NEWEST 2025 NUR 504 3P APEA EXAM
ACTUAL EXAM COMPLETE 200
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /
ALREADY GRADED A+| NUR 504 APEA
FINAL STUDY GUIDE EXAM TEST BANK
(BRAND NEW!)
A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing
up of the legs followed by periods of lethargy. On physical examination, a
"sausage-like" mass in the upper right quadrant of the distended abdomen. Which
of the following is the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract - ✔✔ - a. Intussusception
A 48 y/o female complains of pain and stiffness in her right hip and knee that is
mild on awakening in the morning, get worse as the day progresses and is relived
with hot baths and ibuprofen. Crepitus is palpated on range of motion of the knee.
Signs of inflammation are notably absent. What is the most likely diagnosis?
a. Rheumatoid arthritis (RA)
b. Gout
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,c. Osteoarthritis (OA)
d. Osteoporosis - ✔✔ - c. Osteoarthritis (OA)
A middle-aged female complains of insomnia, night sweats, feeling intensely hot,
emotional lability, extreme nervousness and impatience. The LEAST likely cause
of her symptoms is
a. Thyrotoxicosis
b. Menopausal vasomotor instability
c. Alcohol or another drug withdrawal
d. New onset type 2 diabetes mellitus - ✔✔ - New onset type 2 diabetes mellitus
A young couple is being seen by the NP for preconception counseling. They
express a wish for pregnancy within the next 3 month and are very eager to know
what they can do now to"make the baby as healthy as possible". Which of the
following should the NP encourage to decrease the chance of neural tube defect in
the fetus?
a. Maternal alpha-fetoprotein level
b. Folic acid 0.4 mg daily
c. Rubella vaccine today
d. Vitamin E 400 IU daily - ✔✔ - b. Folic acid 0.4 mg daily
A patient with a past history of documented coronary arterial blockage less than
70% complains of chest pain several time p.... which is relived with nitroglycerin.
Which is the most appropriate initial action for the NP?
a. Refer to a cardiologist as soon as possible
b. Prescribe long-acting nitroglycerin
c. Order treadmill stress test
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,d. Prescribe an ACE inhibitor and re-evaluate in 24 to 48 hours - ✔✔ - a. Refer to a
cardiologist as soon as possible
Which of the following indicated need for further evaluation?
a. A 7 y/o girl with vaginal bleeding
b. A 7 years old girl with no true pubic hair
c. A 12 years old boy with sparse, slightly pigmented pubic hair
d. A 12-year-old girl with breast buds - ✔✔ - A 7 y/o girl with vaginal bleeding
A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating:
a. Infection proximal to the nodes
b. A possible cancer diagnosis
c. Shorty nodes, a common normal variant in children
d. An infectious process distal to the nodes - ✔✔ - a. Infection proximal to the
nodes
The NP examines a 2-month-old with unequal gluteal and thigh skin folds. What
should the NP do next?
a. Send the infant for x-ray of the hips
b. Send the infant for ultrasound of the hips
c. Perform Ortolani and Barlow test
d. Examine the infant for unequal arm length - ✔✔ - c. Perform Ortolani and
Barlow test
A very active 35 years old male has painful hemorrhoid, but he does not want
hemorrhoidal surgery at this time. His diet has been indiscriminate as his job
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, requires frequent travel. The most appropriate recommendation is for him to select
food that are:
a. Low in fiber such as milk and other dairy products
b. High in simple carbohydrates such as white bread and mashed potatoes
c. High in fiber such as bran, complex carbohydrates and fresh fruit
d. High protein such a meat, poultry and fish - ✔✔ - High in fiber such as bran,
complex carbohydrates and fresh fruit
A 13 y/o pt. complains that he fell while running during football practice. Now his
knee hurts and sometimes "lucks". The NP conducts McMurrays test. Which of the
following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally. - ✔✔ - a. An
audible or palpated "click" is positive for a torn meniscus
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
The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
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ACTUAL EXAM COMPLETE 200
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /
ALREADY GRADED A+| NUR 504 APEA
FINAL STUDY GUIDE EXAM TEST BANK
(BRAND NEW!)
A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing
up of the legs followed by periods of lethargy. On physical examination, a
"sausage-like" mass in the upper right quadrant of the distended abdomen. Which
of the following is the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract - ✔✔ - a. Intussusception
A 48 y/o female complains of pain and stiffness in her right hip and knee that is
mild on awakening in the morning, get worse as the day progresses and is relived
with hot baths and ibuprofen. Crepitus is palpated on range of motion of the knee.
Signs of inflammation are notably absent. What is the most likely diagnosis?
a. Rheumatoid arthritis (RA)
b. Gout
1|Page
,c. Osteoarthritis (OA)
d. Osteoporosis - ✔✔ - c. Osteoarthritis (OA)
A middle-aged female complains of insomnia, night sweats, feeling intensely hot,
emotional lability, extreme nervousness and impatience. The LEAST likely cause
of her symptoms is
a. Thyrotoxicosis
b. Menopausal vasomotor instability
c. Alcohol or another drug withdrawal
d. New onset type 2 diabetes mellitus - ✔✔ - New onset type 2 diabetes mellitus
A young couple is being seen by the NP for preconception counseling. They
express a wish for pregnancy within the next 3 month and are very eager to know
what they can do now to"make the baby as healthy as possible". Which of the
following should the NP encourage to decrease the chance of neural tube defect in
the fetus?
a. Maternal alpha-fetoprotein level
b. Folic acid 0.4 mg daily
c. Rubella vaccine today
d. Vitamin E 400 IU daily - ✔✔ - b. Folic acid 0.4 mg daily
A patient with a past history of documented coronary arterial blockage less than
70% complains of chest pain several time p.... which is relived with nitroglycerin.
Which is the most appropriate initial action for the NP?
a. Refer to a cardiologist as soon as possible
b. Prescribe long-acting nitroglycerin
c. Order treadmill stress test
2|Page
,d. Prescribe an ACE inhibitor and re-evaluate in 24 to 48 hours - ✔✔ - a. Refer to a
cardiologist as soon as possible
Which of the following indicated need for further evaluation?
a. A 7 y/o girl with vaginal bleeding
b. A 7 years old girl with no true pubic hair
c. A 12 years old boy with sparse, slightly pigmented pubic hair
d. A 12-year-old girl with breast buds - ✔✔ - A 7 y/o girl with vaginal bleeding
A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating:
a. Infection proximal to the nodes
b. A possible cancer diagnosis
c. Shorty nodes, a common normal variant in children
d. An infectious process distal to the nodes - ✔✔ - a. Infection proximal to the
nodes
The NP examines a 2-month-old with unequal gluteal and thigh skin folds. What
should the NP do next?
a. Send the infant for x-ray of the hips
b. Send the infant for ultrasound of the hips
c. Perform Ortolani and Barlow test
d. Examine the infant for unequal arm length - ✔✔ - c. Perform Ortolani and
Barlow test
A very active 35 years old male has painful hemorrhoid, but he does not want
hemorrhoidal surgery at this time. His diet has been indiscriminate as his job
3|Page
, requires frequent travel. The most appropriate recommendation is for him to select
food that are:
a. Low in fiber such as milk and other dairy products
b. High in simple carbohydrates such as white bread and mashed potatoes
c. High in fiber such as bran, complex carbohydrates and fresh fruit
d. High protein such a meat, poultry and fish - ✔✔ - High in fiber such as bran,
complex carbohydrates and fresh fruit
A 13 y/o pt. complains that he fell while running during football practice. Now his
knee hurts and sometimes "lucks". The NP conducts McMurrays test. Which of the
following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally. - ✔✔ - a. An
audible or palpated "click" is positive for a torn meniscus
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
The NP is counseling a 25 y/o sexually active male patient about condom use,
which of the following statement is INCORRECT
4|Page
