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APEA 3P PREDICTOR FINAL EXAM
|All-New Combined 7 Test Bank & All
Versions Exam Bundle – Updated
2025/2026 NP Certification Prep with
Detailed Rationales
Question.
The most likely working diagnosis for a 14 year old patient who fell on an outstretched hand,
complains of proximal forearm pain, and has a positive fat pad sign on X-ray. -
CORRECT✓✓ Radial head fracture
Question.
The child quickly begins to use the affected arm after closed manipulation. - CORRECT✓✓
Successful treatment indication for radial head subluxation
Question.
A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with an
erythematous base on the buccal mucosa suggests this diagnosis. - CORRECT✓✓ Measles
Question.
Indicated by a 12-month-old child looking for a toy that the father has hidden under the table.
- CORRECT✓✓ Object permanence
Question.
Expected examination result for a 14-year-old male with bronchitis returning with fever, right
pleuritic chest pain, and green sputum. - CORRECT✓✓ Right lower lobe crackles
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Question.
The diagnostic test that should be performed immediately for a 15-year-old female with
burning urination after treatment for trichomonas vaginitis. - CORRECT✓✓ Microscopic
exam of urine
Question.
Essential education for a 15-year-old male with a history of cryptorchidism which was
surgically repaired. - CORRECT✓✓ Testicular self-examination
Question.
The first action a school nurse should take when a child with type I diabetes mellitus reports
sweating and weakness after insulin injection. - CORRECT✓✓ Measure the blood sugar
Question.
The appropriate response for a 16-year-old female experiencing midcycle spotting while on
Ortho-Novum 7/7/7. - CORRECT✓✓ Providing reassurance
Question.
The most appropriate diagnostic tests to order for a 17-year-old female suspected of having
polycystic ovary syndrome, in addition to testosterone. - CORRECT✓✓ FSH, LH, TSH
Question.
The most likely diagnosis for a 17-year-old female who has never had her menses and is at
Tanner stage III of sexual development. - CORRECT✓✓ Primary amenorrhea
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Question.
Condition suspected for a 20-year-old male with a 1-month history of a bump on his testicle
and a history of unprotected intercourse. - CORRECT✓✓ Cancer of the testicles
Question.
Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - CORRECT✓✓ Gonococcal conjunctivitis
Question.
Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding, rigid
abdominal musculature, rebound tenderness at McBurney's point, and leukocytosis. -
CORRECT✓✓ Appendicitis
Question.
A question to consider when analyzing a 22-year-old college student's heart rate of 48/minute
and regular during a routine physical examination. - CORRECT✓✓ Is this student an athlete?
Question.
Advice for a 24-year-old female taking oral contraceptives who has missed her last 2 pills to
minimize her risk of pregnancy. - CORRECT✓✓ Double today's dose and tomorrow's dose
and use a barrier method for the rest of the month
Question.
Contraceptive technique to prevent pregnancy. - CORRECT✓✓ Barrier method
Question.
Common cause of recurrent candidal infections. - CORRECT✓✓ Diabetes mellitus
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Question.
Non-tender breast mass with nipple discharge. - CORRECT✓✓ Intraductal papilloma
Question.
Often asymptomatic in males; no remarkable symptoms. - CORRECT✓✓ Chlamydia
infection
Question.
Skin rash caused by irritants or allergens. - CORRECT✓✓ Contact dermatitis
Question.
Test to identify pathogens in respiratory secretions. - CORRECT✓✓ Sputum culture
Question.
Autoimmune condition causing joint inflammation and stiffness. - CORRECT✓✓
Rheumatoid arthritis
Question.
Infection causing pelvic pain and urinary symptoms. - CORRECT✓✓ Acute bacterial
prostatitis
Question.
Ultrasound imaging to assess internal structures. - CORRECT✓✓ Sonogram
APEA 3P PREDICTOR FINAL EXAM
|All-New Combined 7 Test Bank & All
Versions Exam Bundle – Updated
2025/2026 NP Certification Prep with
Detailed Rationales
Question.
The most likely working diagnosis for a 14 year old patient who fell on an outstretched hand,
complains of proximal forearm pain, and has a positive fat pad sign on X-ray. -
CORRECT✓✓ Radial head fracture
Question.
The child quickly begins to use the affected arm after closed manipulation. - CORRECT✓✓
Successful treatment indication for radial head subluxation
Question.
A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with an
erythematous base on the buccal mucosa suggests this diagnosis. - CORRECT✓✓ Measles
Question.
Indicated by a 12-month-old child looking for a toy that the father has hidden under the table.
- CORRECT✓✓ Object permanence
Question.
Expected examination result for a 14-year-old male with bronchitis returning with fever, right
pleuritic chest pain, and green sputum. - CORRECT✓✓ Right lower lobe crackles
, Page |2
Question.
The diagnostic test that should be performed immediately for a 15-year-old female with
burning urination after treatment for trichomonas vaginitis. - CORRECT✓✓ Microscopic
exam of urine
Question.
Essential education for a 15-year-old male with a history of cryptorchidism which was
surgically repaired. - CORRECT✓✓ Testicular self-examination
Question.
The first action a school nurse should take when a child with type I diabetes mellitus reports
sweating and weakness after insulin injection. - CORRECT✓✓ Measure the blood sugar
Question.
The appropriate response for a 16-year-old female experiencing midcycle spotting while on
Ortho-Novum 7/7/7. - CORRECT✓✓ Providing reassurance
Question.
The most appropriate diagnostic tests to order for a 17-year-old female suspected of having
polycystic ovary syndrome, in addition to testosterone. - CORRECT✓✓ FSH, LH, TSH
Question.
The most likely diagnosis for a 17-year-old female who has never had her menses and is at
Tanner stage III of sexual development. - CORRECT✓✓ Primary amenorrhea
, Page |3
Question.
Condition suspected for a 20-year-old male with a 1-month history of a bump on his testicle
and a history of unprotected intercourse. - CORRECT✓✓ Cancer of the testicles
Question.
Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - CORRECT✓✓ Gonococcal conjunctivitis
Question.
Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding, rigid
abdominal musculature, rebound tenderness at McBurney's point, and leukocytosis. -
CORRECT✓✓ Appendicitis
Question.
A question to consider when analyzing a 22-year-old college student's heart rate of 48/minute
and regular during a routine physical examination. - CORRECT✓✓ Is this student an athlete?
Question.
Advice for a 24-year-old female taking oral contraceptives who has missed her last 2 pills to
minimize her risk of pregnancy. - CORRECT✓✓ Double today's dose and tomorrow's dose
and use a barrier method for the rest of the month
Question.
Contraceptive technique to prevent pregnancy. - CORRECT✓✓ Barrier method
Question.
Common cause of recurrent candidal infections. - CORRECT✓✓ Diabetes mellitus
, Page |4
Question.
Non-tender breast mass with nipple discharge. - CORRECT✓✓ Intraductal papilloma
Question.
Often asymptomatic in males; no remarkable symptoms. - CORRECT✓✓ Chlamydia
infection
Question.
Skin rash caused by irritants or allergens. - CORRECT✓✓ Contact dermatitis
Question.
Test to identify pathogens in respiratory secretions. - CORRECT✓✓ Sputum culture
Question.
Autoimmune condition causing joint inflammation and stiffness. - CORRECT✓✓
Rheumatoid arthritis
Question.
Infection causing pelvic pain and urinary symptoms. - CORRECT✓✓ Acute bacterial
prostatitis
Question.
Ultrasound imaging to assess internal structures. - CORRECT✓✓ Sonogram
