APEA FNP PREDICTOR EXAM TEST BANK 2024-2025
QUESTIONS AND VERIFIED 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. - Correct
Answers_Radial head fracture
The child quickly begins to use the affected arm after closed manipulation. - Correct
Answers_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. - Correct
Answers_Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the
table. - Correct Answers_Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever, right
pleuritic chest pain, and green sputum. - Correct Answers_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. - Correct Answers_Microscopic
exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which was
surgically repaired. - Correct Answers_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. - Correct Answers_Measure the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting while on
Ortho-Novum 7/7/7. - Correct Answers_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. - Correct Answers_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. - Correct Answers_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. - Correct Answers_Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - Correct Answers_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. -
Correct Answers_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. - Correct Answers_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. - Correct Answers_Double today's dose and tomorrow's
dose and use a barrier method for the rest of the month
Contraceptive technique to prevent pregnancy. - Correct Answers_Barrier method
,Common cause of recurrent candidal infections. - Correct Answers_Diabetes mellitus
Non-tender breast mass with nipple discharge. - Correct Answers_Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms. - Correct Answers_Chlamydia
infection
Skin rash caused by irritants or allergens. - Correct Answers_Contact dermatitis
Test to identify pathogens in respiratory secretions. - Correct Answers_Sputum culture
Autoimmune condition causing joint inflammation and stiffness. - Correct
Answers_Rheumatoid arthritis
Infection causing pelvic pain and urinary symptoms. - Correct Answers_Acute bacterial
prostatitis
Ultrasound imaging to assess internal structures. - Correct Answers_Sonogram
Referral for specialized evaluation of reproductive issues. - Correct Answers_Gynecological
consultation
Emergency condition causing acute testicular pain. - Correct Answers_Testicular torsion
Typically decreases, causing light-headedness when standing. - Correct Answers_Blood
pressure changes in pregnancy
Class of antibiotics effective against bacterial infections. - Correct Answers_Macrolide
antibiotic
, Agency to report suspected child abuse or neglect. - Correct Answers_Child protective
services
Movement of a joint without patient effort. - Correct Answers_Passive range of motion
(ROM)
Benign tumors causing heavy menstrual bleeding. - Correct Answers_Uterine leiomyomas
Fluid released from the nipple, may indicate pathology. - Correct Answers_Nipple discharge
Inflammation of bronchial tubes, often due to infection. - Correct Answers_Acute bronchitis
Indicates possible bacterial infection in respiratory tract. - Correct Answers_Foul-smelling
sputum
Routine examination to detect precancerous changes. - Correct Answers_Cervical cancer
screening
Common symptom in inflammatory joint diseases. - Correct Answers_Morning stiffness
Red, flat rash often indicating skin irritation. - Correct Answers_Erythematous macular rash
Urine samples collected during normal urination. - Correct Answers_Voided urine specimens
Reflex causing testicle elevation when thigh is stroked. - Correct Answers_Cremasteric reflex
Observations made during a clinical examination. - Correct Answers_Physical exam findings
QUESTIONS AND VERIFIED 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. - Correct
Answers_Radial head fracture
The child quickly begins to use the affected arm after closed manipulation. - Correct
Answers_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. - Correct
Answers_Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the
table. - Correct Answers_Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever, right
pleuritic chest pain, and green sputum. - Correct Answers_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. - Correct Answers_Microscopic
exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which was
surgically repaired. - Correct Answers_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. - Correct Answers_Measure the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting while on
Ortho-Novum 7/7/7. - Correct Answers_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. - Correct Answers_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. - Correct Answers_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. - Correct Answers_Cancer of the testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - Correct Answers_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. -
Correct Answers_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. - Correct Answers_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. - Correct Answers_Double today's dose and tomorrow's
dose and use a barrier method for the rest of the month
Contraceptive technique to prevent pregnancy. - Correct Answers_Barrier method
,Common cause of recurrent candidal infections. - Correct Answers_Diabetes mellitus
Non-tender breast mass with nipple discharge. - Correct Answers_Intraductal papilloma
Often asymptomatic in males; no remarkable symptoms. - Correct Answers_Chlamydia
infection
Skin rash caused by irritants or allergens. - Correct Answers_Contact dermatitis
Test to identify pathogens in respiratory secretions. - Correct Answers_Sputum culture
Autoimmune condition causing joint inflammation and stiffness. - Correct
Answers_Rheumatoid arthritis
Infection causing pelvic pain and urinary symptoms. - Correct Answers_Acute bacterial
prostatitis
Ultrasound imaging to assess internal structures. - Correct Answers_Sonogram
Referral for specialized evaluation of reproductive issues. - Correct Answers_Gynecological
consultation
Emergency condition causing acute testicular pain. - Correct Answers_Testicular torsion
Typically decreases, causing light-headedness when standing. - Correct Answers_Blood
pressure changes in pregnancy
Class of antibiotics effective against bacterial infections. - Correct Answers_Macrolide
antibiotic
, Agency to report suspected child abuse or neglect. - Correct Answers_Child protective
services
Movement of a joint without patient effort. - Correct Answers_Passive range of motion
(ROM)
Benign tumors causing heavy menstrual bleeding. - Correct Answers_Uterine leiomyomas
Fluid released from the nipple, may indicate pathology. - Correct Answers_Nipple discharge
Inflammation of bronchial tubes, often due to infection. - Correct Answers_Acute bronchitis
Indicates possible bacterial infection in respiratory tract. - Correct Answers_Foul-smelling
sputum
Routine examination to detect precancerous changes. - Correct Answers_Cervical cancer
screening
Common symptom in inflammatory joint diseases. - Correct Answers_Morning stiffness
Red, flat rash often indicating skin irritation. - Correct Answers_Erythematous macular rash
Urine samples collected during normal urination. - Correct Answers_Voided urine specimens
Reflex causing testicle elevation when thigh is stroked. - Correct Answers_Cremasteric reflex
Observations made during a clinical examination. - Correct Answers_Physical exam findings
