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APEA 3P Exam 2 – 2025 Practice Questions and Verified Answers, Exams of Nursing

United Education InstituteNursing

This document features 75 multiple-choice questions with verified answers based on the APEA 3P Exam 2 format, covering pathophysiology, pharmacology, and physical assessment for nurse practitioner students. Topics include pediatrics, geriatrics, chronic disease management, pregnancy, endocrine, dermatology, mental health, cardiology, and patient counseling. Designed for FNP, AGNP, and PNP students preparing for AANP and ANCC board certification.

Typology: Exams

2024/2025

Available from 07/10/2025

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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
(Bactrim, Sulfatrim) for 7-10 day
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Download APEA 3P Exam 2 – 2025 Practice Questions and Verified Answers and more Exams Nursing in PDF only on Docsity!

1 / 13

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 (Bactrim, Sulfatrim) for 7-10 day

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

  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

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

b. If prescribed topiramate (Topamax) for the treatment of migraines. c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection d. if she forgets to take a single dose of the contraceptive Answer> If prescribed topiramate (Topamax) for the treatment of migraines.

  1. A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5mmol/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 agent have the greatest effect on improving her lipid profile and reducing morbidity and mortality associates with dyslipidemia? a. Niacin (Niaspan) b. Atorvastatin c. Omega 3 fatty acids d. Fenofibrates Answer> Atorvastatin
  2. 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

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

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

  1. 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
  2. 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 c. Topical corticosteroids cream d. Topical anti-fungal/ steroid cream Answer> Topical corticosteroids cream

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

d. I am going to call a shelter for you Answer> I am concerned about your safety

  1. For which patient group does the US Preventive Services Task Force recommend routine screening for asymptomatic bacteriuria a. pregnant woman b. Children c. Patients with diabetes d. patients over the age of 70 Answer> pregnant woman
  2. What diabetic complications result from hyperglycemia? 1. Retinopathy 2. Hypertension resistant to treatment 3. Peripheral neuropathy 4. Accelerated atherosclerosis a. 1,2, b. 2,3, c. 1,3, d. 1,2,

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

Answer> 1,3,

  1. 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 i the most likely diagnosis? a. Viral pharyngitis b. Herpangina c. Epiglottitis d. Tonsillitis Answer> Herpangina
  2. 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
  3. According to the JNC 8 guideline hypertension in a 40 y/o can be diag- nosed when blood pressure exceeds

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

  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)

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

b. Gout c. Osteoarthritis (OA) d. Osteoporosis Answer> Osteoarthritis (OA)

  1. A middle-aged female complains of insomnia, night sweats, feeling in- tensely hot, emotional lability, extreme nervousness and impatience. The LEAST likely cause of her symptoms is a. Thyrotoxicosis b. Menopausal vasomotor instability c. Alcohol or another drug withdrawal d. New onset type 2 diabetes mellitus: New onset type 2 diabetes mellitus
  2. A young couple is being seen by the NP for preconception counseling. They express a wish for pregnancy within the next 3 month 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? a. Maternal alpha-fetoprotein level b. Folic acid 0.4 mg daily c. Rubella vaccine today

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

b. A possible cancer diagnosis

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

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

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

must rear-facing

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

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

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

a. Intimacy VS isolation b. Ego integrity VS despair

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Contains 75 Questions with Verified Answers

Passing Score: 94.67%.

c. Industry VS self-doubt d. Trust Vs mistrust Answer> Ego integrity VS despair

  1. A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute otitis media because the a. Tympanic membrane is bulging and glossy with tiny bubbles visible poste- riorly b. Tympanic membrane is retracted against boy landmarks c. Bony landmarks are obscured, and the tympanic membrane is mildly ery- thematous, dulls and immobile. d. Canal is narrowed, erythematous, and exquisitely tender with speculum contact: Bony landmarks are obscured, and the tympanic membrane is mildly erythematous, dulls and immobile.
  2. A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has followed recommendations of her nurse midwife. She is in the office to discuss results of her maternal serum alpha-fetoprotein (MSAFP) test. which show elevation in this particular pregnancy? a. Elevated MSAFPO is an indicator of Down Syndrome b. Low MSAFP is expected at 18 weeks' gestation c. Neural tube defects are highly probable d. Elevated MSAFP is an expected finding