NR 643 APEA Questions.
All the following are correct statements regarding the S3 component of the heart sound except.
A) It occurs early in diastole and is sometimes called an opening snap
B) It is a normal finding in some children, healthy young adults, and athletes
C) It can be a normal variant if heard in a person age 40 or older
D) It signifies CHF (congestive heart failure) - ✔✔ correct answer It can be a normal variant if heard in a
person age 40 or older
A positive straight leg raising test is indicative of which of the following? - ✔✔ correct answer
Inflammation of the sciatic nerve/herniated disc
Which of the following would you recommend on an annual basis for an elderly type 2 diabetic? - ✔✔
correct answer Eye exam with an ophthalmologist
72-year-old female complains to you of a crusty and nonhealing small ulcer on her upper lip that she has
had for several years. Which of the following would you recommend? - ✔✔ correct answer The patient
needs to be evaluated by a dermatologist
All the following statements about phototherapy are correct except. - ✔✔ correct answer It is not always
necessary to use a shield for the infant's eyes
Heberden's nodes are commonly found in which of the following diseases? - ✔✔ correct answer
Degenerative joint disease
The red blood cells in pernicious anemia will show: - ✔✔ correct answer Macrocytic and normochromic
cells
You notice a medium pitched harsh systolic murmur during an episodic exam. It is best heard at the right
upper border of the sternum. What is most likely? - ✔✔ correct answer Aortic stenosis
A small abscess on a hair follicle on the eyelid is called: - ✔✔ correct answer Hordeolum
,NR 643 APEA Questions.
Which of the following is indicated for the prophylactic treatment of migraine headache? - ✔✔ correct
answer Propranolol (Inderal)
A 40-year-old male complains to the nurse practitioner of severe stabbing pains behind his left eye for
the past 2 days. It is accompanied by some nasal congestion and rhinorrhea, which is clear in color. The
patient denies pharyngitis and fever. Which of the following conditions is most likely? - ✔✔ correct
answer Cluster headache
Ken has type 2 diabetes mellitus and a "sensitive stomach". Which medication is least likely to cause him
gastrointestinal distress? - ✔✔ correct answer Sucralfate (Carafate)
All the following statements are true regarding domestic abuse except:
A) There is no delay in seeking medical treatment
B) The pattern of injuries is inconsistent with the history reported
C) Injuries are usually in the 'central' area of the body instead of the extremities
D) Pregnant women have a higher risk of domestic abuse - ✔✔ correct answer A) There is no delay in
seeking medical treatment
A new mother is breastfeeding her full term 4-week-old infant. She wants to know whether she should
give vitamin supplements. The best advice is: - ✔✔ correct answer Breastfed infants require iron and
Vitamin D right away
Beta thalassemia minor is considered a: - ✔✔ correct answer Microcytic anemia
Potential complications of mitral valve prolapse include all the following except: - ✔✔ correct answer
Mitral Stenosis
A patient is complaining of severe pruritus that is worse at night. Several family members have the same
symptoms. On exam, areas of excoriated papules are noted on the interdigital webs of both hands and
the axillae. This is consistent with: - ✔✔ correct answer Renal system
A 15-year-old is staying with a foster family and has no record of immunizations. Which of the following
does he need before entering high school?
,NR 643 APEA Questions.
A) Meningococcal
B) MMR
C) Tdap
D) All the above - ✔✔ correct answer All the above
Which cranial nerve is being evaluated when a patient shrugs their shoulders? - ✔✔ correct answer CN
XI
A lab tech has a 10.5 mm area of redness and induration in lift forearm after getting a mantoux 72 hours
ago. Last test done 12 months ago was negative. Denies cough, night sweats, and weight loss. What is
the next best intervention? - ✔✔ correct answer Obtain CXR
Which of the following is most likely to be at a higher risk for osteoporosis? - ✔✔ correct answer 42-
year-old obese woman from Cuba who has been taking prednisone daily for over 12 years for severe
asthma
What is the primary carbohydrate found in breast mild and commercial infant formulas? - ✔✔ correct
answer Lactose
Which of the following is least likely to become an alcoholic? - ✔✔ correct answer Patient who drinks
one cup of wine nightly
The following conditions are absolute contraindications for the use of oral contraceptives except:
A) Hepatomas
B) History of emboli that resolved with heparin therapy 15 years ago
C) A family history of migraines with aura
D) A history of gallbladder disease during pregnancy - ✔✔ correct answer A family history of migraines
with aura
The most common cause of cancer deaths in males is: - ✔✔ correct answer Lung cancer
, NR 643 APEA Questions.
Which of the following findings are seen in a patient with folate-deficiency anemia? - ✔✔ correct answer
Macrocytic and normocytic RBCs
When confirming a case of temporal arteritis, the erythrocyte sedimentation rate is expected to be: -
✔✔ correct answer Elevated
Mrs. Green, age 45, is complaining of generalized morning stiffness which is much worse in the morning
and lasts for a few hours. She also complains of fatigue and generalized body aches for the past few
months. Which of the following is most likely? - ✔✔ correct answer Rheumatoid arthritis
During a well-child visit, a new father wants to know if he can give fresh whole mild to his 6- month-old
son. The FNP would recommend: - ✔✔ correct answer He should not give whole milk until at least 12
months of age
Which of the following drugs is effective therapy for treating pain in patients who are having an acute
exacerbation of gout? - ✔✔ correct answer Indomethacin (Indocin)
The complications of untreated gout include: - ✔✔ correct answer Loss of joint mobility and renal failure
A 21-year-old female who is complaining of random palpitations is diagnosed with mitral valve prolapse.
Her echocardiogram reveals redundant and thickened leaflets. You note a Grade III/VI systolic murmur
with an ejection click during physical exam. You would recommend: - ✔✔ correct answer Endocarditis
prophylaxis is not necessary
You note bony nodules located at the proximal interphalangeal joints on both the hands of your 65-year-
old female patient. Which is most likely? - ✔✔ correct answer Bouchard's node
Which chronic illness disproportionately affects Hispanic population? - ✔✔ correct answer Diabetes
mellitus
A lipid profile shows triglyceride level of 650 mg/dL, total cholesterol 240 mg/dL, LDL 145 mg/dL and
HDL of 35 mg/dL. What is best intervention? - ✔✔ correct answer Initiate pravastatin (Pravachol)
All the following are correct statements regarding the S3 component of the heart sound except.
A) It occurs early in diastole and is sometimes called an opening snap
B) It is a normal finding in some children, healthy young adults, and athletes
C) It can be a normal variant if heard in a person age 40 or older
D) It signifies CHF (congestive heart failure) - ✔✔ correct answer It can be a normal variant if heard in a
person age 40 or older
A positive straight leg raising test is indicative of which of the following? - ✔✔ correct answer
Inflammation of the sciatic nerve/herniated disc
Which of the following would you recommend on an annual basis for an elderly type 2 diabetic? - ✔✔
correct answer Eye exam with an ophthalmologist
72-year-old female complains to you of a crusty and nonhealing small ulcer on her upper lip that she has
had for several years. Which of the following would you recommend? - ✔✔ correct answer The patient
needs to be evaluated by a dermatologist
All the following statements about phototherapy are correct except. - ✔✔ correct answer It is not always
necessary to use a shield for the infant's eyes
Heberden's nodes are commonly found in which of the following diseases? - ✔✔ correct answer
Degenerative joint disease
The red blood cells in pernicious anemia will show: - ✔✔ correct answer Macrocytic and normochromic
cells
You notice a medium pitched harsh systolic murmur during an episodic exam. It is best heard at the right
upper border of the sternum. What is most likely? - ✔✔ correct answer Aortic stenosis
A small abscess on a hair follicle on the eyelid is called: - ✔✔ correct answer Hordeolum
,NR 643 APEA Questions.
Which of the following is indicated for the prophylactic treatment of migraine headache? - ✔✔ correct
answer Propranolol (Inderal)
A 40-year-old male complains to the nurse practitioner of severe stabbing pains behind his left eye for
the past 2 days. It is accompanied by some nasal congestion and rhinorrhea, which is clear in color. The
patient denies pharyngitis and fever. Which of the following conditions is most likely? - ✔✔ correct
answer Cluster headache
Ken has type 2 diabetes mellitus and a "sensitive stomach". Which medication is least likely to cause him
gastrointestinal distress? - ✔✔ correct answer Sucralfate (Carafate)
All the following statements are true regarding domestic abuse except:
A) There is no delay in seeking medical treatment
B) The pattern of injuries is inconsistent with the history reported
C) Injuries are usually in the 'central' area of the body instead of the extremities
D) Pregnant women have a higher risk of domestic abuse - ✔✔ correct answer A) There is no delay in
seeking medical treatment
A new mother is breastfeeding her full term 4-week-old infant. She wants to know whether she should
give vitamin supplements. The best advice is: - ✔✔ correct answer Breastfed infants require iron and
Vitamin D right away
Beta thalassemia minor is considered a: - ✔✔ correct answer Microcytic anemia
Potential complications of mitral valve prolapse include all the following except: - ✔✔ correct answer
Mitral Stenosis
A patient is complaining of severe pruritus that is worse at night. Several family members have the same
symptoms. On exam, areas of excoriated papules are noted on the interdigital webs of both hands and
the axillae. This is consistent with: - ✔✔ correct answer Renal system
A 15-year-old is staying with a foster family and has no record of immunizations. Which of the following
does he need before entering high school?
,NR 643 APEA Questions.
A) Meningococcal
B) MMR
C) Tdap
D) All the above - ✔✔ correct answer All the above
Which cranial nerve is being evaluated when a patient shrugs their shoulders? - ✔✔ correct answer CN
XI
A lab tech has a 10.5 mm area of redness and induration in lift forearm after getting a mantoux 72 hours
ago. Last test done 12 months ago was negative. Denies cough, night sweats, and weight loss. What is
the next best intervention? - ✔✔ correct answer Obtain CXR
Which of the following is most likely to be at a higher risk for osteoporosis? - ✔✔ correct answer 42-
year-old obese woman from Cuba who has been taking prednisone daily for over 12 years for severe
asthma
What is the primary carbohydrate found in breast mild and commercial infant formulas? - ✔✔ correct
answer Lactose
Which of the following is least likely to become an alcoholic? - ✔✔ correct answer Patient who drinks
one cup of wine nightly
The following conditions are absolute contraindications for the use of oral contraceptives except:
A) Hepatomas
B) History of emboli that resolved with heparin therapy 15 years ago
C) A family history of migraines with aura
D) A history of gallbladder disease during pregnancy - ✔✔ correct answer A family history of migraines
with aura
The most common cause of cancer deaths in males is: - ✔✔ correct answer Lung cancer
, NR 643 APEA Questions.
Which of the following findings are seen in a patient with folate-deficiency anemia? - ✔✔ correct answer
Macrocytic and normocytic RBCs
When confirming a case of temporal arteritis, the erythrocyte sedimentation rate is expected to be: -
✔✔ correct answer Elevated
Mrs. Green, age 45, is complaining of generalized morning stiffness which is much worse in the morning
and lasts for a few hours. She also complains of fatigue and generalized body aches for the past few
months. Which of the following is most likely? - ✔✔ correct answer Rheumatoid arthritis
During a well-child visit, a new father wants to know if he can give fresh whole mild to his 6- month-old
son. The FNP would recommend: - ✔✔ correct answer He should not give whole milk until at least 12
months of age
Which of the following drugs is effective therapy for treating pain in patients who are having an acute
exacerbation of gout? - ✔✔ correct answer Indomethacin (Indocin)
The complications of untreated gout include: - ✔✔ correct answer Loss of joint mobility and renal failure
A 21-year-old female who is complaining of random palpitations is diagnosed with mitral valve prolapse.
Her echocardiogram reveals redundant and thickened leaflets. You note a Grade III/VI systolic murmur
with an ejection click during physical exam. You would recommend: - ✔✔ correct answer Endocarditis
prophylaxis is not necessary
You note bony nodules located at the proximal interphalangeal joints on both the hands of your 65-year-
old female patient. Which is most likely? - ✔✔ correct answer Bouchard's node
Which chronic illness disproportionately affects Hispanic population? - ✔✔ correct answer Diabetes
mellitus
A lipid profile shows triglyceride level of 650 mg/dL, total cholesterol 240 mg/dL, LDL 145 mg/dL and
HDL of 35 mg/dL. What is best intervention? - ✔✔ correct answer Initiate pravastatin (Pravachol)
