NUR 504 3P APEA EXAM ACTUAL
EXAM
15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of
this information, it is essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex - ANS a. Testicular self-examination
24 y/o female taking oral contraceptive has missed her last 2 pills. What should the
NP advise her to do to minimize her risk of pregnancy?
a. Take today's dose and do not miss any more during this month
b. Double today's dose and use a barrier method for the rest of this month
c. Double today's dose and tomorrow's dose and use a barrier method for the rest of
this month
d. Stop the pills and restart a new pill pack in one week. - ANS c. Double
today's dose and tomorrow's dose and use a barrier method for the rest of this
month
30 years old female comes into a clinic with classic signs and symptoms of
appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures
and the woman die. This is an example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice - ANS d. Malpractice
40 y/o female with hx. Of frequent sun exposure present with multicolored lesion on
her back it has irregular borders and is about 11 mm in diameter. What should the
NP suspect?
a. Squamous cell carcinoma
b. Malignant melanoma
c. Common Nevis
d. Basal cell carcinoma - ANS b. Malignant melanoma
45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ pain
and epigastric "crampy pain". Symptoms are exacerbated by high-fat meal. What is
the most likelydiagnosis?
a. Hepatitis
,b. Chronic cholecystitis
c. Acute pancreatitis
d. Myocarditis - ANS b. Chronic cholecystitis
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast
cancerat age 40 years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS d. Topical conjugate estrogen
cream
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast
cancerat age 40 years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS d. Topical conjugate estrogen
cream
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast
cancerat age 40 years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS d. Topical conjugate estrogen
cream
A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up
of the legs followed by periods of lethargy. On physical examination, a "sausage-like"
mass in the upper right quadrant of the distended abdomen. Which of the following is
the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract - ANS a. Intussusception
A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute otitis
media because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls and immobile.
, d. Canal is narrowed, erythematous, and exquisitely tender with speculum contact -
ANS Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls and immobile.
A 12-month-old has conjunctivitis in his right eye with a mucopurulent discharge. The
mother asks if the child can forego for antibiotic eye drops because he does not's like
drops in his eyes. The NP replies that:
a. If untreated, conjunctivitis may permanently damage the cornea
b. Conjunctivitis is usually caused by a virus. Let's wait a few days
c. If no one else at the daycare has it, we can wait a few days.
d. An oral antihistamine may be prescribed instead of eye drops. - ANS a. If
untreated, conjunctivitis may permanently damage the cornea
A 13 y/o pt. complains that he fell while running during football practice. Now his
knee hurts and sometimes "lucks". The NP conducts McMurrays test. Which of the
following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally. - ANS a.
An audible or palpated "click" is positive for a torn meniscus
A 15 years old high school student with a mild sore throat and low-grade fever that
has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of
appetite. The NP suspects mononucleosis. Which of the following is the LEAST
appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - ANS d. Obtain an
urinalyses and serum for LFTs and amylase
A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical
adenopathy, and palatine petechia. With for this patient, what drug would be the
LEAST appropriate to
prescribe?
a. Ibuprofen
b. Erythromycin
c. Ampicillin
d. Doxycycline - ANS c. Ampicillin
a 16 y/o sexually active female presents to the clinic. She has never had
vaccinations for hepatitis A or B. She has had one MMR immunization, and her last
EXAM
15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of
this information, it is essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex - ANS a. Testicular self-examination
24 y/o female taking oral contraceptive has missed her last 2 pills. What should the
NP advise her to do to minimize her risk of pregnancy?
a. Take today's dose and do not miss any more during this month
b. Double today's dose and use a barrier method for the rest of this month
c. Double today's dose and tomorrow's dose and use a barrier method for the rest of
this month
d. Stop the pills and restart a new pill pack in one week. - ANS c. Double
today's dose and tomorrow's dose and use a barrier method for the rest of this
month
30 years old female comes into a clinic with classic signs and symptoms of
appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures
and the woman die. This is an example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice - ANS d. Malpractice
40 y/o female with hx. Of frequent sun exposure present with multicolored lesion on
her back it has irregular borders and is about 11 mm in diameter. What should the
NP suspect?
a. Squamous cell carcinoma
b. Malignant melanoma
c. Common Nevis
d. Basal cell carcinoma - ANS b. Malignant melanoma
45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ pain
and epigastric "crampy pain". Symptoms are exacerbated by high-fat meal. What is
the most likelydiagnosis?
a. Hepatitis
,b. Chronic cholecystitis
c. Acute pancreatitis
d. Myocarditis - ANS b. Chronic cholecystitis
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast
cancerat age 40 years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS d. Topical conjugate estrogen
cream
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast
cancerat age 40 years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS d. Topical conjugate estrogen
cream
59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast
cancerat age 40 years. What is the appropriate initial treatment for this patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS d. Topical conjugate estrogen
cream
A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up
of the legs followed by periods of lethargy. On physical examination, a "sausage-like"
mass in the upper right quadrant of the distended abdomen. Which of the following is
the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract - ANS a. Intussusception
A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute otitis
media because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls and immobile.
, d. Canal is narrowed, erythematous, and exquisitely tender with speculum contact -
ANS Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls and immobile.
A 12-month-old has conjunctivitis in his right eye with a mucopurulent discharge. The
mother asks if the child can forego for antibiotic eye drops because he does not's like
drops in his eyes. The NP replies that:
a. If untreated, conjunctivitis may permanently damage the cornea
b. Conjunctivitis is usually caused by a virus. Let's wait a few days
c. If no one else at the daycare has it, we can wait a few days.
d. An oral antihistamine may be prescribed instead of eye drops. - ANS a. If
untreated, conjunctivitis may permanently damage the cornea
A 13 y/o pt. complains that he fell while running during football practice. Now his
knee hurts and sometimes "lucks". The NP conducts McMurrays test. Which of the
following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally. - ANS a.
An audible or palpated "click" is positive for a torn meniscus
A 15 years old high school student with a mild sore throat and low-grade fever that
has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of
appetite. The NP suspects mononucleosis. Which of the following is the LEAST
appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - ANS d. Obtain an
urinalyses and serum for LFTs and amylase
A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical
adenopathy, and palatine petechia. With for this patient, what drug would be the
LEAST appropriate to
prescribe?
a. Ibuprofen
b. Erythromycin
c. Ampicillin
d. Doxycycline - ANS c. Ampicillin
a 16 y/o sexually active female presents to the clinic. She has never had
vaccinations for hepatitis A or B. She has had one MMR immunization, and her last
