APEA Predictor Exam Questions ( Family Primary Care
2– Grand Canyon University ,All New Combined 7 Test
Bank & All Versions Exam – Updated 2025/2026 NP
Certification Prep with Detailed Rationales
What is the biggest side effect of colchicine? - answer-:diarrhea
An 18 yo college student presents for an athletic physical. When asked about current
medications, she mentions that she takes "some hearb" she bought at a health food store for
migrains and menstrual cramps. Which of the following herbal remedies has been commonly
used for these conditions?
A. Ephedra
B. Echinacea
C. Feverfew
D. Ginko Biloba - answer-:C. Feverfew
Which of the following GI changes in associated with normal aging?
A. Decreased production of gastric acid
B. Decreased incidence of gallstones
C. Increased salivation
D. Increased esophageal emptying - answer-:A. Decreased production of gastric acid.
A 32 year old patient reports a 6-month history of intermittant symmetrical swelling of the
wrists and daily morning stiffness lasting 1 hour or more in and around other joints. What is the
most likely diagnosis?
,A. Rheumatoid arthritis
B. Osteoarthritis
C. Gouty arthritis
D. Reiter's syndrome - answer-:A. Rheumatoid Arthritis
An 85 year old patient related that on the way to an annual physical exam, the patient suffered
a sudden loss of vision in the right eye characterized by a "bunch of lights" and a feeling that " a
curtain came down" The most likely diagnosis is:
A. Vitreal hemorrhage
B. Optic nerve lesion
C. Central retinal nerve occlusion
D. Retinal Detachment - answer-:D. Retinal detachment
Assessment findings that would support a diagnosis of mitral regurgitation include:
A. atrial fibrillation with summation gallop
B. Loud, high-pitched pansystolic murmur
C. Diastolic murmur with split S1
D. Early diastolic murmur with an S3 wave. - answer-:B. Loud, high-pitched pansystolic murmur
During an employment physical exam of a 21-year old female, bruising around the areola on the
breasts is noted. An appropriate health history for these findings should include all of the
following EXCEPT:
A. Current social relatonships
B. History of present or past traumas
C. Mental health status
D. Socioeconomic status. - answer-:D. Socioeconomic status.
,According to the American Diabetes Association, the newest standard for determining the
presence of diabetes mellitus based on fasting plasma sugar level is a vlaue equal to or greater
than:
A. 100 mg/dl
B. 126 mg/dl
C. 140 mg/dl
D. 180 mg/dl - answer-:B. 126 mg/dl
A nurse practitioner orders pulmonary rehabilitation for a 75 yo patient with COPD. Expected
outcomes of this program include all the following EXCEPT:
A. enhanced quality of life
B. Increased lung capacity
C. Decreased in-patient hospitalizations
D. Improved exercise capacity - answer-:B. Increased lung capacity
A 2month old infant is presented for examination and immunizations. History includes an
uncomplicated full-term delivery and hepatitis B virus immunization shortly after birth.
Examination is unremarkable except for a diffusely erythematous (not beet red) macular rash in
the diaper area., sparing the inguinal folds. No satellite lesions are noted . The infant's rash is
most likely caused by.
A. Candida albicans infections.
B. Eczema
C. Seborrheic dermatitis
D. Contact dermatitis - answer-:D. Contact dermatitis
A patient with a diagnosis of diverticulosis presents with localized left lower quadrant
discomfort, a palpable mass, mild leukocytosis, and T=100F (37.8C). The patient does not apear
toxic and can tolerate fluids. An appropriate plan should include:
A. barium enema and nothing by mouth
, B. Clear liquids and antibiotics
C. low-fiber diet and referral to gastroenterologist
D. hospital admission for IV antibiotics - answer-:B. Clear liquids and antibiotics.
Which of the following criteria differentiates a TIA from a stroke?
A. focal symptoms
B. Amnesia of incident
C. Slowness of onset
D. Absence of residual symptoms - answer-:D. absence of residual symptoms
A patient with macular degeneration has difficulty seeing objects:
A. from a distance
B. In the center of the visual field
C. At reading distance
D. In the peripheral fields - answer-:B. In the center of the visual fields.
Trigeminal neuralgia manifests itself primarily with:
A. electric-shock-like unilateral facial pain
B. Unilateral facial asymmetry
C. Burning bilateral facial pain
D. jaw pain extending to the neck - answer-:A. Electric-shock-like unilateral facial pain
A 65-yo male presents to a clinic complaining of increasing fatigue, dyspnea on exertion, and
ankle edema during the day. He has a history of mild hypertension, for which he saw his
physician years ago. The physician advised the patient to decrease his salt intake. On physical
exam, the patient is tachycardic, positive for jugular venous distension, and positive for S3, with
2– Grand Canyon University ,All New Combined 7 Test
Bank & All Versions Exam – Updated 2025/2026 NP
Certification Prep with Detailed Rationales
What is the biggest side effect of colchicine? - answer-:diarrhea
An 18 yo college student presents for an athletic physical. When asked about current
medications, she mentions that she takes "some hearb" she bought at a health food store for
migrains and menstrual cramps. Which of the following herbal remedies has been commonly
used for these conditions?
A. Ephedra
B. Echinacea
C. Feverfew
D. Ginko Biloba - answer-:C. Feverfew
Which of the following GI changes in associated with normal aging?
A. Decreased production of gastric acid
B. Decreased incidence of gallstones
C. Increased salivation
D. Increased esophageal emptying - answer-:A. Decreased production of gastric acid.
A 32 year old patient reports a 6-month history of intermittant symmetrical swelling of the
wrists and daily morning stiffness lasting 1 hour or more in and around other joints. What is the
most likely diagnosis?
,A. Rheumatoid arthritis
B. Osteoarthritis
C. Gouty arthritis
D. Reiter's syndrome - answer-:A. Rheumatoid Arthritis
An 85 year old patient related that on the way to an annual physical exam, the patient suffered
a sudden loss of vision in the right eye characterized by a "bunch of lights" and a feeling that " a
curtain came down" The most likely diagnosis is:
A. Vitreal hemorrhage
B. Optic nerve lesion
C. Central retinal nerve occlusion
D. Retinal Detachment - answer-:D. Retinal detachment
Assessment findings that would support a diagnosis of mitral regurgitation include:
A. atrial fibrillation with summation gallop
B. Loud, high-pitched pansystolic murmur
C. Diastolic murmur with split S1
D. Early diastolic murmur with an S3 wave. - answer-:B. Loud, high-pitched pansystolic murmur
During an employment physical exam of a 21-year old female, bruising around the areola on the
breasts is noted. An appropriate health history for these findings should include all of the
following EXCEPT:
A. Current social relatonships
B. History of present or past traumas
C. Mental health status
D. Socioeconomic status. - answer-:D. Socioeconomic status.
,According to the American Diabetes Association, the newest standard for determining the
presence of diabetes mellitus based on fasting plasma sugar level is a vlaue equal to or greater
than:
A. 100 mg/dl
B. 126 mg/dl
C. 140 mg/dl
D. 180 mg/dl - answer-:B. 126 mg/dl
A nurse practitioner orders pulmonary rehabilitation for a 75 yo patient with COPD. Expected
outcomes of this program include all the following EXCEPT:
A. enhanced quality of life
B. Increased lung capacity
C. Decreased in-patient hospitalizations
D. Improved exercise capacity - answer-:B. Increased lung capacity
A 2month old infant is presented for examination and immunizations. History includes an
uncomplicated full-term delivery and hepatitis B virus immunization shortly after birth.
Examination is unremarkable except for a diffusely erythematous (not beet red) macular rash in
the diaper area., sparing the inguinal folds. No satellite lesions are noted . The infant's rash is
most likely caused by.
A. Candida albicans infections.
B. Eczema
C. Seborrheic dermatitis
D. Contact dermatitis - answer-:D. Contact dermatitis
A patient with a diagnosis of diverticulosis presents with localized left lower quadrant
discomfort, a palpable mass, mild leukocytosis, and T=100F (37.8C). The patient does not apear
toxic and can tolerate fluids. An appropriate plan should include:
A. barium enema and nothing by mouth
, B. Clear liquids and antibiotics
C. low-fiber diet and referral to gastroenterologist
D. hospital admission for IV antibiotics - answer-:B. Clear liquids and antibiotics.
Which of the following criteria differentiates a TIA from a stroke?
A. focal symptoms
B. Amnesia of incident
C. Slowness of onset
D. Absence of residual symptoms - answer-:D. absence of residual symptoms
A patient with macular degeneration has difficulty seeing objects:
A. from a distance
B. In the center of the visual field
C. At reading distance
D. In the peripheral fields - answer-:B. In the center of the visual fields.
Trigeminal neuralgia manifests itself primarily with:
A. electric-shock-like unilateral facial pain
B. Unilateral facial asymmetry
C. Burning bilateral facial pain
D. jaw pain extending to the neck - answer-:A. Electric-shock-like unilateral facial pain
A 65-yo male presents to a clinic complaining of increasing fatigue, dyspnea on exertion, and
ankle edema during the day. He has a history of mild hypertension, for which he saw his
physician years ago. The physician advised the patient to decrease his salt intake. On physical
exam, the patient is tachycardic, positive for jugular venous distension, and positive for S3, with
