NSG 6998 APEA PRE-PREDICTOR EXAM
QUESTIONS AND ANSWERS WITH CORRECT RATIONALES
SOUTH UNIVERSITY.
THIS EXAM CONTAINS:
➢ NSG 6998 APEA PRE-PREDICTOR EXAM.
➢ QUESTIONS AND ANSWERS WITH CORRECT RATIONALES.
➢ 100% VERIFIED SOLUTIONS & ILLUSTRATED EXPLANATIONS.
➢ GRADED A.
➢ LATEST 2025/ 2026 UPDATE.
@MBOFFIN
➢ SOUTH UNIVERSITY.
https://www.stuvia.com/user/Mboffin
, NSG 6998 APEA PRE-PREDICTOR EXAM
Question 1:
Prescriptive authority:
Answer:
may be exercised by giving a verbal medication order to a pharmacist.
**EXPLANATION** >>An example of exercising prescriptive authority is giving a verbal order
to a pharmacist or writing an order for a prescription medication. Prescriptive authority rules and
regulations vary from state to state. Prescriptive authority is granted only to those APRNs who
meet the requirements of the governing body for the state in which the APRN practices.
Question 2:
When examining a pregnant patient, where should the fundal height be at 22 weeks?
Answer:
Above the umbilicus
EXPLANATION Between 18 and 32 weeks, there is good correlation between fundal height and
gestational age of the fetus. The expected heights are: 10-12 weeks: fundus slightly above the
symphysis pubis 16 weeks: fundus midway between the symphysis pubis and umbilicus 20
weeks: fundus at the level of umbilicus 28 weeks: fundus 3 fingerbreadths above the umbilicus
36 weeks: fundus just below the xiphoid process
Question 3:
https://www.stuvia.com/user/Mboffin
, What intervention does the American College of Rheumatology recommend as first-line therapy
for osteoarthritis?
Answer:
Exercise and weight loss
EXPLANATION Exercise, weight loss, and rest are recommended by the American College of
Rheumatology guidelines for the initial management of osteoarthritis (OA). Given the adverse
effects of medications used to treat OA, it is best to minimize dosage and delay use as long as
possible. An extensive diagnostic workup is not recommended unless the presentation is in
question. Patients who have severe degenerative joint disease (DJD), joint fusion, or whose pain
severity is not relieved by more conservative therapies may be candidates for joint replacement.
Acetaminophen is recommended as a first-line medication.
Question 4:
A 63-year-old male retired accountant complains of pain and stiffness in his feet and hands of
several years duration. He reports that the pain and stiffness become worse with activity. On
examination, he is noted to have Heberden's nodes but no other bony deformities. Which of the
following is the most probable diagnosis?
Answer:
Osteoarthritis (OA)
EXPLANATION Although his vocation involved sedentary activity, this patient is not at great
risk for osteoarthritis. Rheumatoid arthritis is characterized by several joint deformities, usually
bilaterally symmetrical. RA is characterized by inflammatory processes, while OA is not. RA
and OA are chronic conditions. Gout is characterized by acute exacerbations related to a defect
in purine metabolism, increased uric acid production, or decreased uric acid excretion.
Question 5:
The family of a 78-year-old man moved him into an assisted living center because he can no
longer be left at home alone. He is unable to toilet when asked to do so and he has had several
episodes of incontinence. He has walked out of the facility twice and been unable to find his way
https://www.stuvia.com/user/Mboffin
, back from 3 blocks away. On examination, he is pleasant but mildly confused. Which of his
medications is LEAST likely contributing to his behavior?
Answer:
ramipril (Altace®)
EXPLANATION Tricyclic antidepressants, like amitriptyline, have anticholinergic side effects
which are especially problematic in the elderly because they contribute to urinary retention.
Hydrochlorothiazide is a diuretic and may contribute to his incontinence. Cimetidine is well
known to produce adverse reactions such as confusion in elders. Ramipril, an ACE inhibitor, is
unlikely to contribute to this patient's incontinence or confusion. Toileting may be a complicated
by the anticholinergic medication and/or the diuretic causing diuresis, urge incontinence, and
inability to void at will.
Question 6:
A patient with no significant medical history has varicose veins. She complains of "aching legs".
The intervention that will provide the greatest relief for her complaint is to:
Answer:
elevate her legs periodically.
EXPALANATION The intervention that will provide the greatest relief for this patient is
elevating her legs periodically. This will facilitate venous return. Use of support stockings will
prolong the length of time she is able to stand in place, but will not provide relief after her legs
begin aching.
Support stockings should be applied prior to getting out of bed.
Question 7:
Stress urinary incontinence is:
Answer:
may be aggravated by caffeine or alcohol.
https://www.stuvia.com/user/Mboffin
QUESTIONS AND ANSWERS WITH CORRECT RATIONALES
SOUTH UNIVERSITY.
THIS EXAM CONTAINS:
➢ NSG 6998 APEA PRE-PREDICTOR EXAM.
➢ QUESTIONS AND ANSWERS WITH CORRECT RATIONALES.
➢ 100% VERIFIED SOLUTIONS & ILLUSTRATED EXPLANATIONS.
➢ GRADED A.
➢ LATEST 2025/ 2026 UPDATE.
@MBOFFIN
➢ SOUTH UNIVERSITY.
https://www.stuvia.com/user/Mboffin
, NSG 6998 APEA PRE-PREDICTOR EXAM
Question 1:
Prescriptive authority:
Answer:
may be exercised by giving a verbal medication order to a pharmacist.
**EXPLANATION** >>An example of exercising prescriptive authority is giving a verbal order
to a pharmacist or writing an order for a prescription medication. Prescriptive authority rules and
regulations vary from state to state. Prescriptive authority is granted only to those APRNs who
meet the requirements of the governing body for the state in which the APRN practices.
Question 2:
When examining a pregnant patient, where should the fundal height be at 22 weeks?
Answer:
Above the umbilicus
EXPLANATION Between 18 and 32 weeks, there is good correlation between fundal height and
gestational age of the fetus. The expected heights are: 10-12 weeks: fundus slightly above the
symphysis pubis 16 weeks: fundus midway between the symphysis pubis and umbilicus 20
weeks: fundus at the level of umbilicus 28 weeks: fundus 3 fingerbreadths above the umbilicus
36 weeks: fundus just below the xiphoid process
Question 3:
https://www.stuvia.com/user/Mboffin
, What intervention does the American College of Rheumatology recommend as first-line therapy
for osteoarthritis?
Answer:
Exercise and weight loss
EXPLANATION Exercise, weight loss, and rest are recommended by the American College of
Rheumatology guidelines for the initial management of osteoarthritis (OA). Given the adverse
effects of medications used to treat OA, it is best to minimize dosage and delay use as long as
possible. An extensive diagnostic workup is not recommended unless the presentation is in
question. Patients who have severe degenerative joint disease (DJD), joint fusion, or whose pain
severity is not relieved by more conservative therapies may be candidates for joint replacement.
Acetaminophen is recommended as a first-line medication.
Question 4:
A 63-year-old male retired accountant complains of pain and stiffness in his feet and hands of
several years duration. He reports that the pain and stiffness become worse with activity. On
examination, he is noted to have Heberden's nodes but no other bony deformities. Which of the
following is the most probable diagnosis?
Answer:
Osteoarthritis (OA)
EXPLANATION Although his vocation involved sedentary activity, this patient is not at great
risk for osteoarthritis. Rheumatoid arthritis is characterized by several joint deformities, usually
bilaterally symmetrical. RA is characterized by inflammatory processes, while OA is not. RA
and OA are chronic conditions. Gout is characterized by acute exacerbations related to a defect
in purine metabolism, increased uric acid production, or decreased uric acid excretion.
Question 5:
The family of a 78-year-old man moved him into an assisted living center because he can no
longer be left at home alone. He is unable to toilet when asked to do so and he has had several
episodes of incontinence. He has walked out of the facility twice and been unable to find his way
https://www.stuvia.com/user/Mboffin
, back from 3 blocks away. On examination, he is pleasant but mildly confused. Which of his
medications is LEAST likely contributing to his behavior?
Answer:
ramipril (Altace®)
EXPLANATION Tricyclic antidepressants, like amitriptyline, have anticholinergic side effects
which are especially problematic in the elderly because they contribute to urinary retention.
Hydrochlorothiazide is a diuretic and may contribute to his incontinence. Cimetidine is well
known to produce adverse reactions such as confusion in elders. Ramipril, an ACE inhibitor, is
unlikely to contribute to this patient's incontinence or confusion. Toileting may be a complicated
by the anticholinergic medication and/or the diuretic causing diuresis, urge incontinence, and
inability to void at will.
Question 6:
A patient with no significant medical history has varicose veins. She complains of "aching legs".
The intervention that will provide the greatest relief for her complaint is to:
Answer:
elevate her legs periodically.
EXPALANATION The intervention that will provide the greatest relief for this patient is
elevating her legs periodically. This will facilitate venous return. Use of support stockings will
prolong the length of time she is able to stand in place, but will not provide relief after her legs
begin aching.
Support stockings should be applied prior to getting out of bed.
Question 7:
Stress urinary incontinence is:
Answer:
may be aggravated by caffeine or alcohol.
https://www.stuvia.com/user/Mboffin
