APEA 3P exam Questions AND ANSWERS graded A

Questions 1 When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to A- Have the patient return in 2 weeks for a follow-up vision scre ...

Questions 1 When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to A- Have the patient return in 2 weeks for a follow-up vision screen B- Dilate the eyes and retest C- Refer the patient to an ophthalmologist D- Document this as a normal finding. Question 2 The American Psychiatric Association’s Diagnostic and Statistical Manual Disorder fifth edition (DMS-5) describes Munchausen Syndrome by proxy as A- A self-inflicted injury to gain attention B- A caregiver making up or causing an illness or injury in a person under his or her care C- An abusive behavior that does not involve the caregiver D- A situation in which the abuser is often inattentive and uncaring toward the victim Question 3 Symptoms of depression are a side effect of which neurotransmitter medication? A- Dopamine B- Gabapentin C- Mu D- Cortisol Question 4 The right lymphatic ducts drain into what part of the circulatory system? A- Arterial B- Venous C- Arteriovenous system D- Capillary bed Which lesion is dark, raised and asymmetric with irregular borders? A- Nevus B- Actinic C- Keratoacanthoma D- Melanoma Question 6 A pediatric patient has areas of scaling on the scalp, with round patches of alopecia. This clinical finding is consistent with A- Tinea capitis B- Seborrheic dermatitis C- Trichotillomania D- Alopecia areata Question 7 A patient with an acute presentation of acute aortic regurgitation (AR) typically presents with sudden severe shortness of breath, lower extremity edema, a rapid heartbeat, and A- Dry mouth B- Chest pain C- Decreased blood pressure D- Systolic murmur Question 8 Which of the following conditions is associated with chronic bloody diarrhea? A- Irritable bowel syndrome B- Crohn’s disease *** C- Hepatitis A D- Celiac disease Which condition is caused by an insufficient production of intrinsic factor by the gastric mucosa and vitamin B insufficiency? A- Diarrhea B- Pernicious anemia C- Osteoporosis D- Muscle weakness Question 10 A 32-year old woman presents with dull puffiness of the eyes with pronounced non-pitting periorbital edema. This finding is suggestive of what condition? A- Nephrotic syndrome B- Myxedema C- Cushing’s syndrome D- Sinusitis Question 11 A 52-year-old woman ii inquiring about estrogen replacement therapy for symptoms of menopause. Which of the following is a contraindication? A- History of phlebitis B- Prior or present migraine headaches C- Family history of lung cancer D- Prior breast or uterine carcinoma Question 12 Patient with asthma have a pathological finding of: A- Necrosis of small airways B- Absence of goblet cells C- Absence of ciliary regeneration D- Hypertrophy of smooth muscle Question 13 A 65-year-old patient with a history of a deep vein thrombosis (DVT) is being treated for a dental abscess. Which antibiotics is safe to use with warfarin (Coumadin). A- Amoxicillin (Amoxil) B- Trimethoprim/ sulfamethoxazole (Bactrim) C- Ciprofloxacin (Cipro) D- Clarithromycin (Biaxin) Question 14 Primary syphilis is characterized by what type of lesion A- A cluster of scattered vesicles B- Chancre C- Papule of many shapes D- Nontender indurated penile nodule Question 15 What is the area of fundal height palpation on a woman who is 12 weeks pregnant? A- At the level of the umbilicus B- At the level of the symphysis pubis C- Midway between the symphysis and umbilicus D- Below the symphysis pubis Question 16 Which of the following is NOT associated with assessment finding in a patient diabetic retinopathy? A- Papilledema B- Dot and blot hemorrhages C- Microaneurysms D- Cotton wool spots Question 17 A 3-year-old child has enterobiasis. When should the dose of mebendazole (Vermox) be repeated? A- In 3 days B- In 1 week C- In 2 weeks D- In 3 weeks Question 18 Which area does not allow lymphatic fluid to be drained from the right lymph duct? A- The right side of the head B- The right upper thorax C- The right arm D- The right leg Question 19 Snellen chart evaluation indicates that a patient’s vision is 20/30. What is the proper description of this result? A- At 20 feet, this patient can see what a person with normal vision can see at 30 feet B- At 30 feet, this patient can see what a person with normal vision can see at 30 feet C- At 20 feet, this patient can see what few people can see at 30 feet D- This patient has sight abilities that are worse than a patient with 20/40 vision Question 20 Based on the mechanism of hearing, sensorineural loss in an adult involves the A- Cochlea and the cochlea nerve B- External ear canal and the middle ear C- Ossicles and the inner ear D- Transfer of sounds from the external environment into the external auditory canal Question 21 Which of the appropriate medication choice for a 31-year-old pregnant patient diagnosed with a urinary tract infection? A- Cefuroxime (Zinacef) or Nitrofurantoin (Macrobid) B- Nitrofurantoin (Macrobid) or Ciprofloxacin (Cipro) C- Ciprofloxacin (Cipro) or Tetracycline (Sumycin) D- Tetracycline (Sumycin) or Amoxicillin (Amoxil) Question22 Pregnant women are evaluated for syphilis with serology testing because A- Syphilis during pregnancy predisposes the fetus to spontaneously abort or the newborn to have congenital syphilis. B- Hormonal changes associated with pregnancy may trigger activation of talent syphilis C- Syphilis may be passed to the fetus beginning in the third trimester D- Untreated syphilis can cause neonatal respiratory distress Question 23 Which of the following is a typical finding in a patient with a meniscal tear? A- A positive McMurray’s test B- Positive anterior drawer test C- Audible click at the joint line D- Fixed patellar subluxation Question 24 Hyperkalemia is associated with: A- Increased blood pressure B- Alpha blockers C- Diminished renal function D- Loop diuretics Question 25 Short bands of tough, flexible, ropelike, collagen fibrils that connect two bones is called: A- Tendons B- Fibrous connective tissue C- Ligaments D- Cartilage The finding of a dome-shaped lesion in the dermis that forms a benign closed, firm sac attached to the epidermis A- A keloid B- A tophi C- a cutaneous cyst D- chondrodermatistis Question 27 What symptoms would lead the nurse practitioner to suspected atypical community acquired pneumonia I an 18-year-old living in … A- a low-grade fever, malaise, and clear lung fields on auscultation B- a low-grade fever, malaise, and crackles audible throughout the lung fields C- temperature of 101 f, sore throat, and diminished breath sounds on auscultation D- temperature of 102 f, dyspnea, and diminished lung sounds on auscultation Question 28 Vitamins prescribed for pregnant women should contain what two components? A- Folic acid and vitamin C B- Iron and vitamin B12 C- Vitamin D and Iron D- Folic acid and Iron Question 29 Which medication is indicated for patients with generalized anxiety disorder (GAD)? A- Buspirone (Buspar) B- Citalopram (Celexa) C- Imipramine (Toframil) D- Bupropion HCL (Wellbutrin) A prostate gland that is found to be tender, swollen, boggy, and warm on a digital rectal exam is consistent with: A- A normal prostate gland B- Acute bacterial prostatitis C- Benign prostatic hyperplasia D- Carcinoma of the prostate Question 31 Which medication can cause a false positive result for amphetamines in a urine drug screen? A- Metformin B- Lisinopril C- Glyburide D- Bupropion Question 32 Fine, silky appearance of the hair is a common finding in: A- Hypothyroidism B- Hyperthyroidism C- Type 2 diabetes D- Celiac disease Question 33 Which of the following is commonly associated with increased risk for prostatic hypertrophy? A- Constipation B- Fecal incontinence C- Urinary tract infections D- Prostate cancer Patients with bacterial meningitis experience headache symptoms due to: A- Meningeal erythema B- Increased intracranial pressure C- Meningeal irritation D- Swelling of the spinal cord Question 35 A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment. Which medication should not be … A- Sumatriptan (Limitrex) B- Amitriptyline (Elavil) C- Verapamil (Verelan) D- Metoprolol (Lopressor) Question 36 What diagnostic test is performed to diagnose acute lymphocytic leukemia (ALL)? A- A complete blood count with differential B- Magnetic resonance imaging C- A nuclear bone scan D- A bone marrow examination Question 37 Which of the following medications should NOT be prescribed during an acute gout flare? A- Colchicine (Colcrys) B- Allopurinol (Zyloprim) C- Steroids D- NSAIDs A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment which medication is NOT be prescribed? A- Sumatriptan (Imitrex) B- Amitriptyline (Elavil) C- Verapamil (Verelan) D- Metoprolol (Lopressor) Question 39 A pediatric patient has areas of scaling on the scalp, with round patches alopecia. This clinical finding is consistent with: A- Tinea capitis B- Seborrheic dermatitis C- Trichotillomania D- Alopecia areata Question 40 What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headache? A- Sumatriptan (Imitrex) B- Propranolol (Inderal) C- Ibuprofen (Motrin) D- Dihydroergotamine (DHE) Question 41 Which of the following is the single dose treatment for a patient with diagnose chlamydia? A- Doxycycline (Vibramycin) 200mg orally B- Azithromycin (Zithromax) 1 gram orally C- Metronidazole (Flagyl) 2 gram orally D- Ceftriaxone (Rocephin) 250 mg intramuscular The nurse practitioner prescribes deferoxamine (Desferal) for a pediatric patient with beta thalassemia and hemosiderosis because the medication: A- Prevent blood transfusion reactions B- Stimulates red blood cell production C- Improves the oxygen-carrying capacity of RBCs D- Eliminates excessive iron and prevent organ damage. Question 43 The combination of benzoyl peroxide and erythromycin is prescribed for acne because benzoyl peroxide: A- Improves the efficacy of erythromycin B- Decreases the risk of desquamation C- Decreases the risk of resistance to erythromycin D- Increases the time patient can be exposed to sunlight. Question 44 Which of the following conditions is NOT associated with the symptom of hemoptysis? A- Pulmonary emboli B- Chronic bronchitis C- Viral pneumonia D- Neoplasm of the lung Question 45 Rh-negative women should receive Rho (D) immune globulin at what gestational time? A- 6 weeks B- 12 weeks C- S28 weeks D- 35 weeks Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of Type 2 diabetes, obesity, current smoking and sedentary lifestyle? A- She is obese B- She has type 2 diabetes mellitus C- Her age and tobacco use D- he leads a sedentary lifestyle. Question 47 The nurse practitioner prescribes deferoxamine (Desferal) for a pediatric patient with beta thalassemia and hemosiderosis because the medication: A- Prevents blood transfusion reactions B- Stimulates red blood cell production C- Improves the oxygen-carrying capacity of RBCs D- Eliminates excessive iron and prevents organ damage Question 48 During the breast examination of a perimenopausal woman. The NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation for: A- Fibroadenoma B- Polycystic breast disease C- An intraductal papilloma D- Pituitary prolactinoma Question 49 A 26-year-old woman complains of acute right lower abdominal pain. Which of the following conditions is NOT associated with this symptom? A- Ectopic pregnancy B- Pelvic inflammatory disease C- Irritable bowel syndrome D- Rupture ovarian follicle Which of the following is the single-dose treatment for a patient with diagnosis of Chlamydia? A- Doxycycline (Vibramycin) 200 mg orally B- Azithromycin (Zithromax) 1 gram orally C- Metronidazole (Flagyl) 2 grams orally D- Ceftriaxone (Rocephin) 250 mg intramuscular Question 51 What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headache? A- Sumatriptan (Imitrex) B- Propranolol (Inderal) C- Ibuprofen (Motrin) D- Dihydroergotamine (DHE) Question 52 The combination of benzoyl peroxide and erythromycin is prescribed for acne because benzoyl peroxide: A- Improve the efficacity of erythromycin B- Decreases the risk of desquamation C- Decreases the risk of resistance to erythromycin D- Increases the time patient can be exposed to sunlight Question 53 Which of the following conditions is NOT associated with the symptom of hemoptysis? A- Pulmonary emboli B- Chronic bronchitis C- Viral pneumonia D- Neoplasm of the lung