APEA Predictor Exam –
Comprehensive Study & Practice
Guide
Cranial nerve IX Glossopharyngeal- swallowing and rise of the palate, gag
reflex
Cranial Nerve VIII Acoustic (Hearing and balance)
Cranial Nerve XI Spinal Accessory (upper trapezius)
Deep tendon reflex Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
,In the majority of children, the first A. First Molars
permanent teeth start to erupt at the age
of 6 years. Which of the following are the
first permanent teeth to erupt in this
time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines
All of the following are classified as D. Grocery shopping
activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel
elimination
C. Personal hygiene and grooming
D. Grocery Shopping
You note the following result on a B. Pregnancy-induced hypertension (pre-eclampsia). Classic
routine urinalysis of a 37-year old triad of symptoms of preeclampsia include hypertension,
primigravida who is at 30 weeks gestation. edema (weight gain), and proteinuria.
Leukocyte=trace, nitrite=negative,
protein=2+, blood=negative. Her weight
has increased by 5 lbs during the past
week. Which of the following is most
likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-
eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension
The mother of a 12 month old infant B. Roseola Infantum (Exanthema subitum)
reports to the nurse practitioner that her
child had a high fever for several days,
which spontaneously resolved. After the
fever resolved, the child developed a
maculopapular rash. Which of the following
is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes
,A 70-year old male patient complains of D. Subconjunctival hemorrhage. Bright red blood in a sharply
a bright red-colored spot in his left eye defined area surrounded by normal-appearing
for 2 days. He denies eye pain, visual conjunctiva indicates subconjunctival hemorrhage.
changes, or headaches. He has a new
onset of cough from a recent viral upper
respiratory infection. The only medicine
he is on Bayer aspirin, 1 tablet a day. Which
of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage
A woman is being evaluated by the A. Atrophic vaginitis. Symptoms of atrophic vaginitis include
nurse practitioner for complaints of painful intercourse, atrophic squamous epithelial cells, and a
dyspareunia. A microscopy slide reveals a decrease in pH. Vaginal atrophy is caused by lack of or
large number of atrophic squamous imbalance of estrogen. Normal pH of the vagina is 4.0-5.0
epithelial cells. The vaginal pH is 4.0. (acidic)
There are very few leukocytes and no
RBCs are seen on the wet smear. Which
of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding.
The most common type of skin malignancy B. Basal skin cancer. It is several times more common that
is: squamous cell skin cancer according to the NIH.
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi
Koplik's spots are associated with: B. Measles. S/S include fever over 101, coryza, cough,
A. Poxvirius infections conjunctivitis, rash, and koplik's spots on buccal mucosa
B. Measles
C. Kawasaki's disease
D. Reye's syndrome
At what level of prevention would you D. primordial prevention. Screening for lung cancer is not
classify for lung cancer? currently recommended in the general population, but it is
A. Primary prevention secondary prevention.
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention
A test called the visual fields by A. Peripheral vision
confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation
, What is the most common cause of Administration of a glucocorticoid or ACTH.
Cushing's syndrome? Iatrogenic Cushing's syndrome is the most common type.
Exogenous glucocorticoid administration produces a
Cushing's Syndrome that is reversible by discontinuation of the
medication.
A patient with no significant medical history Elevate her legs periodically.
has vericose veins. She complains of The intervention that will provide the greatest relief for this
'"aching legs". The intervention that will patient is elevating her legs periodically. This will facilitate
provide the greatest relief for her venous return. Use of support stockings will prolong the
complaint is to: length of time she is able to stand in place, but will not
provide relief after her legs begin aching. Support stockings
should be applied prior to getting out of bed.
A 25-yo female patient presents for a Itraductal papilloma.
routine well-women exam. On physical Intraductal papilloma often presents as a non-tender
exam, the NP notes a scant nipple mass with serous or bloody nipple discharge located in the
discharge, absence of palpable mass, ductal system near the areola. Breast cancer, although
and absence of lymph node enlargement. usually non-tender, may present with pain. Chest wall
What is the most likely diagnosis? syndrome may present in some women as breast pain.
Fibrocystic breast disease often presents with bilateral
breast pain.
According to the ANA, the role of the NP Direct nursing care role.
who provides primary health care is the: The NP with a traditional nursing care role is a primary health
care provider. Increasing numbers of nurse practitioners are
assuming indirect roles such as educator, administrator,
researcher, and consultant.
An 8-mo male presents with hemarthrosis A type of hemophilia.
of both knees and hematuria. The parents Hemophilia is usually diagnosed within the first year of life. It
give no history of trauma, but say " he has commonly presents with hemarthrosis, bleeding into soft
always bruised easily" The most likely tissue, hematuria, and prolonged bleeding times.
diagnosis is:
The nurse practitioner is following a most children with JRA achieve complete remission by
child with juvemile rheumatoid arthritis (JRA) adulthood, but its effects might cause lifelong limitations.
who has been previously diagnosed and is Although the active disease does not continue into adulthood,
being managed for the disease by a the contractures, growth retardation, bone deformities, and
pediatric rheumatologist. The mother visual impairment associated with JRA may lead to lifelong
asks for information about the child's functional impairments. A comprehensive treatment program
long-term prognosis. The appropriate involving physical therapy, occupational therapy, nutrition,
reply is that: education, and regular opthalmologic care can limit residual
functional limitations.
Approximately 70% of the organisms found Staphylococcus and Pasteurella multocida.
in canine oral and nasal fluids, and All of these organisms are found in canine oral and nasal
consequently in fresh dog bite wounds, are: fluids, and cultured from fresh dog bite wounds, but the most
common (70%) are Staph and Pasteurella multocida.
Comprehensive Study & Practice
Guide
Cranial nerve IX Glossopharyngeal- swallowing and rise of the palate, gag
reflex
Cranial Nerve VIII Acoustic (Hearing and balance)
Cranial Nerve XI Spinal Accessory (upper trapezius)
Deep tendon reflex Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
,In the majority of children, the first A. First Molars
permanent teeth start to erupt at the age
of 6 years. Which of the following are the
first permanent teeth to erupt in this
time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines
All of the following are classified as D. Grocery shopping
activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel
elimination
C. Personal hygiene and grooming
D. Grocery Shopping
You note the following result on a B. Pregnancy-induced hypertension (pre-eclampsia). Classic
routine urinalysis of a 37-year old triad of symptoms of preeclampsia include hypertension,
primigravida who is at 30 weeks gestation. edema (weight gain), and proteinuria.
Leukocyte=trace, nitrite=negative,
protein=2+, blood=negative. Her weight
has increased by 5 lbs during the past
week. Which of the following is most
likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-
eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension
The mother of a 12 month old infant B. Roseola Infantum (Exanthema subitum)
reports to the nurse practitioner that her
child had a high fever for several days,
which spontaneously resolved. After the
fever resolved, the child developed a
maculopapular rash. Which of the following
is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes
,A 70-year old male patient complains of D. Subconjunctival hemorrhage. Bright red blood in a sharply
a bright red-colored spot in his left eye defined area surrounded by normal-appearing
for 2 days. He denies eye pain, visual conjunctiva indicates subconjunctival hemorrhage.
changes, or headaches. He has a new
onset of cough from a recent viral upper
respiratory infection. The only medicine
he is on Bayer aspirin, 1 tablet a day. Which
of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage
A woman is being evaluated by the A. Atrophic vaginitis. Symptoms of atrophic vaginitis include
nurse practitioner for complaints of painful intercourse, atrophic squamous epithelial cells, and a
dyspareunia. A microscopy slide reveals a decrease in pH. Vaginal atrophy is caused by lack of or
large number of atrophic squamous imbalance of estrogen. Normal pH of the vagina is 4.0-5.0
epithelial cells. The vaginal pH is 4.0. (acidic)
There are very few leukocytes and no
RBCs are seen on the wet smear. Which
of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding.
The most common type of skin malignancy B. Basal skin cancer. It is several times more common that
is: squamous cell skin cancer according to the NIH.
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi
Koplik's spots are associated with: B. Measles. S/S include fever over 101, coryza, cough,
A. Poxvirius infections conjunctivitis, rash, and koplik's spots on buccal mucosa
B. Measles
C. Kawasaki's disease
D. Reye's syndrome
At what level of prevention would you D. primordial prevention. Screening for lung cancer is not
classify for lung cancer? currently recommended in the general population, but it is
A. Primary prevention secondary prevention.
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention
A test called the visual fields by A. Peripheral vision
confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation
, What is the most common cause of Administration of a glucocorticoid or ACTH.
Cushing's syndrome? Iatrogenic Cushing's syndrome is the most common type.
Exogenous glucocorticoid administration produces a
Cushing's Syndrome that is reversible by discontinuation of the
medication.
A patient with no significant medical history Elevate her legs periodically.
has vericose veins. She complains of The intervention that will provide the greatest relief for this
'"aching legs". The intervention that will patient is elevating her legs periodically. This will facilitate
provide the greatest relief for her venous return. Use of support stockings will prolong the
complaint is to: length of time she is able to stand in place, but will not
provide relief after her legs begin aching. Support stockings
should be applied prior to getting out of bed.
A 25-yo female patient presents for a Itraductal papilloma.
routine well-women exam. On physical Intraductal papilloma often presents as a non-tender
exam, the NP notes a scant nipple mass with serous or bloody nipple discharge located in the
discharge, absence of palpable mass, ductal system near the areola. Breast cancer, although
and absence of lymph node enlargement. usually non-tender, may present with pain. Chest wall
What is the most likely diagnosis? syndrome may present in some women as breast pain.
Fibrocystic breast disease often presents with bilateral
breast pain.
According to the ANA, the role of the NP Direct nursing care role.
who provides primary health care is the: The NP with a traditional nursing care role is a primary health
care provider. Increasing numbers of nurse practitioners are
assuming indirect roles such as educator, administrator,
researcher, and consultant.
An 8-mo male presents with hemarthrosis A type of hemophilia.
of both knees and hematuria. The parents Hemophilia is usually diagnosed within the first year of life. It
give no history of trauma, but say " he has commonly presents with hemarthrosis, bleeding into soft
always bruised easily" The most likely tissue, hematuria, and prolonged bleeding times.
diagnosis is:
The nurse practitioner is following a most children with JRA achieve complete remission by
child with juvemile rheumatoid arthritis (JRA) adulthood, but its effects might cause lifelong limitations.
who has been previously diagnosed and is Although the active disease does not continue into adulthood,
being managed for the disease by a the contractures, growth retardation, bone deformities, and
pediatric rheumatologist. The mother visual impairment associated with JRA may lead to lifelong
asks for information about the child's functional impairments. A comprehensive treatment program
long-term prognosis. The appropriate involving physical therapy, occupational therapy, nutrition,
reply is that: education, and regular opthalmologic care can limit residual
functional limitations.
Approximately 70% of the organisms found Staphylococcus and Pasteurella multocida.
in canine oral and nasal fluids, and All of these organisms are found in canine oral and nasal
consequently in fresh dog bite wounds, are: fluids, and cultured from fresh dog bite wounds, but the most
common (70%) are Staph and Pasteurella multocida.
