APEA PRE-PREDICTOR
NP EXAM QUESTIONS
AND ANSWERS 2024 -
2025
,1. Prescriptive authority:: may be exercised by giving a verbal medication order to
a pharmacist.
An example of exercising prescriptive authority is giving a verbal order to a pharma-
cist or writing an order for a prescription medication. Prescriptive authority rules and
regulations vary from state to state. Prescriptive authority is granted only to those
APRNs who meet the requirements of the governing body for the state in which the
APRN practices.
2. When examining a pregnant patient, where should the fundal height be at
22 weeks?: Above the umbilicus
Between 18 and 32 weeks, there is good correlation between fundal height and
gestational age of the fetus. The expected heights are: 10-12 weeks: fundus slightly
above the symphysis pubis 16 weeks: fundus midway between the symphysis pubis
and umbilicus 20 weeks: fundus at the level of umbilicus 28 weeks: fundus 3
fingerbreadths above the umbilicus 36 weeks: fundus just below the xiphoid process
,3. What intervention does the American College of Rheumatology recommend
as first-line therapy for osteoarthritis?: Exercise and weight loss
Exercise, weight loss, and rest are recommended by the American College of
Rheumatology guidelines for the initial management of osteoarthritis (OA). Given the
adverse effects of medications used to treat OA, it is best to minimize dosage and
delay use as long as possible. An extensive diagnostic workup is not recommended
unless the presentation is in question. Patients who have severe degenerative
joint disease (DJD), joint fusion, or whose pain severity is not relieved by more
conservative therapies may be candidates for joint replacement. Acetaminophen is
recommended as a first-line medication.
4. A 63-year-old male retired accountant complains of pain and stiffness in
his feet and hands of several years duration. He reports that the pain and
stiffness become worse with activity. On examination, he is noted to have
Heberden's nodes but no other bony deformities. Which of the following is the
most probable diagnosis?: Osteoarthritis (OA)
, Although his vocation involved sedentary activity, this patient is not at great risk
for osteoarthritis. Rheumatoid arthritis is characterized by several joint deformities,
usually bilaterally symmetrical. RA is characterized by inflammatory processes,
while OA is not. RA and OA are chronic conditions. Gout is characterized by
acute exacerbations related to a defect in purine metabolism, increased uric acid
production, or decreased uric acid excretion.
NP EXAM QUESTIONS
AND ANSWERS 2024 -
2025
,1. Prescriptive authority:: may be exercised by giving a verbal medication order to
a pharmacist.
An example of exercising prescriptive authority is giving a verbal order to a pharma-
cist or writing an order for a prescription medication. Prescriptive authority rules and
regulations vary from state to state. Prescriptive authority is granted only to those
APRNs who meet the requirements of the governing body for the state in which the
APRN practices.
2. When examining a pregnant patient, where should the fundal height be at
22 weeks?: Above the umbilicus
Between 18 and 32 weeks, there is good correlation between fundal height and
gestational age of the fetus. The expected heights are: 10-12 weeks: fundus slightly
above the symphysis pubis 16 weeks: fundus midway between the symphysis pubis
and umbilicus 20 weeks: fundus at the level of umbilicus 28 weeks: fundus 3
fingerbreadths above the umbilicus 36 weeks: fundus just below the xiphoid process
,3. What intervention does the American College of Rheumatology recommend
as first-line therapy for osteoarthritis?: Exercise and weight loss
Exercise, weight loss, and rest are recommended by the American College of
Rheumatology guidelines for the initial management of osteoarthritis (OA). Given the
adverse effects of medications used to treat OA, it is best to minimize dosage and
delay use as long as possible. An extensive diagnostic workup is not recommended
unless the presentation is in question. Patients who have severe degenerative
joint disease (DJD), joint fusion, or whose pain severity is not relieved by more
conservative therapies may be candidates for joint replacement. Acetaminophen is
recommended as a first-line medication.
4. A 63-year-old male retired accountant complains of pain and stiffness in
his feet and hands of several years duration. He reports that the pain and
stiffness become worse with activity. On examination, he is noted to have
Heberden's nodes but no other bony deformities. Which of the following is the
most probable diagnosis?: Osteoarthritis (OA)
, Although his vocation involved sedentary activity, this patient is not at great risk
for osteoarthritis. Rheumatoid arthritis is characterized by several joint deformities,
usually bilaterally symmetrical. RA is characterized by inflammatory processes,
while OA is not. RA and OA are chronic conditions. Gout is characterized by
acute exacerbations related to a defect in purine metabolism, increased uric acid
production, or decreased uric acid excretion.
