NSG6440 APEA PREDICTOR STUDY
TEST
Cranial66Nerve66VIII66-66CORRECT66ANSWER-Acoustic66(Hearing66and66balance)
Cranial66nerve66IX66-66CORRECT66ANSWER-Glossopharyngeal-
66swallowing66and66rise66of66the66palate,66gag66reflex
Cranial66Nerve66XI66-66CORRECT66ANSWER-Spinal66Accessory66(upper66trapezius)
Deep66tendon66reflex66-66CORRECT66ANSWER-Ankle-
66S166primarily66Knee-66Lumbar662,3,4
Supinator(brachioradialis)-
C5,666BicepTriceps-C6,7
Stroke66risk66scale66-66CORRECT66ANSWER-
CHADS266C-Congestive66heart66failure
H-
Hypertension66A
-
Age66>7566years6
6D-66Diabetes
S-prior66Stroke/TIA
In66the66majority66of66children,66the66first66permanent66teeth66start66to66erupt66at66the66age66
of66666years.66Which66of66the66following66are66the66first66permanent66teeth66to66erupt66in66thi
s66time66period?
A. First66Molars
B. Second66Molars
C. Lower66or66upper66incisors
D. Canines66-66CORRECT66ANSWER-A.66First66Molars
All66of66the66following66are66classified66as66activities66of66daily66living66(ADLs)66except:
A. ability66to66feed66self
,B. Ability66to66manage66bladder66and66bowel66elimination
C. Personal66hygiene66and66grooming
D. Grocery66Shopping66-66CORRECT66ANSWER-D.66Grocery66shopping
,You66note66the66following66result66on66a66routine66urinalysis66of66a6637-
year66old66primigravida66who66is66at663066weeks66gestation.66Leukocyte=trace,66nitrite=
negative,66protein=2+,66blood=negative.66Her66weight66has66increased66by66566lbs66duri
ng66the66past66week.66Which66of66the66following66is66most66likely?
A. HELLP66syndrome
B. Pregnancy-induced66hypertension66(pre-eclampsia)
C. Eclampsia66of66pregnancy
D. Primary66hypertension66-66CORRECT66ANSWER-B.66Pregnancy-
induced66hypertension66(pre-
eclampsia).66Classic66triad66of66symptoms66of66preeclampsia66include66hypertension
,66edema66(weight66gain),66and66proteinuria.
The66mother66of66a661266month66old66infant66reports66to66the66nurse66practitioner66that66
her66child66had66a66high66fever66for66several66days,66which66spontaneously66resolved.66
After66the66fever66resolved,66the66child66developed66a66maculopapular66rash.66Which66o
f66the66following66is66the66most66likely66diagnosis?
A. Fifth66Disease66(erythema66infectiosum)
B. Roseola66infantum66(exanthema66subitum)
C. Varicella
D. Infantile66maculopapular66rashes66-66CORRECT66ANSWER-
B.66Roseola66Infantum66(Exanthema66subitum)
A6670-year66old66male66patient66complains66of66a66bright66red-
colored66spot66in66his66left66eye66for66266days.66He66denies66eye66pain,66visual66change
s,66or66headaches.66He66has66a66new66onset66of66cough66from66a66recent66viral66upper66
respiratory66infection.66The66only66medicine66he66is66on66Bayer66aspirin,66166tablet66a66d
ay.66Which66of66the66following66is66most66likely?
A. Corneal66abrasion
B. Acute66bacterial66conjunctivitis
C. Acute66uveitis
D. Subconjunctival66hemorrhage66-66CORRECT66ANSWER-
D.66Subconjunctival66hemorrhage.66Bright66red66blood66in66a66sharply66defined
66area66surrounded66by66normal-
66appearing66conjunctiva66indicates66subconjunctival66hemorrhage.
A66woman66is66being66evaluated66by66the66nurse66practitioner66for66complaints66of66dysp
areunia.66A66microscopy66slide66reveals66a66large66number66of66atrophic66squamous66e
pithelial66cells.66The66vaginal66pH66is664.0.66There66are66very66few66leukocytes66and66n
o66RBCs66are66seen66on66the66wet66smear.66Which66of66the66following66is66most66likely
?
A. Atrophic66vaginitis
B. Bacterial66Vaginosis
C. Trichomoniasis
D. This66is66a66normal66finding.66-66CORRECT66ANSWER-
A.66Atrophic66vaginitis.66Symptoms66of66atrophic66vaginitis66include66painful66intercour
se,66atrophic66squamous66epithelial66cells,66and66a66decrease66in66pH.66Vaginal66atrop
hy66is66caused66by66lack66of66or66imbalance66of66estrogen.66Normal66pH66of66the66vagi
na66is664.0-5.066(acidic)
The66most66common66type66of66skin66malignancy66is:
, A. Squamous66cell66cancer
B. Basal66skin66cancer
C. Melanoma
D. Dysplastic66nevi66-66CORRECT66ANSWER-
B.66Basal66skin66cancer.66It66is66several66times66more66common66that66squamous66cell66
skin66cancer66according66to66the66NIH.
Koplik's66spots66are66associated66with:
A. Poxvirius66infections
B. Measles
C. Kawasaki's66disease
D. Reye's66syndrome66-66CORRECT66ANSWER-
B.66Measles.66S/S66include66fever66over66101,66coryza,66cough,66conjunctivitis,66rash
,66and66koplik's66spots66on66buccal66mucosa
At66what66level66of66prevention66would66you66classify66for66lung66cancer?
A. Primary66prevention
B. Secondary66prevention
C. Tertiary66prevention
D. Primordial66prevention66-66CORRECT66ANSWER-
D.66primordial66prevention.66Screening66for66lung66cancer66is66not66currently66recomme
nded66in66the66general66population,66but66it66is66secondary66prevention.
A66test66called66the66visual66fields66by66confrontation66is66used66to66evaluate66for:
A. Peripheral66vision
B. Central66vision
C. Visual66acuity
D. Accomodation66-66CORRECT66ANSWER-A.66Peripheral66vision
What66is66the66most66common66cause66of66Cushing's66syndrome?66-
66CORRECT66ANSWER-66Administration66of66a66glucocorticoid66or66ACTH.
Iatrogenic66Cushing's66syndrome66is66the66most66common66type.66Exogenous66glucoco
rticoid66administration66produces66a66Cushing's66Syndrome66that66is66reversible66by66dis
continuation66of66the66medication.
A66patient66with66no66significant66medical66history66has66vericose66veins.66She66complai
ns66of66'"aching66legs".66The66intervention66that66will66provide66the66greatest66relief66for66
her66complaint66is66to:
-66CORRECT66ANSWER-Elevate66her66legs66periodically.
The66intervention66that66will66provide66the66greatest66relief66for66this66patient66is66elevati
ng66her66legs66periodically.66This66will66facilitate66venous66return.66Use66of66support66st
ockings66will66prolong66the66length66of66time66she66is66able66to66stand66in66place,66but66
will66not66provide66relief66after66her66legs66begin66aching.66Support66stockings66should66
be66applied66prior66to66getting66out66of66bed.
A6625-yo66female66patient66presents66for66a66routine66well-
women66exam.66On66physical66exam,66the66NP66notes66a66scant66nipple66discharge,66a
bsence66of66palpable66mass,66and66absence66of66lymph66node66enlargement.66What66is
66the66most66likely66diagnosis?66-66CORRECT66ANSWER-Itraductal66papilloma.
TEST
Cranial66Nerve66VIII66-66CORRECT66ANSWER-Acoustic66(Hearing66and66balance)
Cranial66nerve66IX66-66CORRECT66ANSWER-Glossopharyngeal-
66swallowing66and66rise66of66the66palate,66gag66reflex
Cranial66Nerve66XI66-66CORRECT66ANSWER-Spinal66Accessory66(upper66trapezius)
Deep66tendon66reflex66-66CORRECT66ANSWER-Ankle-
66S166primarily66Knee-66Lumbar662,3,4
Supinator(brachioradialis)-
C5,666BicepTriceps-C6,7
Stroke66risk66scale66-66CORRECT66ANSWER-
CHADS266C-Congestive66heart66failure
H-
Hypertension66A
-
Age66>7566years6
6D-66Diabetes
S-prior66Stroke/TIA
In66the66majority66of66children,66the66first66permanent66teeth66start66to66erupt66at66the66age66
of66666years.66Which66of66the66following66are66the66first66permanent66teeth66to66erupt66in66thi
s66time66period?
A. First66Molars
B. Second66Molars
C. Lower66or66upper66incisors
D. Canines66-66CORRECT66ANSWER-A.66First66Molars
All66of66the66following66are66classified66as66activities66of66daily66living66(ADLs)66except:
A. ability66to66feed66self
,B. Ability66to66manage66bladder66and66bowel66elimination
C. Personal66hygiene66and66grooming
D. Grocery66Shopping66-66CORRECT66ANSWER-D.66Grocery66shopping
,You66note66the66following66result66on66a66routine66urinalysis66of66a6637-
year66old66primigravida66who66is66at663066weeks66gestation.66Leukocyte=trace,66nitrite=
negative,66protein=2+,66blood=negative.66Her66weight66has66increased66by66566lbs66duri
ng66the66past66week.66Which66of66the66following66is66most66likely?
A. HELLP66syndrome
B. Pregnancy-induced66hypertension66(pre-eclampsia)
C. Eclampsia66of66pregnancy
D. Primary66hypertension66-66CORRECT66ANSWER-B.66Pregnancy-
induced66hypertension66(pre-
eclampsia).66Classic66triad66of66symptoms66of66preeclampsia66include66hypertension
,66edema66(weight66gain),66and66proteinuria.
The66mother66of66a661266month66old66infant66reports66to66the66nurse66practitioner66that66
her66child66had66a66high66fever66for66several66days,66which66spontaneously66resolved.66
After66the66fever66resolved,66the66child66developed66a66maculopapular66rash.66Which66o
f66the66following66is66the66most66likely66diagnosis?
A. Fifth66Disease66(erythema66infectiosum)
B. Roseola66infantum66(exanthema66subitum)
C. Varicella
D. Infantile66maculopapular66rashes66-66CORRECT66ANSWER-
B.66Roseola66Infantum66(Exanthema66subitum)
A6670-year66old66male66patient66complains66of66a66bright66red-
colored66spot66in66his66left66eye66for66266days.66He66denies66eye66pain,66visual66change
s,66or66headaches.66He66has66a66new66onset66of66cough66from66a66recent66viral66upper66
respiratory66infection.66The66only66medicine66he66is66on66Bayer66aspirin,66166tablet66a66d
ay.66Which66of66the66following66is66most66likely?
A. Corneal66abrasion
B. Acute66bacterial66conjunctivitis
C. Acute66uveitis
D. Subconjunctival66hemorrhage66-66CORRECT66ANSWER-
D.66Subconjunctival66hemorrhage.66Bright66red66blood66in66a66sharply66defined
66area66surrounded66by66normal-
66appearing66conjunctiva66indicates66subconjunctival66hemorrhage.
A66woman66is66being66evaluated66by66the66nurse66practitioner66for66complaints66of66dysp
areunia.66A66microscopy66slide66reveals66a66large66number66of66atrophic66squamous66e
pithelial66cells.66The66vaginal66pH66is664.0.66There66are66very66few66leukocytes66and66n
o66RBCs66are66seen66on66the66wet66smear.66Which66of66the66following66is66most66likely
?
A. Atrophic66vaginitis
B. Bacterial66Vaginosis
C. Trichomoniasis
D. This66is66a66normal66finding.66-66CORRECT66ANSWER-
A.66Atrophic66vaginitis.66Symptoms66of66atrophic66vaginitis66include66painful66intercour
se,66atrophic66squamous66epithelial66cells,66and66a66decrease66in66pH.66Vaginal66atrop
hy66is66caused66by66lack66of66or66imbalance66of66estrogen.66Normal66pH66of66the66vagi
na66is664.0-5.066(acidic)
The66most66common66type66of66skin66malignancy66is:
, A. Squamous66cell66cancer
B. Basal66skin66cancer
C. Melanoma
D. Dysplastic66nevi66-66CORRECT66ANSWER-
B.66Basal66skin66cancer.66It66is66several66times66more66common66that66squamous66cell66
skin66cancer66according66to66the66NIH.
Koplik's66spots66are66associated66with:
A. Poxvirius66infections
B. Measles
C. Kawasaki's66disease
D. Reye's66syndrome66-66CORRECT66ANSWER-
B.66Measles.66S/S66include66fever66over66101,66coryza,66cough,66conjunctivitis,66rash
,66and66koplik's66spots66on66buccal66mucosa
At66what66level66of66prevention66would66you66classify66for66lung66cancer?
A. Primary66prevention
B. Secondary66prevention
C. Tertiary66prevention
D. Primordial66prevention66-66CORRECT66ANSWER-
D.66primordial66prevention.66Screening66for66lung66cancer66is66not66currently66recomme
nded66in66the66general66population,66but66it66is66secondary66prevention.
A66test66called66the66visual66fields66by66confrontation66is66used66to66evaluate66for:
A. Peripheral66vision
B. Central66vision
C. Visual66acuity
D. Accomodation66-66CORRECT66ANSWER-A.66Peripheral66vision
What66is66the66most66common66cause66of66Cushing's66syndrome?66-
66CORRECT66ANSWER-66Administration66of66a66glucocorticoid66or66ACTH.
Iatrogenic66Cushing's66syndrome66is66the66most66common66type.66Exogenous66glucoco
rticoid66administration66produces66a66Cushing's66Syndrome66that66is66reversible66by66dis
continuation66of66the66medication.
A66patient66with66no66significant66medical66history66has66vericose66veins.66She66complai
ns66of66'"aching66legs".66The66intervention66that66will66provide66the66greatest66relief66for66
her66complaint66is66to:
-66CORRECT66ANSWER-Elevate66her66legs66periodically.
The66intervention66that66will66provide66the66greatest66relief66for66this66patient66is66elevati
ng66her66legs66periodically.66This66will66facilitate66venous66return.66Use66of66support66st
ockings66will66prolong66the66length66of66time66she66is66able66to66stand66in66place,66but66
will66not66provide66relief66after66her66legs66begin66aching.66Support66stockings66should66
be66applied66prior66to66getting66out66of66bed.
A6625-yo66female66patient66presents66for66a66routine66well-
women66exam.66On66physical66exam,66the66NP66notes66a66scant66nipple66discharge,66a
bsence66of66palpable66mass,66and66absence66of66lymph66node66enlargement.66What66is
66the66most66likely66diagnosis?66-66CORRECT66ANSWER-Itraductal66papilloma.
