APEA EXAM 2024-2025 STUDY QUIDE 160 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
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: - ANSWER-Bupropion
Desmopressin is a commonly nasal spray has been fund to be useful in the management of enuresis in
children. In which of the following situation is the drug especially beneficial? - ANSWER-Sleepovers
Rapid Human Immunodeficiency virus (HIV) testing would be appropriate for a patient with complaints
of: - ANSWER-Painful urination, dyspareunia, and vaginal or penile discharge
Which of the following condition is NOT associated with the symptoms of hemoptysis? - ANSWER-Viral
pneumonia
Which condition is associated with end-stage renal disease in pediatric patients and requires
recombinant erythropoietin treatment? - ANSWER-Anemia
When evaluating a 17-year-old girl with infrequent menstrual periods, which findings suggest probable
hyperandrogenism? - ANSWER-Hirsutism
Thick hair growth- on the face particularly the beard and moustache area, limbs, underarm, and pubic
area.
Which form of urinary incontinence is present in a patient with Alzheimer's disease who is unable to
reach the toilet in time? - ANSWER-Functional incontinence
Occurs when some obstacle or disability makes it hard for you to reach or use a toilet in time to urinate
,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: -
ANSWERBenzathine penicillin G (Bicillin L.A.)
CDC.gov
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? - ANSWER-Cimetidine
(tagamet)
When ordering an oral diabetes medication for a 72 year old patient with a recent history of decreased
appetite and ongoing risk of hypoglycemia. The NP should order: - ANSWER-Metformin
To increase urine outflow in men with BPH, the NP should prescribe: - ANSWER-An alpha blocker
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 - ANSWER-Spinal Stenosis
Pseudoclaudication refers to pain in the back or legs when the patient walks but improves with rest,
lumbar flexion, or both.
Which is true statement about varicose veins? - ANSWER-They are more symptomatic during ovulation
A 17-year-old is diagnosed with mild bronchospasm. Which of the following would provide relief? -
ANSWER-Inhaled levalbuterol (Xopenex)
A common cause of decreased libido in men is due to: - ANSWER-Endocrine dysfunction
What should be included in the initial treatment of bacterial epididymitis in a sexually active 22 year old
male: - ANSWER-Doxycycline and ceftriaxone
Which assessment findings are NOT associated with pyloric stenosis in a 2 month old? - ANSWER-A
bloated and tense tympanic abdomen.
, Hyperkalemia is associated with - ANSWER-Diminished renal function
The assessment of a 72 year old male causes the NP to have concerns that the patient is a suicide risk.
Risk factors for suicide in the elderly do NOT include: - ANSWER-Retirement
A pregnant patient present for a routine 16 week prenatal visit. He BP decreased from 119/78 mm Hg at
her 12 week visit to 110/69 mmHg. What hemodynamic for the decrease BP? - ANSWER-decrease in
systemic vascular resistance
The most common treatment for H. Pylori is a triple therapy, interpreted as: - ANSWER-2 Antibiotics and
a PPI for 7-14 days
Patients with psoriasis frequently have - ANSWER-pitted nails and plaque
Which condition is best treated using alpha adrenergic antagonist? - ANSWER-Overflow incontinence
A patient who is taking an oral glococorticosteroid should be advised to: - ANSWER-take it with food
Which of the following drug classes is not indicated for the treatment of depression? -
ANSWERBuspirone (Buspar)
A hispanic woman who is 26 weeks pregnant states that she recently began eating ice chips between
meals - ANSWER-Assess the patient for iron deficiency anemia
Snellen chart evaluation indicated that the patient's vision is 20/30. What is the proper description of
this result? - ANSWER-At 20 ft, this patient can see what a person with normal can see at 30 ft.
Which of the following is NOT a common symptom of Vitamin B12 deficiency? - ANSWER-Vomiting
During a Migraine, the cerebral arteries: - ANSWER-dilate
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