NR 603 MIDTERM APEA 2023 NEW REAL EXAM

NR 603 MIDTERM APEA 2023 NEW REAL EXAM


• A 30-year-old female comes into a clinic with classic signs and symptoms of appendicitis. The nurse practitioner fails to refer the patient tree surgeon. D appendix ruptured and the woman dies. This is an example of:
a. Malpractice
• And elderly patient is being seen in the clinic for a complaint of “weak spells” relieved by sitting or lying down. The nurse practitioner checks the patient’s blood pressure while he is lying, sitting, and standing. The nurse practitioner suspects:
a. Orthostatic hypertension
• The nurse practitioner knows that the frail elderly alright high risk for malnutrition. Indicators of malnutrition in this population included all of the following except:
a. Hunger and increased appetite
• The patient reports, “something flew in my eyes” about an hour ago while he was splitting logs. If there was a foreign body in his eye, the nurse practitioner would expect to find all except:
a. A purulent discharge
• Inappropriate initial treatment for external genital warts caused by human papilloma virus (HPV) in a non-pregnant patient is:
a. Topical trichloroacetic acid (TCA)
• A new patient presents to the nurse practitioner clinic stating she wants a second opinion. She started propylthioutacil (PTU, Propyl-Thyracil) 75 mg three times today a week ago as therapy for newly diagnosed Graves’ disease. She still feels irritable and jittery. How should the nurse practitioner respond?
a. Inform the patient that improvement requires 2 to 3 weeks
• What advice should be given to the parents of an infant at risk for SIDS?
a. Place the baby in the supine position for sleeping
• A six-month-old patient with type III metatarsus adductus (i.e., rigid and does not correct to neutral) should be treated with:
a. Surgical intervention
• Patient should be advised to purchase the same brand name for each of the following drugs except:

a. Hydrochlorothiazide
• Which activity during the first trimester could be deleterious to the fetus?
a. Dieting
• The mother of an 18-month-old child is in the office. She is not yet immunized her child because the child’s grandmother “doesn’t believe in that.” The nurse practitioner should:
a. Provide education and recommend beginning of the series of vaccines
• The nurse practitioner is conducting a routine health assessment of a 28- year-old patient. He states he is very “Health conscious” and that he ran 6 miles daily. He denies current Health problems and his past medical history is unremarkable. Routine urinalysis reveals proteinuria. What is the most likely cause of the proteinuria?
a. Exercise
• What is the earliest age that MMR immunization can be administered?
a. One year
• The nurse practitioner examines a six-year-old who has had a sore throat and fever for less than 24 hours. Based on the most common cause of pharyngitis in this age group, the most appropriate action is to:
a. Encourage supportive and symptomatic care
• Physical examination findings consistent with emphysema include all of the following except:
a. Pallor and cyanosis of the mucosa nail beds
• Which choice below is not a contraindication to receiving the diphtheria, pertussis, and tetanus (DPT) vaccine?
a. Current antibiotic use
• All of the following are included in the differential diagnosis of hyperthyroidism except:
a. Plummer’s disease
• A middle-aged patient has a history of smoking, chronic cough, and sputum production. He reports chronic dyspnea. A diagnosis of COPD should be confirmed with:
a. Spirometry

• A patient requests information about foods to include in his diet while vacationing in Mexico to avoid “Montezuma’s revenge.” The nurse practitioner should advise him to ingest only:
a. Cooked vegetables in soup, bottled water, and wine
• An eight-month-old male presents with hemarthrosis of both knees and hematuria. The parents gave no history of trauma but say “he has always bruised easily.” The most likely diagnosis is:
a. A type of hemophilia
• Of the following for malpractice issues for which an APRN may incur liability, which is the most prevalent cause of action?
a. Failure to refer when the APRN and skills are exceeded


• Which of the following factors is (are) associated with increased incidence of cervical cancer?
a. Smoking and sexual activity at an early age with multiple partners
• Following the finding of prostate gland abnormalities on DRE, the nurse practitioner orders appropriate labs. When preparing to view lab reports with the patient, and Nurse practitioner knows all of the following are true except:
a. Normal PSA it’s 10ng/ml or less
• Which characteristic is not indicative of heart failure?
a. Purulent sputum

• 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
• A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH 20/40 VISION
• One exception to the recommendation to limit dietary fat intake is CHILDREN UNDER 2 YEARS OF AGE
• 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.
• Salicylates and other non-steroidal anti-inflammatory agents have all of the following actions EXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF GASTRIC ACID SECRETION
• Which of the following does NOT increase a woman’s risk of developing cervical cancer? NULLIPARITY
• 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
• 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
• 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
• 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
• The two tests that can indicate current infection with hep B are:
a. Presents of hep B antigen and IgM
• A characteristic of elders which affects the pharmacotherapeutics of drug therapy in that population is an increase in PERCENT OF BODY FAT

• 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