APEA PRE-PREDICTOR 2024/2025 (ACTUAL EXAM)
TEST BANK 900+ QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+
A child is brought to the clinical for serum lead screening because of ingestion
of lead-based paint. Which of these manifestations, if present in the child,
would indicate early signs of lead toxicity?
a. Convulsive seizures.
b. Behavior changes.
c. Bleeding tendencies.
d. Low-grade fever. – ANSWER b. Behavior changes.
Which of these foods should a nurse suggest that a client who is diagnosed
with iron-deficiency anemia choose for dinner?
a. Cooked dry beans, green leafy vegetables, and dried fruits.
b. Raw cabbage, tomato juice, and cantaloupe.
c. Fresh fish, peanut butter, and oatmeal.
d. Cheddar cheese, enriched bread, and yellow vegetables. – ANSWER a.
Cooked dry beans, green leafy vegetables, and dried fruits.
Which of these changes in the assessment data of a child who has congestive
heart failure should a nurse recognize as indicative of a therapeutic response
to prescribed medication therapy?
a. Increased weight.
b. Increased urine output.
c. Increased respiratory rate.
d. Increased heart size. – ANSWER b. Increased urine output.
A client who has a history of asthma develops an acute asthma attack. Which
of these questions should a nurse ask when assessing the etiology of this
attack?
a. "Have you eaten any new foods recently?
b. "How many hours did you sleep last night?
c. "Are you exercising every day?
d. "Have you reduced your fluid intake recently? – ANSWER a. "Have you
eaten any new foods recently?
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Which of these manifestations should a nurse expect to observe in a client
who is diagnosed with paranoid schizophrenia?
a. Regression.
b. Suspiciousness.
c. Catatonia.
d. Hyperactivity. – ANSWER b. Suspiciousness.
Which of these assessments is the priority for a client who is admitted with
recurrent depression?
a. Previous episodes of depression.
b. Compliance with prescribed medications.
c. Presence of a suicide plan.
d. Problems with communication. – ANSWER c. Presence of a suicide plan.
What is the biggest side effect of colchicine? – ANSWER diarrhea
Which of these laboratory test results is more important for a nurse to assess
for a client who reports chest pain?
a. WBC count.
b. PTT level.
c. Troponin level.
d. Hemoglobin. – ANSWER c. Troponin level.
How would you describe the appearance of molluscum contagiosum? –
ANSWER papules that are umbilicated and contain a caseous plug
A nurse should explain to a Primigravida that urine tests will be done at each
prenatal visit throughout the pregnancy to measure:
a. specific gravity and pregnancy hormones.
b. culture and white blood cell count.
c. glucose and protein.
d. bacteria and red blood cell count. – ANSWER c. glucose and protein.
How do we treat a broken clavicle in an infant? – ANSWER no treatment; it
should heal on its own
Which of these menus, if chosen by a parent of a child who has celiac disease,
would indicate to a nurse that the parent understands the teaching about a
gluten-free diet?
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a. Broiled steak, baked potato, and spinach.
b. Pork chop, egg noodles, and green peas.
c. Fried chicken, white roll, and mixed vegetables.
d. Baked macaroni with cheddar cheese and corn. – ANSWER a. Broiled steak,
baked potato, and spinach.
Which of these nursing measures is the priority for a child who has
hemophilia and who sustains a leg injury?
a. Ensuring adequate hydration for the child.
b. Soaking the child's injured leg in warm water.
c. Administering the missing factor VIII to the child.
d. Transfusing one unit of whole blood to the child. – ANSWER c.
Administering the missing factor VIII to the child.
At what week of pregnancy is the uterus palpable just above the pubic
symphysis? - ANSWER week 12
At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? - ANSWER week 16
Which of these symptoms should a nurse expect to assess in a client who
develops hypoglycemia?
a. Fruity breath odor.
b. Polyuria.
c. Diaphoresis.
d. Flushed skin. – ANSWER c. Diaphoresis.
A nurse should assess a child who has diabetes mellitus (type 1) for symptoms
of hyperglycemia, which include:
a. flushed skin and thirst.
b. irritability and hunger.
c. sweating and jitteriness.
d. lethargy and tremors. - ANSWER a. flushed skin and thirst.
A client has shortness of breath when lying down and usually assumes an
upright or sitting position in order to breathe more comfortably. A nurse
should document this observation as:
a. dyspnea.
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b. bradypnea.
c. orthopnea.
d. apnea. - ANSWER c. orthopnea.
At what week of pregnancy is the fundus of the uterus at the umbilicus? -
ANSWER week 20
At what week of pregnancy is the fundus of the uterus halfway between the
xiphoid process and umbilicus? - ANSWER week 28
At what week of pregnancy is the fundus just below the xiphoid process? -
ANSWER week 34
Increased sweat production is a sign of what endocrine disorder? - ANSWER
hyperthyroidism
What is Paget's disease? - ANSWER there is localized increased bone turnover
and blood flow resulting in the breakdown of bone and replacing it with
weakened and highly vascular bone putting the indiv at increased risk of
fractures
How do we treat Paget's disease? – ANSWER bisphosphonates
A client diagnosed with type 1 diabetes mellitus has a glycosylated
hemoglobin A1c of 4.2%. A nurse should interpret this to mean that the client
has:
a. had a period of sustained hyperglycemia.
b. been non-compliant with home management.
c. been in relatively good diabetic control.
d. eaten a high carbohydrate snack just prior to testing. – ANSWER c. been in
relatively good diabetic control.
A nurse is caring for a client with burns and in reverse isolation. Which
measures should the nurse include?
a. Wearing disposable gloves when changing the dressings.
b. Having the client wear goggles when staff is in the room.
c. Wearing a gown, mask, and gloves when providing care to the client.
d. Disposing of the client's soiled laundry in a red bag. – ANSWER c. Wearing a
gown, mask, and gloves when providing care to the client