APEA FNP Predictor Exam Test Bank
2024-2025 questions and answers
1. The most likely working diagnosis for a 14 year old patient who fell on an outstretched
hand, complains of proximal forearm pain, and has a positive fat pad sign on X-ray. -
ANSWER>>Radial head fracture
2. The child quickly begins to use the affected arm after closed manipulation. -
ANSWER>>Successful treatment indication for radial head subluxation
3. A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with
an erythematous base on the buccal mucosa suggests this diagnosis. -
ANSWER>>Measles
4. Indicated by a 12-month-old child looking for a toy that the father has hidden under the
table. - ANSWER>>Object permanence
5. Expected examination result for a 14-year-old male with bronchitis returning with fever,
right pleuritic chest pain, and green sputum. - ANSWER>>Right lower lobe crackles
6. The diagnostic test that should be performed immediately for a 15-year-old female with
burning urination after treatment for trichomonas vaginitis. - ANSWER>>Microscopic
exam of urine
7. Essential education for a 15-year-old male with a history of cryptorchidism which was
surgically repaired. - ANSWER>>Testicular self-examination
8. The first action a school nurse should take when a child with type I diabetes mellitus
reports sweating and weakness after insulin injection. - ANSWER>>Measure the blood
sugar
9. The appropriate response for a 16-year-old female experiencing midcycle spotting while
on Ortho-Novum 7/7/7. - ANSWER>>Providing reassurance
,10. The most appropriate diagnostic tests to order for a 17-year-old female suspected of
having polycystic ovary syndrome, in addition to testosterone. - ANSWER>>FSH, LH,
TSH
11. The most likely diagnosis for a 17-year-old female who has never had her menses and is
at Tanner stage III of sexual development. - ANSWER>>Primary amenorrhea
12. Condition suspected for a 20-year-old male with a 1-month history of a bump on his
testicle and a history of unprotected intercourse. - ANSWER>>Cancer of the testicles
13. Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - ANSWER>>Gonococcal conjunctivitis
14. Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding,
rigid abdominal musculature, rebound tenderness at McBurney's point, and
leukocytosis. - ANSWER>>Appendicitis
15. A question to consider when analyzing a 22-year-old college student's heart rate of
48/minute and regular during a routine physical examination. - ANSWER>>Is this
student an athlete?
16. Advice for a 24-year-old female taking oral contraceptives who has missed her last 2
pills to minimize her risk of pregnancy. - ANSWER>>Double today's dose and
tomorrow's dose and use a barrier method for the rest of the month
17. Contraceptive technique to prevent pregnancy. - ANSWER>>Barrier method
18. Common cause of recurrent candidal infections. - ANSWER>>Diabetes mellitus
19. Non-tender breast mass with nipple discharge. - ANSWER>>Intraductal papilloma
20. Often asymptomatic in males; no remarkable symptoms. - ANSWER>>Chlamydia
infection
21. Skin rash caused by irritants or allergens. - ANSWER>>Contact dermatitis
22. Test to identify pathogens in respiratory secretions. - ANSWER>>Sputum culture
23. Autoimmune condition causing joint inflammation and stiffness. -
ANSWER>>Rheumatoid arthritis
24. Infection causing pelvic pain and urinary symptoms. - ANSWER>>Acute bacterial
prostatitis
, 25. Ultrasound imaging to assess internal structures. - ANSWER>>Sonogram
26. Referral for specialized evaluation of reproductive issues. - ANSWER>>Gynecological
consultation
27. Emergency condition causing acute testicular pain. - ANSWER>>Testicular torsion
28. Typically decreases, causing light-headedness when standing. - ANSWER>>Blood
pressure changes in pregnancy
29. Class of antibiotics effective against bacterial infections. - ANSWER>>Macrolide
antibiotic
30. Agency to report suspected child abuse or neglect. - ANSWER>>Child protective
services
31. Movement of a joint without patient effort. - ANSWER>>Passive range of motion (ROM)
32. Benign tumors causing heavy menstrual bleeding. - ANSWER>>Uterine leiomyomas
33. Fluid released from the nipple, may indicate pathology. - ANSWER>>Nipple discharge
34. Inflammation of bronchial tubes, often due to infection. - ANSWER>>Acute bronchitis
35. Indicates possible bacterial infection in respiratory tract. - ANSWER>>Foul-smelling
sputum
36. Routine examination to detect precancerous changes. - ANSWER>>Cervical cancer
screening
37. Common symptom in inflammatory joint diseases. - ANSWER>>Morning stiffness
38. Red, flat rash often indicating skin irritation. - ANSWER>>Erythematous macular rash
39. Urine samples collected during normal urination. - ANSWER>>Voided urine specimens
40. Reflex causing testicle elevation when thigh is stroked. - ANSWER>>Cremasteric reflex
41. Observations made during a clinical examination. - ANSWER>>Physical exam findings
42. Minimal fluid release from the nipple, may indicate benign condition. -
ANSWER>>Scant nipple discharge
43. Discomfort in lower abdomen, often related to reproductive organs. - ANSWER>>Pelvic
pain
44. Agency for reporting child abuse suspicions. - ANSWER>>Child Protective Services
45. Discomfort in the rectal area, often with bleeding. - ANSWER>>Rectal Pain
2024-2025 questions and answers
1. The most likely working diagnosis for a 14 year old patient who fell on an outstretched
hand, complains of proximal forearm pain, and has a positive fat pad sign on X-ray. -
ANSWER>>Radial head fracture
2. The child quickly begins to use the affected arm after closed manipulation. -
ANSWER>>Successful treatment indication for radial head subluxation
3. A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with
an erythematous base on the buccal mucosa suggests this diagnosis. -
ANSWER>>Measles
4. Indicated by a 12-month-old child looking for a toy that the father has hidden under the
table. - ANSWER>>Object permanence
5. Expected examination result for a 14-year-old male with bronchitis returning with fever,
right pleuritic chest pain, and green sputum. - ANSWER>>Right lower lobe crackles
6. The diagnostic test that should be performed immediately for a 15-year-old female with
burning urination after treatment for trichomonas vaginitis. - ANSWER>>Microscopic
exam of urine
7. Essential education for a 15-year-old male with a history of cryptorchidism which was
surgically repaired. - ANSWER>>Testicular self-examination
8. The first action a school nurse should take when a child with type I diabetes mellitus
reports sweating and weakness after insulin injection. - ANSWER>>Measure the blood
sugar
9. The appropriate response for a 16-year-old female experiencing midcycle spotting while
on Ortho-Novum 7/7/7. - ANSWER>>Providing reassurance
,10. The most appropriate diagnostic tests to order for a 17-year-old female suspected of
having polycystic ovary syndrome, in addition to testosterone. - ANSWER>>FSH, LH,
TSH
11. The most likely diagnosis for a 17-year-old female who has never had her menses and is
at Tanner stage III of sexual development. - ANSWER>>Primary amenorrhea
12. Condition suspected for a 20-year-old male with a 1-month history of a bump on his
testicle and a history of unprotected intercourse. - ANSWER>>Cancer of the testicles
13. Suspected condition for a 21-year-old college student presenting with copious, markedly
purulent discharge from her left eye. - ANSWER>>Gonococcal conjunctivitis
14. Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding,
rigid abdominal musculature, rebound tenderness at McBurney's point, and
leukocytosis. - ANSWER>>Appendicitis
15. A question to consider when analyzing a 22-year-old college student's heart rate of
48/minute and regular during a routine physical examination. - ANSWER>>Is this
student an athlete?
16. Advice for a 24-year-old female taking oral contraceptives who has missed her last 2
pills to minimize her risk of pregnancy. - ANSWER>>Double today's dose and
tomorrow's dose and use a barrier method for the rest of the month
17. Contraceptive technique to prevent pregnancy. - ANSWER>>Barrier method
18. Common cause of recurrent candidal infections. - ANSWER>>Diabetes mellitus
19. Non-tender breast mass with nipple discharge. - ANSWER>>Intraductal papilloma
20. Often asymptomatic in males; no remarkable symptoms. - ANSWER>>Chlamydia
infection
21. Skin rash caused by irritants or allergens. - ANSWER>>Contact dermatitis
22. Test to identify pathogens in respiratory secretions. - ANSWER>>Sputum culture
23. Autoimmune condition causing joint inflammation and stiffness. -
ANSWER>>Rheumatoid arthritis
24. Infection causing pelvic pain and urinary symptoms. - ANSWER>>Acute bacterial
prostatitis
, 25. Ultrasound imaging to assess internal structures. - ANSWER>>Sonogram
26. Referral for specialized evaluation of reproductive issues. - ANSWER>>Gynecological
consultation
27. Emergency condition causing acute testicular pain. - ANSWER>>Testicular torsion
28. Typically decreases, causing light-headedness when standing. - ANSWER>>Blood
pressure changes in pregnancy
29. Class of antibiotics effective against bacterial infections. - ANSWER>>Macrolide
antibiotic
30. Agency to report suspected child abuse or neglect. - ANSWER>>Child protective
services
31. Movement of a joint without patient effort. - ANSWER>>Passive range of motion (ROM)
32. Benign tumors causing heavy menstrual bleeding. - ANSWER>>Uterine leiomyomas
33. Fluid released from the nipple, may indicate pathology. - ANSWER>>Nipple discharge
34. Inflammation of bronchial tubes, often due to infection. - ANSWER>>Acute bronchitis
35. Indicates possible bacterial infection in respiratory tract. - ANSWER>>Foul-smelling
sputum
36. Routine examination to detect precancerous changes. - ANSWER>>Cervical cancer
screening
37. Common symptom in inflammatory joint diseases. - ANSWER>>Morning stiffness
38. Red, flat rash often indicating skin irritation. - ANSWER>>Erythematous macular rash
39. Urine samples collected during normal urination. - ANSWER>>Voided urine specimens
40. Reflex causing testicle elevation when thigh is stroked. - ANSWER>>Cremasteric reflex
41. Observations made during a clinical examination. - ANSWER>>Physical exam findings
42. Minimal fluid release from the nipple, may indicate benign condition. -
ANSWER>>Scant nipple discharge
43. Discomfort in lower abdomen, often related to reproductive organs. - ANSWER>>Pelvic
pain
44. Agency for reporting child abuse suspicions. - ANSWER>>Child Protective Services
45. Discomfort in the rectal area, often with bleeding. - ANSWER>>Rectal Pain
