APEA 3P 2.0 Latest Practice Exam 100% Verified Answers 2025 Current Update | A Pass

When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means:

refer the patient to an ophthalmologist

The american psychiatric association's diagnostic and statistical manual of mental disorder defines Munchausen Syndrome by Proxy

a caregiver making up or causing an illness or injury in a person under his or her care

Symptoms of depression are a side effect of which neurotransmitter medication?

dopamine

Which lesion is dark raised and asymmetric with irregular borders?

melanoma

A 32 year old woman presents with dull puffiness of the eyes pronounced nonpitting periorbital edema, this finding is suggestive of which condition?

myxedema

a 42 year old woman with a PMH of migraine headaches is requesting prophylactic medication treatment. Which medication should the nurse practitioner prescribe?

amitriptyline (elavil)

A pediatric patient has areas of scaling on the scalp with round patches of alopecia. this clinical finding is consistent with:

tinea capitis

what is the appropriate prophylactic medication for an 18 year old woman with a past medical history of migraine headaches?

propanolol (inderal)

Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient with a PMH of type 2 diabetes, obesity, chronic smoking, and sedentary lifestyle

her age and tobacco use

During the breast examination of a perimenopausal woman, the NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation

an intraductal papilloma

when interpreting a CBC lab report which of the following results describes the size of the RBCs

Mean corpuscular volume (MCV)

What medication should be avoided when prescribing prophylactic therapy for headaches?

Venlataxin (effexor)

Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47 year old premenopausal woman?

gynecomastia

which immunization reduces a patients risk for infection with the virus that causes painful localized blistering rash?

shingles (herpes zoster) vaccine

The client with iron deficiency anemia should be advised to take the iron supplement

on an empty stomach between meals

Which one of the following statements is true of Munchausen syndrome by proxy

under the supervision of adults other than the abuser, the patient does not exhibit symptoms

Which of the following is the most common presenting sign of substance abuse in adolescents?

changes in behavior

A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status

Gravida 4 Para 1114

the nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 year old patient. The nurse practitioner should assess the patients

right forearm and hand

anticholinergics are indicated for the treatment of

urge incontinence

on exam of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac attached to the epidermis is noted on the right lateral side of the neck. This type of lesion is known as

a cutaneous cyst

Symptoms of heartburn and regurgitation are associated with

GERD

a 70 year old man walks 20 min most days of the week. he has begun to complain of pain in his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 20 min walks without stopping to rest. What choice best describes the pain associated with PAD?

dull pain and cramp

papilledema is a cause for concern because it is suggestive of

increased intracranial pressure

38 year old with history of abdominal pain presents to the NP. findings reveal superficial edema and bruising in the SQ fatty tissue around the umbilicus. hemorrhagic pancreatitis is suspected because of which finding

a positive cullen's sign

57 year old postmenopausal female presents with a complaint of vaginal burning, pruritis, and painful intercourse. On exam, the NP would be most concerned with the findings

a friable cervix

what intervention does the american college of rheumatology recommend as first line therapy for osteoarthritis, rheumatoid arthritis, or ___

exercise and weight loss

Which of the following drugs is not contraindicated for concurrent use with warfarin

Amoxicillin (amoxil)

the lymphatic ducts drain into the

venous system

which of the following is the most appropriate tx for trich in a non-preg woman

Metronidazole (flagyl)

in a patient with migraine headaches, which characteristic is most common

family history

unilateral rhinitis could be caused by all of the following except

drug induced rhinitis

a 7 year old child has been diagnosed with acute rhinitis. this drug class should be avoided

antihistamines

patient presents with an elongated head with bony prominence of the forehead, nose, and lower jaw. these facial features could be suggestive of:

acromegaly

why would a child diagnosed with beta thalassemia and hemosiderosis receive defroxamine (desferal)

to eliminate excessive iron and prevent organ damage

patient has newly diagnosed hypothyroidism. what are the patients TSH level expected to be

higher than normal

which symptoms would be a clinical manifestation noted durnig the secondary stage of syphilis

rash marked by red or reddish-brown, penny-sized lesions over the palms and soles

84 yo male with prostatic hypertrophy is at increased risk of:

urinary tract infections

characteristic lesion obeserved in a male with primary syphilis is

chancre

during an acute attack of gout, the NP knows NOT to prescribe

allopurinol (zyloprim)

what two vitamins and minerals should be included in oral multivitamins in women

folic acid and iron

in a patient with bacterial meningitis, the most common reason for findings of headaches:

increased ICP

Janeway lesions, petechiae, and oster nodes are associated with

infective endocarditis

a patient presents with decreased hearing related to ABX use. Which class of ABX is this?

aminoglycosides

which antihypertensive would be appropriate to prescribe for a hypertensive patient (BP 150/90) that is in her third trimester

methyldopa

40yo admits to multiple sex partners with several lesions over his body. findings reveal hemorrhagic vesiculopustular lesions over the hands and feet. these lesions are most likely associated with

gonococcemia

which agent is NOT useful in prophylactic treatment of migraine headaches

sumatriptan (imitrex)

acute lymphocytic leukemia is usually diagnosed by

bone marrow examination

NP examines the skin of an elderly patient which findings below is NOT benign lesion associated with the aging process

dermatophytosis

phenazopyridine (pyridium) is recommended very short-term use in patients with UTIs because

occurrence of hemolytic anemia

estrogen-progestic contraceptives should be avoided in women with:

migraines with aura

the addition of benzoyl peroxide to erythromycin for the topical tx of acne:

improves the efficacy of erythromycin

an elderly male with BPH should be advised to avoid antihistamines. What is the reason?

urinary retention

exam of the hair reveals a fine silky appearance. This finding may be seen in patients that have

hyperthyroidism

a patient develops a cough secondary to ACE. the most appropriate statement related to the ACEI cough is that the cough typically

resolves within a week after stopping the medication

20 year old male living in college dorm, complains of a dry cough for the past month. assessment finding associated with an atypical, community acquired pneumonia would include:

low-grade fever, malaise, clear lung fields on auscultation

most appropriate med indicated for reversing anticoagulated effects of dabigatran etexilate (pradaza)

idarucizumab (paxabind)

common patho finding of patients with asthma

hypertrophy of smooth muscle

typical presentation of severe acute aortic regurgitation includes sudden severe shortness of breath rapidly developing heart failure and

decreased blood pressure

when palpating the prostate gland during the rectal exam, the prostate feels tender, swollen, boggy, and warm. this finding is consistent with

acute bacterial prostatitis

this contagious disease causes fever, headaches, stiff neck, photophobia, N/V, and AMS. what immunization prevents this

meningococcal vaccine

serotonin syndrome is a potentially life-threatening condition associated with

increased levels of serotonin

which of the following statements about treating scabies with lindane (kewell) is correct?

lindane lotion and/or shampoo is not considered first line therapy

treatment of scabies

Nix

earliest clinical manifestation of diabetic nephropathy

microalbuminuria

children born with down syndrome often have other anomalies. they especially require eval of what body system

cardiac

When deciding on initial treatment option for an acute flare of atopic dermatitis, unresponsive to emollient therapy, the next best choice of tx is:

desonide 0.5%

headaches with symptoms of N/V may be associated with all the following except:

tension headache

which of the following findings could indicate a need for further eval of the cardiac pt

low density lipoprotein of 190 mg/dl

an alpha-adrenergic blocker increases urine outflow in males by

relaxing the prostate smooth muscle

the scoliosis patient who would cause the greatest concern for the NP is

13yo female with a 10 degree curve

Which finding would be unusual in a patient with diabetic retinopathy

papilledema

where should the uterine fundus be palpable at 12 weeks

at the level of the symphysis pubis

ophthalmoscopic exam of a 40yo carpenter reveals a triangular thickening of the bulbar conjunctiva across the outer surface of the cornea. this condition is termed

pterygium

patient calls NP and reports missing morning daily dose of warfarin, 5 mg yesterday and today. the NP instructs the patient to

take warfarin 5mg now and resume the warfarin 5mg daily dose in the morning as scheduled

type of breast cancer that begins with erythema and swelling of the breast and progresses rapidly is termed

inflammatory breast cancer

salmeterol (serevent) in combination with an inhaled steroid is prescribed for a patient with moderate persistent asthma. what is the most important teaching about the salmeterol

it is not effective during acute asthma attack

50yo male has nontender, enlarged scrotum. NP suspects which condition

hydrocele

which group of lymph nodes are located on the medial surface of the arm approximately 3 cm above the elbow?

epitrochlear nodes

elderly patient has been diagnosed with cataract. what structure in the eye has become diseased

lens

patient presents with pain in shoulder. NP knows there are 4 rotator cuff muscles. the muscle that initiates abduction movement at the shoulder is known as the

supraspinatus

on exam a patient is noted to have a mask-like face with decreased blinking and a characteristic state. features may be characteristics of:

parkinson disease

appropriate treatment for benign positional vertigo

meclizine (antivert)

the sensorineural phase of hearing pathways involve the:

cochlea and cochlear nerve

65yo has hx of one kidney with early renal insufficiency. he is dx with pna and will require

lower dose of abx

44yo presents for employment physical, concerned about testing positive for amphetamines on drug screen, even though he is not taking amphetamines. which med causes false positive result for amphetamines

bupropion

DDAVP nasal spray has been found to be useful in the management of enuresis in children. in which situation is the drug especially beneficial

sleepovers

which condition is NOT associated with symptoms of hemoptysis

viral pneumonia

which condition is associated with end-stage renal disease in pediatric patients and requires recombinant erythropoietin tx

anemia

when evaluating a 17yo girl with infrequent periods, which finding suggests hyperadnronism

hirsutism

27yo man being eval for episodes of incontinence and confusion. which med most likely causes these symptoms

cimetidine (tagamet)

when ordering oral diabetes med for a 72yo pt with recent hx of decreased appetite and ongoing risk of hypoglycemia, the NP should rx

metformin (gucophage)

to increase urine outflow in men with BPH, the NP should prescribe

an alpha blocker

17yo dx with mild bronchospasm. which would provide relief

inhaled levalbuterol (xenopenex)

common cause of decreased libido in men is due to

endocrine dysfunction

which assessment findings are NOT associated with pyloric stenosis in a 2 month old infant?

bloated and tense tympanic abdomen

what should be included int he initial tx of bacterial epididymitis in a sexually active 22yo male

doxycycline and ceftriaxone

hyperkalemia is associated with

diminished renal function

assessment of 72yo male causes NP to have concern that pt is at risk for suicide. RF for suicide for the elderly do NOT include

retirement

most common tx for H.pylori is a triple therapy, interpreted as

2 abx and ppi for 7-14 days