2024 REAL APEA 3P EXAM ALL VERSIONS
WITH GUARANTEED A+ DISTINCTION
1. Which of the following complaints best describes lower extremity calf
pain associ... [Show More] atedwith peripheral artery disease
a) A sharp stabbing pains
b) A dull pain or cramp
c) An electric shock
d) A pulsating pain
Peripheral artery disease signs and symptoms include: Painful cramping in one
or both of yourhips, thighs or calf muscles after certain activities, such as
walking or climbing stairs (claudication) Leg numbness or weakness. Coldness
in your lower leg or foot, especially whencompared with the other side.
(Mayoclinic)
2. Rh negative women should receive Rho (D) immunoglobulin at what gestational
time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D)
immune globulin (RhoGAM) at 28 weeks' gestation (Quizlet Antepartum
Diagnostic Testing Saunders)
3. When interpreting a complete blood count (CBC) lab report which of
the followingresults describes the size of the RBCs?
c) refer the patient to an ophthalmologist
d) document this as a normal finding
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average
size of the RBCs. Small-sized RBCs result in a lower MCV, while larger RBCs
result in a higher MCV.
4. What medication should be avoided when prescribe prophylactic therapy for
headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect.
Patients should have drug free period for 3-4 weeks after every 6 months of
treatment (pharmacology book page1047)
5. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transpositionof the great arteries
a) To maintain equal pressure in the ventricles
b) To maintain patency of the great arteries
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………
6.When performing a visual acuity test the nurse practitioner notes
20/30 in the left eyeand 20/40 in the right eye using
the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
7. The American psychiatric association’s diagnostic and statistical
manual of mentaldisorder defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person
under his orher 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
Munchausen syndrome by proxy is a mental illness and a form of child abuse.
The caretaker of a child, most often a mother, either makes up fake symptoms
or causes real symptoms to makeit look like the child is sick.
8. Symptoms of depression are a side effect of which neurotransmitter
medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
d) cortisol
9. Which lesion is dark raised and asymmetric with irregular border? Quizlet
Bates Chapter 20
a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
10. A 32 years old woman presents with dull puffiness of the ayes
pronounced notpitting periorbital edema this finding is suggestive
of this condition? APEA
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly
found if patients with advanced hypothyroidism. The classic skin changes are:
swelling of face, lips, eyelids, and tongue or swelling and thickening of skin
anywhere on the body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of
hyperthyroidism. Myxedema can also occur in Hashimoto’s thyroiditis a
form of hypothyroidism.
11. A 42 years old woman with a past medical history of migraine
headaches is requesting prophylactic medication treatment. Which
medication should the Nursepractitioner prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for
prophylactictreatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to
abort migraine
12. 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
13. What is the appropriate prophylactic medication for an 18 years old
woman with apast medical history of migraine headaches?
a) Sumatriptan
(Imitrex)
b) Propanolol
(Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
14. 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 andsedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45,
breastfeeding, smoking,HTN, diabetes or hx of stroke
15. During the breast examination of a perimenopausal woman the
NP detects abloody spontaneous discharge from the right
nipple. This indicates further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness.
Green or dark brown nonbloody nipple discharge that tends to leak
without pressure or squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are
located in large lactiferous sinuses or ducts and have a tendency to bleed.
Quizlet Nipple Discharge
c) Shingles (herpes zoster) vaccine
d) Meningococcal vaccine
16. Which of the following conditions is NOT a typical finding of
hyperprolactinemia in a47- year-old premenopausal woman?
a) Hirsutism
b) Gynecomastia
c) Oligomenorrhea
d) Acne
Hyperprolactinemia causes typical symptoms in premenopausal women and in
men, but not in postmenopausal women. Premenopausal women —
Hyperprolactinemia in premenopausalwomen causes hypogonadism, with
symptoms that include infertility, oligomenorrhea, or amenorrhea and less
often galactorrhea. (uptodate.com/clinical-manifestations)
17. When treating a patient with asthma who is experiencing acute
wheezing whichmedication should be given to relieve the symptom?
a) Short acting bronchodilator
b) Long acting bronchodilator
c) Inhaled corticosteroid
d) Combination of methylxanthine and long acting bronchodilator
Short-Acting Beta Agonist (SABA) inhalers; used for acute asthma attacks;
quickly reduce airway constriction & restore normal airflow;
agonists/stimulators of adrenergic receptors in SNS (sympathomimetics);
albuterol (Ventolin), levalburterol (Xopenex), pirbuterol (Maxair),terbutaline
(Brethine), metaproterenol (Alupent). (Quizlet Pharm Ch 37 Respiratory drugs)
18. Which immunization reduces a patient’s risk for infection with the
virus that causespainful localized blistering rash?
a) Smallpox vaccine
b) Varicella vaccine (chicken Pox)
Shingles (herpes zoster) is an extremely painful skin rash caused by the varicella
zoster virus, thesame virus that causes chickenpox. In people who have had
chickenpox, the virus is never fully cleared from the body; instead, it remains
dormant in the nerve tissues. (medicinet.com/shingles)
c) On an empty stomach between meals
19. Headache warning signs that need prompt investigation
include all of thefollowing EXCEPT:
a) new onset after age 50
b) aggravated or relieved by change of position
c) precipitated by Valsalva maneuver
d)Headache relieved with mild infrequent use of analgesics
20. The client with iron deficiency anemia should be advised to take the iron
supplement
a) With milk to avoid stomach upset
b) With milk of magnesia at bedtime to avoid constipation [Show Less]
