APEA 3PWHNP APEA 3P exam study guide question and correct answers.

The groove of the metacarpophalangeal joint can be palpated by having the patient... - Ans →Flex their hand/spread their fingers When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are... - Ans →Vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion The ankle-brachial index is a screening test used to assess a person's risk for... - Ans →Peripheral Artery Disease (PAD) Olecranon bursitis maybe caused by all of the following except... - Ans →Frozen shoulder In patients who have allergic rhinitis, the nasal mucosa appears... - Ans →pale A term used to describe an increase in muscular bulk with diminished strength is... - Ans →Pseudohypertrophy If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably... - Ans →In the abdominal wall On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with... - Ans →Intestinal obstruction Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with... - Ans →microaneurysms Symptoms of subdural hematoma include... - Ans →Noticeable bleeding between the dura and cerebrum on x-ray On examination of the adult patient, symptoms of fixed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with... - Ans →Parkinson's Disease When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one? - Ans →Articular disease is usually due to stiffness or pain Focal tenderness over the trochanter confirms... - Ans →Bursitis Assessing the neurological status of a child with a ventriculoperitoneal shunt should include... - Ans →Use of the Glasgow coma scale The easiest recognizable clinical manifestation(s) of cystic fibrosis in an infant is... - Ans →Salty taste on the skin A reddish blue, irregularly shaped, solid, and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a... - Ans →Cavernous hemangioma The hamstring muscles flex at the knee and are located on the... - Ans →Posterior aspect of the thigh Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely... - Ans →vitreous floaters When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in... - Ans →Transverse lie When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. The motion of the shoulder girdle would be an example of... - Ans →Flexion To locate the twelfth rib, palpate... - Ans →Between the spine and lateral chest Walking on the toes and heals may reveal... - Ans →Distal muscular weakness in the legs When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of the gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily... - Ans →posteriorly During pregnancy, which hormone results in increased blood viscosity? - Ans →Erythropoietin Resting tremors refer to those tremors that disappear - Ans →with voluntary movement A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with... - Ans →Cancer of the sigmoid colon Mydriasis is a term used to describe - Ans →Dilation of the pupils When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is expected. Positive findings include all of the following except... - Ans →Calf wasting Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip? - Ans →Stage III(Three) The vertebral column angles sharply posteriorly and becomes immovable at the... - Ans →Lumbosacral junction Which one of the following is at the HIGHEST risk of suicide? - Ans →A 52-year-old white man When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope... - Ans →Between the 2nd and 3rd intercostal spaces at the right upper sternal border Pain and crepitus over the patella suggests... - Ans →Roughening of the patellar undersurface Which one of the following findings is NOT typical in a patient who has delirium? - Ans →Intact attention and concentration When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring 0.5cm were noted. These types of lesions could be seen in... - Ans →herpes simplex/ varicella The principal muscles involved when closing the mouth are innervated by which cranial nerve? - Ans →Cranial Nerve V (Trigeminal)