APEA PREDICTOR EXAM

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1. The groove of the metacarpophalangeal joint can be palpated by having the patient:
2. When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are:
3. The ankle-brachial index is a screening test used to assess a person’s risk for:
4. Olecranon bursitis may be caused by all of the following except:
5. In patients who have allergic rhinitis, the nasal mucosa appears:
6. A term used to describe an increase in muscular bulk with diminished strength is:
7. If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably:
8. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with:
9. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with:
10. Symptoms of a subdural hematoma include:
11. On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with:
12. When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one?
13. Focal tenderness over the trochanter confirms:
14. Assessing the neurological status of a child with a ventriculoperitoneal shunt should include:
15. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
16. A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a:
17. The hamstring muscles flex the knee and are located on the:
18. Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely:
19. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in:
20. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of:
21. To locate the twelfth rib, palpate:
22. Walking on the toes and heels may reveal:
23. When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily:
24. During pregnancy, which hormone results in increased blood viscosity?
25. Resting tremors refer to those tremors that disappear:
26. A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with:
27. Mydriasis is a term used to describe:
28. When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is suspected. Positive findings would include all of the following except:
29. Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip?
30. The vertebral column angles sharply posteriorly and becomes immovable at the:
31. Which one of the following is at the HIGHEST risk for suicide?
32. When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope:
33. Pain and crepitus over the patella suggests:
34. Which one of the following findings is NOT typical in a patient who has delirium?
35. When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted. These types of lesions could be seen in:
36. The principal muscles involved when closing the mouth are innervated by which cranial nerve?
37. The structure that creates a channel for the vertebral artery is known as the:
38. Which of the following is NOT a compliant patient with type 1 diabetes?
39. When suspecting pediculosis capitis, the chief complaint is:
40. The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the:
41. When percussing the posterior chest, which one of the following techniques would be omitted?
42. On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of:
43. During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a:
    1.  focal seizure that becomes generalized
44. A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern?
45. To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be:
46. A serious disturbance in a person’s mental abilities that results in a decreased awareness of one’s environment and confused thinking is referred to as:
47. Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss?
48. Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the:
49. A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with:
50. Men between the ages of 40 and 64 years should be screened yearly for:
51. A term used to describe drainage from the nose is:
52. Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the shoulder level would be consistent with all of the following except:
53. In the older adult, the test for leg mobility is known as the:
54. Which one of the following procedures would confirm a definitive medical diagnosis of Hirschsprung’s disease?
55. Hypofunctioning of the thyroid gland would lead to all the following disorders except:
56. The fleshy projection of the earlobe is known as the:
57. A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with:
58. When performing an examination of the external genitalia of a female patient, a small firm, round cystic nodule in the labia is identified. This lesion is most consistent with:
59. Passive flexion, varus stress, and external rotation of the lower leg evaluates the:
60. When examining the knee, swelling above and adjacent to the patella was noted. This finding could be suggestive of:
61. While assessing the cranial nerves, the NP touches the cornea lightly with a wisp of cotton. This maneuver assesses which cranial nerve?
62. The NP instructs the patient to look over one shoulder, then the other. This maneuver would assess cervical:
63. During a speculum exam of the cervix the speculum is maintained in an open position by:
64. The NP is examining the elbow of a 16-year-old male athlete. Increased pain is noted when he tries to extend his wrist against resistance. This finding is most consistent with:
65. Which examination finding is defined as a congenital ventral displacement of the meatus on the penis?
66. Bowel sounds may be increased in the presence of:
67. Eversion of the upper eyelid can be performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then:
68. Anticipatory guidance for the family of a pre-adolescent with cognitive impairment should include information about:
69. Asymmetry, irregular borders, variation in color, diameter greater than 6 mm, and elevation represent the “ABCDEs” of:
70. When performing a spinal exam, the NP noted the appearance of poor posture and a “hump” appearance of the upper back. This finding could be suggestive of:
71. The area where the iliac crest terminates anteriorly on the ilium is known as the:
72. Following injury to the extremities, assessment for neurovascular competency should include the:
73. A patient is experiencing a dull achy pain in the epigastric area with eating. This type of pain is consistent with:
74. Which of the following conditions is NOT related to Polyuria?
75. When examining the elbow for range of motion, the NP instructs the patient to turn his palm upward. This motion is an example of:

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