OFFICIAL NSG 6998 APEA PREDICTOR EXAM PREP: SOUTH UNIVERSITY FULL-LENGTH 150 QUESTION PRACTICE TEST FOR FAMILY NURSE PRACTITIONER STUDENTS | INSTANT PDF DOWNLOAD

OFFICIAL NSG 6998 APEA PREDICTOR EXAM PREP:
SOUTH UNIVERSITY FULL-LENGTH 150 QUESTION
PRACTICE TEST FOR FAMILY NURSE PRACTITIONER
STUDENTS | INSTANT PDF DOWNLOAD




Please note that the official APEA Predictor Exams, which are used to assess
readiness for national NP certification, do not provide correct answers or rationales for the

questions. This is because their primary purpose is to simulate the actual certification exam

experience and provide a predictive score report



Section 1: Assessment & Diagnosis

1. A 14-year-old patient fell on an outstretched hand and now complains of proximal forearm
pain. A fat pad sign is visible on X-ray. What is the most likely working diagnosis?

 A) Supracondylar fracture
 B) Radial head fracture
 C) Olecranon fracture
 D) Elbow dislocation

2. A 10-month-old infant presents with a rash, runny nose, cough, and fever. Examination
reveals a cluster of tiny white papules with an erythematous base on the buccal mucosa.
What diagnosis does this suggest?

 A) Scarlet fever
 B) Roseola
 C) Measles
 D) Fifth disease
3. A 68-year-old female presents with fatigue and unintentional weight loss of 15 pounds
over 6 months. What is the most appropriate initial assessment?

, A) Complete blood count with differential
 B) Thyroid function tests
 C) Depression screening
 D) Colonoscopy referral
4. A 45-year-old male reports chest pain that is sharp, positional, and relieved by leaning
forward. Which finding suggests a non-cardiac cause?

 A) Pain radiating to the left arm
 B) Pleuritic quality
 C) Associated diaphoresis
 D) Exertional onset
5. Which screening tool is most appropriate for evaluating depression in a 72-year-old
patient?

 A) Beck Depression Inventory
 B) PHQ-2 followed by PHQ-9 if positive
 C) Hamilton Depression Rating Scale
 D) Geriatric Depression Scale
6. A 60-year-old female has a blood pressure reading of 150/90 mmHg on a single office
visit. She has no history of hypertension. What is the next best step?

 A) Start amlodipine immediately
 B) Confirm with repeat measurements on two subsequent visits
 C) Order 24-hour ambulatory blood pressure monitoring
 D) Recommend lifestyle modifications and return in 6 months
7. A 55-year-old male with a 30-pack-year smoking history presents with hemoptysis, weight
loss, and a persistent cough. On auscultation, there is decreased breath sounds on the left
lower lobe. What is the most appropriate initial diagnostic test?

 A) Sputum cytology
 B) Chest X-ray
 C) Bronchoscopy
 D) CT pulmonary angiography

8. A 3-year-old child presents with a fever of 104°F for 4 days, bilateral conjunctival injection
without exudate, a polymorphous rash, and cervical lymphadenopathy. What is the most
likely diagnosis?

, A) Scarlet fever
 B) Measles
 C) Kawasaki disease
 D) Epstein-Barr virus
9. A 32-year-old female presents with a firm, mobile, non-tender breast mass. She has no
family history of breast cancer. What is the most appropriate next step?

 A) Immediate biopsy
 B) Ultrasound of the breast
 C) Reassurance and return in 3 months
 D) Mammogram
10. A 25-year-old male presents with acute onset of severe scrotal pain, nausea, and
vomiting. The cremasteric reflex is absent on the affected side. What is the priority
intervention?

 A) Obtain scrotal ultrasound
 B) Start empiric antibiotics
 C) Immediate surgical consultation
 D) Prescribe analgesics and rest

11. A 70-year-old male reports urinary frequency, hesitancy, and a weak stream. Digital
rectal exam reveals a symmetrically enlarged, smooth, non-tender prostate. What is the
most likely diagnosis?

 A) Prostate cancer
 B) Benign prostatic hyperplasia
 C) Acute prostatitis
 D) Chronic prostatitis

12. A 45-year-old female presents with fatigue, cold intolerance, weight gain, and
constipation. Which laboratory finding would confirm the diagnosis?

 A) Low TSH, high T4
 B) High TSH, low T4
 C) Low TSH, low T4
 D) High TSH, high T4

13. A 6-month-old infant is brought in for a well-child visit. The mother reports the infant is
not yet sitting without support. What is the most appropriate action?

,  A) Refer for developmental evaluation
 B) Reassure mother this is within normal limits
 C) Order physical therapy
 D) Schedule follow-up in 3 months
14. A 50-year-old male presents with acute onset of severe, "thunderclap" headache that
reached maximum intensity within seconds. What is the most critical diagnosis to rule out?

 A) Migraine
 B) Tension headache
 C) Subarachnoid hemorrhage
 D) Cluster headache
15. A 28-year-old female presents with a malar rash, oral ulcers, and joint pain. Laboratory
evaluation reveals positive antinuclear antibody (ANA). What is the most likely diagnosis?

 A) Rheumatoid arthritis
 B) Systemic lupus erythematosus
 C) Scleroderma
 D) Fibromyalgia
16. A 65-year-old male with chronic obstructive pulmonary disease presents with worsening
dyspnea, increased sputum production, and purulent sputum. What is the most likely
diagnosis?

 A) COPD exacerbation
 B) Pneumonia
 C) Pulmonary embolism
 D) Heart failure exacerbation

17. A 22-year-old female presents with sudden onset of sharp, stabbing chest pain that
worsens with inspiration. She is tachycardic but hemodynamically stable. What is the most
appropriate initial diagnostic test?

 A) Chest X-ray
 B) D-dimer
 C) CT pulmonary angiography
 D) Ventilation-perfusion scan

18. A 2-year-old child presents with a barking cough, stridor, and low-grade fever.
Symptoms are worse at night. What is the most likely diagnosis?