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Newest 2025 NUR 504 3P APEA Exam with accurate questions and verified answers covering pathophysiology, pharmacology, and physical assessment for advanced practice nursing.
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 child. How should the nurse practitioner proceed?
- Inform the mother that the abuse must be reported to child
- Counsel the mother that if it happens again it will be reported
- Ask the child what she did to cause the punishment
- Refer the family to the National Domestic Violence hotline. -
protection authorities.
to child protection service.
ANSWER-a. Inform the mother that the abuse must be reported to child protection authorities.
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 1 / 4
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upper right quadrant of the distended abdomen. Which of the following is the most likely diagnosis?
- Intussusception
- Volvulus
- Crohn's disease
- Foreign body in the GI tract - ANSWER-a. Intussusception
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 ibuprofen.Crepitus is palpated on range of motion of the knee. Signs of inflammation are notably absent. What is the most likely diagnosis?
- Rheumatoid arthritis (RA)
- Gout
- Osteoarthritis (OA)
- Osteoporosis - ANSWER-c. Osteoarthritis (OA)
A middle-aged female complains of insomnia, night sweats, feeling intensely hot, emotional lability, extreme nervousness and impatience. The LEAST likely cause of her symptoms is 2 / 4
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- Thyrotoxicosis
- Menopausal vasomotor instability
- Alcohol or another drug withdrawal
- New onset type 2 diabetes mellitus - ANSWER-New onset
type 2 diabetes mellitus
A young couple is being seen by the NP for preconception counseling. 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?
- Maternal alpha-fetoprotein level
- Folic acid 0.4 mg daily
- Rubella vaccine today
- Vitamin E 400 IU daily - ANSWER-b. Folic acid 0.4 mg daily
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 nitroglycerin. Which is the most appropriate initial action for the NP?
- Refer to a cardiologist as soon as possible 3 / 4
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- Prescribe long-acting nitroglycerin
- Order treadmill stress test
- Prescribe an ACE inhibitor and re-evaluate in 24 to 48 hours -
ANSWER-a. Refer to a cardiologist as soon as possible
Which of the following indicated need for further evaluation?
- A 7 y/o girl with vaginal bleeding
- A 7 years old girl with no true pubic hair
- A 12 years old boy with sparse, slightly pigmented pubic hair
- A 12-year-old girl with breast buds - ANSWER-A 7 y/o girl
with vaginal bleeding
A 3 y/o has enlarged, warm, tender cervical lymph nodes,
indicating:
- Infection proximal to the nodes
- A possible cancer diagnosis
- Shorty nodes, a common normal variant in children
- An infectious process distal to the nodes - ANSWER-a.
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Infection proximal to the nodes