Page 1 of 166
NSG 6001 APEA 3P EXAM Questions With
Verified Answers & Rationales LATEST UPDATE
THIS YEAR
NSG 6001 APEA 3P EXAM
250 Practice Questions, Correct Answers & Rationales
SUMMARIZED EXAM COVERAGE
Cardiovascular – Hypertension, heart failure, arrhythmias, valvular disease, lipid management,
anticoagulation
Respiratory – Asthma, COPD, pneumonia, bronchitis, pleural effusion, pulmonary embolism
Endocrine – Diabetes, thyroid disorders, adrenal disorders, pituitary disorders, metabolic
syndrome
Gastrointestinal – GERD, PUD, hepatitis, pancreatitis, inflammatory bowel disease, obstructions
Musculoskeletal – Gout, osteoarthritis, rheumatoid arthritis, osteoporosis, fractures, sprains
Neurological – Headaches, meningitis, CVA, seizures, peripheral neuropathy, cranial nerves
Psychiatric/Mental Health – Depression, anxiety, bipolar disorder, substance abuse,
Munchausen syndrome
Dermatology – Skin infections, lesions, dermatitis, acne, benign and malignant skin conditions
Genitourinary – UTIs, BPH, prostatitis, STIs, kidney disorders, incontinence
Women's Health – Contraception, pregnancy, menopause, breast disorders, cervical cancer
screening
Men's Health – Prostate disorders, erectile dysfunction, testosterone deficiency
Pediatrics – Well-child visits, immunizations, common childhood illnesses, developmental
milestones
Pharmacology – Drug interactions, side effects, contraindications, prescribing guidelines
Evidence-Based Practice – Clinical guidelines, screening recommendations, preventive care
SECTION 1: CARDIOVASCULAR (Questions 1–30)
,Page 2 of 166
1. A 65-year-old male presents with findings of symmetric thorax with moderate kyphosis and
anterior diameter. Chest expansion is decreased and the diaphragm descending 2 cm
bilaterally. These findings relate to:
A) Pneumothorax
B) Pleural effusion
C) A fractured rib
D) Chronic obstructive pulmonary disease
Answer: D
Barrel chest with increased anterior-posterior diameter, kyphosis, decreased chest expansion,
and flattened diaphragm are classic findings of COPD. This is due to air trapping and
hyperinflation of the lungs.
2. A patient develops a cough secondary to an angiotensin-converting enzyme (ACE) inhibitor.
The most appropriate statement related to ACE-I cough is that the cough typically:
,Page 3 of 166
A) Resolves within a week after stopping the ACE inhibitor
B) Resolves with splitting the daily dose to twice daily dosing
C) Occurs with an angiotensin-II receptor blocker (ARB)
D) Affects men more than women
Answer: A
ACE inhibitor-induced cough is a dry, hacking cough that typically begins 1-2 weeks after
starting the medication and resolves within 1-4 days of discontinuation. ARBs do not cause this
side effect and are often used as substitutes.
3. A patient with a diagnosis of giardiasis is being treated with metronidazole (Flagyl). What
information would be important to obtain before prescribing this medication?
A) If the patient is allergic to sulfa
B) If the patient has peptic ulcer disease
C) If the patient is at least 18 years of age
D) If the patient drinks alcohol
, Page 4 of 166
Answer: D
Metronidazole produces a disulfiram-like reaction when combined with alcohol, causing severe
nausea, vomiting, flushing, and tachycardia. Patients must be instructed to avoid alcohol during
and for at least 3 days after treatment.
4. A 20-year-old male living in a college dorm complains of a dry cough for the past month.
Assessment findings associated with an atypical, community-acquired pneumonia would
include:
A) A low-grade fever, malaise, and clear lung fields on auscultation
B) A low-grade fever, malaise, and crackles audible throughout the lung fields
C) Temperature of 101°F, sore throat, and diminished breath sounds on auscultation
D) Temperature of 102°F, dyspnea, and diminished lung sounds on auscultation
Answer: A
Atypical pneumonia (often caused by Mycoplasma pneumoniae) frequently presents with a dry
NSG 6001 APEA 3P EXAM Questions With
Verified Answers & Rationales LATEST UPDATE
THIS YEAR
NSG 6001 APEA 3P EXAM
250 Practice Questions, Correct Answers & Rationales
SUMMARIZED EXAM COVERAGE
Cardiovascular – Hypertension, heart failure, arrhythmias, valvular disease, lipid management,
anticoagulation
Respiratory – Asthma, COPD, pneumonia, bronchitis, pleural effusion, pulmonary embolism
Endocrine – Diabetes, thyroid disorders, adrenal disorders, pituitary disorders, metabolic
syndrome
Gastrointestinal – GERD, PUD, hepatitis, pancreatitis, inflammatory bowel disease, obstructions
Musculoskeletal – Gout, osteoarthritis, rheumatoid arthritis, osteoporosis, fractures, sprains
Neurological – Headaches, meningitis, CVA, seizures, peripheral neuropathy, cranial nerves
Psychiatric/Mental Health – Depression, anxiety, bipolar disorder, substance abuse,
Munchausen syndrome
Dermatology – Skin infections, lesions, dermatitis, acne, benign and malignant skin conditions
Genitourinary – UTIs, BPH, prostatitis, STIs, kidney disorders, incontinence
Women's Health – Contraception, pregnancy, menopause, breast disorders, cervical cancer
screening
Men's Health – Prostate disorders, erectile dysfunction, testosterone deficiency
Pediatrics – Well-child visits, immunizations, common childhood illnesses, developmental
milestones
Pharmacology – Drug interactions, side effects, contraindications, prescribing guidelines
Evidence-Based Practice – Clinical guidelines, screening recommendations, preventive care
SECTION 1: CARDIOVASCULAR (Questions 1–30)
,Page 2 of 166
1. A 65-year-old male presents with findings of symmetric thorax with moderate kyphosis and
anterior diameter. Chest expansion is decreased and the diaphragm descending 2 cm
bilaterally. These findings relate to:
A) Pneumothorax
B) Pleural effusion
C) A fractured rib
D) Chronic obstructive pulmonary disease
Answer: D
Barrel chest with increased anterior-posterior diameter, kyphosis, decreased chest expansion,
and flattened diaphragm are classic findings of COPD. This is due to air trapping and
hyperinflation of the lungs.
2. A patient develops a cough secondary to an angiotensin-converting enzyme (ACE) inhibitor.
The most appropriate statement related to ACE-I cough is that the cough typically:
,Page 3 of 166
A) Resolves within a week after stopping the ACE inhibitor
B) Resolves with splitting the daily dose to twice daily dosing
C) Occurs with an angiotensin-II receptor blocker (ARB)
D) Affects men more than women
Answer: A
ACE inhibitor-induced cough is a dry, hacking cough that typically begins 1-2 weeks after
starting the medication and resolves within 1-4 days of discontinuation. ARBs do not cause this
side effect and are often used as substitutes.
3. A patient with a diagnosis of giardiasis is being treated with metronidazole (Flagyl). What
information would be important to obtain before prescribing this medication?
A) If the patient is allergic to sulfa
B) If the patient has peptic ulcer disease
C) If the patient is at least 18 years of age
D) If the patient drinks alcohol
, Page 4 of 166
Answer: D
Metronidazole produces a disulfiram-like reaction when combined with alcohol, causing severe
nausea, vomiting, flushing, and tachycardia. Patients must be instructed to avoid alcohol during
and for at least 3 days after treatment.
4. A 20-year-old male living in a college dorm complains of a dry cough for the past month.
Assessment findings associated with an atypical, community-acquired pneumonia would
include:
A) A low-grade fever, malaise, and clear lung fields on auscultation
B) A low-grade fever, malaise, and crackles audible throughout the lung fields
C) Temperature of 101°F, sore throat, and diminished breath sounds on auscultation
D) Temperature of 102°F, dyspnea, and diminished lung sounds on auscultation
Answer: A
Atypical pneumonia (often caused by Mycoplasma pneumoniae) frequently presents with a dry
