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APEA Comprehensive Practice Test Review 2026/2027 | Questions & Answers | Latest Update | Complete NP Exam Prep

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 22 pages. Originally published on StudyMerit.

Pages
22
Academic year
2025/2026
Language
English

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APEA 3P Practice Questions with Answers and Rationales 1. 1. (Cardiology) Which diagnostic tool is most appropriate to monitor episodes of atrial fibrillation?  - Holter monitor  - Stress test  - Echocardiogram  - Chest X-ray Correct Answer: Holter monitor ✅ Rationale: A Holter monitor continuously records heart rhythm and is best suited to 💡 detect intermittent arrhythmias such as atrial fibrillation. 2. 2. (Cardiology) Which ECG finding is most characteristic of atrial fibrillation?  - Regular p waves  - Sawtooth flutter waves  - No identifiable p waves  - ST elevation Correct Answer: No identifiable p waves ✅ Rationale: Atrial fibrillation is marked by the absence of identifiable p waves on ECG 💡 due to chaotic atrial activity. 3. 3. (Cardiology) Which of the following is a common complication of atrial fibrillation?  - Myocardial infarction  - Pulmonary embolism  - Stroke  - Pericarditis Correct Answer: Stroke ✅ Rationale: A-fib increases the risk of thromboembolic events such as stroke due to 💡 irregular atrial contractions.

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4. 4. (Cardiology) Which medication might be prescribed to a patient with atrial fibrillation to prevent stroke?  - Aspirin  - Coumadin  - Metoprolol  - Amiodarone Correct Answer: Coumadin ✅ Rationale: Warfarin (Coumadin) is an anticoagulant used to reduce stroke risk in A-fib 💡 patients. 5. 5. (Cardiology) What is the approximate ventricular rate in atrial fibrillation?  - 60–100 bpm  - 120–160 bpm  - 80–110 bpm  - 40–60 bpm Correct Answer: 120–160 bpm ✅ Rationale: The ventricular response in A-fib is often rapid, typically between 120–160 💡 bpm without rate control. 6. 6. (Cardiology) Which symptom is most commonly reported by patients experiencing atrial fibrillation?  - Sharp chest pain  - Flip-flopping sensation in the chest  - Productive cough  - Night sweats Correct Answer: Flip-flopping sensation in the chest ✅ Rationale: Patients often describe palpitations as a flip-flopping or fluttering feeling in 💡 the chest during A-fib episodes. 7. 7. (Cardiology) Which of the following ECG characteristics helps differentiate atrial flutter from atrial fibrillation?  - Irregularly irregular rhythm  - No p waves

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 - Sawtooth waves  - ST depression Correct Answer: Sawtooth waves ✅ Rationale: Atrial flutter is distinguished by regular sawtooth flutter waves on ECG, 💡 unlike the irregularly irregular rhythm of A-fib. 8. 8. (Cardiology) What is the typical atrial rate in atrial fibrillation?  - 60–100 bpm  - 100–150 bpm  - 250–320 bpm  - 180–220 bpm Correct Answer: 250–320 bpm ✅ Rationale: Atrial rates in A-fib are very rapid, typically in the range of 250–320 bpm. 💡 9. 9. (Cardiology) Which of the following is NOT a recommended evaluation for a new diagnosis of A-fib?  - Thyroid function test  - Echocardiogram  - Holter monitor  - Pulmonary function test Correct Answer: Pulmonary function test ✅ Rationale: Thyroid function tests and echocardiograms are part of the standard 💡 workup for A-fib; PFTs are not routinely indicated. 10. 10. (Cardiology) A patient with newly diagnosed A-fib is most at risk for which of the following?  - Ventricular fibrillation  - Congestive heart failure  - Cerebrovascular accident  - Sepsis Correct Answer: Cerebrovascular accident ✅

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