NUR 504 3P APEA Exam Study Guide |
Advanced Nursing Practice Review||
GRADED A+|| LATEST UPDATE 2025/26
c. Make sure the condom is tight against the head of the penis -CORRECTANSWER
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 -CORRECTANSWER
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
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. -CORRECTANSWER 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.
d. Obtain an urinalyses and serum for LFTs and amylase -CORRECTANSWER 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
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day -
CORRECTANSWER 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
d. Isotretinoin -CORRECTANSWER 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
b. If prescribed topiramate (Topamax) for the treatment of migraines. -
CORRECTANSWER 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
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. Atorvastatin -CORRECTANSWER 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. An ethical dilemma for the NP -CORRECTANSWER 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
c. Illegal according to the standards of nursing
d. Patient abandonment.
d. Malpractice -CORRECTANSWER 30 years old female comes into a clinic with
classic signs and symptoms of appendicitis. The NP fails to refer the patient to a
surgeon. The appendix ruptures and the woman die. This is an example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice
c. Topical corticosteroids cream -CORRECTANSWER A patient presents with pruritic
lesions on both knees. There are visible silver scales. How Should this condition be
managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream
d. Gradually tapers SSRI use -CORRECTANSWER Antidepressant discontinuation
syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use
c. Tricyclic antidepressant (TCA) -CORRECTANSWER Patient with benign prostatic
hyperplasia (BPH) should be taught to avoid which one of the following drug classes?
a. Alpha adrenergic antagonist
b. Anti-androgen agents
c. Tricyclic antidepressant (TCA)
d. Sulfonamides
c. I am concerned about your safety -CORRECTANSWER Which of the following is the
best response to a woman who has just admitted she is a victim of spousal abuse?
a. What was if you did to make him angry?
b. You must seek refuge immediately
c. I am concerned about your safety
d. I am going to call a shelter for you
a. pregnant woman -CORRECTANSWER For which patient group does the US
Preventive Services Task Force recommend routine screening for asymptomatic
bacteriuria
a. pregnant woman
b. Children
Advanced Nursing Practice Review||
GRADED A+|| LATEST UPDATE 2025/26
c. Make sure the condom is tight against the head of the penis -CORRECTANSWER
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 -CORRECTANSWER
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
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. -CORRECTANSWER 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.
d. Obtain an urinalyses and serum for LFTs and amylase -CORRECTANSWER 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
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day -
CORRECTANSWER 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
d. Isotretinoin -CORRECTANSWER 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
b. If prescribed topiramate (Topamax) for the treatment of migraines. -
CORRECTANSWER 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
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. Atorvastatin -CORRECTANSWER 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. An ethical dilemma for the NP -CORRECTANSWER 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
c. Illegal according to the standards of nursing
d. Patient abandonment.
d. Malpractice -CORRECTANSWER 30 years old female comes into a clinic with
classic signs and symptoms of appendicitis. The NP fails to refer the patient to a
surgeon. The appendix ruptures and the woman die. This is an example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice
c. Topical corticosteroids cream -CORRECTANSWER A patient presents with pruritic
lesions on both knees. There are visible silver scales. How Should this condition be
managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream
d. Gradually tapers SSRI use -CORRECTANSWER Antidepressant discontinuation
syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use
c. Tricyclic antidepressant (TCA) -CORRECTANSWER Patient with benign prostatic
hyperplasia (BPH) should be taught to avoid which one of the following drug classes?
a. Alpha adrenergic antagonist
b. Anti-androgen agents
c. Tricyclic antidepressant (TCA)
d. Sulfonamides
c. I am concerned about your safety -CORRECTANSWER Which of the following is the
best response to a woman who has just admitted she is a victim of spousal abuse?
a. What was if you did to make him angry?
b. You must seek refuge immediately
c. I am concerned about your safety
d. I am going to call a shelter for you
a. pregnant woman -CORRECTANSWER For which patient group does the US
Preventive Services Task Force recommend routine screening for asymptomatic
bacteriuria
a. pregnant woman
b. Children
