APEA 3P ACTUAL NURSING EXAM 2026/2027 | Top
Grade | Free Comprehensive Review | Questions &
Verified Answers | NP Certification Prep | Pass
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A 57 years old post -menopausal female presents with a complaint
of vaginal burning, pruritus and painful intercourse. On examination,
the nurse practitioner would be most concern with the findings:
A friable cervix
The term "friable" refers to tissue that is easily irritated, which
makes it more prone to inflammation, bleeding, or tearing. Vaginal
rugae
disappear in those with an estrogen deficiency and those women
who are older. Nabothian cysts (also called epithelial cyst) are
common and benign and are considered a normal feature of the
adult cervix.. They may be translucent or opaque, whitish to yellow.
Atrophic vaginitis is a vaginal disorder that usually happens after
menopause appearing as thin, pale and dry.
,The client with iron deficiency anemia should be advised to take the
iron supplement
On an empty stomach between meals
Because iron is best absorbed on an empty stomach, patients should
be advised to take the supplement an hour before meals. Most
patients can use the less expensive, more standard
forms of ferrous sulfate
When interpreting a complete blood count (CBC) lab report which of
the following results describes the size of the RBCs?
Mean corpuscular volume (MCV)
The mean corpuscle (cell) volume (MCV) is a measurement of the
average size of the RBCs. Small -sized RBCs result in a lower MCV, while
larger RBCs result in a higher MCV.
MCV determines types of anemias.
What medication should be avoided when prescribe prophylactic
therapy for headache?
Venlataxin (Effexor)
Serotonin Norepinephrine Reuptake inhibitor have the most serious side
effect. Patients should have drug free period for 3-4 weeks after every 6
months of treatment
,Anticholinergics are indicated for the treatment of:
Urge incontinence
Anticholinergics are drugs that block the action of acetylcholine .
Anticholinergics can treat a variety of conditions, including:
urinary incontinence , overactive bladder, COPD. They also help
block
involuntary muscle movements associated with certain diseases
such as Parkinson’s disease .
, Which of the following complaints best describes lower extremity calf
pain associated with peripheral artery disease?
A dull pain or cramp
Peripheral artery disease signs and symptoms include: Painful cramping
in one or both of your hips, thighs or calf muscles after certain activities,
such as walking or climbing stairs
(claudication) Leg numbness or weakness. Coldness in your lower leg or
foot, especially when compared with the other side.
Which of the following conditions is NOT a typical finding of
hyperprolactinemia in a 47-year-old premenopausal woman?
Gynecomastia
Hyperprolactinemia causes typical symptoms in premenopausal women
and in men, but not
postmenopausal women.
Hyperprolactinemia in premenopausal women causes hypogonadism,
with symptoms that include infertility, oligomenorrhea, or amenorrhea
and less often galactorrhea.
Grade | Free Comprehensive Review | Questions &
Verified Answers | NP Certification Prep | Pass
Guaranteed - A+ Graded
A 57 years old post -menopausal female presents with a complaint
of vaginal burning, pruritus and painful intercourse. On examination,
the nurse practitioner would be most concern with the findings:
A friable cervix
The term "friable" refers to tissue that is easily irritated, which
makes it more prone to inflammation, bleeding, or tearing. Vaginal
rugae
disappear in those with an estrogen deficiency and those women
who are older. Nabothian cysts (also called epithelial cyst) are
common and benign and are considered a normal feature of the
adult cervix.. They may be translucent or opaque, whitish to yellow.
Atrophic vaginitis is a vaginal disorder that usually happens after
menopause appearing as thin, pale and dry.
,The client with iron deficiency anemia should be advised to take the
iron supplement
On an empty stomach between meals
Because iron is best absorbed on an empty stomach, patients should
be advised to take the supplement an hour before meals. Most
patients can use the less expensive, more standard
forms of ferrous sulfate
When interpreting a complete blood count (CBC) lab report which of
the following results describes the size of the RBCs?
Mean corpuscular volume (MCV)
The mean corpuscle (cell) volume (MCV) is a measurement of the
average size of the RBCs. Small -sized RBCs result in a lower MCV, while
larger RBCs result in a higher MCV.
MCV determines types of anemias.
What medication should be avoided when prescribe prophylactic
therapy for headache?
Venlataxin (Effexor)
Serotonin Norepinephrine Reuptake inhibitor have the most serious side
effect. Patients should have drug free period for 3-4 weeks after every 6
months of treatment
,Anticholinergics are indicated for the treatment of:
Urge incontinence
Anticholinergics are drugs that block the action of acetylcholine .
Anticholinergics can treat a variety of conditions, including:
urinary incontinence , overactive bladder, COPD. They also help
block
involuntary muscle movements associated with certain diseases
such as Parkinson’s disease .
, Which of the following complaints best describes lower extremity calf
pain associated with peripheral artery disease?
A dull pain or cramp
Peripheral artery disease signs and symptoms include: Painful cramping
in one or both of your hips, thighs or calf muscles after certain activities,
such as walking or climbing stairs
(claudication) Leg numbness or weakness. Coldness in your lower leg or
foot, especially when compared with the other side.
Which of the following conditions is NOT a typical finding of
hyperprolactinemia in a 47-year-old premenopausal woman?
Gynecomastia
Hyperprolactinemia causes typical symptoms in premenopausal women
and in men, but not
postmenopausal women.
Hyperprolactinemia in premenopausal women causes hypogonadism,
with symptoms that include infertility, oligomenorrhea, or amenorrhea
and less often galactorrhea.
