NUR 504 3P APEA EXAM
1. The Nurse Practitioner (NP) is counseling a 25-year-old sexually active male
patient about condom use. Which of the following statements is INCORRECT?
a. Adequate lubrication is needed to prevent damage to the condom
b. Roll the condom over an erect penis before any sexual contact
c. Make sure the condom is tight against the head of the penis
d. Withdraw while the penis is erect, so that the condom stays in place
Answer: c. Make sure the condom is tight against the head of the penis
2. Which of the following is the most accurate description of the Denver II
Developmental Screening Test?
a. For children from birth to 2 years; evaluates motor, intellectual, emotional, and language
development
b. For children from birth to 5 years; evaluates motor, vision, hearing, and psychosocial skills
c. For children from birth to 6 years; evaluates gross motor, fine motor-adaptive, language, and
personal-social skills
Answer: c. For children from birth to 6 years; evaluates gross motor, fine motor-adaptive,
language, and personal-social skills
3. A 15-year-old student has a mild sore throat and fever lasting for 3 weeks,
with symptoms of fatigue and loss of appetite. The NP suspects mononucleosis.
Which intervention is LEAST appropriate?
a. Check lymph nodes and spleen
b. Examine the throat for petechiae
c. Order a complete blood count (CBC) and throat culture
d. Order urine analysis and liver function tests (LFTs)
Answer: d. Order urine analysis and liver function tests (LFTs)
,ESTUDY
4. A 32-year-old male patient has urinary frequency and burning for 3 days.
Urinalysis shows bacteriuria and positive nitrites. What is the initial treatment?
a. Trimethoprim-sulfamethoxazole (Bactrim) for 7-10 days
b. Ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-sulfamethoxazole for 3 days
d. Single dose of 750 mg ciprofloxacin
Answer: a. Trimethoprim-sulfamethoxazole (Bactrim) for 7-10 days
5. Which medication is most effective for treating nodulocystic acne?
a. Benzoyl peroxide
b. Retinoic acid
c. Topical tetracycline
d. Isotretinoin
Answer: d. Isotretinoin
6. An 18-year-old woman is taking combined hormonal oral contraceptives.
When should she use a backup pregnancy prevention method?
a. During placebo pills
b. If prescribed topiramate (Topamax) for migraines
c. If prescribed amoxicillin for a sinus infection
d. If she misses a single dose
Answer: b. If prescribed topiramate (Topamax) for migraines
7. A 44-year-old female patient with diabetes has high cholesterol levels. Which
medication would be most effective in improving her lipid profile?
a. Niacin
b. Atorvastatin
c. Omega-3 fatty acids
d. Fenofibrates
Answer: b. Atorvastatin
, ESTUDY
8. A Nurse Practitioner has ethical concerns about prescribing emergency
contraception. What does this scenario represent?
a. Grounds for dismissal
b. An ethical dilemma
c. Illegal practice
d. Patient abandonment
Answer: b. An ethical dilemma
9. A 30-year-old female shows signs of appendicitis, but the NP fails to refer her
to a surgeon. The appendix ruptures, and the patient dies. What is this an
example of?
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice
Answer: d. Malpractice
10. A patient presents with itchy, scaly lesions on both knees. What is the best
treatment option?
a. Topical antifungal cream
b. Oral antibiotics
c. Topical corticosteroid cream
d. Antifungal-steroid cream
Answer: c. Topical corticosteroid cream
11. A patient is taking warfarin (Coumadin) for blood clot prevention. Which
food should the patient limit to avoid interaction?
a. Bananas
b. Spinach
c. Apples
d. Potatoes
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