Download GCU APEA 3P FINAL EXAM |2025-2026|REAL 150Qs&As|100% VERIFIED ANSWERS|GRADED A+ and more Exams Nursing in PDF only on Docsity!
GCU APEA 3P FINAL EXAM |2025-2026|REAL
150Qs&As|100% VERIFIED ANSWERS|GRADED A+
A patient with a diagnosis of giardiasis is being treated with metronidazole (flagyl). What information would be important to obtain before prescribing this medication? If the patient drinks alcohol A 20 years old male living in the college dorm, complains of a dry cough for the past month. Assessment finding associated with an atypical, community acquired pneumonia would include: A low grade fever, malaise, and clear lung fields on auscultation The most appropriate medication indicated for reversing the anticoagulated effects of dabigatran etexilate (Pradaxa) Idarucizumab (Praxibind) A common pathological finding in a patient with asthma hypertrophy of smooth muscle What cranial nerves are responsible for eye movement
III, IV, VI
The typical presentation of severe acute aortic regurgitation (AR) includes sudden severe SOB rapidly developing heart failure, and: Decreased blood pressure Disorders in the kidneys and the ureters may cause pain in all of the following areas except the: Suprapubic When palpating the prostate gland during the rectal exam, the prostate feels tender, swollen, boggy and warm. This finding is consistent with: Acute bacterial prostatitis This contagious disease causes fever, headache, stiff neck, photophobia, nausea, vomiting, and altered mental status. What immunization prevents this? Meningococcal vaccine Headache warning signs that need prompt investigation include all of the following
When fluid accumulates between the visceral and parietal pleural spaces, the term used is: Pleural effusion Children born with down syndrome often have other anomalies. They especially require evaluation of what body system? Cardiac What finding is typical in a patient with a meniscal tear? Positive McMurray's test The nurse practitioner diagnoses a female patient with trichomoniasis. A common chief Vaginal Discharge When deciding on an initial treatment option for an acute flare of atopic dermatitis, unresponsive to emollient therapy, the next best choice for treatment is: Desonide 0.5%
When examining the breast, the "tail of Spence" would be located laterally across the anterior axillary fold Headaches with symptoms of nausea and vomiting may be associated with all of the following, EXCEPT: tension headache Which of the following finding could indicate a need for further evaluation of the cardiac patient? LDL OF 190MG/DL Alpha-adrenergic blocker increases urine outflow in males by: Relaxing prostate smooth muscle The scoliosis patient who would cause the greatest concern for the nurse practitioner is a: 13 yo female with a 100 curve Which finding bellow would be unusual in a patient with diabetic retinopathy? Papilledema
inflammatory breast cancer Salmeterol (sereventR) in combination with an inhaled steroid is prescribed for a patient with moderate persistent asthma. What is the most important teaching point about salmeterol? It is not effective during an acute asthma attack A 50 years old male has a non-tender, enlarged scrotum. The nurse practitioner suspects which of the following conditions: Hydrocele Risk factors associated with breast cancer include all of the following except: Low socioeconomic status A patient who has a sulfa allergy can safely take: Glimepiride (amaryl) Which group of lymph nodes are locating on the medial surface of the arm approximately 3 cm above the elbow? Epitrochlear nodes
An elderly patient has been diagnosed with a cataract. What structure in the eye has become diseased? Lens A patient presents with pain in the shoulder. The nurse practitioner knows that there are four rotator cuff muscles. The muscle that initiates abduction movement at the shoulder is known as the: Supraspinatus A patient with bulimia is likely to be: of average weight Chronic bloody diarrhea could be suggestive of: Chron's disease On examination a patient is noted to have a "mask-like" face with decreased blinking and a characteristic stare. These features may be characteristic of: Parkinson's
Desmopressin acetate (DDAVP) nasal spray has been found to be useful in the management of enuresis in children. In which of the following situations is the drug especially beneficial? Sleepovers Rapid Human Immunodeficiency virus (HIV) testing would be appropriate for a patient with complains of painful urination, dyspareunia, and vaginal/penile discharge which of the following condition is NOT associated with the symptoms of hemoptysis? Viral pneumonia which condition is associated with end-stage renal disease in pediatric patients and requires recombinant erythropoietin treatment? Anemia when evaluating a 17 y/o girl with infrequent menstrual periods, which findings suggest probable hyperandronism? Hirsutism
which form of urinary incontinence is present in a patient with Alzheimer's disease who is unable to reach the toilet in time? Functional incontinence a 27y/o male patient presents with a painless chancre on the shaft of his penis and regional lymphadenopathy. He is diagnosed with primary syphilis. The best initial treatment is: Benzathine penicillin G (Bicillin LA) An 80 y/o man is being evaluated for recent episodes of incontinence and confusion. His family states that he is usually independent with no altered mental issues, but has become forgetful within the last 2 weeks. Which medication is most likely associated with there symptoms? Cimetidine (tagamet) When ordering an oral diabetes medication for a 72 y/o patient with a recent hx of decreased appetite and ongoing risk of hypoglycemia. The NP should Rx. Metformin (Glucophage) to increases urine outflow in men with BPH, the NP should prescribe An alpha blocker
which assessment findings are NOT associated with pyloric stenosis in a 2 month old infant? a bloated and tense tympanic abdomen Hyperkalemia is associated with diminished renal function the assessment of a 72 y/o male causes the NP to have concerns that the pt. is a suicide risk. Risk factors for suicide in the elderly do NOT include Retirement A pregnant pt presents for a routine 16 week prenatal visit. Her BP has decreased from 119/78 mm/Hg at her 12 week visit to 110/69 mmHg. What hemodynamic for the decrease BP? Decrease in systemic vascular resistance The most common treatment for Helicobacter pylori is a triple therapy, interpreted as: A. 2 antibiotics and proton pump inhibitor for 7-14days B. 3 different antibiotics for 7-20days
C. 3 rounds of the same antibiotic over 3wks D. 2 proton pump inhibitors and 1 antibiotic for 7-14days A. 2 antibiotics and proton pump inhibitor for 7-14days Patients with psoriasis frequently have: A. Pruritis, positive auspitz sign, and pitted nails B. Pruritus, pitted nails, and satellite lesions C. Pitted nails and plaques D. Dermatomal rash and satellite lesions C. Pitted nails and plaques Which condition is best treated using alpha adrenergic antagonist? A. Functional incontinence B. Renal insufficency C. urge incontinence D. Overflow incontinence D. Overflow incontinence A patient who is taking an oral glucocorticosteroid should be advised to: A. crush it in applesauce
Snellen chart evaluation indicated that the patient vision is 20/30. What is the proper description of this result? A. At 20ft , this pt can see what a person with normal vision can see at 30ft B. At 30ft, this pt can see what a person with normal vision can see at 20ft C. At 20ft, this pt can see what few people can see at 30 ft D. This patient has sight abilities that are worse than a pt with 20/40 vision A. At 20 ft, this pt can see what a person with normal vision can see at 30ft Which of the following is NOT a common symptom of Vitamin B12 deficiency? A. Sore tongue B. Fatigue C. Constipation D. Vomiting D. Vomiting During a migraine, the cerebral arteries: A. Constrict B. Dilate C. Pulsate D. Vibrate B. Dilate
Which is the appropriate medication for a 31yo pregnant diagnosed with UTI: A. Cefuroxime (Zinafed) or Nitrofurantoin (Macrobid) B. Nitrofurantoin (Macrobid) or Ciproflaxin (Cipro) C. Ciproflaxin (Cipro) or Tetracycline (Sumycin) D. Tetracycline (Sumycin) or Amoxicillin (Amoxil) A. Cefuroxime (Zinafed) or Nitrofurantoin (Macrobid) Which of the following medications is NOT indicated for the treatment of muscle spasms? A. Baclofen (Lioresal) B. Tizanidine (Zanaflex) C. Cyclobenzaprine (Flexeril) D. Carisoprodol (Soma) A. Baclofen (Lioresal) During an abdominal examination, the NP percusses the bulging area of the abdomen. Which sounds suggest the presence: A. Tympanic B. Dullness C. Hyperresonant Sounds D. Normal resonance
C. Placenta percreta D. Placental abruption B. Placenta previa When measuring the fundal height of a pregnant female at 32wks gestation, which measurement would the NP suspect fetal growth? A. 29cm B. 30cm C. 31cm D. 32cm D. 32cm A 40yo female, the overall texture of the breath is soft, with an uneven contour bilaterally. The NP informs the patient that: A. Warrants a mammogram B. Is considered normal C. May be suggestive of fibroadenoma D. May indicate cystic breast A. Warrants a mammogram
A 74yo male who recently lost his spouse of 50 yrs in an MVA tells the NP that "he has no purpose in this life." A. Have you told your family how you feel? B. Have you thought about hurting yourself? C. Are you taking your medication? D. Do you have any friends? B. Have you thought about hurting yourself? A 67yo woman with hx of afib and an ejection fraction of 48% has had normal digoxin levels. Which can cause a decrease of digoxin level? A. Decrease creatinine clearance B. Weight loss C. Increase exercise D. Regular use of antacid D. Regular use of antacid 5 alpha reductase inhibitor work to improve symptoms of benign prostatic hyperplasia by? A. Decreasing the size of the prostate B. Increasing blood flow to the prostate C. Relaxing smooth muscle in the bladder neck D. Relaxing smooth muscle in the prostate capsule
