APEA 3P Exam Predictor Exam 100% (Best Predictor
Exam for 2025/ 2026) (Q-BANK GRADED A+)
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor concentration
and fatigue. Initially, the NP should:
a. Question her further
2. Which of the following is an example of secondary prevention?
a. Annual influenza vaccination
3. A 35-year old female with a history of mitral valve prolapse is scheduled for routine
dental cleaning. According to the 2007 American Association’s guideline for
endocarditis prophylaxis, what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
4. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner
should teach the patient to avoid all of the following EXCEPT:
a. b. milk and milk products
5. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The
nurse practitioner should
a. start aggressive antibiotic therapy
6. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
7. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while walking.
The pain disappears at rest. What else would you expect to identify on her lower extremities.
b. peripheral artery insufficiency
8. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the
nurse practitioner prescribe for this patient?
a. salicylic acid plasters
9. A -year-old with Type I diabetes has had itching and burning lesions between her toes for 6
months. Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment
option for this patient?
1|Page
, a. prescribe an anti-fungal powder for application between her toes and in her shoes and
a topical prescription strength anti-fungal cream for other affected areas. Monitor for
a secondary bacterial infection.
one week, 2 weeks, and every month thereafter.
c. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a
secondary bacterial infection.
10. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-
year- old female?
a. . Sumatriptan
(Imitrex)
b.propranolol(Inderal)
c. ibuprofen (Motrin)
d. dihydroergotamine (DHE)
11. Which of the following are the classic features of ulcerative colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and leukopenia
b. Massive painful hematemesis, occasionally accompanied by melena
c. Rapidly progressive dysphagia to solid foods, anoriexia, and weight loss out of proportion to
the dysphagia
d. Remission andexacerbations ofbloodydiarrhea, tenesmus, fecalincontinence, abdominal pain, and T
.
12. Which drugs below would be expected to produce the least amount of hypokalemia?
a. Furosemide (Lasix)
b. hydrochlorothiazide (HCTZ) and spironolactone (Aldactone)
c. Spironolactone (Aldactone)
d. hydrochlorothiazide (HCTZ)
13. What information should patients with diabetes and their families receive about hypoglycemia?
a. Hypoglycemia is very rare
b. Hypoglycemia requires professional medical treatment
c. Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly
d. Hypoglycemia occurs only as a result of overdose of insulin
14. A 60-year-old male patient with a past history of glaucoma and frequent sinusitis presents today
with hypertension. On his last 2 visits to the clinic his blood pressures were 150-160/90-98. The
nurse practitioner decides to treat the hypertension with long-acting propranolol (Inderal). Before
prescribing it, the nurse practitioner should ask:
a. whether he smokes or consumes alcohol on a daily basis
b. what other medications have been prescribed for him
c. if he takes a daily antihistamine
d. if other family members are hypertensive
15. Which of the following is NOT associated with Type 2 diabetes mellitus?
a. Gestational diabetes, birth of a macrosomic infant
2|Page
, b. Hispanic, African-American, or Native American descent
c. Alcohol or other drug abuse
d. Obesity, hypertension, hypertriglyceridemia
16. A 35-year-old male presents with a severe unilateral headache over his left eye. He says it
started about one hour ago and has rapidly gotten worse. He gives a history of similar headaches
over the past 2 years. Physical examination is negative except for left eye lacrimation. What is the
most likely diagnosis?
d. Cluster headache
e. Classic migraine headache
17. A 16-year-old sexually active female present to the clinic. She has never had vaccination for
hepatitis A or B, she has had one MMR immunization, and her last tetanus vaccination was 4 years
ago. Which vaccination would be contraindicated without further testing?
c. MMR
18. A 15-year-old male presents with abdominal pain that began in the peri-umbilical area then
localized to the right lower quadrant. He complains of nausea, vomiting, anorexia, and low-grade
fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the most likely
diagnosis?
d. Acute appendicitis
19. A 25-year-old hypertensive patient has a BMI of 16. His blood pressure is 165/100. There is
an audible bruit in his left upper abdominal quadrant. He probably has:
a. Essential hypertension
b. Secondary hypertension
20. Which of the following is the most common presenting sign of substance abuse in adolescents?
d. changes in behavior
21. Therapeutic international normalized ratio (INR) for a patient takein warfarin (Coumadin) for
chronic atrial fibrillation is expected to be
a. increased
22. A 199-year-old female reports that she is having “panic attacks.” The NP knows that panic attacks
are characterized by
d. sudden onset of intense fear or terror
23. A 25-year-old complains of fever and throat pain. The tonsils have exudate bilaterally. The
patient describes having an anaphylactic reaction to penicillin in the past. What antibiotic should the
NP prescribe if she believes the causative agent is bacterial?
a. amoxicillin (Amoxil)
b. erythromycin
24. A diagnostic finding of Hodgkin’s lymphoma is the presence of
b. Reed-Sternberg cells
25. With a history of ankle sprain, the nurse practitioner would most likely elicit a history of
d. ankle inversion
26. Certification for nurse practitioners is offered through:
3|Page
, c. national certifying organizations
27. Simple cases of impetigo and folliculitis are usually successfully treated with:
a. systemic antibiotics
b. topical antibiotics
28. A 43-year-old has chronic gout. He comes to the clinic for the 3rd time in as many months
for treatment of an exacerbation. Dietary counseling should include avoidance of all of the
following EXCEPT:
c. green, leafy vegetables
29. A 57-year-old patient presents for an annual physical exam. He reports having 3 attacks of acute
gout during the past year. He does not take any medication except NSAIDs during the attacks which
help “a little bit.” The NP would appropriately recommend
c. avoidance of dietary purine sources
30. A 43-year-old male presents with a large and painful furuncle, the 3rd one in the past 6 months. The
NP should _?_ all of the following EXCEPT:
b. prescription of a prophylactic antibiotic
37. A 64-year-old female has sudden onset of right eye pain, blurred vision, and dilated pupil. The
most likely diagnosis is acute:
b. angle-closure glaucoma
38. A 25-year-old patient presents with complaints of pain and burning in the vulvar area. Upon
examination, the NPnotices vesicles with an erythematous base arranged ina group on the patient’s
labia major. The most likely diagnosis is:
d. herpes simplex II
39. An 85 – year-old is diagnosed with shingles. The patient states that she became “miserable”
yesterday when the symptoms started. What pharmacologic interventions should the nurse
practitioner offer this patient?
c. Oral acyclovir (Zovirax) for 7-10 days, NSAIDs, and topical capsaicin cream after
resolution of the lesions
40. A 16-year-old presents to the clinic for a scheduled immunization. The patient is unaccompanied by
an adult. The NPs action is based on the knowledge that:
a. a minor must have the informed consent of a parent or guardian to receive an
immunization
41. The mechanism by which nurses are held accountable for practice, based on the quality of nursing
car ein a given situation inaccordance with established standards of practice, is:
c. peer review
42. A 52- year-old female has a firm, non-tneder, one centimeter mass in the RLQ of her breast. There
are no palpable axillary lymph nodes. A mammogram the month before her examination was
netative. The most appropriate nurse practitioner action today is to:
c. schedule an ultrasound of the breast
4|Page
Exam for 2025/ 2026) (Q-BANK GRADED A+)
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor concentration
and fatigue. Initially, the NP should:
a. Question her further
2. Which of the following is an example of secondary prevention?
a. Annual influenza vaccination
3. A 35-year old female with a history of mitral valve prolapse is scheduled for routine
dental cleaning. According to the 2007 American Association’s guideline for
endocarditis prophylaxis, what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
4. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner
should teach the patient to avoid all of the following EXCEPT:
a. b. milk and milk products
5. A patient presents with periorbital erythema and edema, fever, and nasal drainage. The
nurse practitioner should
a. start aggressive antibiotic therapy
6. A positive drawer sign support a diagnosis of
b. cruciate ligament injury
7. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while walking.
The pain disappears at rest. What else would you expect to identify on her lower extremities.
b. peripheral artery insufficiency
8. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the
nurse practitioner prescribe for this patient?
a. salicylic acid plasters
9. A -year-old with Type I diabetes has had itching and burning lesions between her toes for 6
months. Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best treatment
option for this patient?
1|Page
, a. prescribe an anti-fungal powder for application between her toes and in her shoes and
a topical prescription strength anti-fungal cream for other affected areas. Monitor for
a secondary bacterial infection.
one week, 2 weeks, and every month thereafter.
c. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a
secondary bacterial infection.
10. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-
year- old female?
a. . Sumatriptan
(Imitrex)
b.propranolol(Inderal)
c. ibuprofen (Motrin)
d. dihydroergotamine (DHE)
11. Which of the following are the classic features of ulcerative colitis?
a. RLQ pain, frequently accompanied by a palpable mass, fever, and leukopenia
b. Massive painful hematemesis, occasionally accompanied by melena
c. Rapidly progressive dysphagia to solid foods, anoriexia, and weight loss out of proportion to
the dysphagia
d. Remission andexacerbations ofbloodydiarrhea, tenesmus, fecalincontinence, abdominal pain, and T
.
12. Which drugs below would be expected to produce the least amount of hypokalemia?
a. Furosemide (Lasix)
b. hydrochlorothiazide (HCTZ) and spironolactone (Aldactone)
c. Spironolactone (Aldactone)
d. hydrochlorothiazide (HCTZ)
13. What information should patients with diabetes and their families receive about hypoglycemia?
a. Hypoglycemia is very rare
b. Hypoglycemia requires professional medical treatment
c. Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly
d. Hypoglycemia occurs only as a result of overdose of insulin
14. A 60-year-old male patient with a past history of glaucoma and frequent sinusitis presents today
with hypertension. On his last 2 visits to the clinic his blood pressures were 150-160/90-98. The
nurse practitioner decides to treat the hypertension with long-acting propranolol (Inderal). Before
prescribing it, the nurse practitioner should ask:
a. whether he smokes or consumes alcohol on a daily basis
b. what other medications have been prescribed for him
c. if he takes a daily antihistamine
d. if other family members are hypertensive
15. Which of the following is NOT associated with Type 2 diabetes mellitus?
a. Gestational diabetes, birth of a macrosomic infant
2|Page
, b. Hispanic, African-American, or Native American descent
c. Alcohol or other drug abuse
d. Obesity, hypertension, hypertriglyceridemia
16. A 35-year-old male presents with a severe unilateral headache over his left eye. He says it
started about one hour ago and has rapidly gotten worse. He gives a history of similar headaches
over the past 2 years. Physical examination is negative except for left eye lacrimation. What is the
most likely diagnosis?
d. Cluster headache
e. Classic migraine headache
17. A 16-year-old sexually active female present to the clinic. She has never had vaccination for
hepatitis A or B, she has had one MMR immunization, and her last tetanus vaccination was 4 years
ago. Which vaccination would be contraindicated without further testing?
c. MMR
18. A 15-year-old male presents with abdominal pain that began in the peri-umbilical area then
localized to the right lower quadrant. He complains of nausea, vomiting, anorexia, and low-grade
fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the most likely
diagnosis?
d. Acute appendicitis
19. A 25-year-old hypertensive patient has a BMI of 16. His blood pressure is 165/100. There is
an audible bruit in his left upper abdominal quadrant. He probably has:
a. Essential hypertension
b. Secondary hypertension
20. Which of the following is the most common presenting sign of substance abuse in adolescents?
d. changes in behavior
21. Therapeutic international normalized ratio (INR) for a patient takein warfarin (Coumadin) for
chronic atrial fibrillation is expected to be
a. increased
22. A 199-year-old female reports that she is having “panic attacks.” The NP knows that panic attacks
are characterized by
d. sudden onset of intense fear or terror
23. A 25-year-old complains of fever and throat pain. The tonsils have exudate bilaterally. The
patient describes having an anaphylactic reaction to penicillin in the past. What antibiotic should the
NP prescribe if she believes the causative agent is bacterial?
a. amoxicillin (Amoxil)
b. erythromycin
24. A diagnostic finding of Hodgkin’s lymphoma is the presence of
b. Reed-Sternberg cells
25. With a history of ankle sprain, the nurse practitioner would most likely elicit a history of
d. ankle inversion
26. Certification for nurse practitioners is offered through:
3|Page
, c. national certifying organizations
27. Simple cases of impetigo and folliculitis are usually successfully treated with:
a. systemic antibiotics
b. topical antibiotics
28. A 43-year-old has chronic gout. He comes to the clinic for the 3rd time in as many months
for treatment of an exacerbation. Dietary counseling should include avoidance of all of the
following EXCEPT:
c. green, leafy vegetables
29. A 57-year-old patient presents for an annual physical exam. He reports having 3 attacks of acute
gout during the past year. He does not take any medication except NSAIDs during the attacks which
help “a little bit.” The NP would appropriately recommend
c. avoidance of dietary purine sources
30. A 43-year-old male presents with a large and painful furuncle, the 3rd one in the past 6 months. The
NP should _?_ all of the following EXCEPT:
b. prescription of a prophylactic antibiotic
37. A 64-year-old female has sudden onset of right eye pain, blurred vision, and dilated pupil. The
most likely diagnosis is acute:
b. angle-closure glaucoma
38. A 25-year-old patient presents with complaints of pain and burning in the vulvar area. Upon
examination, the NPnotices vesicles with an erythematous base arranged ina group on the patient’s
labia major. The most likely diagnosis is:
d. herpes simplex II
39. An 85 – year-old is diagnosed with shingles. The patient states that she became “miserable”
yesterday when the symptoms started. What pharmacologic interventions should the nurse
practitioner offer this patient?
c. Oral acyclovir (Zovirax) for 7-10 days, NSAIDs, and topical capsaicin cream after
resolution of the lesions
40. A 16-year-old presents to the clinic for a scheduled immunization. The patient is unaccompanied by
an adult. The NPs action is based on the knowledge that:
a. a minor must have the informed consent of a parent or guardian to receive an
immunization
41. The mechanism by which nurses are held accountable for practice, based on the quality of nursing
car ein a given situation inaccordance with established standards of practice, is:
c. peer review
42. A 52- year-old female has a firm, non-tneder, one centimeter mass in the RLQ of her breast. There
are no palpable axillary lymph nodes. A mammogram the month before her examination was
netative. The most appropriate nurse practitioner action today is to:
c. schedule an ultrasound of the breast
4|Page
