APEA PRE-PREDICTOR EXAM LATEST 2023-2024 ACTUAL EXAM 400+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

APEA PRE-PREDICTOR EXAM LATEST 2023-2024 ACTUAL

EXAM 400+ QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

The parent of a 13-year old diagnosed with seizure disorder calls to report that the

child is exhibiting symptoms of a cold, but has no fever. The nurse practitioner

should advise the parent that development of fever may:

A. make the seizure medication less effective

B. Lower the seizure threshold

C. Increase the seizure threshold

D. Have no effect on the seizure threshold - ANSWER- B. Lower the seizure

threshold

After a 3-week camping trip, an 11-year old is seen for a target lesion with central

clearing, located in the inguinal area. The patient has had a severe headache,

malaise, fatigue, and generalized musculoskeletal pain for several days.

Pharmacologic management of this condition includes:

A. trimethoprim-sulamethoxazole (Bactrim)

B. Azithromycin (Zithromax)

C. Metronidazole (Flagyl)

D. Doxycycline (Doryx) - ANSWER- D. Doxycycline

An 88 year old male presents with concerns about memory loss. He feels good,

takes an aspirin daily, and has no chronic diseases. He lives alone, drives his own

car, and manages his financial affairs. To evaluate his memory, which of the

following tests should the nurse practitioner choose?

A. Folstein Mini-Mental State examination

B. Geriatric Depression Scale

C. Minnesota Multiphasic Personality Inventory

Myers-Briggs Test - ANSWER- A. Folstein Mini-mental state examination

During development of a treatment plan for an 84 year old patient with

hypothyroidism, the nurse practitioner has to keep in mind the worsening of:

A. renal insufficiency

B. Osteoporosis

C. Dementia

D. Anemia - ANSWER- B. Osteoporosis

A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of

midcycle spotting. She hasn't missed any doses and uses no other medication.

Which of the following is appropriate?

A. Modifying use

B. Double dosing for 2 days

C. Changing to Ortho-Novum 1/35

D. Providing reassurance - ANSWER- D. Providing reassurance

The management of choice for polymyalgia rheumatica includes:

A. whirlpool

B. Prednisone

C. Anelgesics

D. Celebrex - ANSWER- B. Prednisone

A 50 year old male presents with a chief complaint of malaise. Further questioning

reveals that his primary concern is delayed ejaculation. He is currently taking the

following medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20

mg daily; loratadine (Claritin-D), 1 tablet daily; and hydrochlorthoriazide (HCTZ),

25 mg daily. The most likely cause of the patient's concern would be:

A. loratadine

B. hydrochlorthoriazide (HCTZ)

C. lisinopril (Zestril)

D. paroxetine (Paxil) - ANSWER- D. Paroxetine (Paxil)

A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and

loss of appetite. The patient lives with several relatives, including a grandmother

who also has a cough. Which of the following diagnostic tests would be most

appropriate for the patient?

A. throat culture

B. sputum culture

C. Mantoux (PPD) skin test

D. Cold agglutinin test - ANSWER- B. Sputum culture

A 25-year old presents with the chief complaint of decreased mobility and pain of

the right shoulder exacerbated with movement. The patient reports that he

participated in extensive house painting 24 hours prior to the onset of pain. He

denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.

What is the next step that should be taken in order to make a diagnosis?

A. Palpate structures around the shoulder

B. Obtain an MRI to evaluate the shoulder

C. Order an Xray of the shoulder

D. Request an EMG - ANSWER- A. Palpate the structures around the shoulder

A 17 year old femlae has never had her menses. She is at Tanner stage III of sexual

development. Her physical exam in completely normal, and her weight is

appropriate for her age and height. What is the most likely diagnosis?

A. Ovarian dysgenesis

B. Dysmenorrhea

C. Primary amenorrhea

D. Secondary amenorrhea - ANSWER- C. Primary amenorrhea

An 18-month old child presents with a bulging, immobile tympanic membrane; T103F(39.4C). Assessment also reveals a grade II/VI systolic murmur at the left

sternal border. After initiation of treatment for otitis media, the most appropriate

intervention is to:

A. Obtain an EKG

B. Obtain an Echocardiogram

C. Reevaluate the patient in 10 days

D. Refer the patient to a cardiologist - ANSWER- C. Reevaluate the patient in 10

days

Which of the following is NOT an indication of preeclampsia?

A. visual disturbances

B. Glucosuria

C. Edema of the face and hands

D. Headaches - ANSWER- B. Glucosuria

Which of the following pharmacotherapeutics would be most important to

administer to a patient who has a corneal abrasion?

A. Olopatadine (Patanol)

B. Cromolyn opthalmic (Crolom)

C. Timolol (Timoptic)