APEA 3P Test Bank 150 Questions and Correct Answers 2024

1. When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted. These types of lesions could be seen in: a. Herpes simplex or varicella 2. The principal muscles involved when closing the mouth are innervated by which cranial nerve? a. Cranial nerve V (Trigeminal) 3. The structure that creates a channel for the vertebral artery is known as the: a. Transverse Foramen 4. Which of the following is NOT a compliant patient with type 1 diabetes? a. Polycythemia 5. When suspecting pediculosis capitis, the chief complaint is: a. Itching 6. The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the: a. Ischial tuberosity 7. When percussing the posterior chest, which one of the following techniques would be omitted? a. Percuss areas over the scapulae 8. On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of: a. A tonic pupil 9. During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a: a. focal seizure that becomes generalized 10. A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern? a. Symmetric 11. To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be: a. In the right lateral fornix 12. A serious disturbance in a person’s mental abilities that results in a decreased awareness of one’s environment and confused thinking is referred to as: a. Delirium 13. Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss? a. Weber test 14. Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the: a. Trochlear groove 15. A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with: a. An abdominal aortic aneurysm (AAA) 16. Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely: a. Vitreous floaters 17. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in: a. Transverse lie 18. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of: a. Flexion 19. To locate the twelfth rib, palpate: a. Between the spine and the lateral chest 20. Walking on the toes and heels may reveal: a. Distal muscular weakness in the legs 21. When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily: a. Posteriorly 22. During pregnancy, which hormone results in increased blood viscosity? a. Erythropoietin 23. Resting tremors refer to those tremors that disappear: a. With voluntary movement 24. A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with: a. Cancer of the sigmoid colon 25. Mydriasis is a term used to describe: a. Dilation of the pupils 26. When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is suspected. Positive findings would include all of the following except: a. Calf wasting 27. Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip? a. Stage III 28. The vertebral column angles sharply posteriorly and becomes immovable at the: a. Lumbosacral junction 29. Which one of the following is at the HIGHEST risk for suicide? a. A 52-year-old white man 30. When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope: a. Between the 2nd and 3rd intercostal spaces at the right upper sternal border 31. Pain and crepitus over the patella suggests: a. Roughening of the patellar undersurface 32. Which one of the following findings is NOT typical in a patient who has delirium? a. Intact attention and concentration 33. Men between the ages of 40 and 64 years should be screened yearly for: a. hypertension 34. A term used to describe drainage from the nose is: a. Rhinorrhea 35. Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the shoulder level would be consistent with all of the following except: a. Synovitis of the glenohumeral joint 36. In the older adult, the test for leg mobility is known as the: a. Timed “get up and go test” 37. Which one of the following procedures would confirm a definitive medical diagnosis of Hirschsprung’s disease? a. A rectal biopsy 38. Hypofunctioning of the thyroid gland would lead to all the following disorders except: a. Graves’ disease 39. The fleshy projection of the earlobe is known as the: a. Lobule 40. A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with: a. Overflow incontinence 41. When performing an examination of the external genitalia of a female patient, a small firm, round cystic nodule in the labia is identified. This lesion is most consistent with: a. Epidermoid cyst 42. Passive flexion, varus stress, and external rotation of the lower leg evaluates the: a. Medial meniscus 43. When examining the knee, swelling above and adjacent to the patella was noted. This finding could be suggestive of: a. Synovial thickening over the knee joint 44. While assessing the cranial nerves, the NP touches the cornea lightly with a wisp of cotton. This maneuver assesses which cranial nerve? a. Cranial nerve V, Trigeminal 45. The NP instructs the patient to look over one shoulder, then the other. This maneuver would assess cervical: a. Rotation 46. During a speculum exam of the cervix the speculum is maintained in an open position by: a. Gently tightening the thumb screw on the speculum 47. The NP is examining the elbow of a 16-year-old male athlete. Increased pain is noted when he tries to extend his wrist against resistance. This finding is most consistent with: a. Lateral epicondylitis 48. Which examination finding is defined as a congenital ventral displacement of the meatus on the penis? a. Hypospadias 49. Bowel sounds may be increased in the presence of: a. early intestinal obstruction 50. Eversion of the upper eyelid can be performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then: a. Gently pu Cystoscopy 51. The axioscapular group of muscles include which on of the following? a. Trapezius 52. A mental health condition characterized by over-the-top behavior such as emotional outbursts, noisy displays of temper, compulsive attention seeking and self-centered actions is: a. Histrionic 53. Social phobia, panic disorder, and post-traumatic stress disorder (PTSD) are all examples of: a. Generalized anxiety disorder (GAD) 54. In older adults, the presence of heart sound S3 suggests: a. Heart failure 55. Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are termed: a. Vitiligo 56. Restrictions of internal and external rotation of the hip are sensitive indicators of: a. Arthritis 57. Which of the following neurological findings indicate the need for further evaluation? a. Weak and ineffective sucking movements 58. The infant with the lowest risk of developing elevated levels of bilirubin is the one who: a. Breast feeds within the first hour of life 59. The patient experiences a sudden loss of consciousness with falling without movements and injury may occur. The type of a seizure is consistent with: a. Myoclonic atonic seizure 60. When assessing the skin, it has a velvety appearance and is warm to touch. This could be associated with: a. Hyperthyroidism 61. Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are considered: a. Vesicular 62. To palpate the medial meniscus, slightly internally rotate the tibia and palpate the medial soft tissue along the: a. Upper edge of the tibial plateau 63. Eyelid retraction with exophthalmos presents as: a. A retracted eyelid with a wide-eyed stare 64. All of the following strategies are useful for assessing older adults at high risk for falls except: a. Assessing immunization history 65. If a patient has a history of heat intolerance with a preference to light clothing, this behavior could be consistent with: a. Hyperthyroidism 66. The best method of detecting cognitive impairment or intellectual disability at an early age is by: a. Assessment of the achievement of developmental milestones 67. When screening for scoliosis, assessment should include: sh down 68. The groove of the metacarpophalangeal joint can be palpated by having the patient: a. Flex his hand 69. When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: a. vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion 70. The ankle-brachial index is a screening test used to assess a person’s risk for: a. Peripheral artery disease 71. Olecranon bursitis may be caused by all of the following except: a. Frozen shoulder 72. In patients who have allergic rhinitis, the nasal mucosa appears: a. Pale 73. A term used to describe an increase in muscular bulk with diminished strength is: a. pseudohypertrophy 74. If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably: a. In the abdominal wall 75. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with: a. Intestinal obstruction 76. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with: a. Microaneurysms 77. Symptoms of a subdural hematoma include: a. Noticeable bleeding between the dura and the cerebrum on x-ray 78. On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with: a. Parkinson’s disease 79. When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one? a. Articular disease is usually due to stiffness or pain 80. Focal tenderness over the trochanter confirms: a. Bursitis 81. Assessing the neurological status of a child with a ventriculoperitoneal shunt should include: a. Use of the Glasgow coma scale 82. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: a. Salty taste on the skin