APEA Predictor questions and
answers
latest top
score.
Cranial Nerve VIII correct answers. Acoustic (Hearing and balance)
Cranial nerve IX correct answers. Glossopharyngeal- swallowing and rise of the
palate, gag reflex
Cranial Nerve XI correct answers. Spinal Accessory (upper trapezius)
Deep tendon reflex correct answers. Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale correct answers. CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
,In the majority of children, the first permanent teeth start to erupt at the age of 6 years.
Which of the following are the first permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines correct answers. A. First Molars
2All of the following are classified as activities of daily living (ADLs) except:
2 2 2 2 2 2 2 2 2 2 2 2 22
A. ability to feed self 2 2 2 2
B. Ability to manage bladder and bowel elimination
2 2 2 2 2 2 2
C. Personal hygiene and grooming 2 2 2 2
D. Grocery Shopping correct answers. D. Grocery shopping 2 2 2 222 2 2 2
2
You note the following result on a routine urinalysis of a 37-
2 2 2 2 2 2 2 2 2 2 2
year old primigravida who is at 30 weeks gestation. Leukocyte=trace, nitrite=negative, prot
2 2 2 2 2 2 2 2 2 2 2
ein=2+, blood=negative. Her weight has increased by 5 lbs during the past week. Which of
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
the following is most likely?
2 2 2 2 22
A.HELLP syndrome 2 2
B. Pregnancy-induced hypertension (pre-eclampsia) 2 2 2
C. Eclampsia of pregnancy 2 2 2
D. Primary hypertension correct answers. B. Pregnancy- 2 2 2 222 2
induced hypertension (preeclampsia). Classic triad of symptoms of preeclampsia inclu
2 2 2 2 2 2 2 2 2
de hypertension, edema (weight gain), and proteinuria.
2 2 2 2 2 2 2
2
The mother of a 12 month old infant reports to the nurse practitioner that her child had a hig
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
h fever for several days, which spontaneously resolved. After the fever resolved, the child
2 2 2 2 2 2 2 2 2 2 2 2 2 2
developed a maculopapular rash. Which of the following is the most likely diagnosis?
2 2 2 2 2 2 2 2 2 2 2 2 22
A. Fifth Disease (erythema infectiosum)
2 2 2 2
B. Roseola infantum (exanthema subitum) 2 2 2 2
C. Varicella 2
D. Infantile maculopapular rashes correct answers. B. Roseola Infantum (Exanthema s
2 2 2 2 222 2 2 2 2
ubitum) 2
2
A 70-year old male patient complains of a bright red-
2 2 2 2 2 2 2 2 2
colored spot in his left eye for 2 days. He denies eye pain, visual changes, or headaches. H
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
e has a new onset of cough from a recent viral upper respiratory infection. The only medici
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
ne he is on Bayer aspirin, 1 tablet a day. Which of the following is most likely?
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22
A. Corneal abrasion 2 2
B. Acute bacterial conjunctivitis 2 2 2
C. Acute uveitis 2 2
D. Subconjunctival hemorrhage correct answers. D. Subconjunctival hemorrhage. Brig 2 2 2 222 2 2 2
ht red blood in a sharply defined area surrounded by normal-
2 2 2 2 2 2 2 2 2 2
appearing conjunctiva indicates subconjunctival hemorrhage. 2 2 2 2 2
2
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A micr
2 2 2 2 2 2 2 2 2 2 2 2 2 2
oscopy slide reveals a large number of atrophic squamous epithelial cells. The vaginal pH i
2 2 2 2 2 2 2 2 2 2 2 2 2 2
,s 4.0. There are very few leukocytes and no RBCs are seen on the wet smear. Which of the
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
following is most likely?
2 2 2 2 22
A. Atrophic vaginitis 2 2
B. Bacterial Vaginosis 2 2
C. Trichomoniasis 2
D. This is a normal finding. correct answers. A. Atrophic vaginitis. Symptoms of atrophic
2 2 2 2 2 2 222 2 2 2 2 2 2
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a decrease
2 2 2 2 2 2 2 2 2 2
in pH. Vaginal atrophy is caused by lack of or imbalance of estrogen. Normal pH of the
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
vagina is 4.0-5.0 (acidic) 2 2 2 2
2
The most common type of skin malignancy is:
2 2 2 2 2 2 2 22
A. Squamous cell cancer 2 2 2
B. Basal skin cancer 2 2 2
C. Melanoma 2
D. Dysplastic nevi correct answers. B. Basal skin cancer. It is several times more comm
2 2 2 222 2 2 2 2 2 2 2 2 2
on that squamous cell skin cancer according to the NIH.
2 2 2 2 2 2 2 2 2 2
2
Koplik's spots are associated with:
2 2 2 2 22
A. Poxvirius infections 2 2
B. Measles 2
C. Kawasaki's disease 2 2
D. Reye's syndrome correct answers. B. Measles. S/
2 2 2 222 2 2
S include fever over 101, coryza, cough, conjunctivitis, rash, and koplik's spots on bucc
2 2 2 2 2 2 2 2 2 2 2 2 2
al mucosa 2 2
2
At what level of prevention would you classify for lung cancer?
2 2 2 2 2 2 2 2 2 2 22
A. Primary prevention 2 2
B. Secondary prevention 2 2
C. Tertiary prevention 2 2
D. Primordial prevention correct answers. D. primordial prevention. Screening for lung c
2 2 2 222 2 2 2 2 2 2
ancer is not currently recommended in the general population, but it is secondary preve
2 2 2 2 2 2 2 2 2 2 2 2 2
ntion. 2
2
A test called the visual fields by confrontation is used to evaluate for:
2 2 2 2 2 2 2 2 2 2 2 2 22
A. Peripheral vision 2 2
B. Central vision 2 2
C. Visual acuity 2 2
D. Accomodation correct answers. A. Peripheral vision 2 2 222 2 2 2
2
What is the most common cause of Cushing's syndrome? correct answers.
2 2 2 2 2 2 2 2 2 2 222
Administration of a glucocorticoid or ACTH. 2 2 2 2 2 22
Iatrogenic Cushing's syndrome is the most common type. Exogenous glucocorticoid admi
2 2 2 2 2 2 2 2 2 2
nistration produces a Cushing's Syndrome that is reversible by discontinuation of the medi
2 2 2 2 2 2 2 2 2 2 2 2
cation. 2
2
A patient with no significant medical history has vericose veins. She complains of '"aching l
2 2 2 2 2 2 2 2 2 2 2 2 2 2
egs". The intervention that will provide the greatest relief for her complaint is to:
2 2 2 2 2 2 2 2 2 2 2 2 2 2
, correct answers. Elevate her legs periodically. 2 222 2 2 2 22
The intervention that will provide the greatest relief for this patient is elevating her legs peri
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
odically. This will facilitate venous return. Use of support stockings will prolong the length o
2 2 2 2 2 2 2 2 2 2 2 2 2 2
f time she is able to stand in place, but will not provide relief after her legs begin aching. Su
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
pport stockings should be applied prior to getting out of bed.
2 2 2 2 2 2 2 2 2 2 2
2
A 25-yo female patient presents for a routine well-
2 2 2 2 2 2 2 2
women exam. On physical exam, the NP notes a scant nipple discharge, absence of palpa
2 2 2 2 2 2 2 2 2 2 2 2 2 2
ble mass, and absence of lymph node enlargement. What is the most likely diagnosis?
2 2 2 2 2 2 2 2 2 2 2 2 2
2correct answers. Itraductal papilloma. 2 222 2 22
Intraductal papilloma often presents as a non- 2 2 2 2 2 2
tender mass with serous or bloody nipple discharge located in the ductal system near the a
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
reola. Breast cancer, although usually non-
2 2 2 2 2
tender, may present with pain. Chest wall syndrome may present in some women as breas
2 2 2 2 2 2 2 2 2 2 2 2 2 2
t pain. Fibrocystic breast disease often presents with bilateral breast pain.
2 2 2 2 2 2 2 2 2 2 2
2
According to the ANA, the role of the NP who provides primary health care is the: correct a
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
nswers. Direct nursing care role. 222 2 2 2 22
The NP with a traditional nursing care role is a primary health care provider. Increasing nu
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
mbers of nurse practitioners are assuming indirect roles such as educator, administrator, r
2 2 2 2 2 2 2 2 2 2 2 2
esearcher, and consultant. 2 2 2
2
An 8- 2
mo male presents with hemarthrosis of both knees and hematuria. The parents give no his
2 2 2 2 2 2 2 2 2 2 2 2 2 2
tory of trauma, but say " he has always bruised easily" The most likely diagnosis is: correct
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2answers. A type of hemophilia. 222 2 2 2 22
Hemophilia is usually diagnosed within the first year of life. It commonly presents with hem
2 2 2 2 2 2 2 2 2 2 2 2 2 2
arthrosis, bleeding into soft tissue, hematuria, and prolonged bleeding times.
2 2 2 2 2 2 2 2 2 2
2
The nurse practitioner is following a child with juvemile rheumatoid arthritis (JRA) who has
2 2 2 2 2 2 2 2 2 2 2 2 2 2
been previously diagnosed and is being managed for the disease by a pediatric rheumatol
2 2 2 2 2 2 2 2 2 2 2 2 2
ogist. The mother asks for information about the child's long-
2 2 2 2 2 2 2 2 2
term prognosis. The appropriate reply is that: correct answers. most children with JRA a
2 2 2 2 2 2 2 2 222 2 2 2 2
chieve complete remission by adulthood, but its effects might cause lifelong limitations. Alt
2 2 2 2 2 2 2 2 2 2 2 22
hough the active disease does not continue into adulthood, the contractures, growth retard
2 2 2 2 2 2 2 2 2 2 2 2
ation, bone deformities, and visual impairment associated with JRA may lead to lifelong fu
2 2 2 2 2 2 2 2 2 2 2 2 2
nctional impairments. A comprehensive treatment program involving physical therapy, occ
2 2 2 2 2 2 2 2 2
upational therapy, nutrition, education, and regular opthalmologic care can limit residual fu
2 2 2 2 2 2 2 2 2 2 2
nctional limitations. 2 2
2
Approximately 70% of the organisms found in canine oral and nasal fluids, and consequen 2 2 2 2 2 2 2 2 2 2 2 2 2
tly in fresh dog bite wounds, are: correct answers. Staphylococcus and Pasteurella mult
2 2 2 2 2 2 2 2 222 2 2 2
ocida. 2
2All of these organisms are found in canine oral and nasal fluids, and cultured from fresh do
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
g bite wounds, but the most common (70%) are Staph and Pasteurella multocida.
2 2 2 2 2 2 2 2 2 2 2 2 2
2
answers
latest top
score.
Cranial Nerve VIII correct answers. Acoustic (Hearing and balance)
Cranial nerve IX correct answers. Glossopharyngeal- swallowing and rise of the
palate, gag reflex
Cranial Nerve XI correct answers. Spinal Accessory (upper trapezius)
Deep tendon reflex correct answers. Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale correct answers. CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
,In the majority of children, the first permanent teeth start to erupt at the age of 6 years.
Which of the following are the first permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines correct answers. A. First Molars
2All of the following are classified as activities of daily living (ADLs) except:
2 2 2 2 2 2 2 2 2 2 2 2 22
A. ability to feed self 2 2 2 2
B. Ability to manage bladder and bowel elimination
2 2 2 2 2 2 2
C. Personal hygiene and grooming 2 2 2 2
D. Grocery Shopping correct answers. D. Grocery shopping 2 2 2 222 2 2 2
2
You note the following result on a routine urinalysis of a 37-
2 2 2 2 2 2 2 2 2 2 2
year old primigravida who is at 30 weeks gestation. Leukocyte=trace, nitrite=negative, prot
2 2 2 2 2 2 2 2 2 2 2
ein=2+, blood=negative. Her weight has increased by 5 lbs during the past week. Which of
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
the following is most likely?
2 2 2 2 22
A.HELLP syndrome 2 2
B. Pregnancy-induced hypertension (pre-eclampsia) 2 2 2
C. Eclampsia of pregnancy 2 2 2
D. Primary hypertension correct answers. B. Pregnancy- 2 2 2 222 2
induced hypertension (preeclampsia). Classic triad of symptoms of preeclampsia inclu
2 2 2 2 2 2 2 2 2
de hypertension, edema (weight gain), and proteinuria.
2 2 2 2 2 2 2
2
The mother of a 12 month old infant reports to the nurse practitioner that her child had a hig
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
h fever for several days, which spontaneously resolved. After the fever resolved, the child
2 2 2 2 2 2 2 2 2 2 2 2 2 2
developed a maculopapular rash. Which of the following is the most likely diagnosis?
2 2 2 2 2 2 2 2 2 2 2 2 22
A. Fifth Disease (erythema infectiosum)
2 2 2 2
B. Roseola infantum (exanthema subitum) 2 2 2 2
C. Varicella 2
D. Infantile maculopapular rashes correct answers. B. Roseola Infantum (Exanthema s
2 2 2 2 222 2 2 2 2
ubitum) 2
2
A 70-year old male patient complains of a bright red-
2 2 2 2 2 2 2 2 2
colored spot in his left eye for 2 days. He denies eye pain, visual changes, or headaches. H
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
e has a new onset of cough from a recent viral upper respiratory infection. The only medici
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
ne he is on Bayer aspirin, 1 tablet a day. Which of the following is most likely?
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 22
A. Corneal abrasion 2 2
B. Acute bacterial conjunctivitis 2 2 2
C. Acute uveitis 2 2
D. Subconjunctival hemorrhage correct answers. D. Subconjunctival hemorrhage. Brig 2 2 2 222 2 2 2
ht red blood in a sharply defined area surrounded by normal-
2 2 2 2 2 2 2 2 2 2
appearing conjunctiva indicates subconjunctival hemorrhage. 2 2 2 2 2
2
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A micr
2 2 2 2 2 2 2 2 2 2 2 2 2 2
oscopy slide reveals a large number of atrophic squamous epithelial cells. The vaginal pH i
2 2 2 2 2 2 2 2 2 2 2 2 2 2
,s 4.0. There are very few leukocytes and no RBCs are seen on the wet smear. Which of the
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
following is most likely?
2 2 2 2 22
A. Atrophic vaginitis 2 2
B. Bacterial Vaginosis 2 2
C. Trichomoniasis 2
D. This is a normal finding. correct answers. A. Atrophic vaginitis. Symptoms of atrophic
2 2 2 2 2 2 222 2 2 2 2 2 2
vaginitis include painful intercourse, atrophic squamous epithelial cells, and a decrease
2 2 2 2 2 2 2 2 2 2
in pH. Vaginal atrophy is caused by lack of or imbalance of estrogen. Normal pH of the
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
vagina is 4.0-5.0 (acidic) 2 2 2 2
2
The most common type of skin malignancy is:
2 2 2 2 2 2 2 22
A. Squamous cell cancer 2 2 2
B. Basal skin cancer 2 2 2
C. Melanoma 2
D. Dysplastic nevi correct answers. B. Basal skin cancer. It is several times more comm
2 2 2 222 2 2 2 2 2 2 2 2 2
on that squamous cell skin cancer according to the NIH.
2 2 2 2 2 2 2 2 2 2
2
Koplik's spots are associated with:
2 2 2 2 22
A. Poxvirius infections 2 2
B. Measles 2
C. Kawasaki's disease 2 2
D. Reye's syndrome correct answers. B. Measles. S/
2 2 2 222 2 2
S include fever over 101, coryza, cough, conjunctivitis, rash, and koplik's spots on bucc
2 2 2 2 2 2 2 2 2 2 2 2 2
al mucosa 2 2
2
At what level of prevention would you classify for lung cancer?
2 2 2 2 2 2 2 2 2 2 22
A. Primary prevention 2 2
B. Secondary prevention 2 2
C. Tertiary prevention 2 2
D. Primordial prevention correct answers. D. primordial prevention. Screening for lung c
2 2 2 222 2 2 2 2 2 2
ancer is not currently recommended in the general population, but it is secondary preve
2 2 2 2 2 2 2 2 2 2 2 2 2
ntion. 2
2
A test called the visual fields by confrontation is used to evaluate for:
2 2 2 2 2 2 2 2 2 2 2 2 22
A. Peripheral vision 2 2
B. Central vision 2 2
C. Visual acuity 2 2
D. Accomodation correct answers. A. Peripheral vision 2 2 222 2 2 2
2
What is the most common cause of Cushing's syndrome? correct answers.
2 2 2 2 2 2 2 2 2 2 222
Administration of a glucocorticoid or ACTH. 2 2 2 2 2 22
Iatrogenic Cushing's syndrome is the most common type. Exogenous glucocorticoid admi
2 2 2 2 2 2 2 2 2 2
nistration produces a Cushing's Syndrome that is reversible by discontinuation of the medi
2 2 2 2 2 2 2 2 2 2 2 2
cation. 2
2
A patient with no significant medical history has vericose veins. She complains of '"aching l
2 2 2 2 2 2 2 2 2 2 2 2 2 2
egs". The intervention that will provide the greatest relief for her complaint is to:
2 2 2 2 2 2 2 2 2 2 2 2 2 2
, correct answers. Elevate her legs periodically. 2 222 2 2 2 22
The intervention that will provide the greatest relief for this patient is elevating her legs peri
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
odically. This will facilitate venous return. Use of support stockings will prolong the length o
2 2 2 2 2 2 2 2 2 2 2 2 2 2
f time she is able to stand in place, but will not provide relief after her legs begin aching. Su
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
pport stockings should be applied prior to getting out of bed.
2 2 2 2 2 2 2 2 2 2 2
2
A 25-yo female patient presents for a routine well-
2 2 2 2 2 2 2 2
women exam. On physical exam, the NP notes a scant nipple discharge, absence of palpa
2 2 2 2 2 2 2 2 2 2 2 2 2 2
ble mass, and absence of lymph node enlargement. What is the most likely diagnosis?
2 2 2 2 2 2 2 2 2 2 2 2 2
2correct answers. Itraductal papilloma. 2 222 2 22
Intraductal papilloma often presents as a non- 2 2 2 2 2 2
tender mass with serous or bloody nipple discharge located in the ductal system near the a
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
reola. Breast cancer, although usually non-
2 2 2 2 2
tender, may present with pain. Chest wall syndrome may present in some women as breas
2 2 2 2 2 2 2 2 2 2 2 2 2 2
t pain. Fibrocystic breast disease often presents with bilateral breast pain.
2 2 2 2 2 2 2 2 2 2 2
2
According to the ANA, the role of the NP who provides primary health care is the: correct a
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
nswers. Direct nursing care role. 222 2 2 2 22
The NP with a traditional nursing care role is a primary health care provider. Increasing nu
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
mbers of nurse practitioners are assuming indirect roles such as educator, administrator, r
2 2 2 2 2 2 2 2 2 2 2 2
esearcher, and consultant. 2 2 2
2
An 8- 2
mo male presents with hemarthrosis of both knees and hematuria. The parents give no his
2 2 2 2 2 2 2 2 2 2 2 2 2 2
tory of trauma, but say " he has always bruised easily" The most likely diagnosis is: correct
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2answers. A type of hemophilia. 222 2 2 2 22
Hemophilia is usually diagnosed within the first year of life. It commonly presents with hem
2 2 2 2 2 2 2 2 2 2 2 2 2 2
arthrosis, bleeding into soft tissue, hematuria, and prolonged bleeding times.
2 2 2 2 2 2 2 2 2 2
2
The nurse practitioner is following a child with juvemile rheumatoid arthritis (JRA) who has
2 2 2 2 2 2 2 2 2 2 2 2 2 2
been previously diagnosed and is being managed for the disease by a pediatric rheumatol
2 2 2 2 2 2 2 2 2 2 2 2 2
ogist. The mother asks for information about the child's long-
2 2 2 2 2 2 2 2 2
term prognosis. The appropriate reply is that: correct answers. most children with JRA a
2 2 2 2 2 2 2 2 222 2 2 2 2
chieve complete remission by adulthood, but its effects might cause lifelong limitations. Alt
2 2 2 2 2 2 2 2 2 2 2 22
hough the active disease does not continue into adulthood, the contractures, growth retard
2 2 2 2 2 2 2 2 2 2 2 2
ation, bone deformities, and visual impairment associated with JRA may lead to lifelong fu
2 2 2 2 2 2 2 2 2 2 2 2 2
nctional impairments. A comprehensive treatment program involving physical therapy, occ
2 2 2 2 2 2 2 2 2
upational therapy, nutrition, education, and regular opthalmologic care can limit residual fu
2 2 2 2 2 2 2 2 2 2 2
nctional limitations. 2 2
2
Approximately 70% of the organisms found in canine oral and nasal fluids, and consequen 2 2 2 2 2 2 2 2 2 2 2 2 2
tly in fresh dog bite wounds, are: correct answers. Staphylococcus and Pasteurella mult
2 2 2 2 2 2 2 2 222 2 2 2
ocida. 2
2All of these organisms are found in canine oral and nasal fluids, and cultured from fresh do
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
g bite wounds, but the most common (70%) are Staph and Pasteurella multocida.
2 2 2 2 2 2 2 2 2 2 2 2 2
2
