NUR 504 3P APEA ACTUAL EXAM NEWEST COMPLETE
ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A+
Question 1
The Nurse Practitioner (NP) is counseling a 25-year-old sexually active male
patient about condom use. Which of the following statements 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.
Correct Answer: C) Make sure the condom is tight against the head of
the penis.
Rationale: For proper function, a condom should leave a small space
at the tip to collect semen, preventing breakage. It should not be
tight against the head of the penis.
Question 2
Which of the following descriptions of the 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.
C) 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.
D) Applicable to children from 1 to 6 years; evaluates cognitive,
communication, social, and physical milestones.
,Correct Answer: C) 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.
Rationale: The Denver II Developmental Screening Test is a widely
used tool for assessing developmental progress in young children
across these specific domains and age range.
Question 3
A 15-year-old high school student presents 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 a urinalysis and serum for LFTs and amylase.
Correct Answer: D) Obtain a urinalysis and serum for LFTs and
amylase.
Rationale: While mononucleosis can sometimes affect the liver
(elevated LFTs), routine screening with amylase and a urinalysis
would be less directly indicated in the initial workup for suspected
mono, especially if there are no specific renal or pancreatic
symptoms.
Question 4
A 32-year-old male patient complains of urinary frequency and burning on
urination for 3 days. Urinalysis reveals bacteriuria and positive nitrites. He
denies any past history of urinary tract infections. The initial treatment
should be:
A) trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 days.
,B) ciprofloxacin (Cipro) for 3-5 days.
C) trimethoprim-sulfamethoxazole for 3 days.
D) 750 mg ciprofloxacin as a one-time dose.
Correct Answer: A) trimethoprim-sulfamethoxazole (Bactrim,
Sulfatrim) for 7-10 days.
Rationale: For uncomplicated cystitis in males, a longer course of
antibiotics (7-10 days) is generally recommended due to the higher
likelihood of structural abnormalities or prostatitis compared to
females. Trimethoprim-sulfamethoxazole is a common first-line
choice.
Question 5
Which agent is most effective for the treatment of severe nodulocystic acne?
A) Benzoyl peroxide (Benzac)
B) Retinoic acid (Retin A)
C) Topical tetracycline
D) Isotretinoin
Correct Answer: D) Isotretinoin
Rationale: Isotretinoin (Accutane) is a potent oral retinoid reserved
for severe, recalcitrant nodulocystic acne due to its significant
efficacy in reducing sebum production, inflammation, and
keratinization.
Question 6
An 18-year-old woman is taking a combined hormonal oral contraceptive.
She should be instructed to use a backup method for the prevention of
pregnancy:
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.
Correct Answer: B) If prescribed topiramate (Topamax) for the
, treatment of migraines.
Rationale: Topiramate can decrease the effectiveness of oral
contraceptives, necessitating a backup method.
Amoxicillin/clavulanate generally does not significantly interact.
Placebo pills are part of the cycle, and a single missed dose may
require specific instructions but not necessarily a full week backup
if caught quickly.
Question 7
A 44-year-old female patient has diabetes. Her total cholesterol (TC) is 250
mg/dL (6.5 mmol/L), LDL = 190 mg/dL (4.94 mmol/L), HDL = 25 mg/dL (0.65
mmol/L), and triglycerides = 344 mg/dL (8.94 mmol/L). What agent would
have the greatest effect on improving her lipid profile and reducing morbidity
and mortality associated with dyslipidemia?
A) Niacin (Niaspan)
B) Atorvastatin
C) Omega-3 fatty acids
D) Fenofibrates
Correct Answer: B) Atorvastatin
Rationale: Statins (like atorvastatin) are the most effective class of
drugs for lowering LDL-C and have the strongest evidence for
reducing cardiovascular morbidity and mortality, especially in
patients with diabetes, who are at high risk.
Question 8
An NP has recently been hired to work in a fast-track facility. The NP's
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.
C) Illegal according to the standards of nursing.
D) Patient abandonment.
ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A+
Question 1
The Nurse Practitioner (NP) is counseling a 25-year-old sexually active male
patient about condom use. Which of the following statements 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.
Correct Answer: C) Make sure the condom is tight against the head of
the penis.
Rationale: For proper function, a condom should leave a small space
at the tip to collect semen, preventing breakage. It should not be
tight against the head of the penis.
Question 2
Which of the following descriptions of the 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.
C) 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.
D) Applicable to children from 1 to 6 years; evaluates cognitive,
communication, social, and physical milestones.
,Correct Answer: C) 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.
Rationale: The Denver II Developmental Screening Test is a widely
used tool for assessing developmental progress in young children
across these specific domains and age range.
Question 3
A 15-year-old high school student presents 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 a urinalysis and serum for LFTs and amylase.
Correct Answer: D) Obtain a urinalysis and serum for LFTs and
amylase.
Rationale: While mononucleosis can sometimes affect the liver
(elevated LFTs), routine screening with amylase and a urinalysis
would be less directly indicated in the initial workup for suspected
mono, especially if there are no specific renal or pancreatic
symptoms.
Question 4
A 32-year-old male patient complains of urinary frequency and burning on
urination for 3 days. Urinalysis reveals bacteriuria and positive nitrites. He
denies any past history of urinary tract infections. The initial treatment
should be:
A) trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 days.
,B) ciprofloxacin (Cipro) for 3-5 days.
C) trimethoprim-sulfamethoxazole for 3 days.
D) 750 mg ciprofloxacin as a one-time dose.
Correct Answer: A) trimethoprim-sulfamethoxazole (Bactrim,
Sulfatrim) for 7-10 days.
Rationale: For uncomplicated cystitis in males, a longer course of
antibiotics (7-10 days) is generally recommended due to the higher
likelihood of structural abnormalities or prostatitis compared to
females. Trimethoprim-sulfamethoxazole is a common first-line
choice.
Question 5
Which agent is most effective for the treatment of severe nodulocystic acne?
A) Benzoyl peroxide (Benzac)
B) Retinoic acid (Retin A)
C) Topical tetracycline
D) Isotretinoin
Correct Answer: D) Isotretinoin
Rationale: Isotretinoin (Accutane) is a potent oral retinoid reserved
for severe, recalcitrant nodulocystic acne due to its significant
efficacy in reducing sebum production, inflammation, and
keratinization.
Question 6
An 18-year-old woman is taking a combined hormonal oral contraceptive.
She should be instructed to use a backup method for the prevention of
pregnancy:
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.
Correct Answer: B) If prescribed topiramate (Topamax) for the
, treatment of migraines.
Rationale: Topiramate can decrease the effectiveness of oral
contraceptives, necessitating a backup method.
Amoxicillin/clavulanate generally does not significantly interact.
Placebo pills are part of the cycle, and a single missed dose may
require specific instructions but not necessarily a full week backup
if caught quickly.
Question 7
A 44-year-old female patient has diabetes. Her total cholesterol (TC) is 250
mg/dL (6.5 mmol/L), LDL = 190 mg/dL (4.94 mmol/L), HDL = 25 mg/dL (0.65
mmol/L), and triglycerides = 344 mg/dL (8.94 mmol/L). What agent would
have the greatest effect on improving her lipid profile and reducing morbidity
and mortality associated with dyslipidemia?
A) Niacin (Niaspan)
B) Atorvastatin
C) Omega-3 fatty acids
D) Fenofibrates
Correct Answer: B) Atorvastatin
Rationale: Statins (like atorvastatin) are the most effective class of
drugs for lowering LDL-C and have the strongest evidence for
reducing cardiovascular morbidity and mortality, especially in
patients with diabetes, who are at high risk.
Question 8
An NP has recently been hired to work in a fast-track facility. The NP's
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.
C) Illegal according to the standards of nursing.
D) Patient abandonment.
