Stuvia.com - The Marketplace toBuy and Sell your Study Material .q .q .q .q .q .q .q .q .q .q
109 PAGES APEA 3P Exam Predictor
Exam 100% (Best Predictor Exam for
2025/ 2026) (A+ Free
1. A 37-year-old female patient with a history of a single episode of depression and frequent complaints of
.q .q . q .q .q .q .q .q .q . q .q .q .q .q .q .q
PMS is being treated for hypothyroidism. Today she complains of poor concentration and fatigue.
.q .q .q .q .q .q . q .q .q . q .q .q .q .q
Initially, the NP should:
.q . q .q .q
a. Question herfurther .q .q . q
2. Which ofthe following isanexample ofsecondary prevention? .q .q .q . q .q .q . q .q .q
a. Annualinfluenzavaccination .q .q
3. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental
.q .q .q .q .q .q .q .q .q .q .q .q .q .q . q
cleaning. According to the 2007 American Association’s guideline for endocarditis
.q .q .q .q .q .q .q . q .q .q .q
prophylaxis, what would you advise this patient?
.q . q .q .q .q .q .q
a. Shedoesnotneedprophylaxis foranydental procedure .q .q .q .q . q .q .q .q . q
4. Apatientrecoveringfromarecentstrokeisstartinganticoagulant therapy. Thenursepractitioner should teach
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
.q the patient to avoid all of the following EXCEPT:
.q . q .q . q .q .q .q . q
a. b.milk andmilk products .q .q .q .q . q
5. Apatientpresentswithperiorbitalerythemaandedema,fever, andnasaldrainage. Thenurse
.q .q .q .q .q .q .q .q .q .q .q .q .q
.q practitioner should . q
a. startaggressiveantibiotic therapy
.q .q .q . q
6.Apositivedrawersign supportadiagnosis of
.q .q .q .q .q .q .q . q
b. cruciate ligament injury
.q .q .q . q
7. A50-year-oldpatient with diabetescomplains ofpainbilaterally inherlower legs while walking. The pain
.q .q .q .q .q . q .q .q . q .q .q .q .q .q . q .q
disappears at rest. Whatelse would you expect toidentify onher lower extremities.
.q .q .q .q .q .q . q .q .q .q . q .q .q .q
b.peripheral arteryinsufficiency
.q .q .q . q
Downloaded by: aragoncel | .q .q .q .q Want to earn $1.236
.q .q .q
Distribution of thisdocument is illegal .q .q .q .q .q extraper year? .q .q
, Stuvia.com - The Marketplace toBuy and Sell your Study Material
.q .q .q .q .q .q .q .q .q .q
8. A16-year-oldathletecomplains ofpainunderneath hisheeleverytime hewalks. There isaverrucous surface
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
level with the skin of the heel. What pharmacologic interventions should the nurse practitioner prescribe
.q .q .q .q .q .q .q .q .q .q . q .q .q .q .q
.for this patient?
q .q . q
a. salicylic acid plasters
.q .q .q
9. A - year-old with Type I diabetes has had itching and burning lesions between her toes for 6 months.
.q .q .q .q .q .q .q .q . q .q . q .q .q .q .q .q .q
Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment option for this
.q .q .q .q .q .q .q . q .q .q .q .q .q .q .q . q .q .q
patient?
.q
Downloaded by: aragoncel |
.q .q .q .q Want to earn $1.236
.q .q .q
Distribution of thisdocument is illegal
.q .q .q .q .q extraper year? .q .q
, Stuvia.com - The Marketplace toBuy and Sell your Study Material .q .q .q .q .q .q .q .q .q .q
a. prescribe ananti-fungal powder forapplication betweenhertoesandinhershoesanda
.q .q .q . q .q .q . q .q .q .q .q .q .q .q .q .q
topical prescription strength anti-fungal cream for other affected areas. Monitor for a
.q .q . q .q . q .q .q .q .q .q .q .q .q
secondary bacterial infection.
.q .q . q
oneweek, 2weeks, and every month thereafter.
.q .q .q .q .q .q . q
c. Prescribeaprescriptionstrengthantifungal/steroid combination cream.Monitor forasecondary .q .q .q .q .q .q .q .q .q .q
bacterial infection.
.q . q
10. Whatisanappropriatedrugforprophylactictreatment ofmigraine headachesina21-year- old
.q .q .q .q .q .q .q .q .q . q .q .q .q .q
female?
.q
a. .Sumatriptan(Imitrex)
.q .q
b.propranolol(Inderal)
.q
c. ibuprofen (Motrin) .q
d. dihydroergotamine (DHE) . q
11. Whichofthefollowing aretheclassic features ofulcerative colitis?
.q .q .q .q .q .q .q . q .q . q
a. RLQpain,frequently accompanied byapalpable mass,fever, andleukopenia .q .q .q . q .q .q .q .q .q .q
b. Massivepainfulhematemesis, occasionallyaccompanied bymelena .q .q .q .q .q .q
c. Rapidlyprogressivedysphagiatosolid foods,anoriexia, andweight lossoutofproportion tothe .q .q .q .q .q .q . q .q .q .q .q .q .q .q
dysphagia
.q
d. Remissionandexacerbationsofbloodydiarrhea,tenesmus,fecalincontinence,abdominalpain,andT .q .q .q .q .q .q .q .q . q
.
12. Whichdrugs belowwould beexpected toproducethe least amount ofhypokalemia?
.q .q .q .q .q .q .q .q .q .q . q .q
a. Furosemide(Lasix) .q
b. hydrochlorothiazide (HCTZ)andspironolactone (Aldactone) . q .q .q . q
c. Spironolactone (Aldactone) .q . q . q
d. hydrochlorothiazide (HCTZ) . q
13. Whatinformationshould patients with diabetesandtheir families receiveabouthypoglycemia?
.q .q .q .q .q .q .q .q . q .q .q
a. Hypoglycemia isveryrare .q .q .q
b. Hypoglycemia requires professional medicaltreatment . q .q .q .q
c. Hypoglycemia isserious,dangerous, and canbe fatalif nottreatedquickly .q . q .q .q .q .q .q .q .q .q .q .q
d. Hypoglycemia occurs onlyasaresult ofoverdoseofinsulin . q .q .q .q .q .q .q .q .q
14. A60-year-oldmale patient withapasthistoryofglaucoma andfrequent sinusitis presents todaywith
.q .q .q .q .q .q .q .q .q . q .q . q . q .q .q
hypertension. Onhis last 2 visits to the clinic his blood pressures were 150-160/90-98. The nurse
.q . q .q .q .q .q . q .q .q . q .q .q .q .q .q .q
practitionerdecidestotreatthehypertensionwithlong-acting propranolol (Inderal). Beforeprescribingit, the
.q .q .q .q .q .q .q .q .q .q .q .q .q .q
nurse practitioner should ask:
.q .q . q . q
a. whether he smokes or consumes alcohol on a dailybasis .q .q . q . q . q .q .q . q .q
b. what other medications have been prescribed for him . q .q .q . q . q .q .q .q
c. if hetakes adaily antihistamine .q .q .q .q . q
d. ifotherfamily members arehypertensive .q .q .q . q .q
15. Whichofthefollowing isNOTassociatedwith Type2diabetes mellitus?
.q .q .q . q .q .q .q . q .q .q .q
a. Gestationaldiabetes,birth ofamacrosomic infant .q .q .q .q .q . q
Downloaded by: aragoncel | .q .q .q .q Want to earn $1.236 .q .q .q
Distribution of thisdocument is illegal .q .q .q .q .q extraper year? .q .q
, Stuvia.com - The Marketplace to Buy and Sell your Study .q .q .q .q .q .q .q .q .q
b. Hispanic,African-American,orNativeAmericandescent .q .q .q .q .q
c. Alcohol orotherdrug abuse .q .q .q .q .q
d. Obesity,hypertension, hypertriglyceridemia .q .q
16. A35-year-old male presents with a severe unilateral headache over his left eye. He says it started about
.q .q .q .q .q .q .q . q .q .q .q . q .q .q .q .q .q
onehour agoand has rapidlygotten worse.Hegives ahistoryofsimilar headaches overthe past2 years.
.q .q .q .q .q .q .q .q .q .q . q .q .q .q . q .q .q .q .q .q
Physicalexaminationisnegative exceptforleft eyelacrimation. Whatisthemostlikelydiagnosis?
.q .q .q .q .q .q .q .q .q . q .q .q .q .q .q
d. Clusterheadache .q .q
e. Classicmigraineheadache .q .q
17. A16-year-oldsexuallyactivefemalepresenttotheclinic. Shehasneverhadvaccination forhepatitis AorB,
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
she has had one MMR immunization, and her last tetanus vaccination was 4 years ago. Which vaccination
.q .q .q .q .q .q . q .q .q .q . q . q .q .q .q .q .q
would be contraindicated without further testing?
.q .q .q . q .q .q
c. MMR .q . q
18. A 15-year-old male presents with abdominal pain that began in the peri-umbilical area then localized tothe
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
rightlowerquadrant.Hecomplains ofnausea, vomiting, anorexia, and low-grade fever.Acomplete blood count
.q .q .q .q .q .q .q .q . q .q .q .q .q .q .q .q
(CBC) reveals moderate leukocytosis. What is the most likely diagnosis?
.q .q .q .q . q .q .q .q .q .q
d.Acuteappendicitis .q .q . q
19. A25-year-oldhypertensive patient hasaBMIof16.Hisbloodpressure is165/100.Thereisan
.q .q . q . q .q .q .q .q .q .q .q .q .q .q .q .q
audible bruit in his left upper abdominal quadrant. He probably has:
.q . q .q .q .q . q .q . q .q .q .q
a. Essentialhypertension .q
b. Secondary hypertension .q .q
20. Whichofthefollowing isthe mostcommon presenting sign ofsubstance abuseinadolescents? .q .q .q .q .q .q .q .q . q .q .q .q .q .q
d. changes inbehavior .q .q .q
21. Therapeuticinternationalnormalizedratio(INR)forapatienttakeinwarfarin(Coumadin) forchronic atrial .q .q .q .q .q .q .q .q .q .q .q .q .q
.fibrillation is expected to be
q . q .q .q .q
a. increased .q
22. A199-year-oldfemalereportsthatsheishaving―panicattacks.‖TheNPknowsthatpanicattacksare
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
characterized by
.q . q
d. sudden onsetof intense fearorterror .q .q .q .q .q .q .q
23. A 25-year-old complains of fever and throat pain. The tonsils have exudate bilaterally. The patient
.q .q . q .q .q .q .q .q .q . q .q .q . q .q
describeshavingananaphylacticreactiontopenicillin inthepast.Whatantibiotic should theNPprescribe if she
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
believes the causative agent is bacterial?
.q . q .q . q .q .q
a. amoxicillin(Amoxil) .q
b. erythromycin . q . q
24. AdiagnosticfindingofHodgkin’s lymphoma isthepresenceof
.q .q .q .q .q .q .q .q .q
b. Reed-Sternbergcells .q .q
25. Withahistoryofanklesprain, thenurse practitioner would mostlikely elicit ahistoryof
.q .q .q .q .q .q .q .q . q .q .q .q . q .q .q
d. ankleinversion .q .q
26. Certification fornursepractitioners isoffered through: .q .q .q . q .q .q
Downloaded by: aragoncel | .q .q .q .q Want to earn $1.236 .q .q .q
Distribution of this document is illegal .q .q .q .q .q extra per year? .q .q
109 PAGES APEA 3P Exam Predictor
Exam 100% (Best Predictor Exam for
2025/ 2026) (A+ Free
1. A 37-year-old female patient with a history of a single episode of depression and frequent complaints of
.q .q . q .q .q .q .q .q .q . q .q .q .q .q .q .q
PMS is being treated for hypothyroidism. Today she complains of poor concentration and fatigue.
.q .q .q .q .q .q . q .q .q . q .q .q .q .q
Initially, the NP should:
.q . q .q .q
a. Question herfurther .q .q . q
2. Which ofthe following isanexample ofsecondary prevention? .q .q .q . q .q .q . q .q .q
a. Annualinfluenzavaccination .q .q
3. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental
.q .q .q .q .q .q .q .q .q .q .q .q .q .q . q
cleaning. According to the 2007 American Association’s guideline for endocarditis
.q .q .q .q .q .q .q . q .q .q .q
prophylaxis, what would you advise this patient?
.q . q .q .q .q .q .q
a. Shedoesnotneedprophylaxis foranydental procedure .q .q .q .q . q .q .q .q . q
4. Apatientrecoveringfromarecentstrokeisstartinganticoagulant therapy. Thenursepractitioner should teach
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
.q the patient to avoid all of the following EXCEPT:
.q . q .q . q .q .q .q . q
a. b.milk andmilk products .q .q .q .q . q
5. Apatientpresentswithperiorbitalerythemaandedema,fever, andnasaldrainage. Thenurse
.q .q .q .q .q .q .q .q .q .q .q .q .q
.q practitioner should . q
a. startaggressiveantibiotic therapy
.q .q .q . q
6.Apositivedrawersign supportadiagnosis of
.q .q .q .q .q .q .q . q
b. cruciate ligament injury
.q .q .q . q
7. A50-year-oldpatient with diabetescomplains ofpainbilaterally inherlower legs while walking. The pain
.q .q .q .q .q . q .q .q . q .q .q .q .q .q . q .q
disappears at rest. Whatelse would you expect toidentify onher lower extremities.
.q .q .q .q .q .q . q .q .q .q . q .q .q .q
b.peripheral arteryinsufficiency
.q .q .q . q
Downloaded by: aragoncel | .q .q .q .q Want to earn $1.236
.q .q .q
Distribution of thisdocument is illegal .q .q .q .q .q extraper year? .q .q
, Stuvia.com - The Marketplace toBuy and Sell your Study Material
.q .q .q .q .q .q .q .q .q .q
8. A16-year-oldathletecomplains ofpainunderneath hisheeleverytime hewalks. There isaverrucous surface
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
level with the skin of the heel. What pharmacologic interventions should the nurse practitioner prescribe
.q .q .q .q .q .q .q .q .q .q . q .q .q .q .q
.for this patient?
q .q . q
a. salicylic acid plasters
.q .q .q
9. A - year-old with Type I diabetes has had itching and burning lesions between her toes for 6 months.
.q .q .q .q .q .q .q .q . q .q . q .q .q .q .q .q .q
Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment option for this
.q .q .q .q .q .q .q . q .q .q .q .q .q .q .q . q .q .q
patient?
.q
Downloaded by: aragoncel |
.q .q .q .q Want to earn $1.236
.q .q .q
Distribution of thisdocument is illegal
.q .q .q .q .q extraper year? .q .q
, Stuvia.com - The Marketplace toBuy and Sell your Study Material .q .q .q .q .q .q .q .q .q .q
a. prescribe ananti-fungal powder forapplication betweenhertoesandinhershoesanda
.q .q .q . q .q .q . q .q .q .q .q .q .q .q .q .q
topical prescription strength anti-fungal cream for other affected areas. Monitor for a
.q .q . q .q . q .q .q .q .q .q .q .q .q
secondary bacterial infection.
.q .q . q
oneweek, 2weeks, and every month thereafter.
.q .q .q .q .q .q . q
c. Prescribeaprescriptionstrengthantifungal/steroid combination cream.Monitor forasecondary .q .q .q .q .q .q .q .q .q .q
bacterial infection.
.q . q
10. Whatisanappropriatedrugforprophylactictreatment ofmigraine headachesina21-year- old
.q .q .q .q .q .q .q .q .q . q .q .q .q .q
female?
.q
a. .Sumatriptan(Imitrex)
.q .q
b.propranolol(Inderal)
.q
c. ibuprofen (Motrin) .q
d. dihydroergotamine (DHE) . q
11. Whichofthefollowing aretheclassic features ofulcerative colitis?
.q .q .q .q .q .q .q . q .q . q
a. RLQpain,frequently accompanied byapalpable mass,fever, andleukopenia .q .q .q . q .q .q .q .q .q .q
b. Massivepainfulhematemesis, occasionallyaccompanied bymelena .q .q .q .q .q .q
c. Rapidlyprogressivedysphagiatosolid foods,anoriexia, andweight lossoutofproportion tothe .q .q .q .q .q .q . q .q .q .q .q .q .q .q
dysphagia
.q
d. Remissionandexacerbationsofbloodydiarrhea,tenesmus,fecalincontinence,abdominalpain,andT .q .q .q .q .q .q .q .q . q
.
12. Whichdrugs belowwould beexpected toproducethe least amount ofhypokalemia?
.q .q .q .q .q .q .q .q .q .q . q .q
a. Furosemide(Lasix) .q
b. hydrochlorothiazide (HCTZ)andspironolactone (Aldactone) . q .q .q . q
c. Spironolactone (Aldactone) .q . q . q
d. hydrochlorothiazide (HCTZ) . q
13. Whatinformationshould patients with diabetesandtheir families receiveabouthypoglycemia?
.q .q .q .q .q .q .q .q . q .q .q
a. Hypoglycemia isveryrare .q .q .q
b. Hypoglycemia requires professional medicaltreatment . q .q .q .q
c. Hypoglycemia isserious,dangerous, and canbe fatalif nottreatedquickly .q . q .q .q .q .q .q .q .q .q .q .q
d. Hypoglycemia occurs onlyasaresult ofoverdoseofinsulin . q .q .q .q .q .q .q .q .q
14. A60-year-oldmale patient withapasthistoryofglaucoma andfrequent sinusitis presents todaywith
.q .q .q .q .q .q .q .q .q . q .q . q . q .q .q
hypertension. Onhis last 2 visits to the clinic his blood pressures were 150-160/90-98. The nurse
.q . q .q .q .q .q . q .q .q . q .q .q .q .q .q .q
practitionerdecidestotreatthehypertensionwithlong-acting propranolol (Inderal). Beforeprescribingit, the
.q .q .q .q .q .q .q .q .q .q .q .q .q .q
nurse practitioner should ask:
.q .q . q . q
a. whether he smokes or consumes alcohol on a dailybasis .q .q . q . q . q .q .q . q .q
b. what other medications have been prescribed for him . q .q .q . q . q .q .q .q
c. if hetakes adaily antihistamine .q .q .q .q . q
d. ifotherfamily members arehypertensive .q .q .q . q .q
15. Whichofthefollowing isNOTassociatedwith Type2diabetes mellitus?
.q .q .q . q .q .q .q . q .q .q .q
a. Gestationaldiabetes,birth ofamacrosomic infant .q .q .q .q .q . q
Downloaded by: aragoncel | .q .q .q .q Want to earn $1.236 .q .q .q
Distribution of thisdocument is illegal .q .q .q .q .q extraper year? .q .q
, Stuvia.com - The Marketplace to Buy and Sell your Study .q .q .q .q .q .q .q .q .q
b. Hispanic,African-American,orNativeAmericandescent .q .q .q .q .q
c. Alcohol orotherdrug abuse .q .q .q .q .q
d. Obesity,hypertension, hypertriglyceridemia .q .q
16. A35-year-old male presents with a severe unilateral headache over his left eye. He says it started about
.q .q .q .q .q .q .q . q .q .q .q . q .q .q .q .q .q
onehour agoand has rapidlygotten worse.Hegives ahistoryofsimilar headaches overthe past2 years.
.q .q .q .q .q .q .q .q .q .q . q .q .q .q . q .q .q .q .q .q
Physicalexaminationisnegative exceptforleft eyelacrimation. Whatisthemostlikelydiagnosis?
.q .q .q .q .q .q .q .q .q . q .q .q .q .q .q
d. Clusterheadache .q .q
e. Classicmigraineheadache .q .q
17. A16-year-oldsexuallyactivefemalepresenttotheclinic. Shehasneverhadvaccination forhepatitis AorB,
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
she has had one MMR immunization, and her last tetanus vaccination was 4 years ago. Which vaccination
.q .q .q .q .q .q . q .q .q .q . q . q .q .q .q .q .q
would be contraindicated without further testing?
.q .q .q . q .q .q
c. MMR .q . q
18. A 15-year-old male presents with abdominal pain that began in the peri-umbilical area then localized tothe
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
rightlowerquadrant.Hecomplains ofnausea, vomiting, anorexia, and low-grade fever.Acomplete blood count
.q .q .q .q .q .q .q .q . q .q .q .q .q .q .q .q
(CBC) reveals moderate leukocytosis. What is the most likely diagnosis?
.q .q .q .q . q .q .q .q .q .q
d.Acuteappendicitis .q .q . q
19. A25-year-oldhypertensive patient hasaBMIof16.Hisbloodpressure is165/100.Thereisan
.q .q . q . q .q .q .q .q .q .q .q .q .q .q .q .q
audible bruit in his left upper abdominal quadrant. He probably has:
.q . q .q .q .q . q .q . q .q .q .q
a. Essentialhypertension .q
b. Secondary hypertension .q .q
20. Whichofthefollowing isthe mostcommon presenting sign ofsubstance abuseinadolescents? .q .q .q .q .q .q .q .q . q .q .q .q .q .q
d. changes inbehavior .q .q .q
21. Therapeuticinternationalnormalizedratio(INR)forapatienttakeinwarfarin(Coumadin) forchronic atrial .q .q .q .q .q .q .q .q .q .q .q .q .q
.fibrillation is expected to be
q . q .q .q .q
a. increased .q
22. A199-year-oldfemalereportsthatsheishaving―panicattacks.‖TheNPknowsthatpanicattacksare
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
characterized by
.q . q
d. sudden onsetof intense fearorterror .q .q .q .q .q .q .q
23. A 25-year-old complains of fever and throat pain. The tonsils have exudate bilaterally. The patient
.q .q . q .q .q .q .q .q .q . q .q .q . q .q
describeshavingananaphylacticreactiontopenicillin inthepast.Whatantibiotic should theNPprescribe if she
.q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q .q
believes the causative agent is bacterial?
.q . q .q . q .q .q
a. amoxicillin(Amoxil) .q
b. erythromycin . q . q
24. AdiagnosticfindingofHodgkin’s lymphoma isthepresenceof
.q .q .q .q .q .q .q .q .q
b. Reed-Sternbergcells .q .q
25. Withahistoryofanklesprain, thenurse practitioner would mostlikely elicit ahistoryof
.q .q .q .q .q .q .q .q . q .q .q .q . q .q .q
d. ankleinversion .q .q
26. Certification fornursepractitioners isoffered through: .q .q .q . q .q .q
Downloaded by: aragoncel | .q .q .q .q Want to earn $1.236 .q .q .q
Distribution of this document is illegal .q .q .q .q .q extra per year? .q .q
