Get Guided NR 603 Week 4 APEA Predictor Exam-Pre-Predictor Test

Get Guided NR 603 Week 4 APEA Predictor Exam-Pre-Predictor Test

1. Question: 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?
2. Question: A 32-year-old male patient complained of urinary frequency and burning during urination for 3 days. Urinalyses reveal bacteriuria and positive nitrites. He denies any past hx. Of urinary tract infections. The initial treatment should be:
3. Question: Which agent is most effective for the treatment of nodulocystic acne?
4. Question: An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use a backup method for the prevention of pregnancy
5. Question: A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L). What agents have the greatest effect on improving her lipid profile and reducing morbidity and mortality associated with dyslipidemia?
6. Question: A 30 years old female comes into a clinic with classic signs and symptoms The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman dies. This is an example of
7. Question: A NP has recently been hired to work in a fast track The NP’s employer asked if she has “a problem prescribing medications for emergency contraception.” The NP replies affirmatively. This is:
8. Question: A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this condition be managed?
9. Question: Antidepressant discontinuation syndrome is less likely if the patient
10. Question: Patients with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the following drug classes?
11. Question: Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse?
12. Question: For which patient group does the US Preventive Services Task Force recommend routine screening for asymptomatic bacteriuria
13. Question: What diabetic complications result from hyperglycemia?
14. Question: A 6 y/o presents w/ complaints of sore throat and fever for 2 days. He has multiple vesiculated ulcerations on his tonsils and uvula. There are no other remarkable findings. What is the most likely diagnosis?
15. Question: A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL?
16. Question: According to the JNC 8 guideline hypertension in a 40 y/o can be diagnosed when blood pressure exceeds
17. Question: 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 relieved with hot baths and ibuprofen. Crepitus is palpated on a range of motion of the knee. Signs of inflammation are notably absent. What is the most likely diagnosis?
18. Question: A 7-year-old female patient presents with severe injuries that are inconsistent with the explanation given to them. The nurse practitioner questions the mother about the abuse. She admits that her husband, the child’s father, beat the child. How should the nurse practitioner proceed?
19. Question: A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of the legs followed by periods of On physical examination, a “sausage-like” mass in the upper right quadrant of the distended abdomen. Which of the following is the most likely diagnosis?
20. Question: A middle-aged female complains of insomnia, night sweats, feeling intensely hot, emotional lability, extreme nervousness, and impatience. The LEAST likely cause of her symptoms is
21. Question: Which of the following indicated the need for further evaluation?
22. Question: A young couple is being seen by the NP for preconception They express a wish for pregnancy within the next 3 months and are very eager to know what they can do now to “make the baby as healthy as possible”. Which of the following should the NP encourage to decrease the chance of neural tube defect in the fetus?
23. Question: A patient with a past history of documented coronary arterial blockage of less than 70% complains of chest pain several times p…. which is relieved with nitroglycerin. Which is the most appropriate initial action for the NP?
24. Question: A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating:
25. Question: The NP examines a 2-month-old with unequal gluteal and thigh skin folds. What should the NP do next?
26. Question: A very active 35 years old male has a 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 is:
27. Question: Correct instructions to give new parents who are transporting their newborn infant is
28. Question: A 13 y/o pt. complains that he fell while running during football practice. Now his knee hurts and sometimes “lucks”. The NP conducts the McMurray test. Which of the following is TRUE about this test?
29. Question: A 20 y/o male patient complains of “scrotal swelling”. He states his scrotum feels heavy but denies pain. On examination, the NP notes transillumination of the scrotum. What is the most likely diagnosis?
30. Question: A 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
31. Question: A pt. present with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed in lifestyle modification, and drug initialed. Two months later, he returns and report that he still has symptoms. The next steps are
32. Question: A 51 –year- old post-menopausal female, request guidance regarding osteoporosis
33. Question: The NP would be correct to recommend all of the following EXCEPT
34. Question: Moderate weight loss, particularly of visceral adipose tissue in patients with type 2 diabetes mellitus may have all of the following beneficial effects EXCEPT:
35. Question: A 12 y/o presents with eating pain for 36 hours The NP diagnoses acute otitis media because the
36. Question: The NP should instruct the mother of an infant with thrush to:
37. Question: A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has followed the recommendations of her nurse midwife. She is in the office to discuss the results of her maternal serum alpha-fetoprotein (MSAFP) test. which shows an elevation in this particular pregnancy?
38. Question: The hallmark of neurofibromatosis (von Recklinghausen disease) present in almost 100% of patients is:
39. Question: The NP correctly teaches an elderly patient with pernicious anemia that food sources of B12 include
40. Question: An 18-year-old female applying for college admission presents 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:
41. Question: A 45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ pain, and epigastric “crampy pain”. Symptoms are exacerbated by high-fat meals. What is the most likely diagnosis?
42. Question: A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechia. With this patient, what drug would be the LEAST appropriate to prescribe?
43. Question: A characteristic of delirium that is typically absent in dementia is
44. Question: It is imperative that the NP teach patients taking oral contraceptives to report any of the danger signs of complications. Which of the following would be the LEAST concern to the NP?
45. Question: Which of the following oral medications should be avoided in a child under 8 years of age?
46. Question: Which of the following descriptions of the Denver II Developmental Screening Test is most accurate?
47. Question: A 12-month-old has conjunctivitis in his right eye with a mucopurulent discharge. The mother asks if the child can forego antibiotic eye drops because he does not like drops in his eyes. The NP replies that:
48. Question: Which oral hypoglycemic agent would be safest for an elderly patient if hypoglycemia is a major concern?
49. Question: The components of the Denver II Developmental screening test are:
50. Question: A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression 7 months ago. Does she report considerable empowerment in her symptoms and her intention to discontinue the medication what should be the NP’s recommendation?
51. Question: For the general adult population, total dietary fat intake should be no more than what percent of total calories?
52. Question: A 30 y/o female patient is being seen by the NP for the first time. She is seeking advice from the NP about becoming pregnant. She is currently taking an oral contraceptive. She gives a hx of having hydatidiform molar pregnancy 2 years ago. An appropriate plan of care for this
53. Question: Which of the following is NOT a goal for treatment for the patient with cystic fibrosis?
54. Question: A 24 y/o female taking oral contraceptives has missed her last 2 pills. What should the NP advise her to do to minimize her risk of pregnancy?
55. Question: Which red blood cell (RBC) index is most useful for differentiating types of anemias?
56. Question: What is a Tzanck test used to diagnosed?
57. Question: A 40 y/o female with hx. Frequent sun exposure presents a multicolored lesion on her back it has irregular borders and is about 11 mm in diameter. What should the NP suspect?

• Question: A 16 y/o sexually active female presents to the clinic. She has never had vaccinations for hepatitis A or She has had one MMR immunization, and her last tetanus vaccination was 4 years ago. which vaccination would … without further testing?

59. Question: Following the finding of prostate gland abnormalities on DRE, The NP orders appropriate labs. When preparing to review with the patient, the NP knows all of the following are true EXCEPT
60. Question: In which of the following presentations is further diagnostic testing NOT warranted?
61. Question: A 59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast cancer at age 40 years. What is the appropriate initial treatment for this patient?
62. Question: Advances in obstetric and neonatal care have
63. which of the following physical modalities … for the treatment of rheumatic arthritis provides the most effective long-term pain relief?
64. Question: The NP is counseling a 25 y/o sexually active male patient about condom use, which of the following statement is INCORRECT
65. Question: A patient with moderate persistent asthma will probably be most effective… with daily
66. Question: Diagnosis of systemic lupus erythematosus (SLE) is made
67. Question: Which of the following would not … a developmental red flag to an NP assessing a 4 y/o?
68. Question: A 44 y/o patient complains of stuffiness and soreness in his hands, hips, and knees. There is noticeable PIP and DIP joint enlargement in his hands. The NP suspects arthritis. All of the following questions are helpful in differentiation between rheumatoid arthritis (RA) and osteoarthritis (OA) EXCEPT
69. Question: An adult presents w/ tinea corpus. What comment by the patient would be the LEAST likely explanation of how he … this disease?
70. Question: Acute rheumatic fever is … Jones criteria. Which is NOT a major criterion in the Jones System?
71. Question: A pt is taking an ACE inhibitor for blood pressure control. Does the NP decide to add a diuretic which of the following is the best choice?
72. Question: Acute rheumatic fever is … Jones criteria. Which is NOT a major criterion in the Jones System?
73. Question: A pt is taking an ACE inhibitor for blood pressure control. Does the NP decide to add a diuretic which of the following is the best choice?
74. Question: Which of the following drug classes would be most effective in decreasing … triglycerides levels (650 mg/dL)?
75. Question: The mother of a 16 y/o high school student-athlete is … that her daughter has not had a menstrual period yet. on physical examination, the NP finds normal growth and development including appropriate secondary sexual characteristics what is the most appropriate NP action?
76. Question: Factors known to … with early sexual activity
77. Question: The finding which is most consistent with a diagnosis of benign prostatic hyperplasia is digital palpation of the prostatic gland that is
78. Question: The NP correctly diagnoses iron deficiency anemia in a female patient whose lab report reveals
79. Question: Strabismus is … in a 13-month-old child. The most appropriate action for the NP to take
80. Question: Giving appropriate patient education by the primary care provider, poor compliance with medical recommendations is most often due to:
81. Question: The physical exam findings in an infant are most … below?
82. Question: Babies should begin oral iron supplementation:
83. Question: The most common cause of cerebral palsy is
84. Question: A patient with diabetes brings his glucose dairy from the past 7 days for the NP to review and evaluate what changes should be made. DAY 1234567 AM 67, 52, 61, 48, 39, 68, 70 PM138, 161, 148, 168, 171, 142, 176
85. Question: Which of the following patient is at the highest risk of suicide?
86. Question: A 17 y/o male is brought into the clinic by his mother who says that if there are no medical consequences or risks known, she will allow her son to get possible. How should the NP respond?
87. Question: A diagnostic finding of Hodgkin’s lymphoma is the presence of:
88. Question: A child with type 1 diabetes mellitus brings in a glucose diary indicating … morning hyperglycemia. How do you differentiate the Somogy effect from the dawn phenomenon?
89. Question: Practitioners working with physically active girls need to be aware of the “female athlete triad” in order to develop an effective pain for prevention, recognition, and treatment. the components of the female athlete triad are:
90. Question: Palpable thyroid nodule is benign. How does it feel on palpation?
91. Question: A 53 y/o postmenopausal female with a 38 BMI and gastric esophageal reflux disease, takes a daily calcium supplement for protection against osteoporosis. All of the following are appropriate teaching points for this patient, except
92. Question: A 65 y/o immunocompetent man with no underlying medical condition presents in mid-October and request the “flu and pneumonia shots” Records show he received influenza and PCV13 ten month ago. The NP recommends that he
93. Question: When discussing treatment options with a patient. The NP would be correct to say that surgery can be curative for:
94. Question: A patient has developed a blood clot in his lower extremity and is receiving warfarin (Coumadin) Which outpatient laboratory measurement best measures the therapeutic effect of warfarin?
95. Question: A female patient asks, “how do I calculate my ideal body weight?” The NP appropriately answers:
96. Question: Which term most accurately describes the prostate gland of a patient with prostate cancer?
97. Question: Ideally, antepartum care should begin:
98. Question: Which of the following must be present for the diagnosis of bacterial vaginosis?
99. Question: The patient Self Determination Act of 1991 requires all healthcare agencies receiving Medicare or Medicaid funds to give patients written information about their rights to make decisions regarding their medical care. A document that declares in advance what type of medical care a person wants … he provided or withheld should he or she be unable to express his or her wishes is called:
100. Question: Thalassemia should be included in the differential diagnosis of an infant with microcytic anemia when the infant’s parents are of what ethnicity?
101. Question: What is the earliest age that MMR immunization can be administered?
102. Question: A male patient with chronic atrial fibrillation takes a genetic brand of Coumadin (Warfarin). He should report all of these to his healthcare provider EXCEPT
103. Question: Which of the following is not an appropriate treatment for chronic bacterial prostatitis (CBP)?
104. Question: A new patient presents to the NP clinic stating she wants a second She started propiluracil (PTU, Propyl Thyracil) 75 mg 3 times a day a week ago as therapy for newly diagnosed Grave’s disease. She still feels irritable and jittery. How should the NP respond?
105. Question: A 15 y/o patient has a complaint of vaginal discharge. She is sexually active with multiple partners. Which of the following symptoms should lead the NP to suspect pelvic inflammatory disease (PID)?
106. Question: Which of the following is NOT a component of the fetal biophysical profile?
107. Question: Which murmur is associated with radiation to the neck?
108. Question: When examining a pregnant patient, where should the fundal height be at 22 weeks?
109. Question: Education of women with fibrocystic breast disease should include which of the following statement
110. Question: An 18 y/o college student lives in the dormitory. He has been treated for scabies infestation with permethrin (Nix). He was asymptomatic for 2 weeks but now complains again of itching and skin burrows. How should the NP proceed?
111. Question: An 83 y/o has heart failure (HF). He takes Prinivil (lisinopril), metoprolol (Lopressor), ASA, and low-dose furosemide every morning. After assessing the patient today, the NP determines that he is having a mild exacerbation of HF (heart failure) the LEAST likely cause of this
112. Question: Antibiotic administration has been demonstrated to be of little benefit in the treatment of which of the following disease process?
113. Question: Which of the following is a medication or medication class that does NOT have dizziness or vertigo as a potential adverse side effect?
114. Question: The NP CORRECTLY teaches an insulin-dependent patient the signs and symptoms of early hypoglycemia, which include
115. Question: The most effective treatment for non-infective bursitis included
116. Question: Turner’s syndrome is present exclusively in
117. Question: Once a competent patient is identified as a victim of domestic violence
118. Question: A 60 y/o female patient complains of sudden unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. The patient had a negative dental examination. CT scan is normal. The Erythrocyte sedimentation rate (ESR) is normal. Which of the following is the most likely diagnosis?
119. Question: A 45-year-old pre-menopausal female complains of indigestion, flatulence RUQ, and epigastric “crampy pain” that radiates to the right scapula. Symptoms are exacerbated by a high-fat meal. What is the most likely diagnosis?
120. Question: Sings and symptoms of anemia, regardless of the specific cause or type, include all of the following EXCEPT:
121. Question: Advance directives are:
122. Question: The CAGE, MAST, and AUDIT questionnaires to detect problem drinking should be used:
123. Question: Which of the following scenarios in a 75 y/o patient would be inappropriately managed in an outpatient setting (i.e. the patient should be referred for hospital admission?
124. Question: An adult female present with a hordeolum. A topical antibiotic is prescribed. Which of the following instructions is NOT appropriate for the nurse practitioner to give the patient?
125. Question: The cornerstone of treatment for a stress fracture of the femur or metatarsal stress fracture is
126. Question: Group A Beta hemolytic streptococcal (GABHS) pharyngitis is most common in which age group?
127. Question: Which of the following is NOT a component of the CAGE questionnaire?
128. Question: A 62 years old female has been diagnosed with osteoporosis. She refuses hormone replacement therapy, as well as new medication was shown to increase bone Important education for this patient, should include:
129. Question: The NP wants to assess the intactness of a patient cerebral function. Which of the following clinical test will provide information relative to cerebral function?
130. Question: The most appropriate medications for elderly patients
131. A 66 y/o female presents to your clinic. She states that yesterday evening she has chest pain for 20-30 minutes. Which finding most strongly correlates with myocardial infarction?
132. Question: The NP is evaluating a 35 y/o female nurse. She has a history of hospitalization for hepatitis B infection 2 years ago. Her laboratory test demonstrates positive HBsAg. The nurse practitioner would most likely diagnose:
133. Question: A 55 y/o male patient complains of blood in his urine for the past 2 weeks. He denies dysuria. Urinalyses is positive for red blood cells and negative for leukocytes and nitrates. The initial evaluation of this patient should include:
134. Question: A good sunscreen lotion or sunblock may contain all of the following components. Which provides the LEAST protection against the sun’s harmful rays?
135. When examining 5 years old the NP knows that this is an appropriate age to teach the child about:
136. Question: A mother presents with her 12-year-old son who has chills, fever, headache, malaise, and myalgias. On examination, the NP finds an erythematous lesion, 7.5 cm in diameter, with annular edges and central clearing. The boy first noticed the lesion when he was preparing to go back home from a 2-week summer camp in the mountains. Of the following, which is the most likely diagnosis?
137. Question: A NP is holding a prenatal nutrition class for a group of patients. Considering knowledge about cultural variations, which of the following women may be at increased risk for inadequate calcium intake?
138. Question: Which behavior would NOT be expected of a 2 y/o?
139. Question: A 49 years-old Hispanic female has a blood pressure of 145/95 mmHg during a routine annual evaluation. She has no previous history of hypertension. She takes a statin for dyslipidemia. How should the NP proceed with this patient?
140. Question: A 37 y/o female patient with a history of a single episode of depression and frequent complaints of PMS is being treated for hypothyroidism. Today she complains of poor concentration and fatigue. Initially, the NP should:
141. Question: When a patient presents with symptoms of acute gallbladder disease, what is the appropriate
142. Question: The client with iron deficiency anemia should be advised to take the iron supplement
143. Question: A 2-week-old infant presents with projectile vomiting, weight loss, dehydration, constipation, and a history of insatiable appetite. An olive-shaped mass is palpable to the right epigastrium. The NP, suspecting pyloric stenosis, refers the infant for an upper GI series. The expected finding is:
144. Question: Which of the following diagnostic assessment must be considered before developing any plan of care for a 27-year-old female presenting to a family practice clinic?
145. Question: An 8 y/o is sent home from school with mucopurulent discharge from his eye. He is brought to the NP for treatment. What is the most appropriate intervention?
146. Question: The NP would be correct to tell a 27 y/o newly … hypertensive patient that:
147. Question: A 50-year-old patient has abnormal vaginal bleeding with heavy periods and intermenstrual watery discharge with a small amount of blood. What is the most likely diagnosis?
148. Question: Which choice below is NOT a symptom of COPD?
149. Question: Therapeutic international … ratio (INR) for a patient taking warfarin (Coumadin) for chronic atrial fibrillation is … to be:
150. Question: A healthy 50-year-old patient presents to the clinic for a routine physical examination. He has no significant personal or family history of clinical heart disease. What should be part of his CV assessment?
151. Question: The NP is initiating levothyroxine (Synthroid) for primary hypothyroidism in a 71-year- old female. The usual starting dose of levothyroxine is 50 (0.05 mg) to 100mcg (0.100mg) per What would be the most appropriate initial therapy for this patient?
152. Question: An example of an indirect role of the nurse practitioner is:
153. Question: In July 1996, the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) … which of the following recommendations for the use of the life… varicella vaccine?
154. Question: A patient presents with a furuncle in his right The NP should prescribe an oral antibiotic and:
155. Question: What is the most common chronic condition in the elder population in the S?
156. Question: A 7-year-old male presents with a painless limp, antalgic gait, muscle spasm, mildly … hip abduction and internal rotation, proximal thigh atrophy, and slightly short stature. The most likely diagnosis is:
157. Question: A 73-year-old presents with a very sore, glossy, smooth, beefy-red tongue. This clinical presentation most likely reflects:
158. Question: All patients with renal calculi should be taught that the best prevention is:
159. Question: A patient complains of “very puffy feet” since beginning a new medication 3 months There is no underlying physiological cause for this condition. Which medication is most likely causing the problem?
160. Question: The diagnosis of human papillomavirus (HPV) infection in males is usually made by:
161. Question: A patient that has 20/80 vision acuity can see:
162. Question: The reason beta-adrenergic blockers should … in patients with diabetes is that they may:
163. Question: A 73-year-old patient has HTN, CHF, and atrial fibrillation. The patient’s adult daughter phones the NP to report that her mother has been … for several days and has … for the past 18 hours. She is … but has no other neurological deficits. The NP should:
164. Question: A 27-year-old female patient with epilepsy is well … with phenytoin (Dilantin). She requests information about contraception. The NP should instruct her the:
165. Question: An 18-year-old female applying for college admission presents to the health clinic because evidence of rubella vaccination is … for admission. She says, “I don’t remember ever getting that shot.” She has negative serologic evidence of rubella The NP should:
166. Question: A 44-year-old patient has a dark multi-colored mole on his back which is about eight millimeters in diameter and has an irregular border. The NP should:
167. Question: The typical description of a tension headache is:
168. Question: A 48-year-old female presents with a chief complaint of insomnia. On further investigation, she reports fatigue, nervousness, and agitation during the daytime, and feeling hot most of the time. Which of the following would NOT … in the differential diagnoses?
169. Question: Which of the following medications is useful in the treatment of patients with chronic emphysema?
170. Question: A 4-year-old female complains of leg pain at night which resolves by morning. This has … for the past 4 months. The NP should tell the patient’s mother that:
171. Question: A common finding … with temporal arteritis is:
172. Question: Persons with Thalassemia should avoid:
173. Question: Which of the following is LEAST likely to be the cause of ophthalmia neonatorum?
174. Question: Two siblings, 4 years old and 8 years old, present with impetigo. The older sibling has multiple lesions over the arms and legs, and some are confluent. The younger sibling has 3 minor lesions on one leg. The most appropriate intervention is to advise the mother to wash the lesions thoroughly and:
175. Question: Screening for … intra-ocular pressure or early glaucoma is:
176. Question: Which of the following accurately describes the appropriate use of the influenza vaccine?
177. Question: A NP is examining the gluteal folds of a 6-month-old and notices a 7 to 8-cm bluish discoloration in the sacral area. The NP should:
178. Question: What medication would be best to relieve symptomatic wheezing in a patient who has asthma?
179. Question: Strabismus is … in a 13-month-old child. The most appropriate action for the NP to take is to:
180. Question: Which of the following findings would raise the NP suspicious of bulimia in a 17-year- old female?
181. Question: A new patient

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