1|Page
APEA Pre-Predictor ACTUAL 2026 Exam 850+ MOST TESTED
Questions with Correct Answers & Rationales | Complete NP Board
Exam Study Guide (Complete Graded A+ Guide)
A woman is being evaluated by the nurse practitioner for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic squamous
epithelial cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs
are seen on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - ANSWER-A. Atrophic vaginitis. Symptoms of atrophic
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a
decrease in pH. Vaginal atrophy is caused by lack of or imbalance of estrogen.
Normal pH of the vagina is 4.0-5.0 (acidic)
A woman is being evaluated by the nurse practitioner for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic squamous
epithelial cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs
are seen on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
,2|Page
C. Trichomoniasis
D. This is a normal finding. - ANSWER-A. Atrophic vaginitis. Symptoms of atrophic
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a
decrease in pH. Vaginal atrophy is caused by lack of or imbalance of estrogen.
Normal pH of the vagina is 4.0-5.0 (acidic)
Which of the following findings is typically a sign of acute appendicitis?
A. Positive Murphy's sign
B. Rebound tenderness at McBurney's point
C. A negative Rovsing's sign
D. Positive Prehn's sign - ANSWER-Rebound tenderness at McBurney's point
Which of the following findings is typically a sign of acute appendicitis?
A. Positive Murphy's sign
B. Rebound tenderness at McBurney's point
C. A negative Rovsing's sign
D. Positive Prehn's sign - ANSWER-Rebound tenderness at McBurney's point
Which of the following signs/symptoms are often associated with headaches due
to an intracranial tumor?
A. Pain worse in supine position; focal neurological signs
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B. Hyperreflexia; personality changes
C. Acute onset; increasing pain over hours to days
D. Pupillary constriction; stupor - ANSWER-A. Pain worse in supine position; focal
neurological signs
Which of the following signs/symptoms are often associated with headaches due
to an intracranial tumor?
A. Pain worse in supine position; focal neurological signs
B. Hyperreflexia; personality changes
C. Acute onset; increasing pain over hours to days
D. Pupillary constriction; stupor - ANSWER-A. Pain worse in supine position; focal
neurological signs
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - ANSWER-B. Basal skin cancer. It is several times more
common that squamous cell skin cancer according to the NIH.
The most common type of skin malignancy is:
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A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - ANSWER-B. Basal skin cancer. It is several times more
common that squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - ANSWER-B. Measles. S/S include fever over 101, coryza,
cough, conjunctivitis, rash, and koplik's spots on buccal mucosa
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - ANSWER-B. Measles. S/S include fever over 101, coryza,
cough, conjunctivitis, rash, and koplik's spots on buccal mucosa
APEA Pre-Predictor ACTUAL 2026 Exam 850+ MOST TESTED
Questions with Correct Answers & Rationales | Complete NP Board
Exam Study Guide (Complete Graded A+ Guide)
A woman is being evaluated by the nurse practitioner for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic squamous
epithelial cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs
are seen on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - ANSWER-A. Atrophic vaginitis. Symptoms of atrophic
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a
decrease in pH. Vaginal atrophy is caused by lack of or imbalance of estrogen.
Normal pH of the vagina is 4.0-5.0 (acidic)
A woman is being evaluated by the nurse practitioner for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic squamous
epithelial cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs
are seen on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
,2|Page
C. Trichomoniasis
D. This is a normal finding. - ANSWER-A. Atrophic vaginitis. Symptoms of atrophic
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a
decrease in pH. Vaginal atrophy is caused by lack of or imbalance of estrogen.
Normal pH of the vagina is 4.0-5.0 (acidic)
Which of the following findings is typically a sign of acute appendicitis?
A. Positive Murphy's sign
B. Rebound tenderness at McBurney's point
C. A negative Rovsing's sign
D. Positive Prehn's sign - ANSWER-Rebound tenderness at McBurney's point
Which of the following findings is typically a sign of acute appendicitis?
A. Positive Murphy's sign
B. Rebound tenderness at McBurney's point
C. A negative Rovsing's sign
D. Positive Prehn's sign - ANSWER-Rebound tenderness at McBurney's point
Which of the following signs/symptoms are often associated with headaches due
to an intracranial tumor?
A. Pain worse in supine position; focal neurological signs
,3|Page
B. Hyperreflexia; personality changes
C. Acute onset; increasing pain over hours to days
D. Pupillary constriction; stupor - ANSWER-A. Pain worse in supine position; focal
neurological signs
Which of the following signs/symptoms are often associated with headaches due
to an intracranial tumor?
A. Pain worse in supine position; focal neurological signs
B. Hyperreflexia; personality changes
C. Acute onset; increasing pain over hours to days
D. Pupillary constriction; stupor - ANSWER-A. Pain worse in supine position; focal
neurological signs
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - ANSWER-B. Basal skin cancer. It is several times more
common that squamous cell skin cancer according to the NIH.
The most common type of skin malignancy is:
, 4|Page
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - ANSWER-B. Basal skin cancer. It is several times more
common that squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - ANSWER-B. Measles. S/S include fever over 101, coryza,
cough, conjunctivitis, rash, and koplik's spots on buccal mucosa
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - ANSWER-B. Measles. S/S include fever over 101, coryza,
cough, conjunctivitis, rash, and koplik's spots on buccal mucosa
