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APEA 3P Actual Exam Test Bank – APEA
Question Bank (High-Yield & Most
Resourceful) | Verified Answers 2026
Subject: Advanced Practice Nursing, Clinical Assessment, Pharmacology,
and Pediatrics.
Source: APEA 3P (Pediatric, Primary Care, and Psychiatric) Exam Test
Bank/Question Bank
Format: A sequential list of multiple-choice clinical scenario questions,
correct answers, and explanatory rationales extracted from the provided
Word document.
1. When performing a visual acuity test the nurse practitioner
notes 20/30 in the left eye and 20/40 in the right eye using the Snellen
eye chart. This means:
A. have the patient returning in two weeks for a follow up vision screen
B. dilated the eye and retest
C. refer the patient to an ophthalmologist
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D. document this as a normal finding
Correct Answer: C
Rationale:
1. Visual acuity of 20/30 or 20/40 in a patient may be considered a
borderline or failing result depending on the patient's age and
context (e.g., for a driver's license or child's developmental
screening).
2. Standard practice dictates that a significant asymmetry (difference
between eyes) or failure to meet age-expected norms warrants
further evaluation by a specialist.
3. An ophthalmologist can perform a comprehensive eye exam to rule
out refractive errors, amblyopia, or other pathology, making referral
the most appropriate and safest action.
2. The American psychiatric association's diagnostic and
statistical manual of mental disorder defines Munchausen Syndrome
By Proxy
A. a self-inflicted injury to gain attention
B. a caregiver making up or causing an illness or injury in a person
under his or her care
C. an abusive behavior that does not involve the caregiver
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D. a situation in which the abuser is often inattentive and uncaring toward
the victim
Correct Answer: B
Rationale:
1. Munchausen syndrome by proxy (MSbP), now more precisely called
Factitious Disorder Imposed on Another (FDIA), is a specific form of
abuse and a mental health disorder of the caregiver.
2. The essential feature is the deliberate fabrication or induction of
physical or psychological symptoms in another person, typically a
child, by a caregiver.
3. The perpetrator's motive is often to assume the "sick role" by proxy
and gain attention or sympathy from medical professionals,
distinguishing it from other forms of neglect or abuse.
3. Symptoms of depression are a side effect of which
neurotransmitter medication?
A. dopamine serotonin, norepinephrine
B. gabapentin
C. mil
D. cortisol
APEA 3P Actual Exam Test Bank – APEA
Question Bank (High-Yield & Most
Resourceful) | Verified Answers 2026
Subject: Advanced Practice Nursing, Clinical Assessment, Pharmacology,
and Pediatrics.
Source: APEA 3P (Pediatric, Primary Care, and Psychiatric) Exam Test
Bank/Question Bank
Format: A sequential list of multiple-choice clinical scenario questions,
correct answers, and explanatory rationales extracted from the provided
Word document.
1. When performing a visual acuity test the nurse practitioner
notes 20/30 in the left eye and 20/40 in the right eye using the Snellen
eye chart. This means:
A. have the patient returning in two weeks for a follow up vision screen
B. dilated the eye and retest
C. refer the patient to an ophthalmologist
, 2|Page
D. document this as a normal finding
Correct Answer: C
Rationale:
1. Visual acuity of 20/30 or 20/40 in a patient may be considered a
borderline or failing result depending on the patient's age and
context (e.g., for a driver's license or child's developmental
screening).
2. Standard practice dictates that a significant asymmetry (difference
between eyes) or failure to meet age-expected norms warrants
further evaluation by a specialist.
3. An ophthalmologist can perform a comprehensive eye exam to rule
out refractive errors, amblyopia, or other pathology, making referral
the most appropriate and safest action.
2. The American psychiatric association's diagnostic and
statistical manual of mental disorder defines Munchausen Syndrome
By Proxy
A. a self-inflicted injury to gain attention
B. a caregiver making up or causing an illness or injury in a person
under his or her care
C. an abusive behavior that does not involve the caregiver
, 3|Page
D. a situation in which the abuser is often inattentive and uncaring toward
the victim
Correct Answer: B
Rationale:
1. Munchausen syndrome by proxy (MSbP), now more precisely called
Factitious Disorder Imposed on Another (FDIA), is a specific form of
abuse and a mental health disorder of the caregiver.
2. The essential feature is the deliberate fabrication or induction of
physical or psychological symptoms in another person, typically a
child, by a caregiver.
3. The perpetrator's motive is often to assume the "sick role" by proxy
and gain attention or sympathy from medical professionals,
distinguishing it from other forms of neglect or abuse.
3. Symptoms of depression are a side effect of which
neurotransmitter medication?
A. dopamine serotonin, norepinephrine
B. gabapentin
C. mil
D. cortisol
