APEA POST PREDICTOR EXAM NEWEST 2026 UPDATE FAST
REVIWED FROM ACTUAL TEST QUESTIONS AND 100% VERIFIED
ANSWERS| A+ GRADE Q&A | INSTANT DOWNLOAD PDF
1. The nurse practitioner is evaluating a patient with suspected acute
cystitis. Which finding is most consistent with this diagnosis?
A. Flank pain and fever
B. Dysuria and urinary frequency
C. Painless hematuria only
D. Severe hypotension
Acute cystitis typically presents with dysuria, frequency, urgency, and
suprapubic discomfort. Flank pain and fever suggest pyelonephritis.
2. Which immunization is contraindicated in pregnancy?
A. Influenza
B. Tdap
C. MMR
D. COVID-19
MMR is a live attenuated vaccine and is contraindicated during pregnancy.
3. A patient with hypertension is prescribed lisinopril. Which adverse
effect should the nurse monitor for?
,A. Hyperglycemia
B. Dry cough
C. Tinnitus
D. Hypokalemia
ACE inhibitors commonly cause a persistent dry cough and can also increase
potassium.
4. Which lab value is most concerning in a patient taking warfarin?
A. INR 1.5
B. INR 2.0
C. INR 5.0
D. INR 2.5
An INR of 5.0 is supratherapeutic and increases bleeding risk.
5. A patient reports chest pain relieved by nitroglycerin. What is the
priority teaching?
A. Take nitroglycerin with food
B. Store tablets in the refrigerator
C. Sit or lie down before taking it
D. Take two tablets every 10 minutes for 1 hour
Nitroglycerin can cause hypotension and dizziness, so the patient should sit or
lie down first.
6. Which symptom is an early sign of hypoglycemia?
A. Polyuria
B. Sweating
C. Fruity breath
D. Kussmaul respirations
Early hypoglycemia commonly causes sweating, shakiness, anxiety, and
hunger.
,7. A patient with asthma uses albuterol. Which side effect is expected?
A. Bradycardia
B. Tremor
C. Constipation
D. Weight gain
Albuterol can cause tremor, tachycardia, and nervousness.
8. Which food should a patient taking MAO inhibitors avoid?
A. Apples
B. Aged cheese
C. Rice
D. Lettuce
Aged cheeses contain tyramine, which can trigger hypertensive crisis with MAO
inhibitors.
9. Which finding suggests left-sided heart failure?
A. Ascites
B. Peripheral edema
C. Crackles in the lungs
D. Hepatomegaly
Left-sided heart failure commonly causes pulmonary congestion and crackles.
10. What is the correct action for a patient with an anaphylactic reaction?
A. Give oral diphenhydramine first
B. Administer epinephrine immediately
C. Place in Trendelenburg position
D. Encourage oral fluids
Epinephrine is the first-line treatment for anaphylaxis.
, 11. Which acid-base imbalance is expected in diabetic ketoacidosis?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
DKA causes accumulation of ketones, leading to metabolic acidosis.
12. Which sign is most consistent with dehydration in an infant?
A. Bulging fontanel
B. Moist mucous membranes
C. Sunken fontanel
D. Increased tears
Sunken fontanel and poor skin turgor are signs of dehydration in infants.
13. A postpartum patient saturates a pad in 15 minutes. What is the
nurse’s priority?
A. Document the finding
B. Assess uterine tone and fundus
C. Encourage ambulation
D. Give oral iron
Heavy bleeding postpartum requires immediate assessment for uterine atony.
14. Which is the best method to confirm endotracheal tube placement?
A. Chest rise
B. Breath sounds
C. End-tidal CO2 monitoring
D. Patient color
End-tidal CO2 is the most reliable immediate confirmation.
REVIWED FROM ACTUAL TEST QUESTIONS AND 100% VERIFIED
ANSWERS| A+ GRADE Q&A | INSTANT DOWNLOAD PDF
1. The nurse practitioner is evaluating a patient with suspected acute
cystitis. Which finding is most consistent with this diagnosis?
A. Flank pain and fever
B. Dysuria and urinary frequency
C. Painless hematuria only
D. Severe hypotension
Acute cystitis typically presents with dysuria, frequency, urgency, and
suprapubic discomfort. Flank pain and fever suggest pyelonephritis.
2. Which immunization is contraindicated in pregnancy?
A. Influenza
B. Tdap
C. MMR
D. COVID-19
MMR is a live attenuated vaccine and is contraindicated during pregnancy.
3. A patient with hypertension is prescribed lisinopril. Which adverse
effect should the nurse monitor for?
,A. Hyperglycemia
B. Dry cough
C. Tinnitus
D. Hypokalemia
ACE inhibitors commonly cause a persistent dry cough and can also increase
potassium.
4. Which lab value is most concerning in a patient taking warfarin?
A. INR 1.5
B. INR 2.0
C. INR 5.0
D. INR 2.5
An INR of 5.0 is supratherapeutic and increases bleeding risk.
5. A patient reports chest pain relieved by nitroglycerin. What is the
priority teaching?
A. Take nitroglycerin with food
B. Store tablets in the refrigerator
C. Sit or lie down before taking it
D. Take two tablets every 10 minutes for 1 hour
Nitroglycerin can cause hypotension and dizziness, so the patient should sit or
lie down first.
6. Which symptom is an early sign of hypoglycemia?
A. Polyuria
B. Sweating
C. Fruity breath
D. Kussmaul respirations
Early hypoglycemia commonly causes sweating, shakiness, anxiety, and
hunger.
,7. A patient with asthma uses albuterol. Which side effect is expected?
A. Bradycardia
B. Tremor
C. Constipation
D. Weight gain
Albuterol can cause tremor, tachycardia, and nervousness.
8. Which food should a patient taking MAO inhibitors avoid?
A. Apples
B. Aged cheese
C. Rice
D. Lettuce
Aged cheeses contain tyramine, which can trigger hypertensive crisis with MAO
inhibitors.
9. Which finding suggests left-sided heart failure?
A. Ascites
B. Peripheral edema
C. Crackles in the lungs
D. Hepatomegaly
Left-sided heart failure commonly causes pulmonary congestion and crackles.
10. What is the correct action for a patient with an anaphylactic reaction?
A. Give oral diphenhydramine first
B. Administer epinephrine immediately
C. Place in Trendelenburg position
D. Encourage oral fluids
Epinephrine is the first-line treatment for anaphylaxis.
, 11. Which acid-base imbalance is expected in diabetic ketoacidosis?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
DKA causes accumulation of ketones, leading to metabolic acidosis.
12. Which sign is most consistent with dehydration in an infant?
A. Bulging fontanel
B. Moist mucous membranes
C. Sunken fontanel
D. Increased tears
Sunken fontanel and poor skin turgor are signs of dehydration in infants.
13. A postpartum patient saturates a pad in 15 minutes. What is the
nurse’s priority?
A. Document the finding
B. Assess uterine tone and fundus
C. Encourage ambulation
D. Give oral iron
Heavy bleeding postpartum requires immediate assessment for uterine atony.
14. Which is the best method to confirm endotracheal tube placement?
A. Chest rise
B. Breath sounds
C. End-tidal CO2 monitoring
D. Patient color
End-tidal CO2 is the most reliable immediate confirmation.
