APEA PRE-PREDICTOR ACTUAL EXAM TEST BANK 850+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

APEA PRE-PREDICTOR 2025-2026 ACTUAL EXAM
TEST BANK 850+ QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+

A 6 yo had an acute onset ofifever, pharyngitis, and headache 2idays ago. Today, h
e presents with cervical lymphadenopathy and sandpaperitextured rash everywhe
re except on his face. A rapid streptococcal antigen test is positive. The remainder
of the assessment in unremarkable. What is the most likely diagnosis and the mo
st appropriate action? - answer-Scarlet fever; treatiwith antibiotics.
This disease is due to infection with Group A Beta-
hemolytic streptococcus. The rash is thought to be due to a systemic reaction to t
he toxin produced by the microorganism. The rash fades with pressure and ultim
ately desquamates. A deep, nonblanchingirash on the flexor surfaces of the skin i
s referred to as pastia lines.


A patient has been diagnosed with hypothyroidism and thyroid hormone replace
ment therapy is prescribed. When should the nurse practitioner check the patien
t's TSH? - answer-6 weeks.
The half-
life of levothyroxine, the treatment ofichoice for thyroid replacement, is 7 days.
The earliest that meaningful changes will be observed is at 4-
6 weeks. Therefore, the NP should wait a minimum ofi4-
6 weeks before checking the patient's TSH.


A 15 yo malue has a history of cryptorchidism which was surgically repaired. Bec
ause of this information, it is essential forithe nurse practitionerito teach him abo
ut: - answer-testicular self- examination.
Cryptorchidism, even with surgical repair, is associated with increased risk for testic
ular cancer.


The treatment of choice forichronic bacterial prostatitis (CBP) is: - answer-
a flouroquinolone twice daily fori3 weeks to 4 months.

,The treatmentiof chice is aiflouroquinolone twice dailyifor 3 weeks to 4 month
s. The cure rate with Bactrim-DS is onlyiabout 30-40%.

,A 25 yo female has a history of frequent candidal vaginal infections in the past ye
ar. She is in a monogamous sexual relationship and uses and IUD foricontracepti
on. Ofithe following, which is the most likely underlyingiconidition predisposing
herito recurring candidal vaginitis? - answer-Diabetes.
A common underlying cause ofifrequent infections is diabetes mellitus. Pregnan
cyiincreases the incidence of candidiasis, but is unlikely a factoriwith this patient
.

, Which ofithe followingiis NOT a characteristic of the S3 heart sound? -
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answer- The sound is high-pitched and occurs just prior to the S1 heart
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sound.
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The S3 heartisound is low-
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pitched and occurs just afterithe S2 heart sound. It is produced by rapid
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ventricul arifillingiand is best auscultated in the mitral area. It is a common
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finding with rig ht-sided heart failure, rapid growth, and the last trimester of
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pregnancy.
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Following the findingiof prostate gland abnormalities on DRE, the NP orders
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the appropriate labs. Whem preparing to review lab reports withithe patient,
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the nurs e practitioner knows all of the following are true EXCEPT: - answer-
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normal PSAiis 10ng/ml oriless. kt kt kt



Normal PSAiis 4ng/ml oriless. PSAilevels greater the 4 and less than 10 are associ
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ated withiBPH. Ai10 origreater PSAilevel suggests prostate cancer. Positive seru
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m acid phosphatase is associated with malignancy of the prostate gland with
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bon e metasasis.
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Ai66 yo female presents to your clinic. She states that yesterday evening she had c
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hest pain fori20-
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30 minutes. Whichifinding most strongly correlates with myocardial infarction? -
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answer-Elevated Troponin I levels
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An elevated creatinine kinase (CK) is not diagnostic of a myocardial infarction (
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MI). CKimay be elevated from an IM injection, surgery, ot anyitype of extensive
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s keletal muscle trauma oriprolonged, strenuous physical exertion. ST segment
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de pression on EKG usually indicates an ischemic myocardium, but, not
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necessaril y, one post-
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MI. Elevated ST seghments reflect mycardial damage. MB bands are specific
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for myocardial smoothimuscle. Ifithese are elevated, the patientiMAY HAVE
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had a v ery recent MI. The most accurate marker of cardiac damage, because
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it is more s pecific and sensitive than CK MB, is a troponin measurement.
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Whatiis a secondary cause ofihyperlipidemia? - answer-hypothyroidism
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Hypothyroidism is a common secondary cause of hyperlipidemia. In the kt kt kt kt kt kt kt kt kt


evaluat ion of a patientiwith hyperlipidemia, a TSH should always be checked
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and correc ted before attempting treatment for hyperlipidemia. Other
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