APEA PRE-PREDICTOR NP EXAM
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.
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.
