APEA 3P Exam Questions & Answers | Advanced
Nursing 3P Certification Exam Study Guide|100%
Verified|Newest version|Brand New !!!
Most common type of skin cancer in USA
Correct Answer:
Skin cancer
Most common type of skin cancer
Correct Answer:
basal cell carcinoma
basal cell carcinoma symptoms
Correct Answer:
Appearance varies; smooth, shiny bump, pink to pearly white
Basal cell carcinoma common locations
Correct Answer:
cheeks, nose, face, neck, arms, back
basal cell carcinoma diagnosis gold standard
Correct Answer:
biopsy. if not an option, refer to derm
Actinic keratosis
Correct Answer:
Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard
Correct Answer:
,Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard
Correct Answer:
small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze,
crust, scab and be red
*5-flouracil/ efudex-wear sunscreen!!*
squamous cell cancer
Correct Answer:
chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations
Correct Answer:
rims of ears, lips, nose, face and top of hands
precursor lesion to squamous cell cancer
Correct Answer:
actinic keratosis
squamous cell carcinoma diagnosis by?
Correct Answer:
biopsy gold standard. if biopsy is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma)
Correct Answer:
Blistering sunburn as a child, history of sunburns, light skin, chronic exposure to UV
light (sunlight/tanning beds), moles, family hx for skin cancer
Melanoma symptoms (ABCDE)
Correct Answer:
asymmetry (shape/uneven texture)
border (irregular/notched/blurred)
,color (variegated colors from black, blue, dark to light brown)
diameter (size >6mm size of pencil eraser or larger)
evolving (changes in color/size/shape)
may be itchy
Acral lengtiginous melanoma
Correct Answer:
Most common type of melanoma in dark skinned individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a changing spot or
mole in the palms, or the soles of the feet
seborrheic keratosis
Correct Answer:
soft, round, wart-like growth that is light tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria
Correct Answer:
Streptococcus pneumoniae- most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad)
Correct Answer:
High fever
Nuchal rigidity
rapid change in mental status w/ headache
Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions
(purpura) which are non-blanchable
Is bacterial meningitis a reportable disease
Correct Answer:
yes!
Treatment for Bacterial meningitis-patient
, Correct Answer:
IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low maintenance after initial
fluid correction), Maintain ventilation and reduce increased intra cranial pressure if
present (dexamethosone(to reduce inflammation, mannitol to diurese the brain), low
stim environment, tx complications that may arrive and support family
Treatment for bacterial meningitis-close encounter
Correct Answer:
Close contacts should be treated w/ rifampin 600 mg q 12 hours x 2 days
**Rifampin changes urine color to reddish orange and can stain contacts
**AVOID RIFAMPIN IN PREGNANCY
Brudzinkski sign (meningeal irritation)
Correct Answer:
Tests for meningeal irritation
Patient supine, raise BACK of head and flex chin towards chest
+ result if pt automatically beds both hips
--Brudzinski and back of head start with B as well as bends--
Kernig's sign
Correct Answer:
Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle, then slowly
straighten/extend the legs up
+ result if when the patient complains of pain during extension of leg
MCV4 (meningococcal vaccine) Age 11-19
Correct Answer:
Give one dose of menactra or menveo
primary dose given age 12 or younger give a booster at age 16-18
MCV4 (meningococcal vaccine) Age 19-21
Correct Answer:
Give one dose of menactra or menveo if never had either
Rocky mountain spotted fever (RMSF) symptoms
Nursing 3P Certification Exam Study Guide|100%
Verified|Newest version|Brand New !!!
Most common type of skin cancer in USA
Correct Answer:
Skin cancer
Most common type of skin cancer
Correct Answer:
basal cell carcinoma
basal cell carcinoma symptoms
Correct Answer:
Appearance varies; smooth, shiny bump, pink to pearly white
Basal cell carcinoma common locations
Correct Answer:
cheeks, nose, face, neck, arms, back
basal cell carcinoma diagnosis gold standard
Correct Answer:
biopsy. if not an option, refer to derm
Actinic keratosis
Correct Answer:
Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard
Correct Answer:
,Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard
Correct Answer:
small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze,
crust, scab and be red
*5-flouracil/ efudex-wear sunscreen!!*
squamous cell cancer
Correct Answer:
chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations
Correct Answer:
rims of ears, lips, nose, face and top of hands
precursor lesion to squamous cell cancer
Correct Answer:
actinic keratosis
squamous cell carcinoma diagnosis by?
Correct Answer:
biopsy gold standard. if biopsy is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma)
Correct Answer:
Blistering sunburn as a child, history of sunburns, light skin, chronic exposure to UV
light (sunlight/tanning beds), moles, family hx for skin cancer
Melanoma symptoms (ABCDE)
Correct Answer:
asymmetry (shape/uneven texture)
border (irregular/notched/blurred)
,color (variegated colors from black, blue, dark to light brown)
diameter (size >6mm size of pencil eraser or larger)
evolving (changes in color/size/shape)
may be itchy
Acral lengtiginous melanoma
Correct Answer:
Most common type of melanoma in dark skinned individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a changing spot or
mole in the palms, or the soles of the feet
seborrheic keratosis
Correct Answer:
soft, round, wart-like growth that is light tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria
Correct Answer:
Streptococcus pneumoniae- most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad)
Correct Answer:
High fever
Nuchal rigidity
rapid change in mental status w/ headache
Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions
(purpura) which are non-blanchable
Is bacterial meningitis a reportable disease
Correct Answer:
yes!
Treatment for Bacterial meningitis-patient
, Correct Answer:
IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low maintenance after initial
fluid correction), Maintain ventilation and reduce increased intra cranial pressure if
present (dexamethosone(to reduce inflammation, mannitol to diurese the brain), low
stim environment, tx complications that may arrive and support family
Treatment for bacterial meningitis-close encounter
Correct Answer:
Close contacts should be treated w/ rifampin 600 mg q 12 hours x 2 days
**Rifampin changes urine color to reddish orange and can stain contacts
**AVOID RIFAMPIN IN PREGNANCY
Brudzinkski sign (meningeal irritation)
Correct Answer:
Tests for meningeal irritation
Patient supine, raise BACK of head and flex chin towards chest
+ result if pt automatically beds both hips
--Brudzinski and back of head start with B as well as bends--
Kernig's sign
Correct Answer:
Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle, then slowly
straighten/extend the legs up
+ result if when the patient complains of pain during extension of leg
MCV4 (meningococcal vaccine) Age 11-19
Correct Answer:
Give one dose of menactra or menveo
primary dose given age 12 or younger give a booster at age 16-18
MCV4 (meningococcal vaccine) Age 19-21
Correct Answer:
Give one dose of menactra or menveo if never had either
Rocky mountain spotted fever (RMSF) symptoms
