APEA FNP Predictor Exam Test Bank
2024-2025 test edition
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 ANSWER-Radial head fracture
The child quickly begins to use the affected arm after closed manipulation. - CORRECT
ANSWER-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
ANSWER-Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the
table. - CORRECT ANSWER-Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever,
right pleuritic chest pain, and green sputum. - CORRECT ANSWER-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 ANSWER-
Microscopic exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which was
surgically repaired. - CORRECT ANSWER-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 ANSWER-Measure
the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting while
on Ortho-Novum 7/7/7. - CORRECT ANSWER-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 ANSWER-
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 ANSWER-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 ANSWER-Cancer of the
testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - CORRECT ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-Barrier method
Common cause of recurrent candidal infections. - CORRECT ANSWER-Diabetes
mellitus
Non-tender breast mass with nipple discharge. - CORRECT ANSWER-Intraductal
papilloma
Often asymptomatic in males; no remarkable symptoms. - CORRECT ANSWER-
Chlamydia infection
Skin rash caused by irritants or allergens. - CORRECT ANSWER-Contact dermatitis
Test to identify pathogens in respiratory secretions. - CORRECT ANSWER-Sputum
culture
Autoimmune condition causing joint inflammation and stiffness. - CORRECT ANSWER-
Rheumatoid arthritis
, Infection causing pelvic pain and urinary symptoms. - CORRECT ANSWER-Acute
bacterial prostatitis
Ultrasound imaging to assess internal structures. - CORRECT ANSWER-Sonogram
Referral for specialized evaluation of reproductive issues. - CORRECT ANSWER-
Gynecological consultation
Emergency condition causing acute testicular pain. - CORRECT ANSWER-Testicular
torsion
Typically decreases, causing light-headedness when standing. - CORRECT ANSWER-
Blood pressure changes in pregnancy
Class of antibiotics effective against bacterial infections. - CORRECT ANSWER-
Macrolide antibiotic
Agency to report suspected child abuse or neglect. - CORRECT ANSWER-Child
protective services
Movement of a joint without patient effort. - CORRECT ANSWER-Passive range of
motion (ROM)
Benign tumors causing heavy menstrual bleeding. - CORRECT ANSWER-Uterine
leiomyomas
Fluid released from the nipple, may indicate pathology. - CORRECT ANSWER-Nipple
discharge
Inflammation of bronchial tubes, often due to infection. - CORRECT ANSWER-Acute
bronchitis
Indicates possible bacterial infection in respiratory tract. - CORRECT ANSWER-Foul-
smelling sputum
Routine examination to detect precancerous changes. - CORRECT ANSWER-Cervical
cancer screening
Common symptom in inflammatory joint diseases. - CORRECT ANSWER-Morning
stiffness
Red, flat rash often indicating skin irritation. - CORRECT ANSWER-Erythematous
macular rash
Urine samples collected during normal urination. - CORRECT ANSWER-Voided urine
specimens
2024-2025 test edition
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 ANSWER-Radial head fracture
The child quickly begins to use the affected arm after closed manipulation. - CORRECT
ANSWER-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
ANSWER-Measles
Indicated by a 12-month-old child looking for a toy that the father has hidden under the
table. - CORRECT ANSWER-Object permanence
Expected examination result for a 14-year-old male with bronchitis returning with fever,
right pleuritic chest pain, and green sputum. - CORRECT ANSWER-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 ANSWER-
Microscopic exam of urine
Essential education for a 15-year-old male with a history of cryptorchidism which was
surgically repaired. - CORRECT ANSWER-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 ANSWER-Measure
the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle spotting while
on Ortho-Novum 7/7/7. - CORRECT ANSWER-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 ANSWER-
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 ANSWER-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 ANSWER-Cancer of the
testicles
Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - CORRECT ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-Barrier method
Common cause of recurrent candidal infections. - CORRECT ANSWER-Diabetes
mellitus
Non-tender breast mass with nipple discharge. - CORRECT ANSWER-Intraductal
papilloma
Often asymptomatic in males; no remarkable symptoms. - CORRECT ANSWER-
Chlamydia infection
Skin rash caused by irritants or allergens. - CORRECT ANSWER-Contact dermatitis
Test to identify pathogens in respiratory secretions. - CORRECT ANSWER-Sputum
culture
Autoimmune condition causing joint inflammation and stiffness. - CORRECT ANSWER-
Rheumatoid arthritis
, Infection causing pelvic pain and urinary symptoms. - CORRECT ANSWER-Acute
bacterial prostatitis
Ultrasound imaging to assess internal structures. - CORRECT ANSWER-Sonogram
Referral for specialized evaluation of reproductive issues. - CORRECT ANSWER-
Gynecological consultation
Emergency condition causing acute testicular pain. - CORRECT ANSWER-Testicular
torsion
Typically decreases, causing light-headedness when standing. - CORRECT ANSWER-
Blood pressure changes in pregnancy
Class of antibiotics effective against bacterial infections. - CORRECT ANSWER-
Macrolide antibiotic
Agency to report suspected child abuse or neglect. - CORRECT ANSWER-Child
protective services
Movement of a joint without patient effort. - CORRECT ANSWER-Passive range of
motion (ROM)
Benign tumors causing heavy menstrual bleeding. - CORRECT ANSWER-Uterine
leiomyomas
Fluid released from the nipple, may indicate pathology. - CORRECT ANSWER-Nipple
discharge
Inflammation of bronchial tubes, often due to infection. - CORRECT ANSWER-Acute
bronchitis
Indicates possible bacterial infection in respiratory tract. - CORRECT ANSWER-Foul-
smelling sputum
Routine examination to detect precancerous changes. - CORRECT ANSWER-Cervical
cancer screening
Common symptom in inflammatory joint diseases. - CORRECT ANSWER-Morning
stiffness
Red, flat rash often indicating skin irritation. - CORRECT ANSWER-Erythematous
macular rash
Urine samples collected during normal urination. - CORRECT ANSWER-Voided urine
specimens
