APEA Academic 3Ps Assessment (Pathophysiology,
Pharmacology & Physical Assessment) 2026 |2027
Questions & Verified Answers | Latest Update | Graded A+
1. During the Weber test, sound lateralizes to the right ear. The Rinne test was
performed on the right ear, and AC < BC. This is indicative of?
Right ear sensory loss, left ear normal
Left ear sensory loss, right ear normal
Left ear otitis media, right ear normal
Right ear otitis media, left ear normal
2. The nurse documents that a 45-year-old male is 5 feet 10 inches tall and
weighs 215 pounds. He tells the nurse that he 'has a good appetite but
doesn't get much exercise because of his busy work schedule.' An
appropriate NANDA nursing diagnosis for this client is
Normal body nutrition related to healthy eating patterns and good
appetite.
Altered nutrition, more than body requirements related to intake
greater than calories expended.
Risk for altered nutrition, more than body requirements related to lack
a routine exercise.
Obesity related to lack of exercise
3. A patient with coronary heart disease is being started on a new prescription
for Atorvastatin. Patient teaching about this medication should include:
Report moderate or severe muscle aching to your care provider
Check your pulse for a full minute before administering
Take this medication with your breakfast every morning
, PT/INR should be checked every week until regulated
4. What are the two physical examination techniques used to assess ascites in a
patient?
Assessment of respiratory rate, Measurement of blood pressure
Testing for shifting dullness, Testing for fluid wave
Percussion of the liver, Inspection of the skin
Palpation of the abdomen, Auscultation of bowel sounds
5. Discuss why combination hormone therapy is considered the safest and most
effective option for managing menopausal symptoms in women.
Combination hormone therapy effectively alleviates menopausal
symptoms by balancing estrogen and progesterone levels.
Combination hormone therapy has no side effects compared to other
treatments.
Combination hormone therapy is the only option available for
menopausal symptoms.
Combination hormone therapy is only effective for women under 40.
6. Mr. D asks you if losartan acts in the same way as amlodipine. You explain to
Mr. D that amlodipine (Norvasc) controls blood pressure by which action?
Inhibiting the conversion of angiotensin I to angiotensin II
Blocking calcium channels and promoting arterial vasodilation
Blocking norepinephrine from binding to receptor sites on arterial
smooth muscle
Promoting bronchodilation and tachypnea
,7. The most common reason for failure to visualize the cervix during the
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
speculum examination is:
k0 k0 k0
k 0 failure to use lubricant. k0 k0 k0
k 0 use of a speculum that has not been warmed.
k0 k0 k0 k0 k0 k0 k0 k0
k 0 use of the wrong speculum.
k0 k0 k0 k0
k 0 a full bladder.
k0 k0
k 0 failure to fully insert the speculum. k0 k0 k0 k0 k 0
8. Describe how the presence of aura can influence the diagnosis of migraines
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
in young adults.
k0 k0 k0
k 0 k 0 Aura is a symptom that only occurs in older adults with migraines.
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k 0 Aura indicates a tension-type headache, which is more common in young
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k0 adults.
k 0The presence of aura can suggest that the headache is a migraine,
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k0 as it is a characteristic symptom associated with this type of
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k0 headache.
k 0 Aura is unrelated to headache types and does not influence diagnosis.
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
9. What is the primary cause of necrotic injury in anginal chest pain that does
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
not respond to nitroglycerin?
k0 k0 k0 k0
k 0 Inflammation of the pericardium. k0 k0 k0
k 0 k 0 Myocardial ischemia due to prolonged lack of blood flow. k 0 k 0 k 0 k 0 k 0 k0 k 0 k 0
k 0 Increased oxygen supply to the heart. k0 k0 k0 k0 k0
k 0 Coronary artery vasodilation. k0 k0
, 10. Why is it important for a nurse practitioner to monitor a patient on warfarin
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
when theyarealso prescribed metronidazole?
k0 k
0 0
k k
0 k0 k0
k 0 Metronidazole decreases the absorption of warfarin. k0 k0 k0 k 0 k0
k 0 Metronidazole is contraindicated in patients with a history of k0 k0 k0 k0 k0 k0 k0 k0
k0 hemorrhage.
k 0 Metronidazole has no effect on warfarin levels. k0 k0 k0 k0 k0 k0
k0 Metronidazole can potentiate the effects of warfarin, increasing k0 k0 k0 k0 k0 k0 k0
the risk of bleeding.
k0 k0 k0 k0
11. A pt consumes grapefruit daily and had high cholesterol. Which cholesterol
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
medication is the best choice?
k0 k0 k
0 k0 k0
k 0 Atorvastatin
Rosuvastatin
k0
k 0 Lovastatin
12. If a new medication targets neurotransmitter imbalances in mental health
k0 k0 k0 k0 k0 k0 k0 k0 k0
disorders, how would this relate to the pathophysiology of these conditions?
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k 0 It aims to enhance psychological resilience without biological
k0 k0 k0 k0 k0 k0 k0
k0 considerations.
k 0 It focuses on improving social interactions among patients.
k0 k0 k0 k0 k0 k0 k0
k 0 k 0 It primarily targets environmental factors affecting mental health.
k 0 k0 k 0 k0 k 0 k 0 k0
k 0 It addresses the biological mechanisms that contribute to the
k0 k0 k0 k0 k0 k0 k0 k0
k0 symptoms of the disorder. k0 k0 k0
13. A56-year-old female is complaining of a unilateral headache that has been
0
k k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
occurring over the last 24 hours. She states that she was not concerned
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
about the headache until she started losing some of her vision in her right
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
Pharmacology & Physical Assessment) 2026 |2027
Questions & Verified Answers | Latest Update | Graded A+
1. During the Weber test, sound lateralizes to the right ear. The Rinne test was
performed on the right ear, and AC < BC. This is indicative of?
Right ear sensory loss, left ear normal
Left ear sensory loss, right ear normal
Left ear otitis media, right ear normal
Right ear otitis media, left ear normal
2. The nurse documents that a 45-year-old male is 5 feet 10 inches tall and
weighs 215 pounds. He tells the nurse that he 'has a good appetite but
doesn't get much exercise because of his busy work schedule.' An
appropriate NANDA nursing diagnosis for this client is
Normal body nutrition related to healthy eating patterns and good
appetite.
Altered nutrition, more than body requirements related to intake
greater than calories expended.
Risk for altered nutrition, more than body requirements related to lack
a routine exercise.
Obesity related to lack of exercise
3. A patient with coronary heart disease is being started on a new prescription
for Atorvastatin. Patient teaching about this medication should include:
Report moderate or severe muscle aching to your care provider
Check your pulse for a full minute before administering
Take this medication with your breakfast every morning
, PT/INR should be checked every week until regulated
4. What are the two physical examination techniques used to assess ascites in a
patient?
Assessment of respiratory rate, Measurement of blood pressure
Testing for shifting dullness, Testing for fluid wave
Percussion of the liver, Inspection of the skin
Palpation of the abdomen, Auscultation of bowel sounds
5. Discuss why combination hormone therapy is considered the safest and most
effective option for managing menopausal symptoms in women.
Combination hormone therapy effectively alleviates menopausal
symptoms by balancing estrogen and progesterone levels.
Combination hormone therapy has no side effects compared to other
treatments.
Combination hormone therapy is the only option available for
menopausal symptoms.
Combination hormone therapy is only effective for women under 40.
6. Mr. D asks you if losartan acts in the same way as amlodipine. You explain to
Mr. D that amlodipine (Norvasc) controls blood pressure by which action?
Inhibiting the conversion of angiotensin I to angiotensin II
Blocking calcium channels and promoting arterial vasodilation
Blocking norepinephrine from binding to receptor sites on arterial
smooth muscle
Promoting bronchodilation and tachypnea
,7. The most common reason for failure to visualize the cervix during the
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
speculum examination is:
k0 k0 k0
k 0 failure to use lubricant. k0 k0 k0
k 0 use of a speculum that has not been warmed.
k0 k0 k0 k0 k0 k0 k0 k0
k 0 use of the wrong speculum.
k0 k0 k0 k0
k 0 a full bladder.
k0 k0
k 0 failure to fully insert the speculum. k0 k0 k0 k0 k 0
8. Describe how the presence of aura can influence the diagnosis of migraines
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
in young adults.
k0 k0 k0
k 0 k 0 Aura is a symptom that only occurs in older adults with migraines.
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k 0 Aura indicates a tension-type headache, which is more common in young
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k0 adults.
k 0The presence of aura can suggest that the headache is a migraine,
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k0 as it is a characteristic symptom associated with this type of
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k0 headache.
k 0 Aura is unrelated to headache types and does not influence diagnosis.
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
9. What is the primary cause of necrotic injury in anginal chest pain that does
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
not respond to nitroglycerin?
k0 k0 k0 k0
k 0 Inflammation of the pericardium. k0 k0 k0
k 0 k 0 Myocardial ischemia due to prolonged lack of blood flow. k 0 k 0 k 0 k 0 k 0 k0 k 0 k 0
k 0 Increased oxygen supply to the heart. k0 k0 k0 k0 k0
k 0 Coronary artery vasodilation. k0 k0
, 10. Why is it important for a nurse practitioner to monitor a patient on warfarin
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
when theyarealso prescribed metronidazole?
k0 k
0 0
k k
0 k0 k0
k 0 Metronidazole decreases the absorption of warfarin. k0 k0 k0 k 0 k0
k 0 Metronidazole is contraindicated in patients with a history of k0 k0 k0 k0 k0 k0 k0 k0
k0 hemorrhage.
k 0 Metronidazole has no effect on warfarin levels. k0 k0 k0 k0 k0 k0
k0 Metronidazole can potentiate the effects of warfarin, increasing k0 k0 k0 k0 k0 k0 k0
the risk of bleeding.
k0 k0 k0 k0
11. A pt consumes grapefruit daily and had high cholesterol. Which cholesterol
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
medication is the best choice?
k0 k0 k
0 k0 k0
k 0 Atorvastatin
Rosuvastatin
k0
k 0 Lovastatin
12. If a new medication targets neurotransmitter imbalances in mental health
k0 k0 k0 k0 k0 k0 k0 k0 k0
disorders, how would this relate to the pathophysiology of these conditions?
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
k 0 It aims to enhance psychological resilience without biological
k0 k0 k0 k0 k0 k0 k0
k0 considerations.
k 0 It focuses on improving social interactions among patients.
k0 k0 k0 k0 k0 k0 k0
k 0 k 0 It primarily targets environmental factors affecting mental health.
k 0 k0 k 0 k0 k 0 k 0 k0
k 0 It addresses the biological mechanisms that contribute to the
k0 k0 k0 k0 k0 k0 k0 k0
k0 symptoms of the disorder. k0 k0 k0
13. A56-year-old female is complaining of a unilateral headache that has been
0
k k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
occurring over the last 24 hours. She states that she was not concerned
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
about the headache until she started losing some of her vision in her right
k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0 k0
