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APEA Predictor Exam Questions and Answers | Nurse Practitioner Study Guide & Exam Review 2026/2027

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APEA Predictor Exam Questions and Answers | Nurse Practitioner Study Guide & Exam Review 2026/2027

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Apea predictor exam 2025
What is the biggest side effect of colchicine? diarrhea

papules that are umbilicated and contain a caseous plug
How would you describe the appearance of
molluscum contagiosum?




How do we treat a broken clavicle in an infant? no treatment; it should heal on it's own

week 12
At what week of pregnancy is the uterus
palpable just above the pubic symphysis?

week 16
At what week of pregnancy is the fundus
palpable halfway between the pubic symphysis
and umbilicus?




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week 20
At what week of pregnancy is the fundus of the
uterus at the umbilicus?

week 28
At what week of pregnancy is the fundus of the
uterus halfway between the xiphoid process and
umbilicus?


At what week of pregnancy is the fundus just week 34
below the xiphoid process?

Increased sweat production is a sign of what hyperthyroidism
endocrine disorder?

there is localized increased bone turnover and blood flow resulting in the breakdown of bone
and replacing it with weakened and highly vascular bone putting the indiv at increased risk of
What is Paget's disease? fractures


How do we treat Paget's diseease? bisphosphonates

with the shoulder strap like a normal person and then the groin strap below the belly and
How should pregnant women wear their
seatbelt? across the hips




What is another name for fifth disease? parvovirus aka slapped cheek disease aka erythema infectiosum

Which type of prevention are vaccinations? primary

When should patients begin antiretroviral as soon as it is detected, even if in the acute phase
therapy for HIV infection?

What are the first generation antihistamines? diphenhydramine (benadryl) and chlorpeniramine (actifed)

rash on hands and feet, lymphadenopathy, fever
What are s/s of the secondary stage of syphilis?


What is the recommended treatment for chronic a fluoroquinolone (cipro or levo) + bactrim
bacterial prostatitis?

cipro (if not STI related) or ceftriaxone
What is the recommended treatment for acute
prostatitis?

clear to bloody unilateral nipple discharge (bilateral is usually benign), and also a wart like
What are s/s of an intraductal breast papilloma? lump palpated in the nipple area

first generation cephalosporins, unless the allergy is severe, then you would consider
If a patient has GABHS but has an allergy to
penicillins, what is the second line option? macrolides like a -mycin

, Apea predictor exam 2025
in those who are on any type of nitrate or triptan because it could result in hypotension
PDE5 inhibitors (sildenafil, tadalafil) are
contraindicated in which patient populations?




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a PDE5 inhibitor which can cause hypotension so you should do a full cardiac assessment
What class of drug is sildenafil (viagra)? before starting a patient on this and maybe do an EKG


What are the symptoms of peripheral artery think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs, intermittent
claudication
disease?

What is first line treatment for PAD? walking and physical activity to improve circulation. second line is an aspirin or anti-platelet

do not elevate the feet; keep them down
What should we tell our patients with PAD NOT
to do?

How do we diagnose PAD? an ABI < 7; doppler can also be used to diagnose as well but is the second choice

think V meaning volume overload aka edema, may ache or be uncomfortable but is not
What are s/s of peripheral vascular disease? painful, bounding pulses, ruddy discoloration

Bactrim increases INR so we would want to decrease the coumadin dose while the patient is
If a patient is on Coumadin but then they may on this
need to go on an antibiotic for an infection and
Bactrim is the drug of choice, what should you
do?




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If a patient is on Coumadin but then they may Rifampin decreases INR so we'd want to increase the coumadin dose
need to go on Rifampin, what should you do?

decrease the weekly dose by 5-10%
If a patient on coumadin's INR is 3.1-4 ,what
should you do?

If a patient on coumadin's INR is 4.1-5.0, what hold one dose then decrease the weekly dose by 10%
should you do?




If a patient's INR is greater than 5, what should consult cards, likely would hold two doses then decrease the weekly dose
you do?

An anorexic patient will have a BMI of what? less than 18

when the patient has never gotten their period before (there is an absence of menarche) but
What is primary amenorrhea? they have all of their secondary sex characteristics

3 months
Secondary amenorrhea is a lack of menses after
_________ of not having a period; but you have
had one before

rule out pregnancy
What do we need to do first when a patient
comes in with secondary amenorrhea?

Anorexia can put you at risk for what? osteoporosis, amenorrhea, cardiac damage

osteoporosis
Amenorrhea is considered a risk factor for what?

they get their period back
What is the best indication of an anorexic patient
doing better? They tell you they are eating more,
they have weight gain, or they get their period
back?

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