Description

This exam is worth a total of 200 points. Total points earned are determined by the student’s percentage score on the APEA Pre Predictor Exam. For example, if the student earns 80% on the exam, the total points earned will be 160/200.

Preparing for the Exam

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

1. Technical Requirements: Please ensure your computer or device meets the following technical requirements to complete the APEA Pre Predictor Examination.
   • Google Chrome: The APEA Pre Predictor Exam must be completed using Google Chrome. Set your default browser to Google Chrome (https://support.google.com/chrome/answer/95417? hl=en&co=GENIE.Platform%3DDesktop) before taking the exam.
   • Proctorio: The APEA Pre Predictor Exam requires Proctorio. Download and install the Proctorio Google Chrome plugin (https://getproctorio.com/) on your computer before taking the exam. Please visit Proctorio Support or review the documents below for assistance:
2. Academic Integrity
   • The exam is closed book, no resources may be
   • Complete an environmental scan and display a student ID. Rotate the camera (or laptop) 360 degrees to capture the entire workspace. Visibly demonstrate that there are no phones, people, books, within view. The environment scan is required and not optional. If the environment scan is not completed (or done incompletely) it will be deemed an Academic Integrity Violation.
   • Upload the exam results. Students who take the correct exam but do not upload results by 11:59 PM MT on Sunday of Week 5 will earn a 10% penalty (20 points) per day up until 3 days. A zero will be earned after 3 days.
   • Failure to take the exam without using Proctorio may result in a zero on the exam.
   • Maintaining the academic integrity of exams is important and an integral aspect of higher education. If you have any questions, please contact faculty.
3. Taking the Exam
   1. Navigate to the APEA OTC website (https://apeaotc.com/Login) and log in.
   2. Complete the Allow ample time to complete the 3-hour exam and submit the completion certificate prior to the deadline.
   3. You have 3 hours to complete the exam once it is The exam timer is located in the APEA Pre Predictor Exam.
   4. The exam must be completed in one The exam cannot be paused or stopped once it begins.
   5. You may not leave the testing area (i.e., your desk, table, ) once the exam begins. If your Internet connection gets interrupted, or you get disconnected, you may log back in immediately and continue with your exam.
      

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APEA Pre Predictor Exam – Solutions

1. A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of the following is the LEAST appropriate intervention?
2. A 32 years old male patient complaint of urinary frequency and burning on urination for 3 Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract infections. The initial treatment should be:
3. Which agent is most effective for the treatment of nodulocystic acne?
4. An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use a backup method for the prevention of pregnancy
5. A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5 mmol/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?
6. A 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
7. 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 contraception.” The NP replies This is:
8. A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this condition be managed?
9. Antidepressant discontinuation syndrome is less likely if the patient
10. Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the following drug classes?
11. Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse?
12. screening for asymptomatic bacteriuria
13. What diabetic complications result from hyperglycemia?
14. A 6 y/o presents w/ complaints of sore throat and fever for 2 days. He has multiple vesiculated ulcerations on his tonsils and There are no other remarkable findings. What is the most likely diagnosis?
15. A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL?
16. According to the JNC 8 guideline hypertension in a 40 y/o can be diagnosed when blood pressure exceeds
17. 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 Crepitus is palpated on range of motion of the knee. Signs of inflammation are notably absent. What is the most likely diagnosis?
18. A 7-year old female patient presents with severe injuries that are inconsistent with the explanation given for them. The nurse practitioner questions the mother about abuse. She admits that her husband, the child’s father, beat the How should the nurse practitioner proceed?
19. A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of the legs followed by periods of lethargy. On physical examination, a “sausage-like” mass in the upper right quadrant of the distended abdomen. Which of the following is the most likely diagnosis?
20. A middle-aged female complains of insomnia, night sweats, feeling intensely hot, emotional
21. Which of the following indicated need for further evaluation?
22. A young couple is being seen by the NP for preconception 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?
23. A patient with a past history of documented coronary arterial blockage less than 70% complains of chest pain several time p…. which is relived with Which is the most appropriate initial action for the NP?
24. A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating:
25. The NP examines a 2-month-old with unequal gluteal and thigh skin folds. What should the NP do next?
26. A very active 35 years old male has painful hemorrhoid, but he does not want hemorrhoidal surgery at this His diet has been indiscriminate as his job requires frequent travel. The most appropriate recommendation is for him to select food that are:
27. Correct instructions to give new parent who are transporting their newborn infant is
28. A 13 y/o complains that he fell while running during football practice. Now his knee hurts and sometimes “lucks”. The NP conducts McMurrays test. Which of the following is TRUE about this test?
29. A 20 y/o male patient complains of “scrotal swelling”. He states his scrotum feels heavy but denies pain. On examination, the NP notes transillumination of the scrotum. What is the most likely diagnosis?
30. A 15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of this information, it is essential for the NP to teach him about
31. A pt. present with classic symptoms of gastroesophageal reflux diseases’ (GERD). He is instructed in lifestyle modification, and drug Two month later, he returns and report that he still has symptoms. The next steps are to.
32. A 51 –year- old post-menopausal female, request guidance regarding osteoporosis The NP would be correct to recommend all of the following EXCEPT
33. According to Erickson, the developmental task of the elderly adult is:
34. Moderate weight loss, particularly of visceral adipose tissue in patients with type 2 diabetes mellitus may have all of the following beneficial effects EXCEPT:
35. A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute otitis media because the
36. The NP should instruct the mother of an infant with thrush to:
37. A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has followed recommendations of her nurse She is in the office to discuss results of her maternal serum alpha-fetoprotein (MSAFP) test. which show elevation in this particular pregnancy?
38. The hallmark of neurofibromatosis (von Recklinghousen disease) present in almost 100% of patients is:
39. The NP correctly teaches an elderly patient with pernicious anemia that food sources of B12 include
40. An 18-year-old female applying for college admission present to the health clinic because evidence of rubella vaccination is required for admission. She says, “don’t remember ever getting that shot” She has negative serologic evidence of rubella The NP should:
41. A 45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ pain and epigastric “crampy pain”. Symptoms are exacerbated by high-fat meal. What is the most likely diagnosis?
42. A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine With for this patient, what drug would be the LEAST appropriate to prescribe?
43. A characteristic of delirium that is typically absent in dementia is
44. It is imperative that the NP teach patients taking oral contraceptives to report any of the danger signs of Which of the following would be the LEAST concern to the NP?
45. Which of the following oral medications should be avoided in a child under 8 years of age?
46. Which of the following descriptions of Denver II Developmental Screening Test is most accurate?
47. A 12-month-old has conjunctivitis in his right eye with a mucopurulent discharge. The mother asks if the child can forego for antibiotic eye drops because he does not’s like drops in his The NP replies that:
48. which oral hypoglycemic agent would be safest for an elderly patient if hypoglycemia is a major concern?
49. the components of the Denver II Developmental screening test are:
50. A patient has been taking fluoxetine (prozar) since being diagnosed with major depression 7 month ago. She reports considerable empowerment in her symptoms and her intention to discontinue the medication what should be the NP’s recommendation?….. Continue for 300+  Questions with Answers.