APEA 3P Study Packet Questions And Answers With Complete Solutions 2025

The groove of the metacarpophalangeal joint can be palpated by having the patient... - ANS-- Flex their hand/spread their fingers When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are... - ANS-- Vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion The ankle-brachial index is a screening test used to assess a person's risk for... - ANS-- Peripheral Artery Disease (PAD) Olecranon bursitis may be caused by all of the following except... - ANS-- Frozen shoulder In patients who have allergic rhinitis, the nasal mucosa appears... - ANS-- pale A term used to describe an increase in muscular bulk with diminished strength is... - ANS-- Pseudohypertrophy If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably... - ANS-- In the abdominal wall On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with... - ANS-- Intestinal obstruction Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with... - ANS-- microaneurysms Symptoms of subdural hematoma include... - ANS-- Noticeable bleeding between the dura and cerebrum on x-ray On examination of the adult patient, symptoms of fixed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with... - ANS-- Parkinson's Disease When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one? - ANS-- Articular disease is usually due to stiffness or pain Focal tenderness over the trochanter confirms... - ANS-- Bursitis Assessing the neurological status of a child with a ventriculoperitoneal shunt should include... - ANS-- Use of the Glasgow coma scale The easiest recognizable clinical manifestation(s) of cystic fibrosis in an infant is... - ANS-- Salty taste on the skin A reddish blue, irregularly shaped, solid, and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a... - ANS-- Cavernous hemangioma The hamstring muscles flex at the knee and are located on the... - ANS-- Posterior aspect of the thigh Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely... - ANS-- vitreous floaters When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in... - ANS-- Transverse lie When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. The motion of the shoulder girdle would be an example of... - ANS-- Flexion To locate the twelfth rib, palpate... - ANS-- Between the spine and lateral chest Walking on the toes and heels may reveal... - ANS-- Distal muscular weakness in the legs When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of the gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily... - ANS-- posteriorly During pregnancy, which hormone results in increased blood viscosity? - ANS-- Erythropoietin Resting tremors refer to those tremors that disappear - ANS-- with voluntary movement A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with... - ANS-- Cancer of the sigmoid colon Mydriasis is a term used to describe - ANS-- Dilation of the pupils When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is expected. Positive findings include all of the following except... - ANS-- Calf wasting Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip? - ANS-- Stage III(Three) The vertebral column angles sharply posteriorly and becomes immovable at the... - ANS-- Lumbosacral junction Which one of the following is at the HIGHEST risk of suicide? - ANS-- A 52-year-old white man When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope... - ANS-- Between the 2nd and 3rd intercostal spaces at the right upper sternal border Pain and crepitus over the patella suggests... - ANS-- Roughening of the patellar undersurface Which one of the following findings is NOT typical in a patient who has delirium? - ANS-- Intact attention and concentration When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring 0.5cm were noted. These types of lesions could be seen in... - ANS-- herpes simplex/ varicella The principal muscles involved when closing the mouth are innervated by which cranial nerve? - ANS-- Cranial Nerve V (Trigeminal) The structure that creates a channel for the vertebral artery is known as the... - ANS-- Transverse Foramen Which of the following is NOT a compliant patient with Type 1 Diabetes? - ANS-- Polycythemia When suspecting pediculosis capitis, the chief complaint is... - ANS-- Itching The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the... - ANS-- ischial tuberosity When percussing the posterior chest, which one of the following techniques would be omitted? - ANS-- Percuss over the scapulae On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of... - ANS-- A tonic pupil During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a... - ANS-- Focal seizure that becomes generalized A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern? - ANS-- Symmetric To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be... - ANS-- in the right lateral fornix A serious disturbance in a person's mental abilities that results in a decreased awareness of one's environment and confused thinking is referred to as... - ANS-- delirium Which of the following tests for hearing loss can detect both sensorineural and conductive hearing loss? - ANS-- Weber Test Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the... - ANS-- Trochlear groove An 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are most likely associated with... - ANS-- An abdominal aortic aneurysm Men between the ages of 40 and 64 years should be screened early for... - ANS-- Hypertension A term used to describe drainage from the nose is... - ANS-- rhinorrhea Tenderness over the scapulohumeral muscle group with the inability to abduct the arm over the shoulder level would be consistent with all of the following except... - ANS-- Synovitis of the glenohumeral joint In the older adult, the test for leg mobility is known as the... - ANS-- Timed "get up and go" test Which one of the following procedures would confirm a definitive medication diagnosis of Hirschsprung's Disease? - ANS-- A rectal biopsy Hypo-functioning of the thyroid gland would lead to all of the following disorders except... - ANS-- Grave's disease The fleshy projection of the earlobe is known as the... - ANS-- Lobule A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with... - ANS-- Overflow incontinence When performing an examination of the external genitalia of a female patient, a small firm, round cystic nodule in the labia is identified. This finding may be most consistent with... - ANS-- Epidermoid cyst Passive flexion, various stress, and external rotation of the lower leg evaluates the... - ANS-- Medial meniscus When examining the knee, swelling above and adjacent to the patella was noted. This finding could be suggestive of... - ANS-- Synovial thickening over the knee joint While assessing the cranial nerves, the NP touches the cornea lightly with a wisp of cotton. This maneuver tests which cranial nerve? - ANS-- Cranial nerve V (Trigeminal) The NP instructs the patient to look over one shoulder, then the other. This maneuver would assess the cervical... - ANS-- Rotation During a speculum exam of the cervix, the speculum is maintained in an open position by... - ANS-- Gently tightening the thumb screw on the speculum The NP is examining the elbow of a 16-year-old male athlete. When he tries to extend his wrist against resistance. This finding is most consistent with... - ANS-- Lateral epicondylitis Which examination finding is defined as a congenital ventral displacement of the meatus on the penis? - ANS-- Hypospadias Bowel sounds may be increased in the presence of... - ANS-- Early intestinal obstruction Eversion of the upper eyelid can be performed by placing the cotton application on the upper lid above the level of the internal tarsal plates and then... - ANS-- gently pushing down with the stick and lifting the lashes up and flipping the lid inside out Anticipatory guidance for the family of a pre-adolescent with cognitive impairment should include information about... - ANS-- Sexual development Asymmetry, irregular borders, variation in color, diameter greater than 6mm, and elevation represent the "ACBDE"s of... - ANS-- Malignant melanoma When performing a spinal exam, the NP noted the appearance of poor posture and a "hump" appearance of the upper back. This finding could be suggestive of... - ANS-- Thoracic Kyphosis The area where the iliac crest terminates anteriorly on the ilium is known as the... - ANS-- Anterior superior iliac spine Following injury to the extremities, assessment for neurovascular competency should include the... - ANS-- Skin color, temperature, movement, and sensation of the extremity A patient is experiencing a dull, achy pain in the epigastric area while eating. This type of pain is consistent with... - ANS-- A gastric ulcer Which of the following conditions is NOT related to polyuria? - ANS-- Hyperkalemic nephropathy When examining the elbow for range of motion, the NP instructs the patient to turn his palm upward. This motion is an example of... - ANS-- Supination The forward slippage of one vertebrae resulting in spinal cord compression is referred to as... - ANS-- Spondylythosis Skin conditions such as pruritis, hyperpigmentation, and calciphylaxis may be seen in patients who have... - ANS-- Chronic renal failure The extension of the spine of the scapula located at the highest point of the shoulder is referred to as the... - ANS-- Acromion process A 60-year-old patient with severe, deep left eye pain. Findings reveal dilated and fixed left pupils and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent with... - ANS-- Acute angle closure glaucoma A patient has a papule with an ulcerated center on the lower lid and medial canthus of the eye. This is consistent with... - ANS-- Basal cell carcinoma Patients with prior hypospadias surgery who develop slow and painful urination as well as prostatitis are experiencing symptoms of... - ANS-- urethral stricture Which substance used during pregnancy accounts for one third of all low-birth-weight infants, placental abruption, and preterm labor? - ANS-- Tobacco When screening for bladder cancer in a primary care setting, the test that would be LEAST appropriate is... - ANS-- Cystoscopy The axioscapular group of muscles include which of the following? - ANS-- Trapezius A mental health condition characterized by over-the-top behavior such as emotional outbursts, noisy displays of temper, compulsive attention seeking and self-centered actions is... - ANS-- Historionic Social phobia, panic disorder, and post-traumatic stress disorder (PTSD) are all examples of... - ANS-- Generalized Anxiety Disorder (GAD) In older adults, the presence of heart sound S3 suggests... - ANS-- Heart failure Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are termed... - ANS-- Vitiligo Restrictions of internal and external rotation of the hip are sensitive indicators of... - ANS-- Arthritis Which of the following neurological findings indicate the need for further evaluation? - ANS-- Weak and ineffective sucking movements The infant with the lowest risk of developing elevated levels of bilirubin is the one who... - ANS-- breastfeeds within the first hour of life The patient experiences a sudden loss of consciousness with falling without movements and injury may occur. The type of a seizures is consistent with... - ANS-- Myoclonic atonic seizure When assessing the skin, it has a velvety appearance and is warm to touch. This could be associated with... - ANS-- Hyperthyroidism Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are considered... - ANS-- Vesicular To palpate the medial meniscus, slightly internally rotate the tibia and palpate the medial soft tissue along the... - ANS-- Upper edge of the tibial plateau Eyelid retraction exophthalmos presents as... - ANS-- A retracted eyelid with a wide-eyed stare All of the following strategies are useful for assessing older adults at high risk for falls except... - ANS-- Assessing immunization history If a patient has a history of heat intolerance with preference to light clothing, this behavior could be consistent with... - ANS-- Hyperthyroidism The best method of detecting cognitive impairment or intellectual disability at an early age is by... - ANS-- Assessment of the achievement of developmental milestones When screening for scoliosis, assessment should include... - ANS-- Observing the back when the child is bending forward In a female diagnosed with first-degree uterine prolapse, the cervix... - ANS-- has slipped but is well within the vagina The part of the brain that relays sensory information between brain regions and controls many autonomic functions of the peripheral nervous system is known as the... - ANS-- Diencephalon During assessment of the thyroid, the nurse practitioner notes localized tenderness over the ankle joint. This could be suggestive of... - ANS-- Legamentous injury Women with hyperthyroidism often experience... - ANS-- Oligomenorrhea, infrequent menstrual periods While auscultating the patients heart, a medium, soft murmur is audible. It is pansystolic and heard loudest at the apex with radiation to the left axilla. These findings are consistent with... - ANS-- Mitral regurgitation A 26-year-old man with a past medication history of sickle cell disease arrives at the office with complaints of a penile erection that has lasted 4 hours. He is experiencing symptoms of... - ANS-- low-flow Priapism On ophthalmoscopic examination, glaucomatous cupping appears... - ANS-- Pale Hairy leukoplakia may be associated with... - ANS-- AIDS To estimate the expected delivery date (EDD) using Nagele's rule, if the last menses was March 3, 2014, the EDD would be... - ANS-- December 10th, 2015 The infraorbital or maxillary, buccinator, and submandibular lymph nodes drain lymphatic fluid from the... - ANS-- Eyelids, the conjunctiva, and the skin and mucous membranes of the nose and cheek A whitish sebaceous secretion that collects between the glans and the foreskin or in the vulva is known as... - ANS-- smegma The bony structures of the shoulder include all of the following except... - ANS-- Teres minor Murmurs audible during pregnancy may suggest... - ANS-- Anemia A fine rhythmic oscillation of the eyes is termed... - ANS-- nystagmus The whispered voice test allows the examiner to screen for... - ANS-- General hearing loss A patient experienced a neck injury yesterday and presents to the NP with aching paracervical pain and stiffness. Other complaints include dizziness, malaise, and fatigue. These findings may be associated with... - ANS-- Mechanical neck pain and whiplash When evaluating a patient for weakness of the upper extremities, bilateral distal pain is noted. This finding could be suggestive of... - ANS-- Polyneuropathy Fasciculations in atrophic muscles suggest... - ANS-- A lower motor neuron disease The nerve that provides sensation to the palm and palmar surface of the most of the thumb, second, and third fingers, and half of the fourth digit is the... - ANS-- Median nerve Stools that appear black, tarry, and sticky are referred to as... - ANS-- Melena A patient with cirrhosis develops portal hypertension as indicated by the presence of... - ANS-- Splenomegaly Which of the following is considered an extrinsic risk factor for falls in the older adult? - ANS-- Psychoactive medications The thoracic lymph duct drains lymphatic fluid from all of the following areas except... - ANS-- Right upper thorax Which ethnicity is associated with glucose-6-phosphate dehydrogenase (G^PD) deficiency? - ANS-- Black/African American During pregnancy, which hormone is responsible for increasing insulin resistance and hyperglycemia associated with diabetes? - ANS-- Human placental lactogen On examination of a six-week-old infant, developmental hip dysplasia (DDH) is suspected. If DDH is present, it might be evidenced by... - ANS-- Limited abduction of the affected leg When should a vaginal swab for Group B streptococcus (GBS) be obtained in a pregnant woman? - ANS-- 35-37 weeks Percussion of the abdomen should be avoided when? - ANS-- An abdominal aneurysm is suspected Basic self-care activities are referred to as... - ANS-- Activities of daily living (ADLs) Which sexually transmitted disease (STD) is known as the 'silent' infection and often lacks abnormal physical findings? - ANS-- Chlamydia With transillumination of the frontal sinuses, a dim red glow is observed on the forehead. This dim red glow would be indicative of... - ANS-- Clear frontal sinuses During the mental status exam, a 45-year-old woman is easily distractible and seems to have difficulty responding to each question. This is an assessment of... - ANS-- attention The normal fetal heart rate is... - ANS-- 110-160 (notes say 120-160) A patient presents with a productive cough. Which of the following descriptions of the mucous is correct? - ANS-- Tenacious sputum is consistent The posterior cruciate ligament of the knee crosses from the posterior tibia and lateral meniscus to the medial... - ANS-- Femoral condyle On physical exam, the soft palate does not risk, there is an absent gag reflex, and the patient complains of taste abnormalities. This requires further evaluation of cranial nerve... - ANS-- CN IX; Glossopharyngeal nerve When performing a spinal exam, the nurse practitioner notices unequal heights of the iliac crests. This finding could be suggestive of... - ANS-- Unequal leg lengths When examining the ankle and the foot of a patient, the NP instructs the patient to point the foot toward the veiling. This motion assesses... - ANS-- Ankle extension Ophthalmoscopic examination of the retina reveals AV tapering. This appears as if the... - ANS-- vein 'winds' down on either side of the artery The concavities noted on each side and above the patella are known as the... - ANS-- Negative infrapatellar space The lymphatic ducts drain into the ... - ANS-- venous system A swollen deviated uvula may be associated with a... - ANS-- Peritonsillar abscess A patient complains of some pain in the distal portions of the fingers on both hands. She states that it tends to occur more frequently with exposure to cold. These symptoms may be consistent with.. - ANS-- Raynaud's disease When examining the elbow for range of motion, the NP instructs the patient to straighten his elbow. This motion is an example of... - ANS-- Extension The patellar tendon continues below the knee joint and inserts distally on the... - ANS-- Tibial tuberosity The hilar region of the lungs describes the area... - ANS-- Around the heart Physical signs associated with cervical myelopathy from cervical cord compression include... - ANS-- Neck flexion with resulting sensation of electrical shock radiating down the spine Peritoneal inflammation produces abdominal pain and tenderness. What technique can be used to assess a tender abdomen suspected to be secondary to peritoneal inflammation? - ANS-- Ask the patient to cough prior to palpation To evaluate a patient's response to a vibration sensation, the NP would ask for the patient to identify... - ANS-- The sensation when the tuning fork is placed on the big toe