APEA Board Exam Preparation Questions and Answers Flashcards

APEA predictor exams test knowledge of screening guidelines. Per USPSTF, at what age should colorectal cancer screening begin for average-risk adults?

Answer: 45 years

The USPSTF updated its recommendation in 2021 to begin colorectal cancer screening at age 45 for average-risk adults, down from the previous age 50.

A core APEA board exam topic is recognizing elder abuse. Which finding most strongly suggests physical abuse in an elderly patient?

Answer: Multiple bruises in various stages of healing

Multiple bruises in various healing stages suggest repeated trauma inconsistent with accidental injury and is a key indicator of physical abuse.

APEA exam prep covers the NP's scope of practice. Which statement about prescriptive authority for NPs is most accurate?

Answer: Prescriptive authority varies by state law and practice agreement requirements

NP prescriptive authority is governed by state law; some states require collaborative practice agreements while others grant full independent practice.

According to APEA board review, which patient has met criteria for metabolic syndrome requiring aggressive cardiovascular risk counseling?

Answer: Waist >40 inches, BP 132/86, fasting glucose 105, triglycerides 155, HDL 38

Metabolic syndrome requires 3 of 5 criteria: abdominal obesity, elevated BP, impaired fasting glucose, hypertriglyceridemia, and low HDL — the first patient meets all 5.

APEA emphasizes professionalism. A patient asks the NP to falsify insurance documentation to get approval for a necessary medication. The NP should:

Answer: Refuse and explore legitimate alternative options

Falsifying medical records or insurance documents is fraudulent and unethical regardless of the clinical indication; the NP must refuse and pursue legitimate prior authorization pathways.

For the APEA predictor exam, which vaccine is contraindicated in immunocompromised patients due to its composition?

Answer: Live attenuated influenza vaccine (LAIV)

Live attenuated vaccines like LAIV can cause disease in immunocompromised patients and are contraindicated; inactivated vaccines are safe alternatives.