Download 3P APEA EXAM questions with verified answers 2025. Qs A patient with mitral valve prolaps and more Exams Nursing in PDF only on Docsity!
3P APEA EXAM questions with verified
answers 2025.
Qs A patient with mitral valve prolapses reports chest pain and frequent arrhythmias. In the absence of other cardiac anomalies, the drug of choice to treat her symptoms is: - n Ans✔ metoprolol Qs which hypertensive pt. is most likely to have adverse b/p effects from excessive sodium consumption? - n Ans✔ a 70-year-old African American Qs where would the murmur associated w/mitral regurgitation best be auscultated? - n Ans✔ mitral listening point Qs A pt. with a positive hx of a tick bite 2 weeks ago and erythema migrans has a positive ELISA for borrelia burgdorferi. The Western blot is positive. How should he be managed? - n Ans✔ he should receive Doxycycline for Lyme disease Qs
a pt. has/seborrheic dermatitis. Which vehicle would be most appropriate to use in the hairline area to treat this? - n Ans✔ foam Qs A microscopic exam of the sample taken from a skin lesion indicates hyphae. What type of infection might this indicate? - n Ans✔ fungal Qs A pt. has been dx w/MRSA. she is allergic to sulfa. Which medication could be used to treat her? - n Ans✔ doxycycline Qs 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
- n Ans✔ well marginated half moon shape macules on the inner thigh Qs A pt. exhibits petechiae on both lower legs w/o other complaints. How should the NP proceed? - n Ans✔ order a CBC
Qs most common form of skin cancer - n Ans✔ basal cell carcinoma Qs greatest percutaneous absorption areas in the body - n Ans✔ genitalia Qs most common place for basal cell carcinoma - n Ans✔ face Qs A 74-year-old is dx w/shingles. The NP is deciding how to best manage her care. What should be prescribed? - n Ans✔ an oral antiviral agent Qs the American Cancer Society uses an ABCDE Mneumonic to help pt.'s develop awareness of suspicious skin lesions what do they represent? - n Ans✔ A= asymetry
B=border C=color D=diameter E=enlarging or elevated Qs characteristic of shingles - n Ans✔ single dermatome affected Qs an example of a premalignant lesion that develops on sun-damaged skin is: - n Ans✔ actinic keratosis Qs 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? - n Ans✔ cellulitis Qs A pt. was burned w/hot water. He has several 2-3 cm fluid-filled lesions. What are theses termed? - n Ans✔ bullae
at diagnosis Qs In order to determine how much T4 replacement a pt. needs to reestablish a euthyroid state, the NP considers: - n Ans✔ the pt.'s body weight Qs A pt. has been dx w/T2DM. A criterion for dx is: - n Ans✔ a fasting glucose > or equal to 126 and confirmed on a previous day. Qs the most appropriate screen for diabetic nephropathy - n Ans✔ urinary albumin to creatinine ration and eGFR Qs a 38-year-old male pt. presents for his annual exam. He reports nervousness and weight loss, but denies any change in his dietary intake or exercise level. Based on this findings and the following lab values: TSH 0.01, free T4 6, free T3 205. what is the most likely dx? - n Ans✔ Hyperthyroidism Qs a pt. has two fasting glucose values of 121 and 136 that were measured on 2 separate days in the same week. This pt: - n
Ans✔ should have an Hgb A1C performed Qs a diabetic pt. w/albuminuria has been placed on an ACE inhibitor. How soon can the antiproteinuric effect of the ACEi be realized for this pt. - n Ans✔ 6-8 weeks Qs how does hyperthyroidism affect b/p - n Ans✔ by producing an increase in systolic and diastolic readings Qs Symptoms least likely associated with DMT fatigue, constipation, athletes foot, impetigo - n Ans✔ constipation Qs Is the affected vessel Arteriosclerosis affects arteries whereas varicose veins affect veins Qs A patient has poorly controlled hypertension for more than 10 years. Qs
Ans✔ hydrochlorothiazide Qs A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his stenosis. the NP replies: - n Ans✔ shortness of breath and syncope Qs A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for PAD? - n Ans✔ diabetes Qs Benazepril should be d/c immediately if - n Ans✔ pregnancy occurs Qs aortic regurgitation characteristics - n Ans✔ long asymptomatic period follow by exercise intolerance, then dyspnea at rest Qs DVT classic symptoms - n
Ans✔ swelling, pain, and discoloration of lower extremity Qs Characteristic of ACE-induced cough is that? - n Ans✔ usually begins two weeks of starting therapy Qs Valve most commonly involved in chronic rheumatic heart disease - n Ans✔ mitral Qs Medication that can exacerbate HF - n Ans✔ naproxen Qs Patient taking ACE inhibitors should avoid? - n Ans✔ potassium supplements Qs Grade 3 murmur indication for a referral - n Ans✔ a fixed split
Stop the atorvastatin immediately Qs symptom not indicative of HF - n Ans✔ headache Qs What class of meds is preferred to normalized lipid levels and reduce risk of cardiac events - n Ans✔ HMG CoA reductase inhibitors Qs Highest sensitivity in diagnosing HF - n Ans✔ BNP Qs 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 - n Ans✔ ACE, ASA, beta blockers, and statin Qs patient with the highest systolic B/P - n Ans✔
75-year-old male Qs test that is most cost effective to screen for abdominal aortic aneurysm - n Ans✔ abdominal ultrasound Qs a 74-year-old patient has had an increase in b/p since the last exam. his b/p has increased from 144/90 to reading in the upper 160's/upper 80's. If medication is to be started on this patient, what would be a good first choice? - n Ans✔ Calcium channel blocker Qs Factor contributing to the development of AAA - n Ans✔ cigarette smoking Qs A 40-year-old African-American pt. has a b/p of 175/100 and 170/102. What is a reasonable plan of care for this pt today? - n Ans✔ initiate amlodipine 5mg daily Qs Usual course of treatment for mitral valve prolapse - n Ans✔
Qs risk factor for T2DM? - n Ans✔ History of gestational diabetes Qs a 40-year-old pt. with newly dx of T2DM asks what his target b/p should be. the most correct answer is: - n Ans✔ less than 140/ Qs the following values TSH 14, free T4 0.1 is indicative of? - n Ans✔ hypothyroidism Qs diabetic medication associated with diarrhea and flatulence - n Ans✔ metformin Qs 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? - n Ans✔
hypothyroidism Qs 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? - n Ans✔ AM fasting Qs 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 - n Ans✔ 6 weeks Qs 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 - n Ans✔ 24u NPH insulin in AM Qs A 30-year-old female pt. with complaints of fatigue undergoes a screening TSH. Her TSH is 8 what should be done next? - n Ans✔ repeat the TSH and add T
Ans✔ this is indicative of longstanding hypertension Qs Mr O. has been dx w/hearing loss secondary to an exposure to an ototoxic medication. Which one may be associated with ototoxicity? - n Ans✔ aspirin Qs yellowish, triangular nodule near the iris - n Ans✔ is a pinguecula Qs 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? - n Ans✔ presence of foreign body Qs 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? - n Ans✔ inability to hear consonants Qs
