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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Document preview page 1

APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 1

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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions)

APEA 3p Actual Exam Test Bank with Answers offers you a structured way to prepare for your exam with solved past exam papers.

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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 1 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEA1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eyeand 20/40 in the right eye using the Snellen eye chart. This means:a)have the patient returning in two weeks for a follow up vision screenb)dilated the eye and retestc)refer the patient to an ophthalmologistd)document this as a normal finding2.The American psychiatric association’s diagnostic and statistical manual of mentaldisorder defines Munchausen Syndrome By Proxya)a self-inflicted injury to gain attentionb)a caregiver making up or causing an illness or injury in a person under his orher carec)an abusive behavior that does not involve the caregiverd)a situation in which the abuser is often inattentive and uncaring toward the victimMunchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker ofa child, most often a mother, either makes up fake symptoms or causes real symptoms to makeit look like the child is sick.3.Symptoms of depression are a side effect of which neurotransmitter medication?a)dopamineserotonin, norepinephrineb)gabapentinc)mild)cortisol4.Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter 20a)Nevusb)Actinic keratosisc)Keratoacanthomad)Melanoma5.A 32 years old woman presents with dull puffiness of the ayes pronounced notpitting periorbital edema this finding is suggestive of this condition? APEAa)Nephrotic syndromeb)Myxedemac)Cushing syndromed)SinusitisMyxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patientswith advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids, andtongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism.Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 2 preview image
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 3 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEA6.A 42 years old woman with a past medical history of migraine headaches isrequesting prophylactic medication treatment. Which medication should the Nursepractitioner prescribe?a)Sumatriptan (Imitrex)b)Amitriptyline (Elavil)c) Verapamil (verelan)d) Metoprolol (Lopressor)Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactictreatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine7.A pediatric patient has areas of scaling on the scalp with round patches of alopecia.This clinical finding is consistent with:a)Tinea capitisb)Seborrheic dermatitisc)Trichotillomaniad)Alopecia areata8.What is the appropriate prophylactic medication for an 18 years old woman with apast medical history of migraine headaches?a)Sumatriptan(Imitrex) b)Propanolol(Inderal)c)Ibuprofeno (motrin)d)Dihydroergotamine (DHE)9.Why would a combined hormonal contraceptive be contraindicated in a 36 year oldpatient with a past medical history of type 2 diabetes, obesity, chronic smoking andsedentary lifea)She is obeseb)She has type 2 diabetes mellitusc)Her age and tobacco used)She leads a sedentary lifestyleCombined oral contraceptive is contraindicated in women older than 45, breastfeeding, smoking,HTN, diabetes or hx of stroke10. During the breast examination of a perimenopausal woman the NP detects abloody spontaneous discharge from the right nipple. This indicates furtherevaluation.a)Fibroadenomab)Polycystic breast disease Generalized breast pain or tenderness. Green or darkbrown nonbloody nipple discharge that tends to leak without pressure or squeezingc)An intraductal papilloma
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 4 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEAd)Pituitary prolactinomaIntraductal papillomas are usually solitary and smaller than 1 cm. They are located inlarge lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 5 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEA11. Rh negative women should receive Rho (D) immunoglobulin at what gestational time?a)6 weeksb)12 weeksc)28 weeksd)35 weeksWhat happens is the client is Rh negative and has a negative antibody screen?She will need repeat antibody screens and should receive Rho(D) immune globulin(RhoGAM) at 28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)12. When interpreting a complete blood count (CBC) lab report which of the followingresults describes the size of the RBCs?a)Hemoglobinb)Mean corpuscular volume (MCV)c)Red cell distribution width (RDw)d)HematocritThe mean corpuscle (cell) volume (MCV) is a measurement of the average size of theRBCs. Small-sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV.13. What medication should be avoided when prescribe prophylactic therapy for headachea)Verapamilb)Propranololc)Venlataxin (Effexor)d)NimodipineSerotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients shouldhave drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page1047)14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transpositionof the great arteriesa)To maintain equal pressure in the ventriclesb)To maintain patency of the great arteriesc)To produce vasodilation on …………….d)To prevent cyanotic episodes by trapping blood in the lower …………15. Which of the following complaints best describes lower extremity calf pain associatedwith peripheral artery diseasea)A sharp stabbing painsb)A dull pain or crampc)An electric shockd)A pulsating painPeripheral artery disease signs and symptoms include: Painful cramping in one or both of yourhips, thighs or calf muscles after certain activities, such as walking or climbing stairs(claudication) Leg numbness or weakness. Coldness in your lower leg or foot, especially whencompared with the other side. (Mayoclinic)
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 6 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEA16. Which of the following conditions is NOT a typical finding of hyperprolactinemia in a47- year-old premenopausal woman?a)Hirsutismb)Gynecomastiac)Oligomenorrhead)AcneHyperprolactinemia causes typical symptoms in premenopausal women and in men, but notin postmenopausal women. Premenopausal women — Hyperprolactinemia in premenopausalwomen causes hypogonadism, with symptoms that include infertility, oligomenorrhea, oramenorrhea and less often galactorrhea. (uptodate.com/clinical-manifestations)17. When treating a patient with asthma who is experiencing acute wheezing whichmedication should be given to relieve the symptom?a)Short acting bronchodilatorb)Long acting bronchodilatorc)Inhaled corticosteroidd)Combination of methylxanthine and long acting bronchodilatorShort-Acting Beta Agonist (SABA) inhalers; used for acute asthma attacks; quickly reduceairway constriction & restore normal airflow; agonists/stimulators of adrenergic receptors inSNS (sympathomimetics); albuterol (Ventolin), levalburterol (Xopenex), pirbuterol (Maxair),terbutaline (Brethine), metaproterenol (Alupent). (Quizlet Pharm Ch 37 Respiratory drugs)18. Which immunization reduces a patient’s risk for infection with the virus that causespainful localized blistering rash?a)Smallpox vaccineb)Varicella vaccine (chicken Pox)c)Shingles (herpes zoster) vaccined)Meningococcal vaccineShingles (herpes zoster) is an extremely painful skin rash caused by the varicella zoster virus, thesame virus that causes chickenpox. In people who have had chickenpox, the virus is never fullycleared from the body; instead, it remains dormant in the nerve tissues. (medicinet.com/shingles)19. Headache warning signs that need prompt investigation include all of thefollowing EXCEPT:a)new onset after age 50b)aggravated or relieved by change of positionc)precipitated by Valsalva maneuverd)Headache relieved with mild infrequent use of analgesics20. The client with iron deficiency anemia should be advised to take the iron supplementa)With milk to avoid stomach upsetb)With milk of magnesia at bedtime to avoid constipation
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 7 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEAc)On an empty stomach between meals
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 8 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEAd)For 30 days to 5 weeksBecause iron is best absorbed on an empty stomach, patients should be advised to take thesupplement an hour before meals. Most patients can use the less expensive, more standard formsof ferrous sulfate (Quizlet Hematology Cht 33)21. Which one of the following statements is true of Munchausen syndrome by proxy?a)The injury is self-inflicted as the patient is seeking attention from othersb)Under the supervision of adults other than the abuser, the patient does notexhibit symptomsc)The caregiver is usually not involver in the abusive behaviord)The abuser is often inattentive and uncaring towards the victimMunchausen syndrome by proxy (MSP) is a mental illness. It is also a form of child abuse. Itaffects caregivers, especially caregivers of children. It is also known as factitious disorder byproxy. Mothers of small children are most often affected by this condition. Fathers or othercaregivers can have it as well.22. Which of the following is the most common presenting sign of substance abusein adolescents?a)Poor school performanceb)change in sleep habitsc)increased blood pressured)changes in behavior23. 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 TPALsystem to document her maternal statusa)Gravida 4 para 1114b)Gravida 4, para 13144 is the number of living children GTPALc. Gravida 3, para 1114c)Gravida 3, para 1112Gravida, Term babies, Preterm babies, Abort and Living child24. The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 yearsold patient. The Nurse Practitioner should asses the patentsa)Throat, face, and right earb)Neck and supraclavicular regionc)Right forearm and handd)Right groin and abdomenLower arm and hand for erythema and swelling25. Anticholinergics are indicated for the treatment ofa)Asymptomatic bacteriuria
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 9 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEAb)Renal insufficiency
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 10 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEAc)Urge incontinenced)Overflow incontinenceAnticholinergics are drugs that block the action of acetylcholine. Anticholinergics can treat avariety of conditions, including: urinary incontinence, overactive bladder, COPD, They alsohelp block involuntary muscle movements associated with certain diseases such asParkinson’s disease.26. A patient presents with signs of chest pain, the nurse practitioner observes jugularvenous distention. Their finding is consistent witha)Hypertensionb)Heart failurec)Asthmad)PneumoniaHeart failure causes decreased cardiac output when the heart fails as a pump and the circulationbecomes backed up and congested. Signs and symptoms: dyspnea, orthopnea, paroxysmalnocturnal dyspnea, decreased blood pressure, dependent, pitting edema; anxiety; confusion;jugular vein distention; fatigue. The S3 may be the earliest sign of heart failure.(Studyblue)27. On examination of the neck, a dome shaped lesion in the dermis forming a benign closedfirm sac attached to the epidermis is noted on the right lateral side of the neck. The typeof lesion is known asa)Keloidb)Tophic)A cutaneous cystd)ChondrodermatitisDome-shaped lump in the dermis forms a benign closed firm sac attached to the epidermis. Adark dot (blackhead) may be visible on its surface. Usually either an Epidermoid cyst (commonon face/neck) or pilar (trichilemmal) cyst (common in the scalp). Both may become inflamed.Error! Filename not specified.28. Symptoms of heartburn and regurgitation are associated with:a)Hiatal herniab)Gastroesophageal refluxc)Peptic ulcer diseased)Esophageal cancerClassic GERD symptoms are: Heartburn, Regurgitation: bitter, acidic fluid in the mouthwhen lying down or bending over
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 11 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEA29. A 70 years old man walks 20 minutes most days of the week. He has begun to complain ofpain of his left calf when he is walking. The problem has gotten gradually worse and nowhe
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 12 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEAis unable to complete his 20 minutes walks without stopping to rest. What choicebest describes the pain associated with peripheral artery disease?a)A sharp, stabbing painb)A dull pain and crampc)An electric shockd)A pulsating painPeripheral Artery disease signs and symptoms include: Painful cramping after certain activities,such as walking or climbing stairs (claudication), Leg numbness or weakness, Coldness in legor foot, especially when compared with the other side, Sores on toes, feet or legs that won't heal,A change in the color , Hair loss or slower hair growth, Shiny skin, No pulse or a weak pulse inlegs or feet30. Papilledema is a cause for concern because it is suggestive ofa)Optic atrophyb)Microaneurysmsc)Increased intracranial pressured)Retinal hemorrhagePapilledema is theswelling of the optic disccaused by increased intracranial pressure.31. A 38-year-old patient with a history of abdominal pain presents to the nurse practitioner.Findings reveal superficial edema and bruising in the subcutaneous fatty tissue aroundthe umbilicus. Hemorrhagic pancreatic is suspected because of which finding?a)A positive Gray Turner’s signb)A positive Cullen’s signc)Kaposi’s sarcomad)Petechiae
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 13 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEA32. A 57 years old post-menopausal female presents with a complaint of vaginal burning,pruritus and painful intercourse. On examination, the nurse practitioner would bemost concern with the findings
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 14 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEAa)A thin, pale, dry vaginal mucosab)Absence of rugaec)A friable cervixd)Raised yellowish cervical lesionThe term "friable" refers to tissue that is easily irritated, which makes it more prone toinflammation, bleeding, or tearing. Vaginalrugaedisappear in those with an estrogendeficiency and those women who are older. Nabothian cysts (also called epithelial cyst ) arecommon and benign and are considered a normal feature of the adult cervix.. They may betranslucent or opaque, whitish to yellow. Atrophic vaginitis is avaginaldisorder that usuallyhappens after menopause appearing as thin, pale and dry.33. What intervention does the American College of Rheumatology recommend as firstline therapy for Osteoarthritis, rheumatoid arthritis or something elsea)Diagnostic workup to rule out rheumatic arthritisb)NSAID use at lowest effective dosec)Acetaminophen use up to 4 grams/dayd)Exercise and weight lossWeight loss and exercise are useful in OA. Excess weight puts stress on knee joints and hipsand low back. For every 10 pounds of weight lost over 10 years, reduces the chance ofdeveloping knee OA by up to 50 %. Exercise can improve muscle strength, decrease joint painand stiffness, and lower the chance of disability due to OA.34. Which of the following drugs is not contraindicated for concurrent use withwarfarin (Coumadin)?a)Amoxicillin (Amoxil)b)Trimethroprim/sulfamethaxazole (Bactrim)c)Cirpofloxacin (Cipro)d)Clarithromycin (Biaxin)35. The lymphatic ducts drain into the (APEA)a)arterial systemb)venous systemc)vertebral bodies of the spined)shoulder36. Which of the following is the most appropriate treatment for trichomoniasis in anon- pregnant woman?a)Metronidazole (flagyl)b)Doxycycline (Vibramycin)c)Clindamycin (Cleocin)d)Clotrimazole (lotrimin)37. Osteosarcoma in a pediatric patient is most often diagnosed when there is:
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 15 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEAa)Pain in the affected bone
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APEA 3p Actual Exam Test Bank with Answers (157 Solved Questions) - Page 16 preview imageAPEA 3P Actual Exam Test Bank (APEA Question Bank)(Mostly Resourceful)APEAb)Pathologic fracturec)Repeat fractured)Apophyseal avulsionOsteosarcoma is the most common type of bone cancer in children and teens. Bone pain andtenderness the most common symptom. It arises most often in the wide ends of long bones, suchas the femur and tibia in the upper and lower leg, and the humerus in the upper arm.38. In a patient who has a history of migraine headaches, which characteristics is most common?a)Focal deficitsb)Family historyc)Weaknessd)Initial onset after age 3539. Symptoms associated with small bowel obstruction usually include:a)Nausea and diarrheab)Vomiting and painc)Hematemesis and bloody stoold)Indigestion and anorexiaSymptoms of a small bowel obstruction include vomiting from vagal nerve stimulation, painfrom bowel wall distention, and abdominal distension from accumulation of chyme orascites. (Quizlet Patho GI System)40. Unilateral rhinitis could be caused by all of the following excepta)A foreign body in the nasal canalb)A nasal polypc)Drug induced rhinitisd)A deviated sputum41. A 7 years old child has been diagnosed with acute sinusitis. The drug class that shouldbe avoided is:a)Antihistaminesb)Expectorantsc)Decongestantsd)Nasal steroids42. A patient present with an elongated head with bony prominence of the forehead, nose andlower jaw. These facial features could be suggestive of:a)Nephrotic syndromeb)Acromegalyc)Cushing’s syndromed)Parkinson’s disease
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