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L ouisiana State University Health
Sciences Center LSUS
(New Orleans, Louisiana)
APEA - Advanced Practice Education
Associates
NP - Nurse Practitioner Exam
Course Title and Number: NP - Nurse Practitioner Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes Instructions:
- Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have completed the Exam.
- This test has a time limit, The test will save and submit automatically when the time expires
- This is Exam which will assess your knowledge on the course Learning Resources.
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APEA - Advanced Practice Education Associates 2024- 2025 NP - Nurse Practitioner APEA Predictor Exam Review Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Question # Patient with diabetes experiencing wavy/distorted vision Possible diagnoses: glaucoma, retinal detachment, diabetic retinopathy, macular degeneration Question # Therapy for older adult patient with pernicious anemia Options: increased dietary intake of vitamin B12, oral vitamin B12 supplementation, intramuscular injections of vitamin B12, oral multivitamin supplementation Question # Curable conditions Options: chronic hepatitis C, celiac disease, Crohn's disease, inflammatory bowel disease Question #
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Question # Initial pharmacologic approach for patient with pharyngitis, knee pain, rash, and heart murmur Options: intravenous immunoglobulin (IVIG), long- acting intramuscular penicillin, high-dose corticosteroid, anticoagulant Question # Best outpatient serum laboratory test to measure therapeutic effect of warfarin Options: international normalized ratio, activated clotting time, prothrombin time (PT), partial thromboplastin time (PTT) Question # Least likely urinary tract symptom to suspect benign prostatic hyperplasia (BPH) Options: urinary intermittency, nocturia, incontinence, dysuria Question # Age at which vision normally becomes approximately 20/ Options: 1 year, 2 years, 4 years, 6 years Question #
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Preferred therapeutic regimen for pregnant patient with Chlamydia trachomatis infection Options: doxycycline 100 mg orally twice a day for 7 days, penicillin G 1.2 million units x 1 dose, single IM dose of ceftriaxone (Rocephin) 500 mg, single dose of azithromycin (Zithromax) 1 gram orally Question # Recommendation from Advisory Committee on Immunization Practices (ACIP) about live attenuated varicella vaccine Options: administer MMR vaccine and varicella vaccine together, children vaccinated between 12 and 18 months need booster at age 12 years, routine two-dose vaccination with first dose at age 12 months, children with positive history of varicella infection should still be vaccinated Question # Most effective treatment for relief of acute anxiety symptoms Options: buspirone (BuSpar), alprazolam (Xanax), paroxetine (Paxil), amitriptyline (Elavil) Question # Screening tests for idiopathic scoliosis in male children
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Question # Beneficial secondary effect of propranolol (Inderal) in patient with hypertension Options: improved peripheral neuropathy, reduction in elevated lipids, improved energy levels, reduction in essential tremor Question # Appropriate follow-up for patient with viral gastroenteritis symptoms Options: return if worsening or unresolved symptoms after 12 hours, 46 hours, 5 days, 7 days Question # Most likely diagnosis for patient with radicular pain and grouped vesicles across three thoracic dermatomes Options: bullous pemphigoid, toxicodendron radicans, herpes zoster, varicella recurrence Question # Most likely diagnosis for patient with patchy, scaly, raised, irregular lesions on sun exposed areas Options: seborrheic keratosis, melanocytic nevus, malignant melanoma, actinic keratosis Question #
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Statement about medication use in older adult patient that is NOT true Options: drug-drug interactions more common in older adults, multiple prescribers leading to polypharmacy, increased tolerance and subtherapeutic effects of medications, caution needed due to decreased rate of metabolism and excretion Question # Type of conjunctivitis least likely to cause swollen, erythematous, tender testicle Options: viral, common pink eye, gonococcal conjunctivitis, chemical conjunctivitis Question # Least likely symptom to present in children at risk for developing Type 2 diabetes Options: acanthosis nigricans, hypertension, weight loss, dyslipidemia Question # Type of anemia suspected in patient with MCV of 73 fl Options: folate deficiency, B12 deficiency, iron deficiency, reticulocytosis Question #
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Question # Medication NOT likely to result in acute kidney injury Options: enalapril (Vasotec), valsartan (Diovan), metformin (Glucophage), gentamicin Question # Age appropriate for administering pneumococcal conjugate vaccine (PCV13) Options: 2 months as routinely scheduled vaccine, 12 years if immunocompetent, 20 years if healthcare worker, 50 years Question # Least appropriate intervention for patient with human bite to left arm Options: administer tetanus diphtheria pertussis (Tdap), prescribe amoxicillin-clavulanate (Augmentin) and obtain culture, suture torn tissue and have patient return for wound check, prescribe antibiotic ointment for dressing changes Question # Least likely physical finding in 2-week-old infant diagnosed with tetralogy of Fallot Options: systolic ejection murmur, absence of pedal pulses, cyanotic episodes, central cyanosis
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Question # Most likely diagnosis for patient with patchy, scaly, raised, irregular lesions on face and ears Options: seborrheic keratosis, non-genital warts, malignant melanoma, actinic keratosis Question # Trophic changes associated with chronic arterial insufficiency Options: dry ulcerations with round smooth edges, edema and weeping ulcerations, sparse or absent hair, pronounced malleoli and MTP joints Question # Role of nurse practitioner who provides primary health care according to American Nurses Association Options: nurse educator, direct nursing care role, indirect nursing care role, administrator Question # Unusual clinical presentation in patient with cataracts Options: increased myopia, glare intolerance, scotoma, irregular or absent red reflex Question #
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Question # Inappropriately managed presentation in outpatient setting for 62-year-old patient Options: forgetfulness, unstable angina, syncopal episode, carotid bruit Question # Vision of 20/ Options: legally blind, difficulty reading newspaper, can see perfectly at 80 feet, poorer vision than 20/40 vision Question # Risk factor for developing cervical cancer Options: low socioeconomic status, multiple sexual partners, history of tobacco abuse, nulliparity Question # Not part of diagnostic criteria for metabolic syndrome Options: low HDL level and elevated triglycerides, hyperinsulinemia, hypertension, irregular menses Question # McMurray's test and its true statement Options: palpable 'click' indicates meniscus tear, varus stress suspected with pressure on flexed
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knee, straight leg internally rotated for test, pain with movement indicates ACL problem Question # Screening tests for idiopathic scoliosis in pediatric females Options: age 8 years, age 10 years, age 12 years, age 14 years Question # Most likely diagnosis for patient with pain and stiffness in right hip and knee Options: rheumatoid arthritis, bursitis, osteoarthritis, tendinitis Question # Screening for sexually active patient with vaginal discharge Options: syphilis, trichomonas, HIV, Neisseria gonorrhoeae Question # Example of primary prevention Options: providing information about STDs, testicular exam, self-examination of breasts, urine pregnancy test Question #
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Routine screening for asymptomatic bacteriuria Options: pregnant women between 12 and 16 weeks' gestation, men with history of prostate enlargement, adolescents with diabetes insipidus, frail older adults Question # Not a component of diagnostic criteria for Meniere's disease Options: at least two episodes of vertigo lasting 20 minutes to 12 hours, symptoms of high-frequency hearing loss, tinnitus or bilateral ear fullness, fluctuating symptoms of reduced or distorted hearing, tinnitus, or fullness in affected ear, audiometrically documented low- to mid-frequency sensorineural hearing loss in affected ear Question # Flexion of wrist at 90 degrees for 60 seconds reproduces symptoms of Options: radiocarpal arthritis, carpal tunnel syndrome, ganglionic cyst, De Quervain's tenosynovitis Question # Grading of heart murmur pitch Options: barely audible, faint but audible immediately, moderately loud with palpable thrill, loud with palpable thrill
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Question # Professional liability insurance policy that provides coverage for injuries arising from incidents occurring during the period the policy was in effect Options: claims made policy, individual policy, occurrence-based policy, supplemental policy Question # Recommendation for patient with 10-year cardiovascular risk score of 3. Options: daily aspirin at dose of 81 mg, 325 mg of aspirin daily, risks outweigh benefits, daily aspirin indicated with hypertension and hyperlipidemia Question # Most accurate measure of diabetes control Options: absence of micro- and macrovascular complications, serial fasting and periodic postprandial capillary blood sugars, early morning glucose levels, glycosylated hemoglobin Question # Advice for patient who missed last 2 oral contraceptive pills Options: take today's dose and do not miss any more, double today's dose and use barrier method, double today's dose and tomorrow's dose and use
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Options: immunocompromised, sexual activity with new infected partner, treatment failure, drug- resistant organism
Discussion questions
1 Discuss the potential causes and treatment options for a patient with a hoarse cry in newborns. Difficulty: Medium 2 Explain the diagnostic tests used to confirm the presence of fluid in the middle ear in 2-year-old patients. Difficulty: Medium 3 Discuss the pharmacotherapeutics of drug therapy in the older adult population. Difficulty: Medium 4 Explain the process of credentialing and its importance in healthcare. Difficulty: Medium 5 Discuss the appropriate use of the live attenuated influenza vaccine in different patient population A liability policy that pays claims even after the policy is no longer active is termed: a) Claims-made policy b) Tail coverage
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c) Liability protection d) "all-protect" - Answer>> B A patient you are caring for in your clinic has Medicare Part B. What does this mean? a) The federal government will pay for his visit to your clinic today b) His Medicare benefit covers outpatient services c) He will have to pay a copay for his visit today d) His prescriptions will be partly paid for today - Answer>> B Certification a) Is required in all 50 states b) Validates competence c) Is recognized by all 50 states d) Provides for title protection - Answer>> B A liability policy that pays claims only during the period that the policy is active is termed: a) Claims-made policy b) Tail coverage c) Liability protection d) Bobtail coverage - Answer>> A The Medicaid health program is: a) Funded with premiums from participants b) Covers an unlimited number of adult visits c) Funded by both state and federal governments d) Basically the same from state to state - Answer>> C Licensure is:
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