tetracycline
Isotretinoin ......ANSWER......Isotretinoin
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for
treatment with severe inflammatory acne. Guidelines for its use must
be clearly understood by the patient. A woman of childbearing age
must use an effective method of contraception because isotretinoin is
1 There are many restrictions in prescribing this medication because
of the teratogenic effects is given during pregnancy. Therefore, it is a
pregnancy category X.
An 18 y/o woman is taking a combined hormonal oral contraceptive.
She should be instructed to use a backup method for the prevention of
pregnancy
a. Throughout the week of placebo pills
If prescribed topiramate (Topamax) for the treatment of migraines.
If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
if she forgets to take a single dose of the contraceptive
......ANSWER......If prescribed topiramate (Topamax) for the treatment
of migraines.
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Explanation: Anticonvulsant including phenytoin (Dilantin),
carbamazepine (Tegretol), primidone (Mysoline), topiramate
(Topamax) and oxcarbazepine (Trileptal) reduce the effectiveness of
contraceptives. Depo-medroxyprogesterone acetate injections or
levonorgestrel-releasing intrauterine devices would be a better
method of contraceptive for patients taking anticonvulsants. Most
commonly used antibiotics have not been proven to reduce the
effectiveness of contraceptives. Rifampin is an exception, and
additional .... Be used by women taking this drug and using oral
contraceptives, transdermal, or vaginal ring preparations. Additional
backup contraception should be used if taking antifungal agents. No
additional protection is needed thought the week of placebo pills.
Missing one single dose of contraceptive does not require additional
protection, missing more than one doses does.
A 44 years old female patient has diabetes. Her total cholesterol (TC) is
250 mg/dl (6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25
mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L). What
agent have the greatest effect on improving her lipid profile and
reducing morbidity and mortality associates with dyslipidemia?
Atorvastatin
Niacin (Niaspan)
Omega 3 fatty acids
Fenofibrates ......ANSWER......Atorvastatin
APEA PMHNP EXAM AND PRACTICE EXAM NEWEST 2026 TEST
BANK| APEA PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER (PMHNP) EXAM PREP WITH COMPLETE EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
A 15 years old high school student with a mild sore throat and low-
grade fever that has persisted for about 3 weeks. She reports general
malaise, fatigue, and loss of appetite. The NP suspects mononucleosis.
Which of the following is the LEAST appropriate intervention?
Palpate the lymph nodes and spleen
Examine the posterior oropharynx for petechiae Obtain a CBC, throat
culture, and heterophil antibody test.
Obtain an urinalyses and serum for LFTs and amylase
......ANSWER......Obtain an urinalyses and serum for LFTs and amylase
Explanation: mononucleosis is a symptomatic infection caused by the
Epstein-Bar virus. Common is people 15-24 years of age. Common
signs and symptoms following incubation period (1-2 months) include
fatigue, chills, malaise, anorexia, white tonsillar exudates and
lymphadenopathy or posterior cervical region. Splenomegaly can be
present. A maculopapular or occasionally a petechial rash occurs in
,2|Page
less than 15% of patients. A diagnosis is usually made using the
Monospot. In addition, neutropenia and lymphocytosis are usually
detected in the CBC
A 32 years old male patient complaint of urinary frequency and burning
on urination for 3 days. Urinalyses reveals bacteriuria and positive
nitrites. He denies any past hx. Of urinary tract infections. The initial
treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose ......ANSWER.......
trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n
appropriate medication to treat urinary tract infections in most
patients. In the case of community resistance to TMPS >20%^, another
medication should be substituted. In men, the appropriate length of
time is 7 10 days. Women may be treated for 3 days for uncomplicated
UTI
Which agent is most effective for the treatment of nodulocystic acne?
,3|Page
Benzoyl peroxide (Benzac)
Retinoic acid (Retin A)
Topical tetracycline
Isotretinoin ......ANSWER......Isotretinoin
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for
treatment with severe inflammatory acne. Guidelines for its use must
be clearly understood by the patient. A woman of childbearing age
must use an effective method of contraception because isotretinoin is
1 There are many restrictions in prescribing this medication because
of the teratogenic effects is given during pregnancy. Therefore, it is a
pregnancy category X.
An 18 y/o woman is taking a combined hormonal oral contraceptive.
She should be instructed to use a backup method for the prevention of
pregnancy
a. Throughout the week of placebo pills
If prescribed topiramate (Topamax) for the treatment of migraines.
If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
if she forgets to take a single dose of the contraceptive
......ANSWER......If prescribed topiramate (Topamax) for the treatment
of migraines.
, 4|Page
Explanation: Anticonvulsant including phenytoin (Dilantin),
carbamazepine (Tegretol), primidone (Mysoline), topiramate
(Topamax) and oxcarbazepine (Trileptal) reduce the effectiveness of
contraceptives. Depo-medroxyprogesterone acetate injections or
levonorgestrel-releasing intrauterine devices would be a better
method of contraceptive for patients taking anticonvulsants. Most
commonly used antibiotics have not been proven to reduce the
effectiveness of contraceptives. Rifampin is an exception, and
additional .... Be used by women taking this drug and using oral
contraceptives, transdermal, or vaginal ring preparations. Additional
backup contraception should be used if taking antifungal agents. No
additional protection is needed thought the week of placebo pills.
Missing one single dose of contraceptive does not require additional
protection, missing more than one doses does.
A 44 years old female patient has diabetes. Her total cholesterol (TC) is
250 mg/dl (6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25
mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L). What
agent have the greatest effect on improving her lipid profile and
reducing morbidity and mortality associates with dyslipidemia?
Atorvastatin
Niacin (Niaspan)
Omega 3 fatty acids
Fenofibrates ......ANSWER......Atorvastatin
