2025/2026 APEA 3P EXAM | 230 PAGES OF
PRACTICE QUESTIONS & DETAILED RATIONALES –
BEST PREDICTOR PACK
When performing a visual acuity test the nurse practitioner notes 20/30 in the
left eye and 20/40 in the right eye using the Snellen eye chart. This means: -
CORRECT ANSWER ✅✅✅Refer the patient to an opthalmologist
The American psychiatric association's diagnostic and statistical manual of
mental disorder defines Munchausen Syndrome By Proxy –
CORRECT ANSWER ✅✅✅A caregiver making up or causing an illness or
injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter
medication? –
CORRECT ANSWER ✅✅✅Dopamine (serotonin, norepinephrine)
Which lesion is dark raised and asymmetric with irregular border? -
CORRECT ANSWER ✅✅✅Melanoma
A 32 years old woman presents with dull puffiness of the ayes pronounced not
pitting periorbital edema this finding is suggestive of this condition? -
CORRECT ANSWER ✅✅✅Myxedema
A 42 years old woman with a past medical history of migraine headaches is
requesting prophylactic medication treatment. Which medication should the
Nurse practitioner prescribe? -
CORRECT ANSWER ✅✅✅Amitriptyline (Elavil)
,A pediatric patient has areas of scaling on the scalp with round patches of
alopecia. This clinical finding is consistent with: -
CORRECT ANSWER ✅✅✅Tinea Capitis
What is the appropriate prophylactic medication for an 18 years old woman
with a past medical history of migraine headaches? -
CORRECT ANSWER ✅✅✅Propanolol (Inderal)
Why would a combined hormonal contraceptive be contraindicated in a 36
year old patient with a past medical history of type 2 diabetes, obesity, chronic
smoking and sedentary life -
CORRECT ANSWER ✅✅✅Her age and tobacco use
During the breast examination of a perimenopausal woman the NP detects a
bloody spontaneous discharge from the right nipple. This indicates further
evaluation. -
CORRECT ANSWER ✅✅✅An intraductal papilloma
Rh negative women should receive Rho (D) immunoglobulin at what
gestational time? -
CORRECT ANSWER ✅✅✅28 wks
When interpreting a complete blood count (CBC) lab report which of the
following results describes the size of the RBCs? -
CORRECT ANSWER ✅✅✅Mean corpuscular volume (MCV)
What medication should be avoided when prescribe prophylactic therapy for
headache -
CORRECT ANSWER ✅✅✅Venlataxin (Effexor)
,What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries -
CORRECT ANSWER ✅✅✅To produce vasodilation on....
Which of the following complaints best describes lower extremity calf pain
associated with peripheral artery disease -
CORRECT ANSWER ✅✅✅A dull pain or cramp
Which of the following conditions is NOT a typical finding of
hyperprolactinemia in a 47- year-old premenopausal woman? -
CORRECT ANSWER ✅✅✅Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing
which medication should be given to relieve the symptom? -
CORRECT ANSWER ✅✅✅Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that
causes painful localized blistering rash? -
CORRECT ANSWER ✅✅✅Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the
following EXCEPT: -
CORRECT ANSWER ✅✅✅Headache relieved with mild infrequent use of
analgesics
The client with iron deficiency anemia should be advised to take the iron
supplement –
CORRECT ANSWER ✅✅✅on an empty stomach between meals
, Which one of the following statements is true of Munchausen syndrome by
proxy? - CORRECT ANSWER ✅✅✅Under the supervision of adults other
than the abuser, the patient does not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse
in adolescents? -
CORRECT ANSWER ✅✅✅Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term
vaginal delivery, a set of premature triplets delivered vaginally, and a first
trimester abortion. Using her TPAL system to document her maternal status -
CORRECT ANSWER ✅✅✅Gravida 4 Para 1114
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a
30 years old patient. The Nurse Practitioner should asses the patents -
CORRECT ANSWER ✅✅✅Right forearm and hand
Anticholinergics are indicated for the treatment of -
CORRECT ANSWER ✅✅✅urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes
jugular venous distention. Their finding is consistent with -
CORRECT ANSWER ✅✅✅heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a
benign closed firm sac attached to the epidermis is noted on the right lateral
side of the neck. The type of lesion is known as -
CORRECT ANSWER ✅✅✅a cutaneous cyst
Symptoms of heartburn and regurgitation are associated with: -
CORRECT ANSWER ✅✅✅GERD
PRACTICE QUESTIONS & DETAILED RATIONALES –
BEST PREDICTOR PACK
When performing a visual acuity test the nurse practitioner notes 20/30 in the
left eye and 20/40 in the right eye using the Snellen eye chart. This means: -
CORRECT ANSWER ✅✅✅Refer the patient to an opthalmologist
The American psychiatric association's diagnostic and statistical manual of
mental disorder defines Munchausen Syndrome By Proxy –
CORRECT ANSWER ✅✅✅A caregiver making up or causing an illness or
injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter
medication? –
CORRECT ANSWER ✅✅✅Dopamine (serotonin, norepinephrine)
Which lesion is dark raised and asymmetric with irregular border? -
CORRECT ANSWER ✅✅✅Melanoma
A 32 years old woman presents with dull puffiness of the ayes pronounced not
pitting periorbital edema this finding is suggestive of this condition? -
CORRECT ANSWER ✅✅✅Myxedema
A 42 years old woman with a past medical history of migraine headaches is
requesting prophylactic medication treatment. Which medication should the
Nurse practitioner prescribe? -
CORRECT ANSWER ✅✅✅Amitriptyline (Elavil)
,A pediatric patient has areas of scaling on the scalp with round patches of
alopecia. This clinical finding is consistent with: -
CORRECT ANSWER ✅✅✅Tinea Capitis
What is the appropriate prophylactic medication for an 18 years old woman
with a past medical history of migraine headaches? -
CORRECT ANSWER ✅✅✅Propanolol (Inderal)
Why would a combined hormonal contraceptive be contraindicated in a 36
year old patient with a past medical history of type 2 diabetes, obesity, chronic
smoking and sedentary life -
CORRECT ANSWER ✅✅✅Her age and tobacco use
During the breast examination of a perimenopausal woman the NP detects a
bloody spontaneous discharge from the right nipple. This indicates further
evaluation. -
CORRECT ANSWER ✅✅✅An intraductal papilloma
Rh negative women should receive Rho (D) immunoglobulin at what
gestational time? -
CORRECT ANSWER ✅✅✅28 wks
When interpreting a complete blood count (CBC) lab report which of the
following results describes the size of the RBCs? -
CORRECT ANSWER ✅✅✅Mean corpuscular volume (MCV)
What medication should be avoided when prescribe prophylactic therapy for
headache -
CORRECT ANSWER ✅✅✅Venlataxin (Effexor)
,What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries -
CORRECT ANSWER ✅✅✅To produce vasodilation on....
Which of the following complaints best describes lower extremity calf pain
associated with peripheral artery disease -
CORRECT ANSWER ✅✅✅A dull pain or cramp
Which of the following conditions is NOT a typical finding of
hyperprolactinemia in a 47- year-old premenopausal woman? -
CORRECT ANSWER ✅✅✅Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing
which medication should be given to relieve the symptom? -
CORRECT ANSWER ✅✅✅Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that
causes painful localized blistering rash? -
CORRECT ANSWER ✅✅✅Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the
following EXCEPT: -
CORRECT ANSWER ✅✅✅Headache relieved with mild infrequent use of
analgesics
The client with iron deficiency anemia should be advised to take the iron
supplement –
CORRECT ANSWER ✅✅✅on an empty stomach between meals
, Which one of the following statements is true of Munchausen syndrome by
proxy? - CORRECT ANSWER ✅✅✅Under the supervision of adults other
than the abuser, the patient does not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse
in adolescents? -
CORRECT ANSWER ✅✅✅Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term
vaginal delivery, a set of premature triplets delivered vaginally, and a first
trimester abortion. Using her TPAL system to document her maternal status -
CORRECT ANSWER ✅✅✅Gravida 4 Para 1114
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a
30 years old patient. The Nurse Practitioner should asses the patents -
CORRECT ANSWER ✅✅✅Right forearm and hand
Anticholinergics are indicated for the treatment of -
CORRECT ANSWER ✅✅✅urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes
jugular venous distention. Their finding is consistent with -
CORRECT ANSWER ✅✅✅heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a
benign closed firm sac attached to the epidermis is noted on the right lateral
side of the neck. The type of lesion is known as -
CORRECT ANSWER ✅✅✅a cutaneous cyst
Symptoms of heartburn and regurgitation are associated with: -
CORRECT ANSWER ✅✅✅GERD
