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APEA Patient Management Questions and Answers Flashcards

6 cards from real APEA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 APEA Patient Management Questions and Answers flashcards as text

  1. A 3-year-old child presents with sudden onset inspiratory stridor, drooling, and a toxic appearance, sitting in a tripod position. The NP's priority action is:

    Answer: Transfer immediately to ED without examining throat

    The presentation suggests epiglottitis; examining the throat can precipitate complete airway obstruction — immediate transfer to an ED with airway management capability is the priority.

  2. A patient with acute deep vein thrombosis has no contraindications. Which anticoagulation management is preferred per current guidelines?

    Answer: Direct oral anticoagulant (DOAC) as outpatient therapy

    DOACs such as rivaroxaban or apixaban are the preferred first-line treatment for DVT due to efficacy, safety profile, and convenience of outpatient oral dosing.

  3. A postmenopausal woman presents with vaginal bleeding. The NP's first priority diagnostic step is:

    Answer: Endometrial biopsy or transvaginal ultrasound

    Any postmenopausal bleeding requires prompt evaluation for endometrial cancer with endometrial biopsy or transvaginal ultrasound to measure endometrial stripe thickness.

  4. A 6-month-old is brought in with a bulging anterior fontanelle, fever, and irritability. The NP's immediate priority is:

    Answer: Transfer to ED for lumbar puncture and empiric antibiotics

    Bulging fontanelle with fever and irritability in an infant strongly suggests bacterial meningitis requiring immediate emergency transfer for lumbar puncture and IV antibiotics.

  5. A patient with community-acquired MRSA skin infection has a fluctuant abscess with surrounding cellulitis. The primary treatment is:

    Answer: Incision and drainage plus TMP-SMX

    Fluctuant abscesses require incision and drainage as the primary treatment; TMP-SMX is added to cover MRSA in the surrounding cellulitis.

  6. A patient with migraine with aura asks about contraceptive options. Which contraceptive is contraindicated due to increased stroke risk?

    Answer: Combined oral contraceptive pills

    Combined oral contraceptives are contraindicated in migraine with aura (WHO Category 4) due to synergistic increased risk of ischemic stroke.

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  1. apea.com — Time limit, fees, score release, exam format · verified Oct 2026