APEA Predictor EXAM 2025-2026 QUESTIONS AND
ANSWERS NEW UPDATE
When assessing a group of children, a nurse should recognize which child is at increased risk of
developing acute glomerulonephritis?
a. A 3-year-old who has multiple urinary tract anomalies.
b. A 4-year-old who had a streptococcal infection a week ago.
c. A 5-year-old who has recurrent enuresis at night.
d. A 6-year-old who had chicken pox infection two weeks ago. - answer>>b. A 4-year-old who had a
streptococcal infection a week ago.
A client says to a nurse, "I am Alexander the Great. I am a world leader and must return to my kingdom.
I am not taking any medications. I do not want anyone to come near me. I need to protect myself if they
do." Which of these problems should the nurse focus on first?
a. Risk for violence.
b. Delusions of grandeur.
c. Disturbed personal identity.
d. Risk for noncompliance. - answer>>a. Risk for violence.
When a client who has a diagnosis of depression is taking a monoamine oxidase (MAO) inhibitor, which
of these dieatry instructions should a nurse give to the client?
a. "Increase your intake of foods that are high in vitamin C, such as oranges."
b. "Avoid foods that contain tyramine, such as aged cheeses."
c. "Increase your intake of foods high in tryptophan, such as fish."
d. "Restrict foods high in sodium, such as canned soups." - answer>>b. "Avoid foods that contain
tyramine, such as aged cheeses."
Which of these strategies should a nurse plan for a client who is manic and has lost 30 pounds? a.
Nutritious finger foods.
b. Low-protein diets.
c. Limiting fluids in between meals.
d. Daily weights. - answer>>a. Nutritious finger foods.
,A 15-year-old child who has type I diabetes mellitus receives an injection of regular insulin 5 units and
isophane (NPH) insulin 15 units subcutaneously at 7:00 A.M. before eating breakfast. At 10:30 A.M., the
child tells the school nurse, "I am sweating and feel weak." Which of these actions should the nurse take
first?
a. Measure the blood sugar.
b. Determine what the child ate for breakfast.
c. Give a simple carbohydrate.
d. Contact the physician. - answer>>a. Measure the blood sugar.
A client who has a head injury is drowsy and lethargic, and has clear nasal discharge. Which of these
actions should a nurse take?
a. Obtain a specimen of the drainage for culture and sensitivity.
b. Test the drainage for glucose.
c. Cover the nares with sterile gauze.
d. Cleanse the nostrils with sterile saline solution. - answer>>b. Test the drainage for glucose.
Which of these actions, if taken by a nursing assistant, should a nurse recognize as increasing the client's
risk of developing a nosocomial infection?
a. Wearing non-sterile gloves while emptying the Foley drainage bag.
b. Taping a paper bag to the side rail for tissue disposal.
c. Placing the Foley catheter drainage bag on the bed while transferring the client.
d. Using the same cuff to measure the blood pressures of all the clients on the unit. - answer>>c.
Placing the Foley catheter drainage bag on the bed while transferring the client.
A nurse is preparing a client for a vaginal examination. Which of these statements should the nurse
make?
a. "Go into the bathroom and empty your bladder."
b. "Cleanse your perineal area with betadine solution."
c. "Hold your breath while the speculum remains in place."
d. "Push down as the doctor inserts the speculum." - answer>>a. "Go into the bathroom and
empty your bladder."
,A licensed practical nurse (LPN) is assigned to care for all of these clients. Which client should the nurse
assess first?
a. A 25-year-old client who is terminally ill with metastatic testicular cancer.
b. A 37-year-old client who has second-degree burns on both feet.
c. A 49-year-old client who has an acute myocardial infarction related to cocaine ingestion.
d. A 68-year-old client who is bed bound related to severe Parkinson's disease. - answer>>c. A 49-
yearold client who has an acute myocardial infarction related to cocaine ingestion.
Which of these preventative measures should a nurse manager in a long-term care facility plan to
institute to decrease clients' risks for falls?
a. Monitoring clients frequently for evidence of activity intolerance.
b. Placing all client personal items in the bedside drawers.
c. Raising the side rails for all clients who have memory impairment.
d. Maintaining all client beds in the highest position. - answer>>a. Monitoring clients frequently for
evidence of activity intolerance.
Which of these assessment findings, if present in a primigravida, indicates that the client is experiencing
true labor?
a. The pains are felt in the lower abdomen, back, and groin.
b. The Braxton-Hicks contractions have become stronger and more frequent.
c. There is an increased amount of white mucus discharge.
d. There is a progressive increase in effacement and cervical dilatation. - answer>>d. There is a
progressive increase in effacement and cervical dilatation.
A client is admitted for opiate detoxification for the fifth time. Which of these statements, if made by a
staff member, indicates a biased view of the client?
a. "I feel so frustrated when clients are re-admitted."
b. "Addicts relapse because they don't try hard enough."
c. "I think this client needs to consider long-term placement after detoxification."
d. "The team really needs to discuss this client's treatment plan." - answer>>b. "Addicts relapse
because they don't try hard enough."
, Which of these women, each of whom is in labor, should a nurse recognize as in need of immediate
attention?
a. A woman who is having contractions every 6 to 8 minutes of mild to moderate intensity.
b. A woman who is receiving oxytocin augmentation and who has contractions lasting 60 to 70
seconds.
c. A woman who is in the active phase of labor and who insists she needs to use the bedpan to
have a bowel movement.
d. A woman whose uterine contractions frequency is every two to give minutes. - answer>>c. A
woman who is in the active phase of labor and who insists she needs to use the bedpan to have a bowel
movement.
A nurse has received a report on these assigned clients. Which client should the nurse follow-up first?
a. A client, admitted with acute diverticulitis, who has a white blood cell count (WBC) of 10,000
mm3.
b. A client, admitted with acute pancreatitis, who has a fasting serum glucose of 130 mg/dL today,
and had a reading of 160 mg/dL yesterday.
c. A client, admitted with hepatitis, who has jaundice and tea-colored urine.
d. A client who is currently receiving cancer chemotherapy and who has a white blood cell count of
500 mm3 today. - answer>>d. A client who is currently receiving cancer chemotherapy and who has a
white blood cell count of 500 mm3 today.
Which of these statements, if made by a client who is taking a diuretic, should a nurse recognize as
indicative of the need for additional instructions?
a. "I take all of my medications at bedtime so I don't forget them."
b. "I eat one or two bananas every day."
c. "I weigh myself every day in the morning."
d. "I will call my doctor if I have muscle weakness." - answer>>a. "I take all of my medications at
bedtime so I don't forget them."
A nurse is monitoring a client who had a cystoscopy six hours ago. The nurse should inform the physician
of which these manifestations?
a. The client has pink-tinged urine.
b. The client reports burning on urination.
c. The client's white blood cell count is 15,000 mm3.
d. The client appears drowsy. - answer>>c. The client's white blood cell count is 15,000 mm3.
ANSWERS NEW UPDATE
When assessing a group of children, a nurse should recognize which child is at increased risk of
developing acute glomerulonephritis?
a. A 3-year-old who has multiple urinary tract anomalies.
b. A 4-year-old who had a streptococcal infection a week ago.
c. A 5-year-old who has recurrent enuresis at night.
d. A 6-year-old who had chicken pox infection two weeks ago. - answer>>b. A 4-year-old who had a
streptococcal infection a week ago.
A client says to a nurse, "I am Alexander the Great. I am a world leader and must return to my kingdom.
I am not taking any medications. I do not want anyone to come near me. I need to protect myself if they
do." Which of these problems should the nurse focus on first?
a. Risk for violence.
b. Delusions of grandeur.
c. Disturbed personal identity.
d. Risk for noncompliance. - answer>>a. Risk for violence.
When a client who has a diagnosis of depression is taking a monoamine oxidase (MAO) inhibitor, which
of these dieatry instructions should a nurse give to the client?
a. "Increase your intake of foods that are high in vitamin C, such as oranges."
b. "Avoid foods that contain tyramine, such as aged cheeses."
c. "Increase your intake of foods high in tryptophan, such as fish."
d. "Restrict foods high in sodium, such as canned soups." - answer>>b. "Avoid foods that contain
tyramine, such as aged cheeses."
Which of these strategies should a nurse plan for a client who is manic and has lost 30 pounds? a.
Nutritious finger foods.
b. Low-protein diets.
c. Limiting fluids in between meals.
d. Daily weights. - answer>>a. Nutritious finger foods.
,A 15-year-old child who has type I diabetes mellitus receives an injection of regular insulin 5 units and
isophane (NPH) insulin 15 units subcutaneously at 7:00 A.M. before eating breakfast. At 10:30 A.M., the
child tells the school nurse, "I am sweating and feel weak." Which of these actions should the nurse take
first?
a. Measure the blood sugar.
b. Determine what the child ate for breakfast.
c. Give a simple carbohydrate.
d. Contact the physician. - answer>>a. Measure the blood sugar.
A client who has a head injury is drowsy and lethargic, and has clear nasal discharge. Which of these
actions should a nurse take?
a. Obtain a specimen of the drainage for culture and sensitivity.
b. Test the drainage for glucose.
c. Cover the nares with sterile gauze.
d. Cleanse the nostrils with sterile saline solution. - answer>>b. Test the drainage for glucose.
Which of these actions, if taken by a nursing assistant, should a nurse recognize as increasing the client's
risk of developing a nosocomial infection?
a. Wearing non-sterile gloves while emptying the Foley drainage bag.
b. Taping a paper bag to the side rail for tissue disposal.
c. Placing the Foley catheter drainage bag on the bed while transferring the client.
d. Using the same cuff to measure the blood pressures of all the clients on the unit. - answer>>c.
Placing the Foley catheter drainage bag on the bed while transferring the client.
A nurse is preparing a client for a vaginal examination. Which of these statements should the nurse
make?
a. "Go into the bathroom and empty your bladder."
b. "Cleanse your perineal area with betadine solution."
c. "Hold your breath while the speculum remains in place."
d. "Push down as the doctor inserts the speculum." - answer>>a. "Go into the bathroom and
empty your bladder."
,A licensed practical nurse (LPN) is assigned to care for all of these clients. Which client should the nurse
assess first?
a. A 25-year-old client who is terminally ill with metastatic testicular cancer.
b. A 37-year-old client who has second-degree burns on both feet.
c. A 49-year-old client who has an acute myocardial infarction related to cocaine ingestion.
d. A 68-year-old client who is bed bound related to severe Parkinson's disease. - answer>>c. A 49-
yearold client who has an acute myocardial infarction related to cocaine ingestion.
Which of these preventative measures should a nurse manager in a long-term care facility plan to
institute to decrease clients' risks for falls?
a. Monitoring clients frequently for evidence of activity intolerance.
b. Placing all client personal items in the bedside drawers.
c. Raising the side rails for all clients who have memory impairment.
d. Maintaining all client beds in the highest position. - answer>>a. Monitoring clients frequently for
evidence of activity intolerance.
Which of these assessment findings, if present in a primigravida, indicates that the client is experiencing
true labor?
a. The pains are felt in the lower abdomen, back, and groin.
b. The Braxton-Hicks contractions have become stronger and more frequent.
c. There is an increased amount of white mucus discharge.
d. There is a progressive increase in effacement and cervical dilatation. - answer>>d. There is a
progressive increase in effacement and cervical dilatation.
A client is admitted for opiate detoxification for the fifth time. Which of these statements, if made by a
staff member, indicates a biased view of the client?
a. "I feel so frustrated when clients are re-admitted."
b. "Addicts relapse because they don't try hard enough."
c. "I think this client needs to consider long-term placement after detoxification."
d. "The team really needs to discuss this client's treatment plan." - answer>>b. "Addicts relapse
because they don't try hard enough."
, Which of these women, each of whom is in labor, should a nurse recognize as in need of immediate
attention?
a. A woman who is having contractions every 6 to 8 minutes of mild to moderate intensity.
b. A woman who is receiving oxytocin augmentation and who has contractions lasting 60 to 70
seconds.
c. A woman who is in the active phase of labor and who insists she needs to use the bedpan to
have a bowel movement.
d. A woman whose uterine contractions frequency is every two to give minutes. - answer>>c. A
woman who is in the active phase of labor and who insists she needs to use the bedpan to have a bowel
movement.
A nurse has received a report on these assigned clients. Which client should the nurse follow-up first?
a. A client, admitted with acute diverticulitis, who has a white blood cell count (WBC) of 10,000
mm3.
b. A client, admitted with acute pancreatitis, who has a fasting serum glucose of 130 mg/dL today,
and had a reading of 160 mg/dL yesterday.
c. A client, admitted with hepatitis, who has jaundice and tea-colored urine.
d. A client who is currently receiving cancer chemotherapy and who has a white blood cell count of
500 mm3 today. - answer>>d. A client who is currently receiving cancer chemotherapy and who has a
white blood cell count of 500 mm3 today.
Which of these statements, if made by a client who is taking a diuretic, should a nurse recognize as
indicative of the need for additional instructions?
a. "I take all of my medications at bedtime so I don't forget them."
b. "I eat one or two bananas every day."
c. "I weigh myself every day in the morning."
d. "I will call my doctor if I have muscle weakness." - answer>>a. "I take all of my medications at
bedtime so I don't forget them."
A nurse is monitoring a client who had a cystoscopy six hours ago. The nurse should inform the physician
of which these manifestations?
a. The client has pink-tinged urine.
b. The client reports burning on urination.
c. The client's white blood cell count is 15,000 mm3.
d. The client appears drowsy. - answer>>c. The client's white blood cell count is 15,000 mm3.
