2024 REAL APEA 3P EXAM ALL VERSIONS WITH GUARANTEED A+ DISTICTION

2024 REAL APEA 3P EXAM ALL VERSIONS WITH GUARANTEED A+ DISTICTION


1. Which of the following complaints best describes lower extremity calf pain associated with peripheral artery disease
a) A sharp stabbing pains
b) A dull pain or cramp
c) An electric shock
d) A pulsating pain
Peripheral artery disease signs and symptoms include: Painful cramping in one or both of your hips, thighs or calf muscles after certain activities, such as walking or climbing stairs (claudication) Leg numbness or weakness. Coldness in your lower leg or foot, especially when compared with the other side. (Mayoclinic)
2.

3. Rh negative women should receive Rho (D) immunoglobulin at what gestational time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune globulin (RhoGAM) at 28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)

4. When interpreting a complete blood count (CBC) lab report which of the following results describes the size of the RBCs?
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
d) Hematocrit

The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the RBCs. Small-sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV.

5. What medication should be avoided when prescribe prophylactic therapy for headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients should have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page 1047)

6. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the great arteries
a) To maintain equal pressure in the ventricles
b) To maintain patency of the great arteries
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………

7. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding

8. The American psychiatric association’s diagnostic and statistical manual of mental disorder defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or her care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim

Munchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker of a child, most often a mother, either makes up fake symptoms or causes real symptoms to make it look like the child is sick.


9. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
d) cortisol

10. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates Chapter 20
a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma

11. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting periorbital edema this finding is suggestive of this condition? APEA
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis