APEA- Study Guide Complete 2023
5-alpha reductase inhibitor work to improve symptoms of BPH by: Ans- Decreasing the size of the
prostate
A 7-year-old child has been diagnosed with acute sinusitis. The drug class that should be avoided is: Ansantihistamines
A 17-year-old is diagnosed with mild...
APEA- Study Guide Complete 2023
5-alpha reductase inhibitor work to improve symptoms of BPH by: Ans- Decreasing the size of the
prostate
A 7-year-old child has been diagnosed with acute sinusitis. The drug class that should be avoided is: Ans-
antihistamines
A 17-year-old is diagnosed with mild bronchospasm. Which of the following would provide relief? Ans-
Inhaled levalbuterol (Xopenex)
A 20-year-old male living in the college dorm, complains of a dry cough for the past month. Assessment
findings associated with atypical, community acquired pneumonia would include: Ans- A low-grade
fever, malaise, and clear lung fields on auscultation
A 27-year old male patient presents with a painless chancre on the shaft of his penis and regional
lymphadenopathy. He is diagnosed with primary syphilis. The best initial treatment is: Ans- Benzathine
penicillin G (Bicillin L.A.)
CDC.gov
A 32-year-old woman presents with dull puffiness of the eyes pronounced not pitting periorbital edema
this finding is suggestive of this condition? Ans- Myxedema
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 around the umbilicus. Hemorrhagic
pancreatic is suspected because of which finding? Ans- A positive Cullen's sign
BATES: pg. 208
A 40 year old female, the overall texture of the breast is soft, with an uneven contour bilaterally, the NP
informs the patient that Ans- warrants a mammogram
,A 40-year-old admits to multiple sex partners presents with several lesions over his body Findings
reveals hemorrhagic vesiculopustular lesions over the hands and feet. These lesions are most likely
associated with: Ans- Gonococcemia
BATES: pg.207
Purple to grey macules, papules or hemorrhagic pustules distributed over acral and periarticular
surfaces
A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic
medication treatment. Which medication should the Nurse Practitioner prescribe? Ans- Amitriptyline
(Elavil)
A 44 year old presents to the nurse practitioner for an employment physical and is concerned about
testing positive for amphetamines on a drug screen, even though he is not taking amphetamines. His
current medication list includes metformin, lisinopril, glyburide and bupropion. The most likely
medication cause for a false positive result for amphetamines would be: Ans- Bupropion
A 50 years old male has a non-tender, enlarged scrotum. The nurse practitioner suspects which of the
following conditions: Ans- Hydrocele
A 57-year-old post-menopausal female presents with a complaint of vaginal burning, pruritus, and
painful intercourse. On examination, the nurse practitioner would be most concern with the findings:
Ans- A friable cervix
A 64-year-old man with CC of leg pain and occasional numbness that worsens with ambulation and
improves with lumbar flexion. The symptoms are consistent with Ans- Spinal Stenosis
Pseudoclaudication refers to pain in the back or legs when the patient walks but improves with rest,
lumbar flexion, or both.
A 65 year year old has a history of one kidney with early renal insufficiency. He is diagnosed with
pneumonia and will require: Ans- Lower dose of antibiotics
, A 65-year-old male presents with findings of symmetric thorax with moderate kyphosis and anterior
diameter. Chest expansion is decreased and the diaphragm descending 2 cm bilaterally. These findings
related to: Ans- chronic obstructive pulmonary disease
A 67 year old woman with hx. of A.fib and an ejection fraction of 48% has had normal digoxin levels.
Which can cause a decrease in digoxin levels? Ans- Regular use of antacide
A 70-years-old man walks 20- minutes most days of the week. He has begun to complain of pain of his
left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete
his 20 minutes walks without stopping to rest. What choice best describes the pain associated with
peripheral artery disease? Ans- a dull pain and cramp
A 74 year old man who recently lost his spouse of 50 years in an auto accident tells the NP that " he has
no purpose in this life" Ans- Have you thought about hurting yourself?
A 80-year-old man is being evaluated for recent episodes of incontinence and confusion. His family
states that he is usually independent with no altered mental issues, but has become forgetful within the
last two weeks. Which medication is most likely associated with the symptoms? Ans- Cimetidine
(tagamet)
A characteristic lesion observed in a male with primary syphilis is a: Ans- chancre
A common cause of decreased libido in men is due to: Ans- Endocrine dysfunction
A common pathological finding in patient with asthma Ans- Hypertrophy of smooth muscle
A hispanic woman who is 26 weeks pregnant states that she recently began eating ice chips between
meals Ans- Assess the patient for iron deficiency anemia
A multiparous pregnant patient presents at 24 weeks gestation with complain of painless vaginal
bleeding. This presentation is consistent with: Ans- placenta previa
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