Page 1 of 32
NUR 504 3P APEA ACCURATE AND REAL EXAM
WITH VERIFIED ANSWERS
A 15 years old high school student with a mild sore throat and low-
grade fever that has persisted for about 3 weeks. She reports
general malaise, fatigue, and loss of appetite. The NP suspects
mononucleosis. Which of the following is the LEAST appropriate
intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase
d. Obtain an urinalyses and serum for LFTs and amylase
The NP is counseling a 25 y/o sexually active male patient about
condom use, which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in
place
Explanation: Condoms
c. Make sure the condom is tight against the head of the penis
, Page 2 of 32
The NP is counseling a 25 y/o sexually active male patient about
condom use, which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in
place
Explanation: Condoms
c. Make sure the condom is tight against the head of the penis
Which of the following descriptions of Denver II Developmental
Screening Test is most accurate?
a. Applicable to children from birth to 2 years; evaluates four major
categories of development: motor, intellectual, emotional, and
language to determine whether a child is within normal range for
various behaviors or is developmentally delayed
b. Applicable to children from birth to 5 years; evaluates four major
categories of development: motor, vision, hearing and psychosocial
to determine whether a child is normal or developmentally
compromised
d. Applicable to children from birth to 6 years; evaluates four major
categories of development: gross motor, fine motor-adaptive,
language, and personal social to determine whether a child is within
normal range for behaviors or is developmentally delayed.
, Page 3 of 32
d. Applicable to children from birth to 6 years; evaluates four major
categories of development: gross motor, fine motor-adaptive, language,
and personal social to determine whether a child is within normal range
for behaviors or is developmentally delayed.
A 32 years old male patient complaint of urinary frequency and
burning on urination for 3 days. Urinalyses reveals bacteriuria and
positive nitrites. He denies any past hx of urinary tract infections.
The initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
Which agent is most effective for the treatment of nodulocystic
acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetracycline
d. Isotretinoin
d. Isotretinoin
An 18 y/o woman is taking a combined hormonal oral contraceptive.
She should be instructed to use a backup method for the prevention
of pregnancy
, Page 4 of 32
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of
migraines.
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus
infection
d. if she forgets to take a single dose of the contraceptive
b. If prescribed topiramate (Topamax) for the treatment of migraines.
A 44 years old female patient has diabetes. Her total cholesterol
(TC) is 250 mg/dl (6.5mmol/L), LDL= 190 mg/dL (4.94 mmol/L),
HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94
mmol/L). What agent have the greatest effect on improving her lipid
profile and reducing morbidity and mortality associates with
dyslipidemia?
a. Niacin (Niaspan)
b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates
b. Atorvastatin
A NP has recently been hired to work in a fast track facility. The NP
employer asked if she has "a problem prescribing medications for
emergency contraception." The NP replies affirmatively. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
NUR 504 3P APEA ACCURATE AND REAL EXAM
WITH VERIFIED ANSWERS
A 15 years old high school student with a mild sore throat and low-
grade fever that has persisted for about 3 weeks. She reports
general malaise, fatigue, and loss of appetite. The NP suspects
mononucleosis. Which of the following is the LEAST appropriate
intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase
d. Obtain an urinalyses and serum for LFTs and amylase
The NP is counseling a 25 y/o sexually active male patient about
condom use, which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in
place
Explanation: Condoms
c. Make sure the condom is tight against the head of the penis
, Page 2 of 32
The NP is counseling a 25 y/o sexually active male patient about
condom use, which of the following statement is INCORRECT
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in
place
Explanation: Condoms
c. Make sure the condom is tight against the head of the penis
Which of the following descriptions of Denver II Developmental
Screening Test is most accurate?
a. Applicable to children from birth to 2 years; evaluates four major
categories of development: motor, intellectual, emotional, and
language to determine whether a child is within normal range for
various behaviors or is developmentally delayed
b. Applicable to children from birth to 5 years; evaluates four major
categories of development: motor, vision, hearing and psychosocial
to determine whether a child is normal or developmentally
compromised
d. Applicable to children from birth to 6 years; evaluates four major
categories of development: gross motor, fine motor-adaptive,
language, and personal social to determine whether a child is within
normal range for behaviors or is developmentally delayed.
, Page 3 of 32
d. Applicable to children from birth to 6 years; evaluates four major
categories of development: gross motor, fine motor-adaptive, language,
and personal social to determine whether a child is within normal range
for behaviors or is developmentally delayed.
A 32 years old male patient complaint of urinary frequency and
burning on urination for 3 days. Urinalyses reveals bacteriuria and
positive nitrites. He denies any past hx of urinary tract infections.
The initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
Which agent is most effective for the treatment of nodulocystic
acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetracycline
d. Isotretinoin
d. Isotretinoin
An 18 y/o woman is taking a combined hormonal oral contraceptive.
She should be instructed to use a backup method for the prevention
of pregnancy
, Page 4 of 32
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of
migraines.
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus
infection
d. if she forgets to take a single dose of the contraceptive
b. If prescribed topiramate (Topamax) for the treatment of migraines.
A 44 years old female patient has diabetes. Her total cholesterol
(TC) is 250 mg/dl (6.5mmol/L), LDL= 190 mg/dL (4.94 mmol/L),
HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94
mmol/L). What agent have the greatest effect on improving her lipid
profile and reducing morbidity and mortality associates with
dyslipidemia?
a. Niacin (Niaspan)
b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates
b. Atorvastatin
A NP has recently been hired to work in a fast track facility. The NP
employer asked if she has "a problem prescribing medications for
emergency contraception." The NP replies affirmatively. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
