100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
APEA Predictor Exam – Pre-Predictor Test FINAL EXAM Questions and Answers (2024/2025) VERIFIED ANSWERS WITH RATIONALES| AGRADE| MOST RECENT$7.99
Add to cart
APEA Predictor Exam – Pre-Predictor Test FINAL EXAM Questions and Answers (2024/2025) VERIFIED ANSWERS WITH RATIONALES| AGRADE| MOST RECENT
10 views 0 purchase
Course
APEA Predictor
Institution
APEA Predictor
APEA Predictor Exam – Pre-Predictor Test FINAL EXAM Questions and Answers (2024/2025) VERIFIED ANSWERS WITH RATIONALES| AGRADE| MOST RECENT
1. A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 weeks. She reports general malaise, fat...
APEA Predictor Exam – Pre-Predictor Test
latest FINAL EXAM Questions and
Answers (2024/2025) (Verified Answers)
Graded A+
1. A 15 years old high school student with a mild sore throat and low-grade fever that has
persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The
NP suspects mononucleosis. Which of the following is the LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase
Rationale: mononucleosis is a symptomatic infection caused by the Epstein-Bar virus. Common
is people 15-24 years of age. Common signs and symptoms following incubation period (1-2
months) include fatigue, chills, malaise, anorexia, white tonsillar exudates and lymphadenopathy
or posterior cervical region. Splenomegaly can be present. A maculopapular or occasionally a
petechial rash occurs in less than 15% of clients. A diagnosis is usually made using the
Monospot. In addition, neutropenia and lymphocytosis are usually detected in the CBC.
2. A 32 years old male client complaint of urinary frequency and burning on urination for 3
days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract
infections. The initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose
Rationale: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate medication totreat
urinary tract infections in most clients. In the case of community resistance to TMPS
>20%^, another medication should be substituted. In men, the appropriate length of time is 7-10
days. Women may be treated for 3 days for uncomplicated UTI
3. Which agent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetracycline
d. Isotretinoin)
Rationale: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe
inflammatory acne. Guidelines for its use must be clearly understood by the client. A woman of
1
,childbearing age must use an effective method of contraception because isotretinoin is
teratogenic. There are many restrictions in prescribing this medication because of the teratogenic
effects is given during pregnancy. Therefore, it is a pregnancy category X.
4. An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be
instructed to use a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of migraines.
2
, APEA Predictor Exam
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
d. if she forgets to take a single dose of the contraceptive
Rationale: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol), primidone
(Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce the effectiveness of
contraceptives. Depo-medroxyprogesterone acetate injections or levonorgestrel-releasing
intrauterine devices would be a better method of contraceptive for clients taking anticonvulsants.
Most commonly used antibiotics have not been proven to reduce the effectiveness of
contraceptives. Rifampin is an exception, and additional …. Be used by women taking this drug
and using oral contraceptives, transdermal, or vaginal ring preparations.
Additional backup contraception should be used if taking antifungal agents. No additional
protection is needed thought the week of placebo pills. Missing one single dose of contraceptive
does not require additional protection, missing more than one doses does.
5. A 44 years old female client has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5
mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides=
344 mg/dL (8.94 mmol/L). What agent have the greatest effect on improving her lipid profile
and reducing morbidity and mortality associates with dyslipidemia?
a. Niacin (Niaspan)
b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates
Rationale: First and foremost, it is essential to educate individuals on a heart-healthy lifestyle.
LDL-C is one of the major culprits in the development of atherosclerotic heart disease. The
target level of LDL-C is between 50 to 70mg/dl to prevent plaque formation in the blood
vessels. Guidelines strongly recommend statin therapy because they primarily lower LDL-C
levels, but they also have the secondary effects of lowering triglyceride and increasing HDL-C
levels.
6. A 30 years old female comes into a clinic with classic signs and symptoms of appendicitis.
The NP fails to refer the client to a surgeon. The appendix ruptures and the woman die. This is an
example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice
Rationale: malpractice, a negligence tort, occurs when a health care professional’s actions fall
bellow the appropriate standard of care and hurts the client. In this case the client came with
sings and symptoms indicating appendicitis and the NP failed to refer the client..
7. A NP has recently been hired to work in a fast track facility. The NP employer asked if
she has “a problem prescribing medications for emergency contraception.” The NP replies
affirmatively. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
3
, APEA Predictor Exam
c. Illegal according to the standards of nursing
d. Client abandonment.
Rationale: in this instance, the NP has a difference of opinion with her employer based on her
religious or moral belief about providing emergency contraception. This situation is an example
of an ethical dilemma. Failure to participate in the provision of care to the client based on the
NP’s beliefs is neither against the law nor a violation of the standards of practice
8. A client presents with pruritic lesions on both knees. There are visible silver scales. How
Should this condition be managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream
Rationale: Psoriasis is characterized by erythematous papules, as well as itchy, red, precisely
defined plaques with silvery scales. Auspitz sings is another common finding. Topical agents
containing tar and salicylic acid may be used. Topical steroids, such as betamethasone, may also
be ordered.
9. Antidepressant discontinuation syndrome is less likely if the client
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use
Rationale: Antidepressant discontinuation syndrome is most often seen in the primary care
office in association with SSRI discontinuation, because SSRIs are the most commonly
prescribed class of antidepressant medications. Interruption of treatment with an anti-depressant
medication is sometimes associated with an antidepressant discontinuation syndrome; in early
reports it was referred to as a “withdrawal reaction. Symptoms of antidepressant discontinuation
syndrome can include flu-like symptoms, insomnia, nausea, imbalance, sensory disturbances,
and hyperarousal. Tapering is recommended by experts.
10. Client with benign prostatic hyperplasia (BPH) should be taught to avoid which one of
the following drug classes?
a. Alpha adrenergic antagonist
b. Anti-androgen agents
c. Tricyclic antidepressant (TCA)
d. Sulfonamides
Rationale: tricyclic antidepressant should not be used by men with benign prostatic hyperplasia
because of the increased risk of urinary retention secondary to the anticholigergiceffects of
TCAs.
11. Which of the following is the best response to a woman who has just admitted she is
a victim of spousal abuse?
a. What was if you did to make him angry?
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller kiarienaomi88. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
