REAL APEA FINAL EXAM QUESTION AND ANSWERS LATEST SOLUTIONS
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REAL APEA
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REAL APEA
REAL APEA FINAL EXAM QUESTION AND
ANSWERS LATEST SOLUTIONS
A patient develops a gait disorder and the patient's spouse reports noticing recent personality changes. The provider suspects a brain lesion. Which evaluation is especially important in the initial physical examination? a. Asses...
REAL APEA FINAL EXAM QUESTION AND ANSWERS LATEST SOLUTIONS 2023 - 2024 A patient develops a gait disorder and the patient's spouse reports noticing recent personality changes. The provider suspects a brain lesion. Which evaluation is especially important in the initial physical examination? a. Assessment of peripheral reflexes b. Evaluation of speech c. Examination of the optic fundi d. Testing for m emory loss - c. Examination of the optic fundi A toddler has begun hitting and biting other children at a day care center and is exhibiting temper tantrums and bad language at home. The parent reports that these behaviors began shortly after a sibling was born. What will the primary care pediatric nurse practitioner do? A. Advise the parent that the child is exhibiting early symptoms of ADHD. B. Engage the parent in positive parenting strategies to facilitate appropriate child coping. C. Recommend evalua ting the child for conduct or oppositional defiant disorder. D. Suggest putting the child in another day care center to ameliorate the problems - B. Engage the parent in positive parenting strategies to facilitate appropriate child coping. A 14yearold fem ale comes to the clinic with amenorrhea for 3 months. A pregnancy test is negative. The adolescent's body weight is at 82% of expected for height and age. The mother reports that her daughter often throws up and refuses to eat most foods. Which condition d oes the primary care pediatric nurse practitioner suspect? A. Anorexia nervosa B. Bulimia nervosa C. Depression D. Substance abuse - A. Anorexia nervosa During a well child examination on a 4monthold infant, the primary care pediatric nurse practitioner e valuates mental health issues. Which statement by the parent indicates a potential problem with the parent infant relationship? a. "I can sense a difference in my baby's cries." b. "I let my baby cry a while to learn to be patient." c. "My baby prefers to nurse in a darkened room." d. "My baby seems very sensitive to loud noises." - b. "I let my baby cry a while to learn to be patient." The primary care pediatric nurse practitioner attempts to learn more about the emotional health of an 18monthold child th rough which assessment strategy? a. Asking the child to tell a story using dolls and other props b. Asking the child to draw a picture of him or herself and other family members c. Interviewing the child separately from caretakers and parents d. Observati on of the child with caretakers in structured and unstructured situations - d. Observation of the child with caretakers in structured and unstructured situations The parent of a 4 year old child reports that the child seems to be having trouble adjusting to a new day care and reportedly is always engaging in solitary play when the parent arrives to pick up the child. What will the primary care pediatric nurse practitioner do? a. Ask the parent if the child is slow to warm up to other new situations. b. Re assure the parent that parallel play is common among preschool age children. c. Recommend that the parent spend time encouraging the child to play with others. d. Suggest that the day care center may be neglecting the child. - a. Ask the parent if the chil d is slow to warm up to other new situations. The parent of a school age child reports that the child becomes frustrated when unable to perform tasks well and often has temper tantrums and difficulty sleeping. Which disorder may be considered in this chil d? a. Generalized anxiety disorder (GAD) b. obsessive -compulsive disorder (OCD) c. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS) d. Separation anxiety disorder (SAD) - a. Generalized anxiety disorder (GAD) A newly divorced mother of a toddler reports that the child began having difficulty sleeping and nightmares along with exhibiting angry outbursts and tantrums 2 months prior. The primary care pediatric nurse practitioner learns that the child refuses to play with usual playmates and often spends time sitting quietly. What will the nurse practitioner do initially? a. Ask the mother about the child's relationship with the father. b. Consult with a child psychiatrist to prescribe medications. c. Recommend c ognitive behavioral or psychodynamic therapy. d. Refer the family to a child behavioral specialist for counseling. - a. Ask the mother about the child's relationship with the father. An adolescent is diagnosed with major depression, and the mental health specialist has prescribed fluoxetine. What other treatment is important to protect against suicide risk? a. Addition of risperidone therapy b. Cognitive behavioral therapy c. Family therapy d. Hospitalization - b. Cognitive behavioral therapy A 13 year o ld child has exhibited symptoms of mild depression for several weeks. The parent reports feeling relieved that the symptoms have passed but concerned that the child now seems to have boundless energy and an inability to sit still. What will the primary car e pediatric nurse practitioner do? A. Administer an ADHD diagnostic scale and consider an ADHD medication. B. Consult with a child psychiatrist to prescribe an antidepressant medication. C. Reassure the parent that this behavior is common after mild depre ssive symptoms D. Refer the child to a child psychiatrist for evaluation of bipolar disorder. - D. Refer the child to a child psychiatrist for evaluation of bipolar disorder. A 35-year-old patient reports suddenly experiencing an asymmetric smile along wi th drooping and tearing in one eye. The patient has a history of a recent viral illness but is otherwise healthy. During the exam, the provider notes that there is unilateral full -face paralysis on the right side. What is the initial intervention for this patient? a. Perform confirmatory diagnostic tests b. Prescribe oral prednisolone c. Recommend wearing an eye patch d. Refer the patient to a neurologist - b. Prescribe oral prednisolone A patient reports symptoms of restlessness, fatigue, and difficulty concentrating. The provider determines that these symptoms occur in relation to many events and concerns. What other things will the provider question this patient about? a. Ability to manage social situations b. Body image and eating habits c. Headaches and bowel habits d. Occupational performance - c. Headaches and bowel habits The spouse of a patient newly diagnosed with amyotrophic lateral sclerosis (ALS) asks about long -term care. What will the provider include when teaching the family about this disease? a. Bowel and bladder function will eventually be lost b. Positive -pressure ventilation can prolong life. c. Preventing malnutrition is a key element in care. d. The nerves affecting sensation will die initially. - c. Preventing malnutrition is a key element in care. What is recommended to prevent ophthalmic complications in patients with Bell's palsy? a. Acupuncture b. Lubricating eye drops c. Patching of the eye
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