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APEA FNP PREDICTOR EXAM TEST BANK 2024- 2025
QUESTIONS AND VERIFIED ANSWERS
The most likely working diagnosis for a 14 year old patient who fell on an outstretched hand, complains of proximal forearm pain, and has a positive fat pad sign on X-ray. - Correct Answers_Radial head fracture The child quickly begins to use the affected arm after closed manipulation. - Correct Answers_Successful treatment indication for radial head subluxation A 10 - month old with a rash, runny nose, cough, and a cluster of tiny white papules with an erythematous base on the buccal mucosa suggests this diagnosis. - Correct Answers_Measles Indicated by a 12 - month-old child looking for a toy that the father has hidden under the table. - Correct Answers_Object permanence Expected examination result for a 14 - year-old male with bronchitis returning with fever, right pleuritic chest pain, and green sputum. - Correct Answers_Right lower lobe crackles The diagnostic test that should be performed immediately for a 15 - year-old female with burning urination after treatment for trichomonas vaginitis. - Correct Answers_Microscopic exam of urine Essential education for a 15 - year-old male with a history of cryptorchidism which was surgically repaired. - Correct Answers_Testicular self-examination
The first action a school nurse should take when a child with type I diabetes mellitus reports sweating and weakness after insulin injection. - Correct Answers_Measure the blood sugar The appropriate response for a 16 - year-old female experiencing midcycle spotting while on Ortho-Novum 7/7/7. - Correct Answers_Providing reassurance The most appropriate diagnostic tests to order for a 17 - year-old female suspected of having polycystic ovary syndrome, in addition to testosterone. - Correct Answers_FSH, LH, TSH The most likely diagnosis for a 17 - year-old female who has never had her menses and is at Tanner stage III of sexual development. - Correct Answers_Primary amenorrhea Condition suspected for a 20 - year-old male with a 1 - month history of a bump on his testicle and a history of unprotected intercourse. - Correct Answers_Cancer of the testicles Suspected condition for a 21 - year-old college student presenting with copious, markedly purulent discharge from her left eye. - Correct Answers_Gonococcal conjunctivitis Most likely diagnosis for a 21 - year-old patient presenting with abdominal guarding, rigid abdominal musculature, rebound tenderness at McBurney's point, and leukocytosis. - Correct Answers_Appendicitis A question to consider when analyzing a 22 - year-old college student's heart rate of 48/minute and regular during a routine physical examination. - Correct Answers_Is this student an athlete? Advice for a 24 - year-old female taking oral contraceptives who has missed her last 2 pills to minimize her risk of pregnancy. - Correct Answers_Double today's dose and tomorrow's dose and use a barrier method for the rest of the month Contraceptive technique to prevent pregnancy. - Correct Answers_Barrier method
Agency to report suspected child abuse or neglect. - Correct Answers_Child protective services Movement of a joint without patient effort. - Correct Answers_Passive range of motion (ROM) Benign tumors causing heavy menstrual bleeding. - Correct Answers_Uterine leiomyomas Fluid released from the nipple, may indicate pathology. - Correct Answers_Nipple discharge Inflammation of bronchial tubes, often due to infection. - Correct Answers_Acute bronchitis Indicates possible bacterial infection in respiratory tract. - Correct Answers_Foul-smelling sputum Routine examination to detect precancerous changes. - Correct Answers_Cervical cancer screening Common symptom in inflammatory joint diseases. - Correct Answers_Morning stiffness Red, flat rash often indicating skin irritation. - Correct Answers_Erythematous macular rash Urine samples collected during normal urination. - Correct Answers_Voided urine specimens Reflex causing testicle elevation when thigh is stroked. - Correct Answers_Cremasteric reflex Observations made during a clinical examination. - Correct Answers_Physical exam findings
Minimal fluid release from the nipple, may indicate benign condition. - Correct Answers_Scant nipple discharge Discomfort in lower abdomen, often related to reproductive organs. - Correct Answers_Pelvic pain Agency for reporting child abuse suspicions. - Correct Answers_Child Protective Services Discomfort in the rectal area, often with bleeding. - Correct Answers_Rectal Pain Test for hidden blood in stool. - Correct Answers_Guaiac Test Medication for rectal inflammation and discomfort. - Correct Answers_Hydrocortisone Suppositories Inflammation of the stomach lining. - Correct Answers_Gastritis Ulcers in the stomach or duodenum. - Correct Answers_Peptic Ulcer Disease Difficulty in achieving ejaculation during intercourse. - Correct Answers_Delayed Ejaculation Antidepressant causing sexual side effects. - Correct Answers_Paroxetine Lung infection causing cough and fever. - Correct Answers_Pneumonia (pna) Antibiotic used for treating pneumonia. - Correct Answers_Clarithromycin Infection from Group A Streptococcus, causes rash. - Correct Answers_Scarlet Fever
Swollen lymph nodes in the neck area. - Correct Answers_Cervical Lymphadenopathy Pain or discomfort in the upper stomach area. - Correct Answers_Upper Abdominal Discomfort Bright red blood under conjunctiva, sharply defined. - Correct Answers_Subconjunctival hemorrhage Process of distinguishing between conditions. - Correct Answers_Differential diagnosis Prolonged mourning affecting daily functioning. - Correct Answers_Unresolved grief Bluish tint of vagina during pregnancy. - Correct Answers_Chadwick's sign Benign, pigmented epidermal tumor with stuck-on appearance. - Correct Answers_Seborrheic keratosis BMI less than 18.5 indicates underweight. - Correct Answers_BMI underweight threshold Cool water flushing; avoid oils for pain relief. - Correct Answers_Second degree burn care Behavior changes indicate early lead poisoning. - Correct Answers_Lead toxicity early signs Erythematous, weeping lesions on skin. - Correct Answers_Atopic dermatitis Enzyme supplement for cystic fibrosis patients. - Correct Answers_Pancrelipase (Pancrease MT)
Measures average blood sugar over 2 - 3 months. - Correct Answers_Glycosylated hemoglobin A1c Elevated serum amylase level supports diagnosis. - Correct Answers_Acute pancreatitis diagnosis Shortness of breath when lying down. - Correct Answers_Orthopnea Insulin dosage based on blood sugar levels. - Correct Answers_Sliding scale insulin Process of withdrawal from opiate substances. - Correct Answers_Opiate detoxification Abnormal vital signs indicate potential complications. - Correct Answers_Postoperative complications Potential harm to self or others. - Correct Answers_Risk for violence Alterations in mood or actions indicating issues. - Correct Answers_Behavioral changes Most critical nursing diagnosis to address first. - Correct Answers_Nursing priority Neurosyphilis can resemble dementia symptoms. - Correct Answers_Cognitive decline mimic 0.04 mL for 2 units of insulin. - Correct Answers_Insulin administration calculation Persistent worry affecting daily life. - Correct Answers_Chronic anxiety Involuntary contractions causing discomfort. - Correct Answers_Bladder spasms
Patient showing signs of distress or unrest. - Correct Answers_Agitated Client Nutritional intake insufficient for bodily needs. - Correct Answers_Imbalanced Nutrition Insufficient body fluid levels impacting health. - Correct Answers_Deficient Fluid Volume Concerns about unresolved matters before death. - Correct Answers_Unfinished Business Volume of urine produced in a specific time. - Correct Answers_Urine Output Start lower and increase gradually for safety. - Correct Answers_Medication Dosage for Elderly Condition causing limb ischemia during exertion. - Correct Answers_Atherosclerotic Peripheral Arterial Disease Wait 8 - 12 weeks for antidepressant effectiveness. - Correct Answers_SSRI Response Time Autoimmune disorder destroying platelets. - Correct Answers_Idiopathic Thrombocytopenia Purpura Use a straw to prevent teeth staining. - Correct Answers_Liquid Oral Iron Administration Constant urge to pass stool without relief. - Correct Answers_Tenesmus Gray or white ring around the iris. - Correct Answers_Arcus Senilis
Determining which patient needs immediate evaluation. - Correct Answers_Client Assessment Priority Advanced cancer spreading from testes to other organs. - Correct Answers_Metastatic Testicular Cancer Burns affecting both epidermis and part of dermis. - Correct Answers_Second-Degree Burns Heart attack due to blocked blood flow. - Correct Answers_Acute Myocardial Infarction Use of cocaine leading to potential health crises. - Correct Answers_Cocaine Ingestion Progressive neurological disorder causing motor dysfunction. - Correct Answers_Severe Parkinson's Disease Evaluation of patient condition after surgery. - Correct Answers_Postoperative Assessment Altered consciousness following a significant fall. - Correct Answers_Drowsiness After Fall Procedure to examine the colon for abnormalities. - Correct Answers_Colonoscopy Difficulty in speaking or understanding language. - Correct Answers_Dysphasia Enlargement of the prostate gland affecting urination. - Correct Answers_Benign Prostatic Hyperplasia (BPH) Assessment including exam, mammogram, and ultrasound. - Correct Answers_Breast Lump Workup
Indicator of infection; normal levels are 4,500-11,000/mm3. - Correct Answers_White Blood Cell Count Techniques to determine fetal position in pregnancy. - Correct Answers_Leopold's Maneuvers First action is to assess the client's condition. - Correct Answers_Medication Error Response Protective measures for immunocompromised patients. - Correct Answers_Reverse Isolation Post-procedure checks for urinary complications. - Correct Answers_Cystoscopy Monitoring Hidden blood indicating potential gastrointestinal bleeding. - Correct Answers_Occult Blood in Stools Surgical procedure to correct a hernia in the groin. - Correct Answers_Inguinal Hernia Repair Protrusion of tissue through abdominal wall. - Correct Answers_Inguinal Hernia Difficulty understanding or speaking English fluently. - Correct Answers_Limited English Proficiency Client should empty bladder before examination. - Correct Answers_Vaginal Examination Preparation Monitoring heart rate, respiration, temperature, blood pressure. - Correct Answers_Vital Signs Assessment 30 breaths per minute indicates potential distress. - Correct Answers_Respiration Rate
Evaluated by asking about recent meals. - Correct Answers_Recent Memory Assessment Blockage in pulmonary arteries, often due to clots. - Correct Answers_Pulmonary Embolus Imaging test for diagnosing pulmonary embolism. - Correct Answers_Helical CT Pulmonary Angiography Local anesthetic contraindicated in certain body areas. - Correct Answers_Lidocaine with Epinephrine Program aimed at improving quality of life in COPD. - Correct Answers_Pulmonary Rehabilitation Method for calculating expected delivery date in pregnancy. - Correct Answers_Naegele's Rule Includes flushed skin and increased thirst. - Correct Answers_Hyperglycemia Symptoms Acceptance of pregnancy as a reality. - Correct Answers_First Trimester Developmental Task Measure glucose and protein at each visit. - Correct Answers_Prenatal Urine Tests Child should be placed in side-lying position. - Correct Answers_Post-Tonsillectomy Positioning Absence of urine production, contraindicates potassium infusion. - Correct Answers_Anuria Avoid increasing oxygen flow without guidance. - Correct Answers_COPD Patient Education
Clear liquids and antibiotics for localized discomfort. - Correct Answers_Diverticulosis Management Difficulty seeing objects in the center of vision. - Correct Answers_Macular Degeneration Daily inhaled steroids and long-acting bronchodilators. - Correct Answers_Asthma Management Elevate legs periodically to improve venous return. - Correct Answers_Varicose Veins Relief Increased morning glucose after evening insulin increase. - Correct Answers_Somogyi Effect Administer 2.0 mL for 100 mg dose. - Correct Answers_Amoxicillin Dosage Calculation Positive result indicates torn rotator cuff. - Correct Answers_Drop Arm Test Indicative of psoriasis skin condition. - Correct Answers_Auspitz Sign 5 mm positive for high-risk populations. - Correct Answers_PPD Test Positive Criteria Abnormal trophoblast growth during pregnancy. - Correct Answers_Molar Pregnancy Reduction in vision causing loss of binocular vision. - Correct Answers_Amblyopia Knee locking is a classic complaint. - Correct Answers_Meniscal Tear Ordered for thalassemia and anemia evaluation. - Correct Answers_Hemoglobin Electrophoresis
Skin disorder causing enlarged, red, bumpy nose. - Correct Answers_Rhinophyma Softening of skin at mouth corners, often nutritional. - Correct Answers_Angular Cheilitis Indicates viral or bacterial infection. - Correct Answers_WBCs in Stool Inward turning of the eye, a strabismus type. - Correct Answers_Esotropia Fungal infection of scalp, eyebrows, eyelashes. - Correct Answers_Tinea Capitis Visual fields by confrontation evaluates peripheral vision. - Correct Answers_Peripheral Vision Test Represents repolarization of Purkinje fibers. - Correct Answers_U Wave on EKG Risk factor for cardiovascular disease, stroke. - Correct Answers_Widened Pulse Pressure Caused by estrogen imbalance, leads to dyspareunia. - Correct Answers_Atrophic Vaginitis A woman who gets the MMR vaccine should wait at least 4 weeks before getting pregnant. - Correct Answers_MMR vaccine pregnancy wait time A young healthy adult, who has been exercising in hot weather, has fatigue, loss of appetite, and lightheadedness. The correct assessment is to measure the client's body temperature. - Correct Answers_Nurse assessment for fatigue Evaluate for Medial Collateral Ligament (MCL) injury. - Correct Answers_Abduction (Valgus) stress test
Age is the most common cause of presbycusis, but white, infections, smoking, hypertension, diabetes, vascular disease, immune disorders, and hormonal factors may also play a role. - Correct Answers_Conditions affecting presbycusis onset Alcohol and marijuana worsen urge incontinence. - Correct Answers_Substance effects on incontinence All of the following are classified as activities of daily living (ADLs) except D. Grocery shopping. - Correct Answers_Activities of daily living (ADLs) Pre-medication is not warranted prior to all painful interventions. - Correct Answers_Pediatric pre-medication The most at risk to develop skin breakdown is c. An 84 - year-old client who has been NPO for four days. - Correct Answers_Skin breakdown risk Alpha fetoprotein screening in pregnancy can help determine the presence of spina bifida and anencephaly. - Correct Answers_Alpha fetoprotein screening Amenorrhea is considered a risk factor for osteoporosis. - Correct Answers_Amenorrhea risk factor C. Feverfew has been commonly used for migraines and menstrual cramps. - Correct Answers_Herbal remedy for migraines After initiation of treatment for otitis media, the most appropriate intervention is to C. Reevaluate the patient in 10 days. - Correct Answers_Otitis media follow-up The appropriate initial pharmacologic intervention is A. Amoxicillin-Clavulanate (Augmentin).
- Correct Answers_Initial pharmacologic intervention for sinusitis
The most likely diagnosis for an 8 - mo male with hemarthrosis and hematuria is A type of hemophilia. - Correct Answers_Hemophilia diagnosis A nurse should plan to consistently assign the care of the infant to the same staff. - Correct Answers_Care assignment for infant Weight gain is an early indicator of heart failure. - Correct Answers_Early indicator of heart failure The most likely diagnosis for sudden loss of vision characterized by a 'bunch of lights' is D. Retinal detachment. - Correct Answers_Sudden loss of vision diagnosis To evaluate memory in an 88 - year-old male, the nurse practitioner should choose an appropriate memory test. - Correct Answers_Memory evaluation test A. Amoxicillin-Clavulanate (Augmentin) - Correct Answers_Erythromycin Usually diagnosed within the first year of life; presents with hemarthrosis, bleeding into soft tissue, hematuria, and prolonged bleeding times. - Correct Answers_Hemophilia An early indicator of heart failure. - Correct Answers_Weight gain Characterized by a sudden loss of vision in the right eye, described as a 'bunch of lights' and a feeling that 'a curtain came down'. - Correct Answers_Retinal detachment A test chosen to evaluate memory in elderly patients. - Correct Answers_Folstein Mini- Mental State examination Most likely diagnosis for an 88 - year-old patient with right-sided weakness and history of aphasia. - Correct Answers_Left-sided Stroke
