APEA Practice QBank with
Answers
1. The groove of the metacarpopha langeal joint can be palpated by having the patient:
a. Flex his hand
2. When auscultating brea th sounds in a patien t who has left sided heart fa ilure, the
breath sounds are:
a. vesicular with la te inspiratory crackles in the dependent portions of the lungs
and resonant on percussion
3. The ankle-brachia! index is a screen ing test used to assess a person's risk for:
a. Periphera l artery disease
4. Olecranon bursitis may be caused by all of the following excep t :
a. Frozen shoulder
5. In patien ts who have allergic rhinitis, the nasal mucosa appears:
a. Pale
6. A term used to describe an increase in muscu lar bulk with diminished strength is:
a. pseudohypertrophy
7. If abdominal pa in persists when the patien t raises his head and shoulders, the origin of
the tenderness is probably:
a. In the abd ominal wall
8. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide
with abdom ina l cramps. These findings are most consistent with:
a. Intestinal obstruction
9. Ophthalmoscopic examina tion of the fundus reveals tiny, round, red spots in and
arou nd the macular area. These findings are consistent with:
a. M icroaneurysms
10. Symptoms of a subdural hematoma includ e:
a. Noticeable bleeding between the dura and the cerebrum on x-ray
11. On examination of the adult patient, symptoms of flexed postu re, tremor, rigidity, and
shuffling gait are observed. These findings are consisten t with:
a. Parkinson's disease
12. When discussing the muscu loskeletal system, all of the following statements related to
arti cular structure disease are true except which one?
a. Arti cular disease is usually due to stiffness or pa in
13. Foca l tenderness over the trochanter confirms:
a. Bursitis
14. Assessing the neurological status of a chilld with a ventricu loperitoneal shunt should
include:
a. Use of the Glasgow coma scale
15. The ea rliest recognizable cl inica l manifestation(s) of cystic fibrosis in an infan t is:
a. Sa lty ta ste on the skin
, 16. A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be
present at birth and enlarge during the first 10 to 15 months is charact eristic of a:
a. Cavernous hemarngioma
17. The hamstring muscles flex the kn ee and are located on the:
a. Posterior aspect of the th igh
18. Ophthalmoscopic exam ination revea ls dark specks noted between the fund us and the
lens. These specks are most likely:
a. Vitreous floaters
19. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and
head are not easily pa lpated at the fundu s, the fetus is sa id to be in:
a. Transverse lie
20. When performing a musculoskeleta l examination, the nurse practitioner instructs the
patient to move his arm in front of his body. This motion of the shou lder girdle would be
an example of:
a. Flexion
21. To locate the twelfth rib, palpat e:
a. Between the spine and the lateral chest
22. Walking on the toes and heels may reveal:
a. Distal muscu lar weakness in the legs
23. When performing a bima nu al exam of th e vagina, the examiner should lubricate the
index and middle fingers of a gloved hand. From a standing position, the fingers should
be insert ed into the vagirna wh ile exerting pressure primarily:
a. Posteriorly
24. During pregnancy, which hormone resu lts in increased bl!ood viscosity?
a. Erythropoietin
25. Resting tremors refer to tthose tremors that disappear:
a. With voluntary movement
26. A patient presents w ith complaints of bright red stools over the past week. This
symptom could be consisten t with:
a. Cancer of the sigmoid colon
27. Mydriasis is a term used t o describe:
a. Dilation of the pupils
28. When performing a musculoskeleta l exam on a patient w ith mechanical low back pain,
osteoporosis is suspect ed. Positive fin dings would incl ude all of the following except:
a. Calf wasting
29. Wh ich stage of pressure iis consisten t with findings on dermatologic examination of a full
thickness tissu e loss and subcutaneous fat visible with mild slough on the right hip?
a. Stage Ill
30. The vertebral column angles sharply posteriorly and becomes immovable at the:
a. Lumbosacra l jun ction
31. Wh ich one of the following is at the HI GHEST risk for suicide?
a. A 52-year-old white man
32. When auscultating heart sounds arising from the aortic valve in an adult patien t, place
the st ethoscope:
Answers
1. The groove of the metacarpopha langeal joint can be palpated by having the patient:
a. Flex his hand
2. When auscultating brea th sounds in a patien t who has left sided heart fa ilure, the
breath sounds are:
a. vesicular with la te inspiratory crackles in the dependent portions of the lungs
and resonant on percussion
3. The ankle-brachia! index is a screen ing test used to assess a person's risk for:
a. Periphera l artery disease
4. Olecranon bursitis may be caused by all of the following excep t :
a. Frozen shoulder
5. In patien ts who have allergic rhinitis, the nasal mucosa appears:
a. Pale
6. A term used to describe an increase in muscu lar bulk with diminished strength is:
a. pseudohypertrophy
7. If abdominal pa in persists when the patien t raises his head and shoulders, the origin of
the tenderness is probably:
a. In the abd ominal wall
8. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide
with abdom ina l cramps. These findings are most consistent with:
a. Intestinal obstruction
9. Ophthalmoscopic examina tion of the fundus reveals tiny, round, red spots in and
arou nd the macular area. These findings are consistent with:
a. M icroaneurysms
10. Symptoms of a subdural hematoma includ e:
a. Noticeable bleeding between the dura and the cerebrum on x-ray
11. On examination of the adult patient, symptoms of flexed postu re, tremor, rigidity, and
shuffling gait are observed. These findings are consisten t with:
a. Parkinson's disease
12. When discussing the muscu loskeletal system, all of the following statements related to
arti cular structure disease are true except which one?
a. Arti cular disease is usually due to stiffness or pa in
13. Foca l tenderness over the trochanter confirms:
a. Bursitis
14. Assessing the neurological status of a chilld with a ventricu loperitoneal shunt should
include:
a. Use of the Glasgow coma scale
15. The ea rliest recognizable cl inica l manifestation(s) of cystic fibrosis in an infan t is:
a. Sa lty ta ste on the skin
, 16. A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be
present at birth and enlarge during the first 10 to 15 months is charact eristic of a:
a. Cavernous hemarngioma
17. The hamstring muscles flex the kn ee and are located on the:
a. Posterior aspect of the th igh
18. Ophthalmoscopic exam ination revea ls dark specks noted between the fund us and the
lens. These specks are most likely:
a. Vitreous floaters
19. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and
head are not easily pa lpated at the fundu s, the fetus is sa id to be in:
a. Transverse lie
20. When performing a musculoskeleta l examination, the nurse practitioner instructs the
patient to move his arm in front of his body. This motion of the shou lder girdle would be
an example of:
a. Flexion
21. To locate the twelfth rib, palpat e:
a. Between the spine and the lateral chest
22. Walking on the toes and heels may reveal:
a. Distal muscu lar weakness in the legs
23. When performing a bima nu al exam of th e vagina, the examiner should lubricate the
index and middle fingers of a gloved hand. From a standing position, the fingers should
be insert ed into the vagirna wh ile exerting pressure primarily:
a. Posteriorly
24. During pregnancy, which hormone resu lts in increased bl!ood viscosity?
a. Erythropoietin
25. Resting tremors refer to tthose tremors that disappear:
a. With voluntary movement
26. A patient presents w ith complaints of bright red stools over the past week. This
symptom could be consisten t with:
a. Cancer of the sigmoid colon
27. Mydriasis is a term used t o describe:
a. Dilation of the pupils
28. When performing a musculoskeleta l exam on a patient w ith mechanical low back pain,
osteoporosis is suspect ed. Positive fin dings would incl ude all of the following except:
a. Calf wasting
29. Wh ich stage of pressure iis consisten t with findings on dermatologic examination of a full
thickness tissu e loss and subcutaneous fat visible with mild slough on the right hip?
a. Stage Ill
30. The vertebral column angles sharply posteriorly and becomes immovable at the:
a. Lumbosacra l jun ction
31. Wh ich one of the following is at the HI GHEST risk for suicide?
a. A 52-year-old white man
32. When auscultating heart sounds arising from the aortic valve in an adult patien t, place
the st ethoscope:
