NR 603 Week 4 APEA Predictor Exam
NR 603 Week 4 APEA Predictor Exam:
Questions, Answers, and Detailed
Explanations
This is a comprehensive questions, answers, and detailed explanations for NR 603 Week 4 APEA
Predictor Exam. This resource is designed to help nursing students prepare effectively for their
exams with clear, concise, and well-organized content. Each question is paired with its correct
answer and a detailed explanation to enhance understanding and retention.
Table of Contents
• Questions 1–25
• Questions 26–50
• Questions 51–75
• Questions 76–100
• Questions 101–125
• Questions 126–150
• Questions 151–175
• Questions 176–200
• Questions 201–225
• Questions 226–250
• Questions 251–275
• Questions 276–300
• Questions 301–316
, NR 603 Week 4 APEA Predictor Exam
Questions 1–25
1. During pregnancy, dyspnea accompanied by increased respiratory rate,
cough, rales, or respiratory distress raises concerns of:
• Answer: Peripartum cardiomyopathy
• Explanation: Dyspnea with increased respiratory rate, cough, rales, or respiratory
distress during pregnancy may indicate serious conditions such as infection, asthma,
pulmonary embolus, or peripartum cardiomyopathy, a potentially life-threatening heart
condition.
2. The middle section of the thoracic cavity containing the esophagus, trachea,
heart, and great vessels is the:
• Answer: Mediastinum
• Explanation: The mediastinum is the central compartment of the thoracic cavity, housing
vital structures like the esophagus, trachea, heart, and great vessels. The pleural cavities
contain the lungs, the visceral pleura encloses the lungs, and the pericardium surrounds
the heart.
3. A patient is unable to identify the smell of an orange. This inability could
re ect an abnormality in cranial nerves:
• Answer: Cranial Nerve I (CN I)
• Explanation: Cranial Nerve I, the olfactory nerve, is responsible for the sense of smell.
Testing with familiar, non-irritating odors assesses its function. CN II and III assess
vision and pupillary reaction, while CN VIII tests hearing and balance.
4. A transient ischemic attack is:
fl
, NR 603 Week 4 APEA Predictor Exam
• Answer: A transient episode of neurologic dysfunction by focal brain, spinal cord, or
retinal ischemia, without acute infarction
• Explanation: A TIA is de ned as a brief episode of neurological dysfunction due to focal
ischemia in the brain, spinal cord, or retina, without permanent infarction. This
distinguishes it from an ischemic stroke, which involves tissue infarction.
5. The term asteatosis refers to:
• Answer: Skin that is dry, aky, rough, and often itchy
• Explanation: Asteatosis describes dry, aky, rough, and itchy skin, often associated with
aging or sun exposure. Other skin changes like seborrheic keratosis or herpes zoster have
distinct presentations.
6. An enlarged liver with a smooth tender edge may suggest:
• Answer: Right-sided heart failure
• Explanation: A smooth, tender, enlarged liver suggests in ammation (e.g., hepatitis) or
venous congestion (e.g., right-sided heart failure). Conditions like cirrhosis or
hepatocellular carcinoma typically present with a rm, nontender liver.
7. New onset hypertension with proteinuria or end-organ damage is:
• Answer: Preeclampsia
• Explanation: Preeclampsia is characterized by new-onset hypertension after 20 weeks
gestation with proteinuria or end-organ damage. Chronic hypertension occurs before
pregnancy or persists postpartum, while gestational hypertension lacks proteinuria.
8. The psoas muscle group and muscles of the abdominal wall assist with:
• Answer: Flexion
fi
fl fl fi fl
, NR 603 Week 4 APEA Predictor Exam
• Explanation: The psoas and abdominal wall muscles facilitate exion of the trunk. Other
movements like extension, rotation, and lateral bending involve different muscle groups,
such as the intrinsic back muscles.
9. "Preterm small for gestational age" (SGA) infants are prone to:
• Answer: Hypocalcemia
• Explanation: Preterm SGA infants are at risk for asphyxia, hypoglycemia, and
hypocalcemia due to their small size and prematurity. Preterm AGA infants face risks like
respiratory distress syndrome.
10. Swelling noted 1-2 inches below the knee joint and on the medial surface of
the knee would be suggestive of:
• Answer: Anserine bursitis
• Explanation: Swelling in this location suggests anserine bursitis. Other bursitis types,
like prepatellar or infrapatellar, present differently, and semimembranous bursitis appears
on the posterior medial knee.
11. A patient states that the only way he can sleep at night is to use several
pillows or to sleep upright in a recliner. This sleep pattern is most consistent
with:
• Answer: Obstructive lung disease
• Explanation: Orthopnea, where dyspnea worsens when lying at and improves with
sitting, is common in obstructive lung disease, mitral stenosis, or heart failure. This
differs from paroxysmal nocturnal dyspnea or angina.
12. A positive obturator sign would elicit pain in the:
flfl
NR 603 Week 4 APEA Predictor Exam:
Questions, Answers, and Detailed
Explanations
This is a comprehensive questions, answers, and detailed explanations for NR 603 Week 4 APEA
Predictor Exam. This resource is designed to help nursing students prepare effectively for their
exams with clear, concise, and well-organized content. Each question is paired with its correct
answer and a detailed explanation to enhance understanding and retention.
Table of Contents
• Questions 1–25
• Questions 26–50
• Questions 51–75
• Questions 76–100
• Questions 101–125
• Questions 126–150
• Questions 151–175
• Questions 176–200
• Questions 201–225
• Questions 226–250
• Questions 251–275
• Questions 276–300
• Questions 301–316
, NR 603 Week 4 APEA Predictor Exam
Questions 1–25
1. During pregnancy, dyspnea accompanied by increased respiratory rate,
cough, rales, or respiratory distress raises concerns of:
• Answer: Peripartum cardiomyopathy
• Explanation: Dyspnea with increased respiratory rate, cough, rales, or respiratory
distress during pregnancy may indicate serious conditions such as infection, asthma,
pulmonary embolus, or peripartum cardiomyopathy, a potentially life-threatening heart
condition.
2. The middle section of the thoracic cavity containing the esophagus, trachea,
heart, and great vessels is the:
• Answer: Mediastinum
• Explanation: The mediastinum is the central compartment of the thoracic cavity, housing
vital structures like the esophagus, trachea, heart, and great vessels. The pleural cavities
contain the lungs, the visceral pleura encloses the lungs, and the pericardium surrounds
the heart.
3. A patient is unable to identify the smell of an orange. This inability could
re ect an abnormality in cranial nerves:
• Answer: Cranial Nerve I (CN I)
• Explanation: Cranial Nerve I, the olfactory nerve, is responsible for the sense of smell.
Testing with familiar, non-irritating odors assesses its function. CN II and III assess
vision and pupillary reaction, while CN VIII tests hearing and balance.
4. A transient ischemic attack is:
fl
, NR 603 Week 4 APEA Predictor Exam
• Answer: A transient episode of neurologic dysfunction by focal brain, spinal cord, or
retinal ischemia, without acute infarction
• Explanation: A TIA is de ned as a brief episode of neurological dysfunction due to focal
ischemia in the brain, spinal cord, or retina, without permanent infarction. This
distinguishes it from an ischemic stroke, which involves tissue infarction.
5. The term asteatosis refers to:
• Answer: Skin that is dry, aky, rough, and often itchy
• Explanation: Asteatosis describes dry, aky, rough, and itchy skin, often associated with
aging or sun exposure. Other skin changes like seborrheic keratosis or herpes zoster have
distinct presentations.
6. An enlarged liver with a smooth tender edge may suggest:
• Answer: Right-sided heart failure
• Explanation: A smooth, tender, enlarged liver suggests in ammation (e.g., hepatitis) or
venous congestion (e.g., right-sided heart failure). Conditions like cirrhosis or
hepatocellular carcinoma typically present with a rm, nontender liver.
7. New onset hypertension with proteinuria or end-organ damage is:
• Answer: Preeclampsia
• Explanation: Preeclampsia is characterized by new-onset hypertension after 20 weeks
gestation with proteinuria or end-organ damage. Chronic hypertension occurs before
pregnancy or persists postpartum, while gestational hypertension lacks proteinuria.
8. The psoas muscle group and muscles of the abdominal wall assist with:
• Answer: Flexion
fi
fl fl fi fl
, NR 603 Week 4 APEA Predictor Exam
• Explanation: The psoas and abdominal wall muscles facilitate exion of the trunk. Other
movements like extension, rotation, and lateral bending involve different muscle groups,
such as the intrinsic back muscles.
9. "Preterm small for gestational age" (SGA) infants are prone to:
• Answer: Hypocalcemia
• Explanation: Preterm SGA infants are at risk for asphyxia, hypoglycemia, and
hypocalcemia due to their small size and prematurity. Preterm AGA infants face risks like
respiratory distress syndrome.
10. Swelling noted 1-2 inches below the knee joint and on the medial surface of
the knee would be suggestive of:
• Answer: Anserine bursitis
• Explanation: Swelling in this location suggests anserine bursitis. Other bursitis types,
like prepatellar or infrapatellar, present differently, and semimembranous bursitis appears
on the posterior medial knee.
11. A patient states that the only way he can sleep at night is to use several
pillows or to sleep upright in a recliner. This sleep pattern is most consistent
with:
• Answer: Obstructive lung disease
• Explanation: Orthopnea, where dyspnea worsens when lying at and improves with
sitting, is common in obstructive lung disease, mitral stenosis, or heart failure. This
differs from paroxysmal nocturnal dyspnea or angina.
12. A positive obturator sign would elicit pain in the:
flfl
