APEA FNP PREDICTOR FINAL EXAM TEST BANK
2024-2025 WITH CERTIFIED ANSWERS
The most likely working diagnosis for a 14 year old patient who fell on an
outstretched hand, complains of proximal forearm pain, and has a positive fat pad
sign on X-ray.
Radial head fracture
The child quickly begins to use the affected arm after closed manipulation.
Successful treatment indication for radial head subluxation
A 10-month old with a rash, runny nose, cough, and a cluster of tiny white
papules with an erythematous base on the buccal mucosa suggests this diagnosis.
Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden
under the table.
Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with
fever, right pleuritic chest pain, and green sputum.
Right lower lobe crackles
,The diagnostic test that should be performed immediately for a 15-year-old
female with burning urination after treatment for trichomonas vaginitis.
Microscopic exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which
was surgically repaired.
Testicular self-examination
The first action a school nurse should take when a child with type I diabetes
mellitus reports sweating and weakness after insulin injection.
Measure the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting
while on Ortho-Novum 7/7/7.
Providing reassurance
The most appropriate diagnostic tests to order for a 17-year-old female suspected
of having polycystic ovary syndrome, in addition to testosterone.
FSH, LH, TSH
,The most likely diagnosis for a 17-year-old female who has never had her menses
and is at Tanner stage III of sexual development.
Primary amenorrhea
Condition suspected for a 20-year-old male with a 1-month history of a bump on
his testicle and a history of unprotected intercourse.
Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious,
markedly purulent discharge from her left eye.
Gonococcal conjunctivitis
Most likely diagnosis for a 21-year-old patient presenting with abdominal
guarding, rigid abdominal musculature, rebound tenderness at McBurney's point,
and leukocytosis.
Appendicitis
A question to consider when analyzing a 22-year-old college student's heart rate
of 48/minute and regular during a routine physical examination.
Is this student an athlete?
, Advice for a 24-year-old female taking oral contraceptives who has missed her
last 2 pills to minimize her risk of pregnancy.
Double today's dose and tomorrow's dose and use a barrier method for the rest
of the month
Contraceptive technique to prevent pregnancy.
Barrier method
Common cause of recurrent candidal infections.
Diabetes mellitus
Non-tender breast mass with nipple discharge.
Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms.
Chlamydia infection
Skin rash caused by irritants or allergens.
2024-2025 WITH CERTIFIED ANSWERS
The most likely working diagnosis for a 14 year old patient who fell on an
outstretched hand, complains of proximal forearm pain, and has a positive fat pad
sign on X-ray.
Radial head fracture
The child quickly begins to use the affected arm after closed manipulation.
Successful treatment indication for radial head subluxation
A 10-month old with a rash, runny nose, cough, and a cluster of tiny white
papules with an erythematous base on the buccal mucosa suggests this diagnosis.
Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden
under the table.
Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with
fever, right pleuritic chest pain, and green sputum.
Right lower lobe crackles
,The diagnostic test that should be performed immediately for a 15-year-old
female with burning urination after treatment for trichomonas vaginitis.
Microscopic exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which
was surgically repaired.
Testicular self-examination
The first action a school nurse should take when a child with type I diabetes
mellitus reports sweating and weakness after insulin injection.
Measure the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting
while on Ortho-Novum 7/7/7.
Providing reassurance
The most appropriate diagnostic tests to order for a 17-year-old female suspected
of having polycystic ovary syndrome, in addition to testosterone.
FSH, LH, TSH
,The most likely diagnosis for a 17-year-old female who has never had her menses
and is at Tanner stage III of sexual development.
Primary amenorrhea
Condition suspected for a 20-year-old male with a 1-month history of a bump on
his testicle and a history of unprotected intercourse.
Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious,
markedly purulent discharge from her left eye.
Gonococcal conjunctivitis
Most likely diagnosis for a 21-year-old patient presenting with abdominal
guarding, rigid abdominal musculature, rebound tenderness at McBurney's point,
and leukocytosis.
Appendicitis
A question to consider when analyzing a 22-year-old college student's heart rate
of 48/minute and regular during a routine physical examination.
Is this student an athlete?
, Advice for a 24-year-old female taking oral contraceptives who has missed her
last 2 pills to minimize her risk of pregnancy.
Double today's dose and tomorrow's dose and use a barrier method for the rest
of the month
Contraceptive technique to prevent pregnancy.
Barrier method
Common cause of recurrent candidal infections.
Diabetes mellitus
Non-tender breast mass with nipple discharge.
Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms.
Chlamydia infection
Skin rash caused by irritants or allergens.
