APEA 3P Actual Exam Test Bank (APEA Q
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1. Whenhperforminghahvisualhacuityhtesththehnursehpractitionerhnotesh20/30hinhthehleftheyeha
ndh20/40hinhthehrightheyehusinghthehSnellenheyehchart.hThishmeans:
a) havehthehpatienthreturninghinhtwohweekshforhahfollowhuphvisionhscreen
b) dilatedhtheheyehandhretest
c) referhthehpatienthtohanhophthalmologist
d) documenththishashahnormalhfinding
2. ThehAmericanhpsychiatrichassociation’shdiagnostichandhstatisticalhmanualhofhmentalh
disorderhdefineshMunchausenhSyndromehByhProxy
a) ahself-inflictedhinjuryhtohgainhattention
b) ahcaregiverhmakinghuphorhcausinghanhillnesshorhinjuryhinhahpersonhunderhhishorh
herhcare
c) anhabusivehbehaviorhthathdoeshnothinvolvehthehcaregiver
d) ahsituationhinhwhichhthehabuserhishoftenhinattentivehandhuncaringhtowardhthehvictim
Munchausenhsyndromehbyhproxyhishahmentalhillnesshandhahformhofhchildhabuse.hThehcaretakerhofhah
child,hmosthoftenhahmother,heitherhmakeshuphfakehsymptomshorhcauseshrealhsymptomshtohmakehithl
ookhlikehthehchildhishsick.
3. Symptomshofhdepressionharehahsideheffecthofhwhichhneurotransmitterhmedication?
a) dopamine serotonin,hnorepinephrine
b) gabapentin
c) mil
d) cortisol
4. Whichhlesionhishdarkhraisedhandhasymmetrichwithhirregularhborder?hQuizlethBateshChapterh20
a) Nevus
b) Actinichkeratosis
c) Keratoacanthoma
d) Melanoma
5. Ah32hyearsholdhwomanhpresentshwithhdullhpuffinesshofhthehayeshpronouncedhnothp
ittinghperiorbitalhedemahthishfindinghishsuggestivehofhthishcondition?hAPEA
a) Nephrotichsyndrome
b) Myxedema
c) Cushinghsyndrome
d) Sinusitis
Myxedemahishahdepositionhofhmucopolysaccarideshinhthehdermis.hIshcommonlyhfoundhifhpatientshw
ithhadvancedhhypothyroidism.hThehclassichskinhchangeshare:hswellinghofhface,hlips,heyelids,handhto
nguehorhswellinghandhthickeninghofhskinhanywherehonhthehbody,hespeciallyhinhthehlowerhlegs.
MyxedemahishthehhallmarkhofhGrave’shdisease,hanhautoimmunehformhofhhyperthyroidism.h
MyxedemahcanhalsohoccurhinhHashimoto’shthyroiditishahformhofhhypothyroidism.
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6. Ah42hyearsholdhwomanhwithhahpasthmedicalhhistoryhofhmigrainehheadacheshishrequest
inghprophylactichmedicationhtreatment.hWhichhmedicationhshouldhthehNursehpractiti
onerhprescribe?
a) Sumatriptanh(Imitrex)
b) Amitriptylineh(Elavil)
c) Verapamilh(verelan)
d) Metoprololh(Lopressor)
Amitriptylineh(Elavil)hishahtricyclichantidepresanthandhishconsideredhofflabelhusehforhprophylactichtreat
menthofhmigrane.hSumatriptanh(Imimtrex)hIshaTriptanshusedhtohaborthmigraine
7. Ahpediatrichpatienthhashareashofhscalinghonhthehscalphwithhroundhpatcheshofhalopecia.h
Thishclinicalhfindinghishconsistenthwith:
a) Tineahcapitis
b) Seborrheichdermatitis
c) Trichotillomania
d) Alopeciahareata
8. Whathishthehappropriatehprophylactichmedicationhforhanh18hyearsholdhwomanhwithhahp
asthmedicalhhistoryhofhmigrainehheadaches?
a) Sumatriptanh(Imitre
x)hb)hPropanololh(Inder
al)
c) Ibuprofenoh(motrin)
d) Dihydroergotamineh(DHE)
9. Whyhwouldhahcombinedhhormonalhcontraceptivehbehcontraindicatedhinhah36hyearholdh
patienthwithhahpasthmedicalhhistoryhofhtypeh2hdiabetes,hobesity,hchronichsmokinghandhs
edentaryhlife
a) Shehishobese
b) Shehhashtypeh2hdiabeteshmellitus
c) Herhagehandhtobaccohuse
d) Shehleadshahsedentaryhlifestyle
Combinedhoralhcontraceptivehishcontraindicatedhinhwomenholderhthanh45,hbreastfeeding,hsmoking,hH
TN,hdiabeteshorhhxhofhstroke
10. DuringhthehbreasthexaminationhofhahperimenopausalhwomanhthehNPhdetectshah
bloodyhspontaneoushdischargehfromhthehrighthnipple.hThishindicateshfurtherhev
aluation.
a) Fibroadenoma
b) PolycystichbreasthdiseasehGeneralizedhbreasthpainhorhtenderness.hGreenhorhdarkhbrow
nhnonbloodyhnipplehdischargehthathtendshtohleakhwithouthpressurehorhsqueezing
c) Anhintraductalhpapilloma
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d) Pituitaryhprolactinoma
Intraductalhpapillomasharehusuallyhsolitaryhandhsmallerhthanh1hcm.hTheyharehlocatedhinhlargeh
lactiferoushsinuseshorhductshandhhavehahtendencyhtohbleed.hQuizlethNipplehDischarge
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uestion Bank) h
(Mostly Resourceful) APEA h h
updated A+ h
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1. Whenhperforminghahvisualhacuityhtesththehnursehpractitionerhnotesh20/30hinhthehleftheyeha
ndh20/40hinhthehrightheyehusinghthehSnellenheyehchart.hThishmeans:
a) havehthehpatienthreturninghinhtwohweekshforhahfollowhuphvisionhscreen
b) dilatedhtheheyehandhretest
c) referhthehpatienthtohanhophthalmologist
d) documenththishashahnormalhfinding
2. ThehAmericanhpsychiatrichassociation’shdiagnostichandhstatisticalhmanualhofhmentalh
disorderhdefineshMunchausenhSyndromehByhProxy
a) ahself-inflictedhinjuryhtohgainhattention
b) ahcaregiverhmakinghuphorhcausinghanhillnesshorhinjuryhinhahpersonhunderhhishorh
herhcare
c) anhabusivehbehaviorhthathdoeshnothinvolvehthehcaregiver
d) ahsituationhinhwhichhthehabuserhishoftenhinattentivehandhuncaringhtowardhthehvictim
Munchausenhsyndromehbyhproxyhishahmentalhillnesshandhahformhofhchildhabuse.hThehcaretakerhofhah
child,hmosthoftenhahmother,heitherhmakeshuphfakehsymptomshorhcauseshrealhsymptomshtohmakehithl
ookhlikehthehchildhishsick.
3. Symptomshofhdepressionharehahsideheffecthofhwhichhneurotransmitterhmedication?
a) dopamine serotonin,hnorepinephrine
b) gabapentin
c) mil
d) cortisol
4. Whichhlesionhishdarkhraisedhandhasymmetrichwithhirregularhborder?hQuizlethBateshChapterh20
a) Nevus
b) Actinichkeratosis
c) Keratoacanthoma
d) Melanoma
5. Ah32hyearsholdhwomanhpresentshwithhdullhpuffinesshofhthehayeshpronouncedhnothp
ittinghperiorbitalhedemahthishfindinghishsuggestivehofhthishcondition?hAPEA
a) Nephrotichsyndrome
b) Myxedema
c) Cushinghsyndrome
d) Sinusitis
Myxedemahishahdepositionhofhmucopolysaccarideshinhthehdermis.hIshcommonlyhfoundhifhpatientshw
ithhadvancedhhypothyroidism.hThehclassichskinhchangeshare:hswellinghofhface,hlips,heyelids,handhto
nguehorhswellinghandhthickeninghofhskinhanywherehonhthehbody,hespeciallyhinhthehlowerhlegs.
MyxedemahishthehhallmarkhofhGrave’shdisease,hanhautoimmunehformhofhhyperthyroidism.h
MyxedemahcanhalsohoccurhinhHashimoto’shthyroiditishahformhofhhypothyroidism.
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Distributionhofhthishdocumenthishillegal extrahperhyear?
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APEA 3P Actual Exam Test Bank (APEA Question Bank)
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APEA A+ h
6. Ah42hyearsholdhwomanhwithhahpasthmedicalhhistoryhofhmigrainehheadacheshishrequest
inghprophylactichmedicationhtreatment.hWhichhmedicationhshouldhthehNursehpractiti
onerhprescribe?
a) Sumatriptanh(Imitrex)
b) Amitriptylineh(Elavil)
c) Verapamilh(verelan)
d) Metoprololh(Lopressor)
Amitriptylineh(Elavil)hishahtricyclichantidepresanthandhishconsideredhofflabelhusehforhprophylactichtreat
menthofhmigrane.hSumatriptanh(Imimtrex)hIshaTriptanshusedhtohaborthmigraine
7. Ahpediatrichpatienthhashareashofhscalinghonhthehscalphwithhroundhpatcheshofhalopecia.h
Thishclinicalhfindinghishconsistenthwith:
a) Tineahcapitis
b) Seborrheichdermatitis
c) Trichotillomania
d) Alopeciahareata
8. Whathishthehappropriatehprophylactichmedicationhforhanh18hyearsholdhwomanhwithhahp
asthmedicalhhistoryhofhmigrainehheadaches?
a) Sumatriptanh(Imitre
x)hb)hPropanololh(Inder
al)
c) Ibuprofenoh(motrin)
d) Dihydroergotamineh(DHE)
9. Whyhwouldhahcombinedhhormonalhcontraceptivehbehcontraindicatedhinhah36hyearholdh
patienthwithhahpasthmedicalhhistoryhofhtypeh2hdiabetes,hobesity,hchronichsmokinghandhs
edentaryhlife
a) Shehishobese
b) Shehhashtypeh2hdiabeteshmellitus
c) Herhagehandhtobaccohuse
d) Shehleadshahsedentaryhlifestyle
Combinedhoralhcontraceptivehishcontraindicatedhinhwomenholderhthanh45,hbreastfeeding,hsmoking,hH
TN,hdiabeteshorhhxhofhstroke
10. DuringhthehbreasthexaminationhofhahperimenopausalhwomanhthehNPhdetectshah
bloodyhspontaneoushdischargehfromhthehrighthnipple.hThishindicateshfurtherhev
aluation.
a) Fibroadenoma
b) PolycystichbreasthdiseasehGeneralizedhbreasthpainhorhtenderness.hGreenhorhdarkhbrow
nhnonbloodyhnipplehdischargehthathtendshtohleakhwithouthpressurehorhsqueezing
c) Anhintraductalhpapilloma
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Distributionhofhthishdocumenthishillegal extrahperhyear?
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d) Pituitaryhprolactinoma
Intraductalhpapillomasharehusuallyhsolitaryhandhsmallerhthanh1hcm.hTheyharehlocatedhinhlargeh
lactiferoushsinuseshorhductshandhhavehahtendencyhtohbleed.hQuizlethNipplehDischarge
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Distributionhofhthishdocumenthishillegal extrahperhyear?
