APEA 3P HIGH STAKES STUDY GUIDE
COMPLETE REVIEW OF ADVANCED PRACTICE
NURSING CONCEPTS 2026
◉ Taking Pyridium for UTI, what can Pyridium cause?
Answer: Hemolytic Anemia
◉ What can PCOS result in?
Answer: Increased insulin levels (Hyperinsulinemia), Androgens,
Hirsutism
◉ What are the anti-hypertensives used in pregnancy?
Answer: Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine,
Hydralazine
◉ What is a characteristic of Placenta Previa?
Answer: Painless, red bleeding
◉ What is a chacteristic of Rheumatoid Arthritis?
Answer: Tender, warm, swollen joints
◉ Medications that can cause ototoxicity?
,Answer: Aminoglycosides, loop diuretics, NSAIDs, antihistamines,
nasal decongestants
◉ What is the treatment time for enterobiasis?
Answer: 2 weeks
◉ What does MCV lab value measure?
Answer: Mean Corpuscular Volume helps diagnose different types of
anemia such as B12 & Folate (Macrocytic) and Fe anemia
(Microcytic)
◉ Rhogam is given at how many week gestation?
Answer: 27-28 weeks
◉ What are Janeway lesions and what do they indicate?
Answer: They are irregular, non-tender hemorrhagic macules
located on the hands and feet. Seen in Infective Endocarditis
◉ What are Osler's Nodes and what do they indicate?
Answer: They are split pea-sized, erythematous, tender nodules
located on the pads of the fingers and toes. Seen in Infective
Endocarditis
,◉ What is the recommendation for Warfarin management when a
patient misses a dose?
Answer: If within 12 hours of the dose time, take it. If over 12 hours
patient will need a INR redraw
◉ What do we need to know about ACEs and ARBs?
Answer: A dry hacking cough is a common side effect of ACEs and
will go away within a week after discontinuing. ACEs & ARBs are
indicated for patients with DM, CKD, and HTN. Not recommended as
1st line agent with African Americans & can cause angioedema.
◉ Contraindications for Hydrochlorothiazide
Answer: Sulfa allergy, PCN hypersensitivity, Asthma, Gout
◉ Systolic Murmurs (Benign)
Answer: MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations,
Chest Pain
◉ Diastolic Murmurs (Abnormal)
Answer: AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest
Pain)
, MS = Mitral Stenosis (Dyspnea, AFib)
◉ What does S1 indicate?
Answer: S1 Closure of the Atrioventricular Valves (Mitral &
Tricuspid Valves)
◉ What does S2 indicate?
Answer: S2 Closure of the Semilunar Valves (Aortic & Pulmonic
Valves)
◉ S3 is often heard in?
Answer: CHF, possibly normal for athletic adolescents
◉ S4 is often heard in?
Answer: Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly
controlled HTN, MI
◉ Treatment of Peripheral Artery Disease (PAD)
Answer: Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood
viscosity)
◉ Diagnosing Peripheral Artery Disease (PAD)
Answer: Gold Standard = Angiography
COMPLETE REVIEW OF ADVANCED PRACTICE
NURSING CONCEPTS 2026
◉ Taking Pyridium for UTI, what can Pyridium cause?
Answer: Hemolytic Anemia
◉ What can PCOS result in?
Answer: Increased insulin levels (Hyperinsulinemia), Androgens,
Hirsutism
◉ What are the anti-hypertensives used in pregnancy?
Answer: Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine,
Hydralazine
◉ What is a characteristic of Placenta Previa?
Answer: Painless, red bleeding
◉ What is a chacteristic of Rheumatoid Arthritis?
Answer: Tender, warm, swollen joints
◉ Medications that can cause ototoxicity?
,Answer: Aminoglycosides, loop diuretics, NSAIDs, antihistamines,
nasal decongestants
◉ What is the treatment time for enterobiasis?
Answer: 2 weeks
◉ What does MCV lab value measure?
Answer: Mean Corpuscular Volume helps diagnose different types of
anemia such as B12 & Folate (Macrocytic) and Fe anemia
(Microcytic)
◉ Rhogam is given at how many week gestation?
Answer: 27-28 weeks
◉ What are Janeway lesions and what do they indicate?
Answer: They are irregular, non-tender hemorrhagic macules
located on the hands and feet. Seen in Infective Endocarditis
◉ What are Osler's Nodes and what do they indicate?
Answer: They are split pea-sized, erythematous, tender nodules
located on the pads of the fingers and toes. Seen in Infective
Endocarditis
,◉ What is the recommendation for Warfarin management when a
patient misses a dose?
Answer: If within 12 hours of the dose time, take it. If over 12 hours
patient will need a INR redraw
◉ What do we need to know about ACEs and ARBs?
Answer: A dry hacking cough is a common side effect of ACEs and
will go away within a week after discontinuing. ACEs & ARBs are
indicated for patients with DM, CKD, and HTN. Not recommended as
1st line agent with African Americans & can cause angioedema.
◉ Contraindications for Hydrochlorothiazide
Answer: Sulfa allergy, PCN hypersensitivity, Asthma, Gout
◉ Systolic Murmurs (Benign)
Answer: MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations,
Chest Pain
◉ Diastolic Murmurs (Abnormal)
Answer: AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest
Pain)
, MS = Mitral Stenosis (Dyspnea, AFib)
◉ What does S1 indicate?
Answer: S1 Closure of the Atrioventricular Valves (Mitral &
Tricuspid Valves)
◉ What does S2 indicate?
Answer: S2 Closure of the Semilunar Valves (Aortic & Pulmonic
Valves)
◉ S3 is often heard in?
Answer: CHF, possibly normal for athletic adolescents
◉ S4 is often heard in?
Answer: Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly
controlled HTN, MI
◉ Treatment of Peripheral Artery Disease (PAD)
Answer: Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood
viscosity)
◉ Diagnosing Peripheral Artery Disease (PAD)
Answer: Gold Standard = Angiography
