APEA EXAM 2023-2024 STUDY QUIDE 160 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the
right eye using the Snellen eye chart. This means: - ANSWER-Refer the patient to an ophthalmologist
The American psychiatric association's diagnostic and statistical manual of mental disorder defines
Munchausen Syndrome by proxy: - ANSWER-a caregiver making up or causing an illness or injury in a
person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? - ANSWER-dopamine
Which lesion is dark, raised, and asymmetric with irregular border? - ANSWER-Melanoma
A 32-year-old woman presents with dull puffiness of the eyes pronounced not pitting periorbital edema
this finding is suggestive of this condition? - ANSWER-Myxedema
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? -
ANSWERAmitriptyline (Elavil)
A pediatric has areas of scaling on the scalp with round patches of alopecia. this clinical finding is
consistent with: - ANSWER-Tinea Capitis
What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history
of migraine headaches? - ANSWER-Propanolol (Inderal)
Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past
medical history of type 2 diabetes, obesity, chronic smoking, and sedentary life: - ANSWER-Her age and
tobacco use
,During the breast examination of a perimenopausal woman, the NP detects a bloody spontaneous
discharge from the right nipple. This indicates further evaluation. - ANSWER-An intraductal papilloma
Intraductal papilloma are usually solitary and smaller than 1 cm. They are located in large lactiferous
sinuses or ducts and have a tendency to bleed.
Rh negative women should receive Rho(D) immunoglobulin at what gestational time? - ANSWER-28
weeks
When interpreting a complete blood count (CBC) lab report which of the following results describes the
size of the RBCs? - ANSWER-Mean corpuscular volume (MVC)
What medication should be avoided when prescribing prophylactic therapy for headaches? -
ANSWERVenlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the great
arteries? - ANSWER-To produce vasodilation and adequate oxygen saturation
Which of the following complaints best describes lower extremity calf pain associated with peripheral
artery disease: - ANSWER-A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-year-old
premenopausal woman? - ANSWER-Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which medication should be
given to relieve the symptom? - ANSWER-Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that causes painful localized
blistering rash? - ANSWER-Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following EXCEPT: - ANSWER-
Headache relieved with mild infrequent use of analgesics
, The client with iron deficiency anemia should be advised to take the iron supplement: - ANSWER-on an
empty stomach between meals
Which one of the following statements is true of muchausen syndrome by proxy? - ANSWER-Under the
supervision of adults other than the abuser, the patient does not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse in adolescents? -
ANSWER-Changes in behavior
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 TPAL system to
document her maternal status: - ANSWER-Gravida 4, Para 1314
Gravida, Term babies, Preterm Babies, Abort and Living Child
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 year old patient. The
nurse practitioner should assess the patients: - ANSWER-right forearm and hand
Anticholinergics are indicated for the treatment of: - ANSWER-Urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention.
Their finding is consistent with: - ANSWER-Heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac
attached to the epidermis is noted on a right lateral side of the neck. The type of lesion is known as : -
ANSWER-a cutaneous cyst
A dark dot (black-head) may be visible on its usually either an epidermoid cyst, common on the face and
neck, or pilar cyst, common in the scalp. Both may be come inflamed.
BATES: pg286
Symptoms of heartburn and regurgitation are associated with: - ANSWER-Gastroesophageal reflux
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 perminuskarimikithinji. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
