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+
A1338-yo13pregnant13patient13at131813weeks13gestation,13complains13of13feeling13light-
headed13when13standing.13Which13of13the13following13is13an13appropriate13response13by13the1
3NP?13-1 3 CORRECT

ANSWER>>Blood13pressure13normally13decreases13during13pregnancy13and13can13cause13this13sympt
om.

Blood13pressure13normally13decreases13during13pregnancy,13reaching13the13lowest13point13during13th
e
second13or13third13trimesters13and13rising13there13after.13Patient13education13to13rise13slowly13f
rom13sitting13or13lying13is13important.13Low13blood13glucose13may13be13the13etiology,13but13an1
3oral13glucose13tolerance13test13at13this13point13is13not13indicated.13A13fasting13blood13glucose

13could13be13ordered,13however,13an

electrocardiogram13is13not13indicated.

An138013year13old13Caucasian13female13has13heart13failure.13What13symptom13is13an13early13indi
cator13of13failure?13-1 3 CORRECT13ANSWER>>Weight13gain.
Early13signs13of13heart13failure13include13weight13gain13(the13most13sensitive13indicator),13S313ga
llop,13dyspnea13on13exertion,13peripheral13edema.13Moderate13signs13include13nocturnal13coug
h,13tachycardia.13Late13signs13include13ascities,13frothy13sputum,13and13hypotension.

A13613yo13had13an13acute13onset13of13fever,13pharyngitis,13and13headache13213days13ago.13Tod
ay,13he13presents13with13cervical13lymphadenopathy13and13sandpaper13textured13rash13everyw
here13except13on13his13face.13A13rapid13streptococcal13antigen13test13is13positive.13The13remain
der13of13the13assessment13in13unremarkable.13What13is13the13most13likely13diagnosis13and13the
13most13appropriate13action?13-1 3 CORRECT

ANSWER>>Scarlet13fever;13treat13with13antibiotics.
This13disease13is13due13to13infection13with13Group13A13Beta-
hemolytic13streptococcus.13The13rash13is13thought13to13be13due13to13a13systemic13reaction13to1
3the13toxin13produced13by13the13microorganism.13The13rash13fades

with13pressure13and13ultimately13desquamates.13A13deep,13nonblanching13rash13on13the13flexor
13surfaces13of13the13skin13is13referred13to13as13pastia13lines.



A13patient13has13been13diagnosed13with13hypothyroidism13and13thyroid13hormone13replacemen
t13therapy13is13prescribed.13When13should13the13nurse13practitioner13check13the13patient's13TS
H?13-1 3 CORRECT
ANSWER>>613weeks.

,2

The13half-
life13of13levothyroxine,13the13treatment13of13choice13for13thyroid13replacement,13is13713days.13T
he13earliest13that13meaningful13changes13will13be13observed13is13at134-
613weeks.13Therefore,13the13NP13should13wait13a13minimum13of134-
613weeks13before13checking13the13patient's13TSH.

,3



A131513yo13malue13has13a13history13of13cryptorchidism13which13was13surgically13repaired.13Beca
use13of13this13information,13it13is13essential13for13the13nurse13practitioner13to13teach13him13ab
out:13-1 3 CORRECT
ANSWER>>testicular1 3 self-examination.
Cryptorchidism,13even13with13surgical13repair,13is13associated13with13increased13risk13for13testicular13
cancer.

The13treatment13of13choice13for13chronic13bacterial13prostatitis13(CBP)13is:13-
1 3 CORRECT13ANSWER>>a13flouroquinolone13twice13daily13for13313weeks13to13413months.

The13treatment13of13chice13is13a13flouroquinolone13twice13daily13for13313weeks13to13413months.1
3The13cure13rate13with13Bactrim-DS13is13only13about1330-40%.



A132513yo13female13has13a13history13of13frequent13candidal13vaginal13infections13in13the13past13
year.13She13is13in13a13monogamous13sexual13relationship13and13uses13and13IUD13for13contracepti
on.13Of13the13following,13which13is13the13most13likely13underlying13conidition13predisposing13her
13to13recurring13candidal13vaginitis?13-

CORRECT13ANSWER>>Diabetes.

A13common13underlying13cause13of13frequent13infections13is13diabetes13mellitus.13Pregnancy13increa
ses13the13incidence13of13candidiasis,13but13is13unlikely13a13factor13with13this13patient.

Which13of13the13following13is13NOT13a13characteristic13of13the13S313heart13sound?13-
1 3 CORRECT13ANSWER>>The13sound13is13high-

pitched13and13occurs13just13prior13to13the13S113heart13sound.
The13S313heart13sound13is13low-
pitched13and13occurs13just13after13the13S213heart13sound.13It13is13produced13by13rapid13ventr
icular13filling13and13is13best13auscultated13in13the13mitral13area.13It13is13a13common13finding13
with13right-
sided13heart13failure,13rapid13growth,13and13the13last13trimester13of13pregnancy.

Following13the13finding13of13prostate13gland13abnormalities13on13DRE,13the13NP13orders13the13a
ppropriate13labs.13Whem13preparing13to13review13lab13reports13with13the13patient,13the13nurse13
practitioner13knows13all13of13the13following13are13true13EXCEPT:13-
1 3 CORRECT13ANSWER>>normal13PSA13is1310ng/ml13or13less.

Normal13PSA13is134ng/ml13or13less.13PSA13levels13greater13the13413and13less13than131013are13asso
ciated13with13BPH.13A131013or13greater13PSA13level13suggests13prostate13cancer.13Positive13seru
m13acid13phosphatase13is13associated13with13malignancy13of13the13prostate13gland13with13bone
13metasasis.



A136613yo13female13presents13to13your13clinic.13She13states13that13yesterday13evening13she13ha
d13chest13pain13for1320-

, 4

3013minutes.13Which13finding13most13strongly13correlates13with13myocardial13infarction?13-
1 3 CORRECT13ANSWER>>Elevated13Troponin13I13levels

An13elevated13creatinine13kinase13(CK)13is13not13diagnostic13of13a13myocardial13infarction13(MI).13
CK13may13be13elevated13from13an13IM13injection,13surgery,13ot13any13type13of13extensive13skele
tal13muscle13trauma13or13prolonged,13strenuous13physical13exertion.13ST13segment13depression
13on13EKG13usually13indicates13an