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APEA 3P Exam: Practice Questions and Answers, Exams of Nursing

Post UniversityNursing

A set of practice questions and answers for the apea 3p exam. It covers a range of topics relevant to the exam, including pediatrics, women's health, and adult medicine. The questions are multiple-choice and are designed to test the knowledge and understanding of the exam content. The document can be a valuable resource for students preparing for the apea 3p exam.

Typology: Exams

2024/2025

Available from 03/08/2025

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APEA 3P Exam
Contains 75 Questions with Verified Answers
Passing Score: 94.67%.
1. A 15 years old high school student with a mild sore throat and low-
grade fever that has persisted for about 3 weeks. She reports general
malaise, fatigue, and loss of appetite. The NP suspects mononucleosis.
Which of the following is the LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase
Answer> Obtain an urinalyses and serum for LFTs and amylase
2. A 32 years old male patient complaint of urinary frequency and
burning on urination for 3 days. Urinalyses reveals bacteriuria and
positive nitrites. He denies any past hx of urinary tract infections. The
initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose
Answer> trimethoprim-sulfamethoxazole
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APEA 3P Exam

Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

  1. A 15 years old high school student with a mild sore throat and low- grade fever that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of the following is the LEAST appropriate intervention? a. Palpate the lymph nodes and spleen b. Examine the posterior oropharynx for petechiae c. Obtain a CBC, throat culture, and heterophil antibody test. d. Obtain an urinalyses and serum for LFTs and amylase Answer> Obtain an urinalyses and serum for LFTs and amylase
    1. A 32 years old male patient complaint of urinary frequency and burning on urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx of urinary tract infections. The initial treatment should be: a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day b. ciprofloxacin (Cipro) for 3-5 days c. Trimethoprim-Sulfamethoxazole for 3 days d. 750 mg ciprofloxacin as a one-time dose Answer> trimethoprim-sulfamethoxazole

2 / 13 (Bactrim, Sulfatrim) for 7-10 day

  1. The NP is counseling a 25 y/o sexually active male patient about condom use, which of the following statement is INCORRECT a. Adequate lubrication is needed to prevent damage to the condom b. Roll the condom over an erect penis before any sexual contact c. Make sure the condom is tight against the head of the penis d. Withdraw while the penis is erect, so that the condom stays in place Explanation: Condoms Answer> Make sure the condom is tight against the head of the penis
  2. Which of the following descriptions of Denver II Developmental Screening Test is most accurate? a. Applicable to children from birth to 2 years; evaluates four major categories of development: motor, intellectual, emotional, and language to determine whether a child is within normal range for various behaviors or is develop- mentally delayed b. Applicable to children from birth to 5 years; evaluates four major cate- gories of development: motor, vision, hearing and psychosocial to determine whether a child is normal or developmentally compromised c. Applicable to children from birth to 6 years; evaluates four major categories of development: gross motor, fine motor-adaptive, language, and personal social to determine whether a child is within normal range for behaviors or is developmentally delayed. Answer> Applicable to children from birth to 6 years; evaluates four major categories of development: gross motor, fine motor-adaptive, language, and personal social to determine whether a child is within normal range for

4 / 13 b. Atorvastatin c. Omega 3 fatty acids d. Fenofibrates Answer> Atorvastatin

  1. A NP has recently been hired to work in a fast track facility.The NP employer asked if she has "a problem prescribing medications for emergency contra- ception." The NP replies affirmatively. This is: a. Grounds for dismissal b. An ethical dilemma for the NP c. Illegal according to the standards of nursing d. Patient abandonment. Answer> An ethical dilemma for the NP
  2. 30 years old female comes into a clinic with classic signs and symptoms of appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman die. This is an example of a. Failure of diligence b. Professional liability c. Negligence d. Malpractice Answer> Malpractice
  3. A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this condition be managed? a. Topical antifungal cream or ointment b. Oral antibiotics

5 / 13 c. Topical corticosteroids cream d. Topical anti-fungal/ steroid cream Answer> Topical corticosteroids cream

  1. Antidepressant discontinuation syndrome is less likely if the patient a. Is male b. Is less than 35 y/o c. Has taken an SSRI with a short half life d. Gradually tapers SSRI use Answer> Gradually tapers SSRI use
  2. Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the following drug classes? a. Alpha adrenergic antagonist b. Anti-androgen agents c. Tricyclic antidepressant (TCA) d. Sulfonamides Answer> Tricyclic antidepressant (TCA)
  3. Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse? a. What was if you did to make him angry? b. You must seek refuge immediately c. I am concerned about your safety d. I am going to call a shelter for you Answer> I am concerned about your safety
  4. For which patient group does the US Preventive Services Task

7 / 13

  1. A patient has Kawasaki syndrome. Which characteristics would be UNUSU- AL? a. Age > 15 years b. Fever > 101 F (38.3 C) c. Exudative pharyngitis d. Painful rash Answer> Age > 15 years
  2. According to the JNC 8 guideline hypertension in a 40 y/o can be diag- nosed when blood pressure exceeds a. 140/ b. 130/90 c. 125/ d. 150/ Answer> 140/
  3. A 7-year old female patient presents with severe injuries that are inconsis- tent with the explanation given for them. The nurse practitioner questions the mother about abuse. She admits that her husband, the child's father, beat the child. How should the nurse practitioner proceed? a. Inform the mother that the abuse must be reported to child protection authorities. b. Counsel the mother that if it happens again it will be reported to child protection service. c. Ask the child what she did to cause the punishment d. Refer the family to the National Domestic Violence hotline.

8 / 13 Answer> Inform the mother that the abuse must be reported to child protection authorities.

  1. A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of the legs followed by periods of lethargy. On physical exami- nation, a "sausage-like" mass in the upper right quadrant of the distended abdomen. Which of the following is the most likely diagnosis? a. Intussusception b. Volvulus c. Crohn's disease d. Foreign body in the GI tract Answer> Intussusception
  2. A 48 y/o female complains of pain and stiffness in her right hip and knee that is mild on awakening in the morning, get worse as the day progresses and is relived with hot baths and ibuprofen. Crepitus is palpated on range of motion of the knee. Signs of inflammation are notably absent. What is the most likely diagnosis? a. Rheumatoid arthritis (RA) b. Gout c. Osteoarthritis (OA) d. Osteoporosis Answer> Osteoarthritis (OA)

10 / 13 Answer> Refer to a cardiologist as soon as possible

  1. Which of the following indicated need for further evaluation? a. A 7 y/o girl with vaginal bleeding b. A 7 years old girl with no true pubic hair c. A 12 years old boy with sparse, slightly pigmented pubic hair d. A 12-year-old girl with breast buds: A 7 y/o girl with vaginal bleeding
  2. A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating: a. Infection proximal to the nodes b. A possible cancer diagnosis

11 / 13 c. Shorty nodes, a common normal variant in children d. An infectious process distal to the nodes Answer> Infection proximal to the nodes

  1. The NP examines a 2-month-old with unequal gluteal and thigh skin folds. What should the NP do next? a. Send the infant for x-ray of the hips b. Send the infant for ultrasound of the hips c. Perform Ortolani and Barlow test d. Examine the infant for unequal arm length Answer> Perform Ortolani and Barlow test
  2. A very active 35 years old male has painful hemorrhoid, but he does not want hemorrhoidal surgery at this time. His diet has been indiscriminate as his job requires frequent travel. The most appropriate recommendation is for him to select food that are: a. Low in fiber such as milk and other dairy products b. High in simple carbohydrates such as white bread and mashed potatoes c. High in fiber such as bran, complex carbohydrates and fresh fruit d. High protein such a meat, poultry and fish: High in fiber such as bran, complex carbohydrates and fresh fruit
  3. A 13 y/o pt. complains that he fell while running during football practice. Now his knee hurts and sometimes "lucks". The NP conducts McMurrays test. Which of the following is TRUE about this test? a. An audible or palpated "click" is positive for a torn meniscus b. A various stress is applied to the flexed knee c. The straight leg is internally rotated with the patient supine and flat d. The knee is grasped with the examiner's fingers placed laterally. Answer> An audible or palpated "click" is positive for a torn meniscus

13 / 13 c. The infant car seat may be front facing when the infant is 1 year old d. A rear or front-facing infant car seat must be secured in the back seat until the infant weight 20 lbs. Answer> A rear-facing infant car seat secured in the backseat is required until the infant weight 20lbs.

  1. A pt. present with classic symptoms of gastroesophageal reflux diseases' (GERD). He is instructed in lifestyle modification, and drug initialed. Two month later, he returns and report that he still has symptoms. The next steps are to. a) Refer for surgical interventions such as partial or complete fundoplication. b) Refer for endoscopy, namometry, and/or PH testing c) Repeat the 8*-week course of drug therapy while continuing lifestyles modifications. d) Review proper proton pump inhibitor dosing time and adherence with the patient.: d) Review proper proton pump inhibitor dosing time and adherence with the patient.
  2. A 51 -year- old post-menopausal female, request guidance regarding os- teoporosis risk. The NP would be correct to recommend all of the following EXCEPT a. Moderate weight bearing exercise 3 times per week b. 1200 - 1500 mg calcium daily c. Avoidance of alcoholic beverages d. Weight loss Answer> Weight loss
  3. 15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of this information, it is essential for the NP to teach him about

14 / 13 a. Testicular self-examination b. Protection of the testes during sports activities c. Risk of testicular torsion d. Practicing safer sex Answer> Testicular self-examination

  1. Moderate weight loss, particularly of visceral adipose tissue in patients with type 2 diabetes mellitus may have all of the following beneficial effects EXCEPT: a. Improved insulin sensitivity b. Increased glucose uptake and utilization by the cells c. Increase lean muscle mass' d. Improved lipid profile Answer> Increase lean muscle mass'
  2. According to Erickson, the developmental task of the elderly adult is: a. Intimacy VS isolation b. Ego integrity VS despair

16 / 13

  1. The hallmark of neurofibromatosis (von Recklinghousen disease) present in almost 100% of patients is: a. Acoustic neuroma b. Astrocytoma of the retina c. Distinctive osseous lesion d. Café au lait spots Answer> Café au lait spots
  2. An 18-year-old female applying for college admission present to the health clinic because evidence of rubella vaccination is required for admission. She says, "don't remember ever getting that shot" She has negative serologic evidence of rubella antibody. The NP should: a. Tell her that her serologic evidence demonstrates that she is immune to the rubella and that she probably has the disease as a child

17 / 13 b. Administer the vaccination after a negative pregnancy test and advise the patient that shemust not get pregnant for 28 days c. Tell her that she needs the immunization and can get today if her pregnancy test is negative d. Administer the rubella vaccination after a negative pregnancy test and advise her not to get pregnant for at least 6 months.: Administer the vaccination after a negative pregnancy test and advise the patient that shemust not get pregnant for 28 days

  1. 45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ pain and epigastric "crampy pain". Symptoms are exacerbated by high-fat meal. What is the most likelydiagnosis? a. Hepatitis b. Chronic cholecystitis c. Acute pancreatitis d. Myocarditis Answer> Chronic cholecystitis
  2. The NP correctly teaches an elderly patient with pernicious anemia that food sources of B12 include a. Red meat, poultry, fish, eggs, dairy products b. Canned and frozen fruit c. Whole grain breads, cereals and pastas d. Fresh vegetables Answer> Red meat, poultry, fish, eggs, dairy products
  3. A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechia. With for this patient, what drug would be the LEAST appropriate to

10 / 13 b. Upper abdominal pain c. Chest pain d. Weight gain Answer> Weight gain

  1. A 12-month-old has conjunctivitis in his right eye with a mucopurulent discharge. The mother asks if the child can forego for antibiotic eye drops because he does not's like drops in his eyes. The NP replies that: a. If untreated, conjunctivitis may permanently damage the cornea b. Conjunctivitis is usually caused by a virus. Let's wait a few days c. If no one else at the daycare has it, we can wait a few days. d. An oral antihistamine may be prescribed instead of eye drops. Answer> If untreat- ed, conjunctivitis may permanently damage the cornea
  2. Which of the following oral medications should be avoided in a child under 8 years of age? a. Cephalexin (Keflex) b. Tetracycline c. Rifampin d. Metronidazole (flaggyl) Answer> Tetracycline
  3. which oral hypoglycemic agent would be safest for an elderly patient if hypoglycemia is a major concern? a. Tolbutamide (orinase) b. Glipizide (Glucotrol) c. Metformin (Glucophage) d. Chlorpropamide (diabinese) Answer> Metformin (Glucophage)
  4. A patient has been taking fluoxetine (prozar) since being diagnosed

10 / 13 with major depression 7 month ago. She reports considerable empowerment in her symptoms and her intention to discontinue the medication what should be the NP's recommendation? a. Advice the patient to stop the antidepressant medication b. Question the patient to determine if the self-assessment is correct before advising her to discontinue the medication c. Recommend that the patient continue the antidepressant medication for at least 4 more month d. Discuss with the patient that need to take the antidepressant medication indefinitely Answer> Recommend that the patient continue the antidepressant medication for at least 4 more month

  1. the components of the Denver II Developmental screening test are: a. Personal/social, fine motor, gross motor, language b. Intelligence, motor performance, language development c. Vocabulary, clarity of speech, abstract thinking