3P APEA Exam 3: Verified Questions
& Answers for Guaranteed Success
Difference between varicose vein
and arteriosclerosis Is the affected
vessel
Arteriosclerosis affects arteries whereas varicose veins
affects veins
A patient (client) has poorly controlled hypertension for
more than 10 years. Indicate the most likely position of
his point of maximal impulse (PMI)
5th ICS, left of MCL
A 43-year-old Hispanic male has an audible diastolic
murmur best heard in the mitral listening point. There is
no audible click. His status has been monitored for the
past two years. This murmur is probably
mitral stenosis
A patient (client) who has diabetes presents with pain in
his lower legs when he walks and pain resolution with
rest. When specifically asked about his pain in his lower
leg, he will likely report pain
in the calf muscle
A patient (client) with hypertension describes a previous
allergic reaction to a sulfa antibiotic as "sloughing of
,skin" and hospitalization. Which medication is
contraindicated in this patient (client)?
hydrochlorothiazide
A 75-year-old patient (client) who has aortic stenosis
wants to know what symptoms indicate worsening of his
stenosis. the NP replies:
shortness of breath and syncope
A 74 year old patient (client) has PAD. Which item listed
below is an important nonmodifiable risk factor for PAD?
diabetes
Benazepril should be d/c
immediately if pregnancy
occurs
aortic regurgitation characteristics
long asymptomatic period follow by exercise
intolerance, then dyspnea at rest DVT classic
symptoms
swelling, pain, and discoloration of lower extremity
,Characteristic of ACE-induced
cough is that? usually begins
two weeks of starting therapy
Valve most commonly involved in chronic
rheumatic heart disease mitral
Medication that can
exacerbate HF naproxen
Patient (client) taking ACE
inhibitors should avoid? potassium
supplements
Grade 3 murmur indication
for a referral a fixed split
Group of meds used to treat
HF fosinopril, HCTZ,
verapamil
Mr. Smith is a 72-year-old patient (client) who takes
warfarin for chronic A-fib. INR today is 4.0. the NP
should:
stop the warfarin today and repeat INR tomorrow
According to the NHLBI, which characteristic is a
coronary heart disease risk equivalent, that is, which risk
factor places the pt. as a CHD risk similar to a hx of CHD
diabetes mellitus
good drug to reduce morbidity and
, mortality in mild HF metoprolol
A pt. taking atorvastatin newly diagnosed with
dyslipidemia complaints of fatigue, weakness, and
muscle aches in his lower back, arms, legs for the past 3
days. it is not improved with rest How should this be
evaluated?
Stop the atorvastatin
immediately symptom not
indicative of HF headache
What class of meds is preferred to normalized lipid
levels and reduce risk of cardiac events
HMG CoA reductase
inhibitors Highest
sensitivity in diagnosing
HF BNP
& Answers for Guaranteed Success
Difference between varicose vein
and arteriosclerosis Is the affected
vessel
Arteriosclerosis affects arteries whereas varicose veins
affects veins
A patient (client) has poorly controlled hypertension for
more than 10 years. Indicate the most likely position of
his point of maximal impulse (PMI)
5th ICS, left of MCL
A 43-year-old Hispanic male has an audible diastolic
murmur best heard in the mitral listening point. There is
no audible click. His status has been monitored for the
past two years. This murmur is probably
mitral stenosis
A patient (client) who has diabetes presents with pain in
his lower legs when he walks and pain resolution with
rest. When specifically asked about his pain in his lower
leg, he will likely report pain
in the calf muscle
A patient (client) with hypertension describes a previous
allergic reaction to a sulfa antibiotic as "sloughing of
,skin" and hospitalization. Which medication is
contraindicated in this patient (client)?
hydrochlorothiazide
A 75-year-old patient (client) who has aortic stenosis
wants to know what symptoms indicate worsening of his
stenosis. the NP replies:
shortness of breath and syncope
A 74 year old patient (client) has PAD. Which item listed
below is an important nonmodifiable risk factor for PAD?
diabetes
Benazepril should be d/c
immediately if pregnancy
occurs
aortic regurgitation characteristics
long asymptomatic period follow by exercise
intolerance, then dyspnea at rest DVT classic
symptoms
swelling, pain, and discoloration of lower extremity
,Characteristic of ACE-induced
cough is that? usually begins
two weeks of starting therapy
Valve most commonly involved in chronic
rheumatic heart disease mitral
Medication that can
exacerbate HF naproxen
Patient (client) taking ACE
inhibitors should avoid? potassium
supplements
Grade 3 murmur indication
for a referral a fixed split
Group of meds used to treat
HF fosinopril, HCTZ,
verapamil
Mr. Smith is a 72-year-old patient (client) who takes
warfarin for chronic A-fib. INR today is 4.0. the NP
should:
stop the warfarin today and repeat INR tomorrow
According to the NHLBI, which characteristic is a
coronary heart disease risk equivalent, that is, which risk
factor places the pt. as a CHD risk similar to a hx of CHD
diabetes mellitus
good drug to reduce morbidity and
, mortality in mild HF metoprolol
A pt. taking atorvastatin newly diagnosed with
dyslipidemia complaints of fatigue, weakness, and
muscle aches in his lower back, arms, legs for the past 3
days. it is not improved with rest How should this be
evaluated?
Stop the atorvastatin
immediately symptom not
indicative of HF headache
What class of meds is preferred to normalized lipid
levels and reduce risk of cardiac events
HMG CoA reductase
inhibitors Highest
sensitivity in diagnosing
HF BNP
