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APEA 3P Exam (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+ UPDATED 2025 GRADED A+
APEA 3P – Practice Exam:
1–10: Adult Medical-Surgical
1. A patient with chronic liver disease has jaundice and confusion. Which lab is most critical?
Answer: Ammonia level
Rationale: Elevated ammonia can indicate hepatic encephalopathy.
2. Post-op patient develops sudden dyspnea and pleuritic chest pain. First action:
Answer: Assess oxygenation and notify provider
3. A patient with hypertension reports severe headache and vision changes. Nurse suspects:
Answer: Hypertensive crisis
4. Patient with pneumonia shows coarse crackles, RR 32, SpO₂ 89%. Intervention:
Answer: Administer oxygen and monitor vitals
5. A patient with hypokalemia is at risk for:
Answer: Cardiac arrhythmias
6. A post-op patient has urine output 20 mL/hr. Nurse action:
Answer: Assess fluid balance and notify provider
2026 2027 GRADED A+
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7. Which patient is at highest risk for pressure ulcers?
Answer: Elderly, immobile, incontinent patient
8. Patient with CHF has 4+ pitting edema. Best nursing intervention:
Answer: Elevate legs, monitor weight, assess lung sounds
9. A patient on heparin develops bruising. Nurse action:
Answer: Assess for bleeding and notify provider
10. A patient has sudden confusion and low BP post-op. Priority concern:
Answer: Hypovolemic shock
11–20: Maternal-Newborn
11. Postpartum patient has bright red vaginal bleeding and boggy fundus. First action:
Answer: Massage fundus
12. Neonate with nasal flaring, grunting, and retracting. First action:
Answer: Provide oxygen and airway support
13. Pregnant client reports painless vaginal bleeding at 34 weeks. Likely cause:
Answer: Placenta previa
14. Patient on magnesium sulfate with RR 9/min. Nursing action:
Answer: Stop infusion and notify provider
2026 2027 GRADED A+
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15. Lochia expected at day 4 postpartum:
Answer: Lochia serosa (pink/brown)
16. Neonate APGAR 1 min: 4. Intervention:
Answer: Stimulate and provide oxygen
17. Decreased fetal movement reported. Nurse action:
Answer: Assess fetal heart rate and notify provider
18. Postpartum hemorrhage prevention includes:
Answer: Uterine massage and monitoring
19. Neonatal hypoglycemia is indicated by:
Answer: Blood glucose <40 mg/dL
20. Mother has sore nipples while breastfeeding. Nursing intervention:
Answer: Assess latch and educate on proper technique
21–30: Pediatrics
21. Child with stridor, drooling, and tripod position. Likely condition:
Answer: Epiglottitis
22. Toddler with sunken eyes, dry mouth, and lethargy. Nursing priority:
Answer: Rehydrate orally or IV
23. Pediatric asthma patient wheezing and using accessory muscles. Intervention:
Answer: Administer prescribed bronchodilator
2026 2027 GRADED A+
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24. Child with sickle cell crisis reports severe pain. Nursing action:
Answer: Administer analgesia per protocol
25. Child with fever, irritability, and 104°F. Nursing action:
Answer: Monitor, give antipyretics, encourage fluids
26. Signs of increased ICP in a child include:
Answer: Bulging fontanelle, vomiting, irritability
27. Child with croup. Priority nursing action:
Answer: Keep airway open, provide humidified air
28. Pediatric patient with vomiting and diarrhea. Priority:
Answer: Assess hydration status and replace fluids
29. Child with cystic fibrosis produces thick sputum. Nursing intervention:
Answer: Chest physiotherapy
30. School-age child newly diagnosed with diabetes. Education should include:
Answer: Insulin administration and glucose monitoring
31–40: Pharmacology & Medication Safety
31. Peak of rapid-acting insulin:
Answer: 1–3 hours
2026 2027 GRADED A+
APEA 3P Exam (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+ UPDATED 2025 GRADED A+
APEA 3P – Practice Exam:
1–10: Adult Medical-Surgical
1. A patient with chronic liver disease has jaundice and confusion. Which lab is most critical?
Answer: Ammonia level
Rationale: Elevated ammonia can indicate hepatic encephalopathy.
2. Post-op patient develops sudden dyspnea and pleuritic chest pain. First action:
Answer: Assess oxygenation and notify provider
3. A patient with hypertension reports severe headache and vision changes. Nurse suspects:
Answer: Hypertensive crisis
4. Patient with pneumonia shows coarse crackles, RR 32, SpO₂ 89%. Intervention:
Answer: Administer oxygen and monitor vitals
5. A patient with hypokalemia is at risk for:
Answer: Cardiac arrhythmias
6. A post-op patient has urine output 20 mL/hr. Nurse action:
Answer: Assess fluid balance and notify provider
2026 2027 GRADED A+
,2|Page
7. Which patient is at highest risk for pressure ulcers?
Answer: Elderly, immobile, incontinent patient
8. Patient with CHF has 4+ pitting edema. Best nursing intervention:
Answer: Elevate legs, monitor weight, assess lung sounds
9. A patient on heparin develops bruising. Nurse action:
Answer: Assess for bleeding and notify provider
10. A patient has sudden confusion and low BP post-op. Priority concern:
Answer: Hypovolemic shock
11–20: Maternal-Newborn
11. Postpartum patient has bright red vaginal bleeding and boggy fundus. First action:
Answer: Massage fundus
12. Neonate with nasal flaring, grunting, and retracting. First action:
Answer: Provide oxygen and airway support
13. Pregnant client reports painless vaginal bleeding at 34 weeks. Likely cause:
Answer: Placenta previa
14. Patient on magnesium sulfate with RR 9/min. Nursing action:
Answer: Stop infusion and notify provider
2026 2027 GRADED A+
,3|Page
15. Lochia expected at day 4 postpartum:
Answer: Lochia serosa (pink/brown)
16. Neonate APGAR 1 min: 4. Intervention:
Answer: Stimulate and provide oxygen
17. Decreased fetal movement reported. Nurse action:
Answer: Assess fetal heart rate and notify provider
18. Postpartum hemorrhage prevention includes:
Answer: Uterine massage and monitoring
19. Neonatal hypoglycemia is indicated by:
Answer: Blood glucose <40 mg/dL
20. Mother has sore nipples while breastfeeding. Nursing intervention:
Answer: Assess latch and educate on proper technique
21–30: Pediatrics
21. Child with stridor, drooling, and tripod position. Likely condition:
Answer: Epiglottitis
22. Toddler with sunken eyes, dry mouth, and lethargy. Nursing priority:
Answer: Rehydrate orally or IV
23. Pediatric asthma patient wheezing and using accessory muscles. Intervention:
Answer: Administer prescribed bronchodilator
2026 2027 GRADED A+
, 4|Page
24. Child with sickle cell crisis reports severe pain. Nursing action:
Answer: Administer analgesia per protocol
25. Child with fever, irritability, and 104°F. Nursing action:
Answer: Monitor, give antipyretics, encourage fluids
26. Signs of increased ICP in a child include:
Answer: Bulging fontanelle, vomiting, irritability
27. Child with croup. Priority nursing action:
Answer: Keep airway open, provide humidified air
28. Pediatric patient with vomiting and diarrhea. Priority:
Answer: Assess hydration status and replace fluids
29. Child with cystic fibrosis produces thick sputum. Nursing intervention:
Answer: Chest physiotherapy
30. School-age child newly diagnosed with diabetes. Education should include:
Answer: Insulin administration and glucose monitoring
31–40: Pharmacology & Medication Safety
31. Peak of rapid-acting insulin:
Answer: 1–3 hours
2026 2027 GRADED A+
