APEA PRE-PREDICTOR ACTUAL EXAM TEST BANK 850+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

1


APEA PRE-PREDICTOR ACTUAL EXAM TEST BANK
850+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A1638-yo16pregnant16patient16at161816weeks16gestation,16complains16of16feeling16light-
headed16when16standing.16Which16of16the16following16is16an16appropriate16response16by16the1
6NP?16-1 6 CORRECT

ANSWER>>Blood16pressure16normally16decreases16during16pregnancy16and16can16cause16this16sympt
om.

Blood16pressure16normally16decreases16during16pregnancy,16reaching16the16lowest16point16during16th
e
second16or16third16trimesters16and16rising16there16after.16Patient16education16to16rise16slowly16f
rom16sitting16or16lying16is16important.16Low16blood16glucose16may16be16the16etiology,16but16an1
6oral16glucose16tolerance16test16at16this16point16is16not16indicated.16A16fasting16blood16glucose

16could16be16ordered,16however,16an

electrocardiogram16is16not16indicated.

An168016year16old16Caucasian16female16has16heart16failure.16What16symptom16is16an16early16indi
cator16of16failure?16-1 6 CORRECT16ANSWER>>Weight16gain.
Early16signs16of16heart16failure16include16weight16gain16(the16most16sensitive16indicator),16S316ga
llop,16dyspnea16on16exertion,16peripheral16edema.16Moderate16signs16include16nocturnal16coug
h,16tachycardia.16Late16signs16include16ascities,16frothy16sputum,16and16hypotension.

A16616yo16had16an16acute16onset16of16fever,16pharyngitis,16and16headache16216days16ago.16Tod
ay,16he16presents16with16cervical16lymphadenopathy16and16sandpaper16textured16rash16everyw
here16except16on16his16face.16A16rapid16streptococcal16antigen16test16is16positive.16The16remain
der16of16the16assessment16in16unremarkable.16What16is16the16most16likely16diagnosis16and16the
16most16appropriate16action?16-1 6 CORRECT

ANSWER>>Scarlet16fever;16treat16with16antibiotics.
This16disease16is16due16to16infection16with16Group16A16Beta-
hemolytic16streptococcus.16The16rash16is16thought16to16be16due16to16a16systemic16reaction16to1
6the16toxin16produced16by16the16microorganism.16The16rash16fades

with16pressure16and16ultimately16desquamates.16A16deep,16nonblanching16rash16on16the16flexor
16surfaces16of16the16skin16is16referred16to16as16pastia16lines.



A16patient16has16been16diagnosed16with16hypothyroidism16and16thyroid16hormone16replacemen
t16therapy16is16prescribed.16When16should16the16nurse16practitioner16check16the16patient's16TS
H?16-1 6 CORRECT
ANSWER>>616weeks.

,2

The16half-
life16of16levothyroxine,16the16treatment16of16choice16for16thyroid16replacement,16is16716days.16T
he16earliest16that16meaningful16changes16will16be16observed16is16at164-
616weeks.16Therefore,16the16NP16should16wait16a16minimum16of164-
616weeks16before16checking16the16patient's16TSH.

,3



A161516yo16malue16has16a16history16of16cryptorchidism16which16was16surgically16repaired.16Beca
use16of16this16information,16it16is16essential16for16the16nurse16practitioner16to16teach16him16ab
out:16-1 6 CORRECT
ANSWER>>testicular1 6 self-examination.
Cryptorchidism,16even16with16surgical16repair,16is16associated16with16increased16risk16for16testicular16
cancer.

The16treatment16of16choice16for16chronic16bacterial16prostatitis16(CBP)16is:16-
1 6 CORRECT16ANSWER>>a16flouroquinolone16twice16daily16for16316weeks16to16416months.

The16treatment16of16chice16is16a16flouroquinolone16twice16daily16for16316weeks16to16416months.1
6The16cure16rate16with16Bactrim-DS16is16only16about1630-40%.



A162516yo16female16has16a16history16of16frequent16candidal16vaginal16infections16in16the16past16
year.16She16is16in16a16monogamous16sexual16relationship16and16uses16and16IUD16for16contracepti
on.16Of16the16following,16which16is16the16most16likely16underlying16conidition16predisposing16her
16to16recurring16candidal16vaginitis?16-

CORRECT16ANSWER>>Diabetes.

A16common16underlying16cause16of16frequent16infections16is16diabetes16mellitus.16Pregnancy16increa
ses16the16incidence16of16candidiasis,16but16is16unlikely16a16factor16with16this16patient.

Which16of16the16following16is16NOT16a16characteristic16of16the16S316heart16sound?16-
1 6 CORRECT16ANSWER>>The16sound16is16high-

pitched16and16occurs16just16prior16to16the16S116heart16sound.
The16S316heart16sound16is16low-
pitched16and16occurs16just16after16the16S216heart16sound.16It16is16produced16by16rapid16ventr
icular16filling16and16is16best16auscultated16in16the16mitral16area.16It16is16a16common16finding16
with16right-
sided16heart16failure,16rapid16growth,16and16the16last16trimester16of16pregnancy.

Following16the16finding16of16prostate16gland16abnormalities16on16DRE,16the16NP16orders16the16a
ppropriate16labs.16Whem16preparing16to16review16lab16reports16with16the16patient,16the16nurse16
practitioner16knows16all16of16the16following16are16true16EXCEPT:16-
1 6 CORRECT16ANSWER>>normal16PSA16is1610ng/ml16or16less.

Normal16PSA16is164ng/ml16or16less.16PSA16levels16greater16the16416and16less16than161016are16asso
ciated16with16BPH.16A161016or16greater16PSA16level16suggests16prostate16cancer.16Positive16seru
m16acid16phosphatase16is16associated16with16malignancy16of16the16prostate16gland16with16bone
16metasasis.



A166616yo16female16presents16to16your16clinic.16She16states16that16yesterday16evening16she16ha
d16chest16pain16for1620-

, 4

3016minutes.16Which16finding16most16strongly16correlates16with16myocardial16infarction?16-
1 6 CORRECT16ANSWER>>Elevated16Troponin16I16levels

An16elevated16creatinine16kinase16(CK)16is16not16diagnostic16of16a16myocardial16infarction16(MI).16
CK16may16be16elevated16from16an16IM16injection,16surgery,16ot16any16type16of16extensive16skele
tal16muscle16trauma16or16prolonged,16strenuous16physical16exertion.16ST16segment16depression
16on16EKG16usually16indicates16an