APEA FNP NEWEST ACTUAL EXAM 2025
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE 2024-2025
A 31yo female presents with fever (101F), fatigue, and
worsening unilateral low back pain for the past 5 days. Her
pain is 5/10 on the pain scale. Ibuprofen has not helped.
She denies abdominal pain but is nauseated and anorexic.
She denies vaginal discharge. UA demonstrates
hematuria, the presence of WBC casts, leukocytes, and
nitrates. What should be included in the differential
diagnosis?
a: Pelvic inflammatory disease
b: Renal stone
c: Pyelonephritis
d: Urinary tract infection Correct Answer C
A male patient complains of dysuria. His UA is positive for
nitrites, leukocyte esterase and bacteria. What medication
should be given and for how long?
a: Doxycycline for 7 days
b: Trimethoprim-sulfamethoxazole for 7-10 days
c: Ciprofloxacin for 3 days
d: Nitrofurantoin for 14 days Correct Answer B
A 72yo male has early renal insufficiency. What laboratory
test best assesses his kidney function?
a: Serum creatinine
b: Presence of proteinuria
,c: Glomerular filtration rate
d: Quantity of urine produced in 24 hours Correct Answer
C
A 26yo female presents with flank pain that waxes and
wanes. What finding on the UA should direct the NP's next
action?
a: Blood
b: Nitrites
c: Leukocytes
d: Positive nitrates and hematuria Correct Answer A
Ciprofloxacin given to treat a UTI would be contraindicated
in a:
a: Pregnant patient
b: 19year old female
c: Patient with hypertension
d: Patient with pyelonephritis Correct Answer A
A 44yo is dx with a UTI. Which bacteria count collected
mid-stream clean catch supports a dx of UTI?
a: >10,000 bacteria
b: >25,000 bacteria
c: >50,000 bacteria
d: >100,000 bacteria Correct Answer D
A 22yo male patient has sx of burning with urination.
Which assessment below is the least important at this
time?
a: Body temperature
b: Full genital exam
,c: Abdominal exam
d: Assessment of CVA tenderness Correct Answer C
A 27yo asymptomatic male presents with generalized
lymphadenopathy. He has multiple sexual partners and
infrequently uses condoms. Of the following choices, what
test should be performed?
a: HIV test
b: RPR
c: Lymph node biopsy
d: Sedimentation rate Correct Answer A
Chancroid is considered a cofactor for transmission of:
a: HIV
b: Gonorrhea
c: Chlamydia
d: Trichomatosis Correct Answer A
Which factor has the greatest impact on HIV
transmission?
a: Viral load
b: Type of sexual activity
c: Presence of other STIs
d: Patient gender Correct Answer A
A 21yo female patient presents with six 0.5cm HPV
lesions on her vulva. An appropriate treatment option for
this patient would be:
a: Acetic acid
b: Colposcopy
c: Podophyllin
, d: Acyclovir Correct Answer C
A 26yo female has been dx with gonorrhea. How should
she be managed?
a: Ceftriaxone only
b: Ceftriaxone and azithromycin
c: Cefixime and azithromycin
d: Penicillin G Correct Answer B
A female pt and her male partner are dx with trichomonas.
She has complaints of vulvar itching and discharge. He is
asymptomatic. How should they be treated?
a: She should receive metronidazole, he does not need tx
b: They should both receive metronidazole
c: She should be treated with ceftriaxone and he should
receive ciprofloxacin
d: They both should be treated with azithromycin and
doxycycline Correct Answer B
How should a pt with suspected syphilis be screened?
a: Ask the patient about symptoms
b: Ask about the symptoms of sexual partners
c: A urethral swab for culture
d: A serum assessment Correct Answer D
A female pt has been dx with chlamydia. How should this
be managed?
a: Treat with azithromycin
b: Treat with ceftriaxone by injection
c: Treat with doxycycline
d: Treat with ceftriaxone tablets Correct Answer A
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