APEA 3P Exam
Contains 75 Questions with Verified Answers 2025\2026
update
1. 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
- answer Obtain an urinalyses and serum for LFTs and amylase
2. A 32 years old male patient complaint of urinary frequency and burning on urination for 3 days.
Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx of urinary tract infections. The
initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose
- answer trimethoprim-sulfamethoxazole
(Bactrim, Sulfatrim) for 7-10 day
3. The NP is counseling a 25 y/o sexually active male patient about condom
use, which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any1 sexual
/ 13 contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place Explanation: Condoms
, b. Applicable to children from birth to 5 years; evaluates four major cate- gories of development:
motor, vision, hearing and psychosocial to determine whether a child is normal or developmentally
compromised
c. Applicable to children from birth to 6 years; evaluates four major categories of development: gross
motor, fine motor-adaptive, language, and personal social to determine whether a child is within
normal range for behaviors or is developmentally delayed.
- answer Applicable to children from birth to 6 years; evaluates four major categories of development: gross
motor, fine motor-adaptive, language, and personal social to determine whether a child is within normal range for
behaviors or is developmentally delayed.
5. Which agent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetracycline
d. Isotretinoin
- answer Isotretinoin
6. An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use
a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of migraines.
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
d. if she forgets to take a single dose of the contraceptive
- answer If prescribed topiramate (Topamax) for the treatment of migraines.
7. A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5mmol/L),
LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65
mmol/L), and triglycerides= 344 mg/dL (8.94
mmol/L). What agent have the greatest effect on improving her lipid profile and reducing
morbidity and mortality associates with dyslipidemia?
, 8. A NP has recently been hired to work in a fast track facility.The NP employer asked if she has "a
problem prescribing medications for emergency contra- ception." The NP replies affirmatively. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
c. Illegal according to the standards of nursing
d. Patient abandonment.
- answer An ethical dilemma for the NP
9. 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
- answer Malpractice
10. A patient presents with pruritic lesions on both knees. There are visible silver scales. How
Should this condition be managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream
- answer Topical corticosteroids cream
11. Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use
- answer Gradually tapers SSRI use
Contains 75 Questions with Verified Answers 2025\2026
update
1. 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
- answer Obtain an urinalyses and serum for LFTs and amylase
2. A 32 years old male patient complaint of urinary frequency and burning on urination for 3 days.
Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx of urinary tract infections. The
initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose
- answer trimethoprim-sulfamethoxazole
(Bactrim, Sulfatrim) for 7-10 day
3. The NP is counseling a 25 y/o sexually active male patient about condom
use, which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any1 sexual
/ 13 contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place Explanation: Condoms
, b. Applicable to children from birth to 5 years; evaluates four major cate- gories of development:
motor, vision, hearing and psychosocial to determine whether a child is normal or developmentally
compromised
c. Applicable to children from birth to 6 years; evaluates four major categories of development: gross
motor, fine motor-adaptive, language, and personal social to determine whether a child is within
normal range for behaviors or is developmentally delayed.
- answer Applicable to children from birth to 6 years; evaluates four major categories of development: gross
motor, fine motor-adaptive, language, and personal social to determine whether a child is within normal range for
behaviors or is developmentally delayed.
5. Which agent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetracycline
d. Isotretinoin
- answer Isotretinoin
6. An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use
a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of migraines.
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
d. if she forgets to take a single dose of the contraceptive
- answer If prescribed topiramate (Topamax) for the treatment of migraines.
7. A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5mmol/L),
LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65
mmol/L), and triglycerides= 344 mg/dL (8.94
mmol/L). What agent have the greatest effect on improving her lipid profile and reducing
morbidity and mortality associates with dyslipidemia?
, 8. A NP has recently been hired to work in a fast track facility.The NP employer asked if she has "a
problem prescribing medications for emergency contra- ception." The NP replies affirmatively. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
c. Illegal according to the standards of nursing
d. Patient abandonment.
- answer An ethical dilemma for the NP
9. 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
- answer Malpractice
10. A patient presents with pruritic lesions on both knees. There are visible silver scales. How
Should this condition be managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream
- answer Topical corticosteroids cream
11. Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use
- answer Gradually tapers SSRI use
