NUR 504 3P APEA EXAM 2 LATEST

pg. 1

NUR 504 3P APEA EXAM 2 LATEST 2025/2026

ACTUAL EXAM| COMPLETE 100 QUESTIONS

AND CORRECT VERIFIED ANSWERS| GRADED A+

A 51 -year- old post-menopausal female, request guidance regarding osteoporosis risk.The NP would be correct to recommend all of the following EXCEPT

• Moderate weight bearing exercise 3 times per week
• 1200 - 1500 mg calcium daily
• Avoidance of alcoholic beverages
• Weight loss - Correct Answer - d. Weight loss

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

• Testicular self-examination
• Protection of the testes during sports activities
• Risk of testicular torsion
• Practicing safer sex - Correct Answer - a. Testicular self-examination

Moderate weight loss, particularly of visceral adipose tissue in patients with type 2

diabetes mellitus may have all of the following beneficial effects EXCEPT:

• Improved insulin sensitivity
• Increased glucose uptake and utilization by the cells
• Increase lean muscle mass'
• Improved lipid profile - Correct Answer - c. Increase lean muscle mass'

• / 3

pg. 2

According to Erickson, the developmental task of the elderly adult is:

• Intimacy VS isolation
• Ego integrity VS despair
• Industry VS self-doubt
• Trust Vs mistrust - Correct Answer - b. Ego integrity VS despair

A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute otitis media because the

• Tympanic membrane is bulging and glossy with tiny bubbles visible posteriorly
• Tympanic membrane is retracted against boy landmarks
• Bony landmarks are obscured, and the tympanic membrane is mildly erythematous,

dulls and immobile.

• Canal is narrowed, erythematous, and exquisitely tender with speculum contact -

Correct Answer - Bony landmarks are obscured, and the tympanic membrane is mildly erythematous, dulls and immobile.

A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has followed recommendations of her nurse midwife. She is in the office to discuss results of her maternal serum alpha-fetoprotein (MSAFP) test. which show elevation in this particular pregnancy?

• Elevated MSAFPO is an indicator of Down Syndrome
• Low MSAFP is expected at 18 weeks' gestation
• Neural tube defects are highly probable
• Elevated MSAFP is an expected finding - Correct Answer - d. Elevated MSAFP is an

expected finding

The NP should instruct the mother of an infant with thrush to:

• Take oral nystatin since she is breastfeeding
• Stop breast feeding until the thrush has resolved
• administer antifungal medication to the infant prior to feeding 2 / 3

pg. 3

• sterilized pacifiers and bottle nipples - Correct Answer - sterilized pacifiers and bottle

nipples

The hallmark of neurofibromatosis (von Recklinghousen disease) present in almost 100%

of patients is:

• Acoustic neuroma
• Astrocytoma of the retina
• Distinctive osseous lesion
• Café au lait spots - Correct Answer - d. Café au lait spots

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

antibody. The NP should:

• Tell her that her serologic evidence demonstrates that she is immune to the rubella

and that she probably has the disease as a child

• Administer the vaccination after a negative pregnancy test and advise the patient that

shemust not get pregnant for 28 days

• Tell her that she needs the immunization and can get today if her pregnancy test is

negative

• Administer the rubella vaccination after a negative pregnancy test and advise her not

to get pregnant for at least 6 months. - Correct Answer - Administer the vaccination after a negative pregnancy test and advise the patient that shemust not get pregnant for 28 days

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 likelydiagnosis?

• Hepatitis
• Chronic cholecystitis
• Acute pancreatitis
• Myocarditis - Correct Answer - b. Chronic cholecystitis
• / 3