Download 3P APEA EXAM 2025/2026 Accurate Real Exam Questions and Correct Answers and more Exams Nursing in PDF only on Docsity!
3P APEA EXAM 2025 / 2026 Accurate Real Exam
Questions and Correct Answers
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 - answer>>>in the calf muscle A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI) - answer>>>5th ICS, left of MCL Difference between varicose vein and arteriosclerosis - answer>>>Is the affected vessel Arteriosclerosis affects arteries whereas varicose veins affects veins 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 - answer>>>mitral stenosis 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? - answer>>>hydrochlorothiazide A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his stenosis. the NP replies: - answer>>>shortness of breath and syncope A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for PAD? - answer>>>diabetes Benazepril should be d/c immediately if - answer>>>pregnancy occurs
aortic regurgitation characteristics - answer>>>long asymptomatic period follow by exercise intolerance, then dyspnea at rest DVT classic symptoms - answer>>>swelling, pain, and discoloration of lower extremity Characteristic of ACE-induced cough is that? - answer>>>usually begins two weeks of starting therapy Valve most commonly involved in chronic rheumatic heart disease - answer>>>mitral Medication that can exacerbate HF - answer>>>naproxen Patient taking ACE inhibitors should avoid? - answer>>>potassium supplements Grade 3 murmur indication for a referral - answer>>>a fixed split Group of meds used to treat HF - answer>>>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: - answer>>>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 - answer>>>diabetes mellitus good drug to reduce morbidity and mortality in mild HF - answer>>>metoprolol
Usual course of treatment for mitral valve prolapse - answer>>>is benign A 50-year-old patient with hypertension has taken HCTZ 25mg daily for the past 4 weeks. Her b/p has decreased from 155/95 to 145/90. How should the NP proceed? - answer>>>add another drug from another class to the daily 25mg HCTZ A patient with mitral valve prolapse reports chest pain and frequent arrhythmias. In the absence of other cardiac anomalies, the drug of choice to treat her symptoms is: - answer>>>metoprolol which hypertensive pt. is most likely to have adverse b/p effects from excessive sodium consumption? - answer>>>a 70-year-old African American where would the murmur associated w/mitral regurgitation best be auscultated? - answer>>>mitral listening point 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?
- answer>>>he should receive Doxycycline for Lyme disease a pt. has/seborrheic dermatitis. Which vehicle would be most appropriate to use in the hairline area to treat this? - answer>>>foam A microscopic exam of the sample taken from a skin lesion indicates hyphae. What type of infection might this indicate? - answer>>>fungal A pt. has been dx w/MRSA. she is allergic to sulfa. Which medication could be used to treat her? - answer>>>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 - answer>>>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? - answer>>>order a CBC A pt. has been dx w/scabies. What is the medication of choice to treat this? - answer>>>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? - answer>>>tinea vesicolor Which vehicle is least appropriate in a pt. w/atopic dermatitis? - answer>>>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? - answer>>>dyshidrotic dermatitis a low-potency topical hydrocortisone cream would be most appropriate in a pt. who has been dx with? - answer>>>atopic dermatitis most common form of skin cancer - answer>>>basal cell carcinoma greatest percutaneous absorption areas in the body - answer>>>genitalia most common place for basal cell carcinoma - answer>>>face
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. - answer>>>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: - answer>>>can be dx w/DMT The most appropriate time to begin screening for renal nephropathy in a pt w/ T2DM - answer>>>at diagnosis In order to determine how much T4 replacement a pt. needs to reestablish a euthyroid state, the NP considers: - answer>>>the pt.'s body weight A pt. has been dx w/T2DM. A criterion for dx is: - answer>>>a fasting glucose > or equal to 126 and confirmed on a previous day. the most appropriate screen for diabetic nephropathy - answer>>>urinary albumin to creatinine ration and eGFR 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?
- answer>>>Hyperthyroidism a pt. has two fasting glucose values of 121 and 136 that were measured on 2 separate days in the same week. This pt: - answer>>>should have an Hgb A1C performed 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. - answer>>>6-8 weeks
how does hyperthyroidism affect b/p - answer>>>by producing an increase in systolic and diastolic readings Symptoms least likely associated with DMT fatigue, constipation, athletes foot, impetigo - answer>>>constipation What is the relationship between Hgb A1C and lipid values? - answer>>>As Hgb A1C decreases, triglycerides decrease when the serum free T4 falls: - answer>>>the TSH rises earliest detectable glycemic abnormality in a pt. w/t2DM - answer>>>postprandial glucose elevation acanthosis nigricans in a teen suggest? - answer>>>insulin resistant risk factor for T2DM? - answer>>>History of gestational diabetes a 40 - year-old pt. with newly dx of T2DM asks what his target b/p should be. the most correct answer is: - answer>>>less than 140/ the following values TSH 14, free T4 0.1 is indicative of? - answer>>>hypothyroidism diabetic medication associated with diarrhea and flatulence - answer>>>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? - answer>>>hypothyroidism
+what is the significance of AV nicking? - answer>>>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? - answer>>>aspirin yellowish, triangular nodule near the iris - answer>>>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? - answer>>>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? - answer>>>inability to hear consonants
