APEA PRACTICE EXAM|| ACTUAL TEST
QUESTIONS AND 100% CORRECT ANSWERS
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WITH EXPERT VERIFIED SOLUTIONS || SURE
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A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has followed
recommendations of her nurse midwife. She is in the office to discuss results of her
maternal serum alpha-fetoprotein (MSAFP) test. which show elevation in this
particular pregnancy?
a. Elevated MSAFPO is an indicator of Down Syndrome
b. Low MSAFP is expected at 18 weeks' gestation
c. Neural tube defects are highly probable
d. Elevated MSAFP is an expected finding - ANSWER- d. Elevated MSAFP is an
expected finding
The NP should instruct the mother of an infant with thrush to:
a. Take oral nystatin since she is breastfeeding
b. Stop breast feeding until the thrush has resolved
c. administer antifungal medication to the infant prior to feeding
d. sterilized pacifiers and bottle nipples - ANSWER- sterilized pacifiers and bottle
nipples
The hallmark of neurofibromatosis (von Recklinghousen disease) present in almost
100%
of patients is:
a. Acoustic neuroma
b. Astrocytoma of the retina
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c. Distinctive osseous lesion
d. Café au lait spots - ANSWER- d. Café au lait spots
An 18-year-old female applying for college admission present to the health clinic
because evidence of rubella vaccination is required for admission. She says, "don't
remember ever getting that shot" She has negative serologic evidence of rubella
antibody. The NP should:
a. Tell her that her serologic evidence demonstrates that she is immune to the
rubella and that she probably has the disease as a child
b. Administer the vaccination after a negative pregnancy test and advise the patient
that shemust not get pregnant for 28 days
c. Tell her that she needs the immunization and can get today if her pregnancy test
is negative
d. Administer the rubella vaccination after a negative pregnancy test and advise her
not to get pregnant for at least 6 months. - ANSWER- Administer the vaccination
after a negative pregnancy test and advise the patient that shemust not get pregnant
for 28 days
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 - ANSWER- b. Chronic cholecystitis
The NP correctly teaches an elderly patient with pernicious anemia that food
sources of B12 include
a. Red meat, poultry, fish, eggs, dairy products
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b. Canned and frozen fruit
c. Whole grain breads, cereals and pastas
d. Fresh vegetables - ANSWER- a. Red meat, poultry, fish, eggs, dairy products
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 - ANSWER- c. Ampicillin
A characteristic of delirium that is typically absent in dementia is
a. Acute onset of confusion in a previously alert and oriented patient
b. Gradual loss of short-term memory
c. Loss of language skills
d. Long term memory gaps filled in with confabulation - ANSWER- a. Acute
onset of confusion in a previously alert and oriented patient
It is imperative that the NP teach patients taking oral contraceptives to report any
of the danger signs of complications. Which of the following would be the LEAST
concern to the NP?
a. Lower leg pain
b. Upper abdominal pain
c. Chest pain
d. Weight gain - ANSWER- d. Weight gain