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3P APEA EXAM for 2025/2026, Exams of Nursing

3P APEA EXAM 2025/2026 question , correct and verified answers graded A+,exams

Typology: Exams

2024/2025

Available from 07/02/2025

kennedy-wanjiru
kennedy-wanjiru 🇨🇦

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3P APEA EXAM
Difference between varicose vein and arteriosclerosis
- Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most
likely position of his point of maximal impulse (PMI)
- 5th ICS, left of MCL
A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral
listening point. There is no audible click. His status has been monitored for the past two
years. This murmur is probably
- mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he walks and pain
resolution with rest. When specifically asked about his pain in his lower leg, he likely will
report pain
- in the calf muscle
A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as
"sloughing of skin" and hospitalization. Which medication is contraindicated in this
patient?
- hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate
worsening of his stenosis. the NP replies:
- shortness of breath and syncope
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable
risk factor for PAD?
- diabetes
Benazepril should be d/c immediately if
- pregnancy occurs
aortic regurgitation characteristics
- long asymptomatic period follow by exercise intolerance, then dyspnea at rest
DVT classic symptoms
- swelling, pain, and discoloration of lower extremity
Characteristic of ACE-induced cough is that?
- usually begins two weeks of starting therapy
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3P APEA EXAM

Difference between varicose vein and arteriosclerosis

  • Is the affected vessel Arteriosclerosis affects arteries whereas varicose veins affects veins A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI)
  • 5th ICS, left of MCL A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening point. There is no audible click. His status has been monitored for the past two years. This murmur is probably
  • mitral stenosis A patient who has diabetes presents with pain in his lower legs when he walks and pain resolution with rest. When specifically asked about his pain in his lower leg, he likely will report pain
  • in the calf muscle A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as "sloughing of skin" and hospitalization. Which medication is contraindicated in this patient?
  • hydrochlorothiazide A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his stenosis. the NP replies:
  • shortness of breath and syncope A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for PAD?
  • diabetes Benazepril should be d/c immediately if
  • pregnancy occurs aortic regurgitation characteristics
  • long asymptomatic period follow by exercise intolerance, then dyspnea at rest DVT classic symptoms
  • swelling, pain, and discoloration of lower extremity Characteristic of ACE-induced cough is that?
  • usually begins two weeks of starting therapy

Valve most commonly involved in chronic rheumatic heart disease

  • mitral Medication that can exacerbate HF
  • naproxen Patient taking ACE inhibitors should avoid?
  • potassium supplements Grade 3 murmur indication for a referral
  • a fixed split Group of meds used to treat HF
  • fosinopril, HCTZ, verapamil Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today is 4.0. the NP should:
  • stop the warfarin today and repeat INR tomorrow According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that is, which risk factor places the pt. as a CHD risk similar to a hx of CHD
  • diabetes mellitus good drug to reduce morbidity and mortality in mild HF
  • metoprolol A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints of fatigue, weakness, and muscle aches in his lower back, arms, legs for the past 3 days. it is not improved with rest How should this be evaluated?
  • Stop the atorvastatin immediately symptom not indicative of HF
  • headache What class of meds is preferred to normalized lipid levels and reduce risk of cardiac events
  • HMG CoA reductase inhibitors Highest sensitivity in diagnosing HF
  • BNP The NP is caring for a 74-year-old who had an acute coronary syndrome 6 weeks ago. What medications should be part of his regimen unless contraindicated
  • ACE, ASA, beta blockers, and statin

A microscopic exam of the sample taken from a skin lesion indicates hyphae. What type of infection might this indicate?

  • fungal A pt. has been dx w/MRSA. she is allergic to sulfa. Which medication could be used to treat her?
  • doxycycline A 15-year-old male has worked this summer as a lifeguard at a local swimming pool. He complains of itching in the groin area. He is dx with tinea cruris. The NP is likely to identify
  • well marginated half moon shape macules on the inner thigh A pt. exhibits petechiae on both lower legs w/o other complaints. How should the NP proceed?
  • order a CBC A pt. has been dx w/scabies. What is the medication of choice to treat this?
  • permethrin and good hand hygiene A pt. has been in the sun for the past few weeks and has developed darkened skin and numerous 3-6 mm light-colored, flat lesions on his trunk. What is the likely etiology?
  • tinea vesicolor Which vehicle is least appropriate in a pt. w/atopic dermatitis?
  • lotions a pt. presents w/small vesicles on the lateral edges of his fingers and intense itching. there are small vesicles on the palmar surface of the hand. What is this called?
  • dyshidrotic dermatitis a low-potency topical hydrocortisone cream would be most appropriate in a pt. who has been dx with?
  • atopic dermatitis most common form of skin cancer
  • basal cell carcinoma greatest percutaneous absorption areas in the body
  • genitalia most common place for basal cell carcinoma
  • face A 74-year-old is dx w/shingles. The NP is deciding how to best manage her care. What should be prescribed?
  • an oral antiviral agent the American Cancer Society uses an ABCDE Mneumonic to help pt.'s develop awareness of suspicious skin lesions what do they represent?
  • A= asymetry B=border C=color D=diameter E=enlarging or elevated characteristic of shingles
  • single dermatome affected an example of a premalignant lesion that develops on sun-damaged skin is:
  • actinic keratosis A patient w/Diabetes has right anterior shin edema, erythema, warmth, and tenderness to touch. This developed over the past 3 past. There is no visible pus. What is the most likely diagnosis to consider?
  • cellulitis A pt. was burned w/hot water. He has several 2-3 cm fluid-filled lesions. What are theses termed?
  • bullae A wound has the following characteristics; partial thickness loss of dermis, a shallow open ulcer w/red/pink bed, and no evidence of sloughing. What stage of pressure ulcer does this describe?
  • stage II A pt. present w/plaques on the extensor surface of the elbows, knees, and back. The plaques are erythematous and thick, silvery scale are present. This is likely:
  • Plaque psoriasis An adolescent has acne. The NP prescribed a benzoyl peroxide product for him. What important teaching point should be given to this adolescent regarding the benzoyl peroxide.
  • photosensitivity of the skin can occur A 76-year-old obese pt. has fatigue, thirst, and frequent urination. She was asked to measure AM fasting glucose values for 1 week. The values range from 142-175 this pt:
  • can be dx w/DMT The most appropriate time to begin screening for renal nephropathy in a pt w/ T2DM
  • at diagnosis

a 40-year-old pt. with newly dx of T2DM asks what his target b/p should be. the most correct answer is:

  • less than 140/ the following values TSH 14, free T4 0.1 is indicative of?
  • hypothyroidism diabetic medication associated with diarrhea and flatulence
  • metformin A 45-year-old female pt has fatigue for the past 3 months and a 10-lbs weight gain. She previously had regular menses occurring about every 30 days, but in the last 3 months her menses have varied between 30-45 days. Her TSH value is 13. It was repeated 1week later and found to be 15. What explains this finding?
  • hypothyroidism A pt. who is taking who is taking a long-acting insulin basal insulin has elevated blood sugars. Which blood sugars are important to review in order to increase the dose of insulin?
  • AM fasting A pt. has a TSH value of 13.1 today. The NP has decided to initiate replacement with levothyroxine 88mcg daily. When should the NP recheck pt's TSH levels
  • 6 weeks A pt. presents with consistently elevated blood glucose before his evening meal. What choice below represents an insulin change that would improve his evening glucose? current AM regimen 22u NPH, 12u short-acting insulin Current PM regimen 10u NPH, 8u short-acting insulin
  • 24u NPH insulin in AM A 30-year-old female pt. with complaints of fatigue undergoes a screening TSH. Her TSH is 8 what should be done next?
  • repeat the TSH and add T A 65-year-old diabetic has been on oral antihyperglycemic agents and is still having poor glycemic control. His AM fasting glucose range from 140-160. You decide to add insulin. He weighs 127 kg. What should the NP order as an initial starting dose?
  • 10u of long-acting insulin at bedtime the most appropriate time to screen for renal nephropathy in a pt. with type 1 diabetes is
  • 5 years after diagnosis what is the most sensitive lab assay for screening and identifying the vast majority of ambulatory pt.'s w/ primary hypothyroidism
  • TSH only

A 52-year-old presents w/thirst and frequent urination today. His glucose is 352. How should this be managed today?

  • start insulin +what is the significance of AV nicking?
  • this is indicative of longstanding hypertension Mr O. has been dx w/hearing loss secondary to an exposure to an ototoxic medication. Which one may be associated with ototoxicity?
  • aspirin yellowish, triangular nodule near the iris
  • is a pinguecula a 93-year-old demented pt. has been recently treated w/an URI but drainage from the right nostril persists. What should the NP suspect?
  • presence of foreign body A 70-year-old pt. has begun to have hearing loss. She relates that her elderly parents had difficulty hearing. Which complaints below is typical of presbycusis?
  • inability to hear consonants