APEA APEA Patient Management Questions and Answers 2

Question 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:

Accepted Answer

Transfer immediately to ED without examining throat

Answer

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

Question 2

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

Accepted Answer

Direct oral anticoagulant (DOAC) as outpatient therapy

Answer

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.

Question 3

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

Accepted Answer

Endometrial biopsy or transvaginal ultrasound

Answer

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

Question 4

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

Accepted Answer

Transfer to ED for lumbar puncture and empiric antibiotics

Answer

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

Question 5

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

Accepted Answer

Incision and drainage plus TMP-SMX

Answer

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

APEA - Advanced Practice Education Associates Practice Test

APEA - Advanced Practice Education Associates Practice Test

APEA APEA Patient Management Questions and Answers 2