APEA Questions

1. A patient report that she is taking kava kava regularly for anxiety with the

results. What should the nurse practitioners evaluate?

a. Liver function studies

2. A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH 20/40

VISION

3. One exception to the recommendation to limit dietary fat intake is CHILDREN UNDER

2 YEARS OF AGE

4. The most effective treatment for anemia of chronic disease is: TREATMENT OF

UNDERLYING DISEASE

Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s

chronic disease has caused the deficiency so once you correct and or treat the chronic

disease, then the anemia will correct itself.

5. Salicylates and other non-steroidal anti-inflammatory agents have all of the following

actions EXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF GASTRIC ACID

SECRETION

6. Which of the following does NOT increase a woman’s risk of developing cervical

cancer? NULLIPARITY

7. All of the following principles apply to drug therapy for elders except ENCOURAGE

THE ELDERLY TO CONTINUE SELF-MEDICATION ADMINISTRATION TO

FACILITATE INDEPENDENCE AND SELF-SUFFIENCY

8. A female patient believes that she was exposed to HIV through sexual intercourse

several months ago. She asks for “the test for AIDS.” Which statement is NOT correct?

THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A FALSE NEGATIVE THIS

SOON AFTER EXPOSURE

9. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that

treatment typically includes all of the following interventions except MAINTAINING

THE USUAL FEEDING REGIMEN AND BURPING THE INFANT WELL WHEN THE

FEEDING IS COMPLETED

10. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom in

her daughter’s home. According to reports by family members, she is now

“cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in the

client history that are consistent with delirium may include all of the following except

a. INSIDIOUS ONSET AND CHRONIC PROGRESSIVE COURSE

11. The two tests that can indicate current infection with hep B are:

a. Presents of hep B antigen and IgM

12. A characteristic of elders which affects the pharmacotherapeutics of drug therapy in

that population is an increase in PERCENT OF BODY FAT

13. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The

nurse practitioner reviews the meal plans and notes that which of the following is NOT

appropriate?

a. Coffee, tea, carbonated sodas, Orange juice

14. The leading cause of death from injury in childhood is MOTOR VEHICE ACCIDENTS

15. Therapeutic International normalized ratio (INR) for a patient taking warfarin

(coumadin) for a chronic atrial fibrillation is expected to be:

a. Increased

16. The most accepted recommendation regarding a skin cancer prevention is:

a. Avoidance of excessive sun exposure

17. Antibiotic administration has been demonstrated to be of little benefit in the treatment

of which of the following disease processes?

a. Acute bronchitis

18. An anxious parent brings her three-day old female infant to see the nurse practitioner

because of the serosanguineous vaginal discharge. The nurse practitioner tells the

mother:

a. This is a normal finding in female newborns

19. A common finding associated with temporal arteritis is:

a. Severe headache

20. What information would best help the parent who is concerned about a school age child

eating habits?

a. Establish a consistent schedule for meals and allow the child to participate in meal

planning

21. Which of the following scenarios in a 75-year-old patient would be inappropriately

managed in an outpatient setting (i.e. the patient should be referred for hospital

admission)?

a. UNSTABLE ANGINA

22. A patient with diabetes brings his glucose diary from the past seven days for the nurse

practitioner to review and evaluate. What changes should be made? Day one through

seven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176.

a. Decreased the PM dose of NPH insulin

23. Appropriate nutritional guidance for the pregnant patient is:

a. Increase caloric intake buy 300 cal/day and add iron and folic acid

supplementation

24. The most successful patient interview is likely to:

a. Be a collaborative process

25. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies

WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT