APEA 3p Final Exam Questions and Answers
1. Symptoms of depression are a side effect of which neurotransmitter medication?
A- Dopamine
... [Show More]
B- Gabapentin
C- Mu
D- Cortisol
2. Which of the following is considered a synovial joint?
A- -Vertebral bodies of the spine
B- - Skull
C- -Shoulder
D- - Pubic symphysis of the pelvis
3. The most common sign associated with substance abuse in an adolescent is:
A- - Poor school performance B- - Change in sleep habits
C- - Increased blood pressure D- - Changes in behavior
4. Which pathogen is associated with common urinary tract infections?
A- E. coli
B- Klebsiella
C- Streptococcus
D- Proteus mirabilis
5. Which medication can cause a false positive result for amphetamines in a urine drug screen?
A- Metformin
B- Lisinopril
C- Glyburide D- Bupropion
6. Pregnant women are evaluated for syphilis with serology testing because:
A- Syphilis during pregnancy predisposes the fetus to spontaneously abortion or the newborn to have syphilis
B- Hormonal changes associated with pregnancy may trigger activation of latent syphilis
C- Syphilis may be passed to the fetus beginning in the third trimester
D- Untreated syphilis can cause neonatal respiratory distress
7. Heartburn and regurgitation are symptoms associated with:
A- Hiatal hernia
B- Gastroesophageal reflux = GERD
C- Peptic ulcer disease
D- Esophageal cancer
8. Which patient causes the greatest concern for complications related to scoliosis?
A- 13-year-old girl with a 10° curve
B- 17-year-old girl with a 10° curve
C- 12-year-old boy with a 5° curve
D- 18-year-old boy with a 5° curve
9. Which medication is contraindicated during an acute attack of gout?
A- Colchicine (for acute attack)
B- Allopurinol = prophylaxis, preventive, meds patient drinks everyday
C- A steroid
D- NSAIDs
10. A cloudy opacity of the eye is noted on ophthalmoscopic examination. This is suggestive of:
A- Corneal arcus
B- A corneal scar
C- A pterygium
D- A cataract
11. Which medication is the first-line treatment for chronic bacterial prostatitis (CBP)?
A- Erythromycin 4 times daily for 7 to 10 days
B- Doxycycline (Vibramycin) twice daily for 14 days
C- Macrobid (Nitrofurantoin) twice daily for 6 weeks
D- Sulfamethoxazole/trimethoprim (Bactrim DS) twice daily for 4 to 12 weeks
12. Which medication is initially used for patients with benign positional vertigo?
A- Hydrochlorothiazide
B- Meclizine (Antivert) = or Dimenhydrinate (dramamine) a vestibular suppressant
C- Pseudoephedrine (Sudafed)
D- Promethazine (Phenergan)which immunization
13. 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
14. What is the initial treatment for a patient with premenstrual syndrome who is experiencing acute pain?
A- Black cohosh
B- B vitamins
C- Antidepressant agents
D- Heat applied to the lower abdomen
15. Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of diabetes, obesity, current smoking and sedentary lifestyle?
A- She is obese
B- She has type 2 diabetes mellitus
C- Her age and tobacco use = risk for blood clots
D- She leads a sedentary lifestyle
16. A 53-year-old man might be experiencing symptoms of a small bowel obstruction because he complains of:
A- Nausea and diarrhea
B- Vomiting and pain
C- Hematemesis and bloody stool
D- Indigestion and anorexia
17. Which of the following is a typical finding in a patient with a meniscal tear?
A- Positive McMurray’s test = a test used to determine the presence of a meniscal tear within the knee B- Positive anterior drawer test
C-Audible click at the joint line
D- Fixed patellar subluxation
18. When performing 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 re-test
C- Refer the patient to an ophthalmologist
D- Document this is a normal finding
19. The medication that targets postprandial blood glucose by blocking the transport of glucose across the intestine into the bloodstream is:
A- Metformin (Glucophage XR)
B- Acarbose (Precose) = this helps prevent sugars from passing through your small intestine into your blood.
C- Rosiglitazone (Avandia)
D- Glipizide (Glucotrol XL)
20. A pediatric patient diagnosed with croup most likely presents with which clinical finding?
A- Barking cough
B- Sudden onset of symptoms
C- Nighttime symptoms
D- Shortness of breath
21. What assessment finding suggests osteosarcoma in a pediatric patient?
A- Pain in the affected bone
B- Pathologic fracture
C- Repeat fracture
D- Apophyseal avulsion
22. Which of the following is NOT a cause of unilateral rhinitis?
A- A foreign body in the nasal canal
B- A nasal polyp
C- Drug induced rhinitis
D- A deviated septum
23. A 64-year-old man complains of leg pain and occasional numbness that worsens with ambulation and improves with lumbar flexion. These symptoms are consistent with:
A- ankylosing spondylitis
B- spinal stenosis
C- bursitis
D- cauda equina syndrome
24. What symptom would lead the nurse practitioner to suspect atypical community-acquired pneumonia in an 18-year-old living in a college dorm?
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 of auscultation
D- Temperature of 102°F, dyspnea, and diminished lung sounds of auscultation
26. A 23-year-old baseball player is evaluated for left shoulder pain secondary to a sports injury. Which of the four rotator cuff muscles is affected if the patient has a pain with abduction movement of the shoulder?
A- Supraspinatus = the supraspinatus can be tested by having the patient abduct the shoulders to 90 degrees in forward flexion with the thumbs pointing downward. The patient then attempts to elevate the arms against examiner resistance. This is often referred to as the “empty can” test.
B- Infraspinatus
C- Levator scapulae muscle
D- Subscapularis
27. What is the mechanism of action of an alpha-adrenergic blocker in patients with benign prostatic hyperplasia (BPH)?
A- To improve detrusor muscle stability
B- To reduce the size of the prostate gland
C- To relax the prostate smooth muscle = these medications, relax the muscle of the prostate and bladder neck, which allows urine to flow more easily. There are at least five medications in this category: terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax), alfuzosin (Uroxatral), and silodosin (Rapaflo).
D- To dilate the urethral vasculature
28. The nurse practitioner performs a breast exam and documents a small fixed circular nodule at the “tail of Spence”. This is located:
A- In the upper inner quadrant
B- In the lower inner quadrant
C- In the lower outer quadrant
D- Laterally across the anterior axillary fold
29. Which lesion is dark, raised and asymmetric with irregular borders?
A- Nevus
B- Actinic keratosis
C- Keratoacanthoma
D- Melanoma
30. The secondary stage of syphilis is associated with which clinical manifestation?
A- Absence of symptoms = (latent syphilis)
B- A single painless lesion (chancre) on the genital area = (primary syphilis)
C- Rash marked by red or reddish-brown, penny-sizes lesions over the palms and soles = does not itch, multiple painless lesions D- Poor muscle coordination = (tertiary syphilis) [Show Less]