2024 APEA 3P ACTUAL EXAM {TEST BANK}
WITH 100% CORRECT VERIFIED ANSWERS
(MOSTLY RESOURCEFUL)
1. Rh negative women should receive Rho (D)
... [Show More] 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)
2. When interpreting a complete blood count (CBC) lab report which of the followingresults describes the size of the RBCs?
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.
3. 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)
4. 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 …………
5. Which of the following complaints best describes lower extremity calf pain associatedwith 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)
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
c) refer the patient to an ophthalmologist
d) document this as a normal finding
7. The American psychiatric association’s diagnostic and statistical manual of mentaldisorder defines Munchausen Syndrome By Proxy
a caregiver making up or causing an illness or injury in a person under
his orher care
a) a self-inflicted injury to gain attention
b)
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 prophylactic treatment 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
a) 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
d) She leads a sedentary lifestyle
Combined [Show Less]