APEA Predictor Exam – Questions, Correct Answers and Rationale Pre-
Predictor 2023/2024 NEWEST VERSION TOP SCORE
1. A 15-year-old student has had a mild sore throat and low-grade fever for
approximately three weeks. She experiences general malaise, fatigue, and loss of
appetite. The nurse practitioner suspects mononucleosis. Which of the following
interventions is the least suitable?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase
2. A 52-year-old woman is inquiring about estrogen replacement therapy for
symptoms of menopause. Which of the following is a contraindication?
A- History of phlebitis
B- Prior or present migraine headaches
C- Family history of lung cancer
D- Prior breast or uterine carcinoma
3. A 32 years old woman presents with dull puffiness of the ayes pronounced not
pitting periorbital edema this finding is suggestive of this condition?
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
4. A pediatric patient has areas of scaling on the scalp with round patches of
alopecia. This clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
, c) Trichotillomania
d) Alopecia areata
6. A 65-year-old patient with a history of a deep vein thrombosis (DVT) is being
treated for a dental abscess. Which antibiotic is safe to use with warfarin
(Coumadin)?
A- Amoxicillin (Amoxil)
B- Trimethoprim/sulfamethoxazole (Bactrim)
C- Ciprofloxacin (Cipro)
D- Clarithromycin (Biaxin)
7. Why would a combined hormonal contraceptive be contraindicated in a 36 year
old patient with a past medical history of type 2 diabetes, obesity, chronic smoking
and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
8. Which of the following conditions is NOT a typical finding of
hyperprolactinemia in a 47- year-old premenopausal woman?
a) Hirsutism
b) Gynecomastia
c) Oligomenorrhea
d) Acne
9. A 32 years old male client complaint of urinary frequency and burning on
urination for 4 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
Predictor 2023/2024 NEWEST VERSION TOP SCORE
1. A 15-year-old student has had a mild sore throat and low-grade fever for
approximately three weeks. She experiences general malaise, fatigue, and loss of
appetite. The nurse practitioner suspects mononucleosis. Which of the following
interventions is the least suitable?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase
2. A 52-year-old woman is inquiring about estrogen replacement therapy for
symptoms of menopause. Which of the following is a contraindication?
A- History of phlebitis
B- Prior or present migraine headaches
C- Family history of lung cancer
D- Prior breast or uterine carcinoma
3. A 32 years old woman presents with dull puffiness of the ayes pronounced not
pitting periorbital edema this finding is suggestive of this condition?
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
4. A pediatric patient has areas of scaling on the scalp with round patches of
alopecia. This clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
, c) Trichotillomania
d) Alopecia areata
6. A 65-year-old patient with a history of a deep vein thrombosis (DVT) is being
treated for a dental abscess. Which antibiotic is safe to use with warfarin
(Coumadin)?
A- Amoxicillin (Amoxil)
B- Trimethoprim/sulfamethoxazole (Bactrim)
C- Ciprofloxacin (Cipro)
D- Clarithromycin (Biaxin)
7. Why would a combined hormonal contraceptive be contraindicated in a 36 year
old patient with a past medical history of type 2 diabetes, obesity, chronic smoking
and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
8. Which of the following conditions is NOT a typical finding of
hyperprolactinemia in a 47- year-old premenopausal woman?
a) Hirsutism
b) Gynecomastia
c) Oligomenorrhea
d) Acne
9. A 32 years old male client complaint of urinary frequency and burning on
urination for 4 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
