APEA 3P Practice Questions
1. The groove of the metacarpophalangeal joint can be palpated by having the patient:
a. Flex his hand
2. When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds
are:
a. vesicular with late inspiratory crackles in the dependent portions of the lungs and
resonant on percussion
3. The ankle-brachial index is a screening test used to assess a person‟s risk for:
a. Peripheral artery disease
4. Olecranon bursitis may be caused by all of the following except:
a. Frozen shoulder
5. In patients who have allergic rhinitis, the nasal mucosa appears:
a. Pale
6. A term used to describe an increase in muscular bulk with diminished strength is:
a. pseudohypertrophy
7. If abdominal pain persists when the patient raises his head and shoulders, the origin of the
tenderness is probably:
a. In the abdominal wall
8. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with
abdominal cramps. These findings are most consistent with:
a. Intestinal obstruction
9. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the
macular area. These findings are consistent with:
a. Microaneurysms
10. Symptoms of a subdural hematoma include:
a. Noticeable bleeding between the dura and the cerebrum on x-ray
11. On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling
gait are observed. These findings are consistent with:
a. Parkinson‟s disease
12. When discussing the musculoskeletal system, all of the following statements related to articular
structure disease are true except which one?
a. Articular disease is usually due to stiffness or pain
13. Focal tenderness over the trochanter confirms:
, a. Bursitis
14. Assessing the neurological status of a child with a ventriculoperitoneal shunt should include:
a. Use of the Glasgow coma scale
15. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
a. Salty taste on the skin
16. A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at
birth and enlarge during the first 10 to 15 months is characteristic of a:
a. Cavernous hemangioma
17. The hamstring muscles flex the knee and are located on the:
a. Posterior aspect of the thigh
18. Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These
specks are most likely:
a. Vitreous floaters
19. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are
not easily palpated at the fundus, the fetus is said to be in:
a. Transverse lie
20. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to
move his arm in front of his body. This motion of the shoulder girdle would be an example of:
a. Flexion
21. To locate the twelfth rib, palpate:
a. Between the spine and the lateral chest
22. Walking on the toes and heels may reveal:
a. Distal muscular weakness in the legs
23. When performing a bimanual exam of the vagina, the examiner should lubricate the index and
middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the
vagina while exerting pressure primarily:
a. Posteriorly
24. During pregnancy, which hormone results in increased blood viscosity?
a. Erythropoietin
25. Resting tremors refer to those tremors that disappear:
a. With voluntary movement
26. A patient presents with complaints of bright red stools over the past week. This symptom could
be consistent with:
a. Cancer of the sigmoid colon
1. The groove of the metacarpophalangeal joint can be palpated by having the patient:
a. Flex his hand
2. When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds
are:
a. vesicular with late inspiratory crackles in the dependent portions of the lungs and
resonant on percussion
3. The ankle-brachial index is a screening test used to assess a person‟s risk for:
a. Peripheral artery disease
4. Olecranon bursitis may be caused by all of the following except:
a. Frozen shoulder
5. In patients who have allergic rhinitis, the nasal mucosa appears:
a. Pale
6. A term used to describe an increase in muscular bulk with diminished strength is:
a. pseudohypertrophy
7. If abdominal pain persists when the patient raises his head and shoulders, the origin of the
tenderness is probably:
a. In the abdominal wall
8. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with
abdominal cramps. These findings are most consistent with:
a. Intestinal obstruction
9. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the
macular area. These findings are consistent with:
a. Microaneurysms
10. Symptoms of a subdural hematoma include:
a. Noticeable bleeding between the dura and the cerebrum on x-ray
11. On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling
gait are observed. These findings are consistent with:
a. Parkinson‟s disease
12. When discussing the musculoskeletal system, all of the following statements related to articular
structure disease are true except which one?
a. Articular disease is usually due to stiffness or pain
13. Focal tenderness over the trochanter confirms:
, a. Bursitis
14. Assessing the neurological status of a child with a ventriculoperitoneal shunt should include:
a. Use of the Glasgow coma scale
15. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
a. Salty taste on the skin
16. A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at
birth and enlarge during the first 10 to 15 months is characteristic of a:
a. Cavernous hemangioma
17. The hamstring muscles flex the knee and are located on the:
a. Posterior aspect of the thigh
18. Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These
specks are most likely:
a. Vitreous floaters
19. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are
not easily palpated at the fundus, the fetus is said to be in:
a. Transverse lie
20. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to
move his arm in front of his body. This motion of the shoulder girdle would be an example of:
a. Flexion
21. To locate the twelfth rib, palpate:
a. Between the spine and the lateral chest
22. Walking on the toes and heels may reveal:
a. Distal muscular weakness in the legs
23. When performing a bimanual exam of the vagina, the examiner should lubricate the index and
middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the
vagina while exerting pressure primarily:
a. Posteriorly
24. During pregnancy, which hormone results in increased blood viscosity?
a. Erythropoietin
25. Resting tremors refer to those tremors that disappear:
a. With voluntary movement
26. A patient presents with complaints of bright red stools over the past week. This symptom could
be consistent with:
a. Cancer of the sigmoid colon
