APEA PRE-PREDICTOR NP ACTUAL EXAM WITH
VERIFIED EXPLANATIONS UPDATED QUESTION
BANK QUESTIONS & DETAILED ANSWERSALREADY
GRADED A+
Which of these instructions should a nurse include in the plan of care for a 32-week
gestation client who had an amniocentesis today?
a. "Drink at least six glasses of fluids during the next six hours after the test."
b. "Call the clinic if you experience any abdominal cramps."
c. "Don't be concerned if you have some vaginal spotting in the next 12 hours."
d. "When you get home, stay on bed-rest for the next 48 hours." - B
An adolescent has a nursing diagnosis of fatigue related to inadequate intake of ironrich
foods. Selection of which of these lunches by the client indicates a correct
understanding of foods high in iron content?
a. Peanut butter and jam sandwich.
b. Chicken nuggets with rice.
c. Tuna salad sandwich.
d. Beefburger with cheese. - D
A client has been admitted with acute pancreatitis. Which of these laboratory test results
supports this diagnosis?
,a. Elevated serum potassium level.
b. Elevated serum amylase level.
c. Elevated serum sodium level.
d. Elevated serum creatinine level. - B
Which of these manifestations, if assessed in a client who is two-hours postoperative
after abdominal surgery, should a nurse report immediately?
a. Vomiting and a pulse rate of 106/minute.
b. Respiratory rate of 12/minute and urine dribbling.
c. Blood pressure of 100/60 mm Hg and wound discomfort.
d. Urine output of 100 mL/hr and flushed skin. - A
Which of these observations of a student nurse's behavior while interacting with a client
who is crying indicates a correct understanding of therapeutic communication?
a. The student maintains continuous eye contact with the client.
b. The student places one arm around the client's shoulder?
c. The student sits quietly next to the client.
d. The student leaves the room to provide privacy for the client. - C
Which of these actions should a nurse take initially if a client who is diagnosed with
diabetes mellitus develops tremors and ataxia?
a. Measure the client's blood sugar level.
b. Administer a concentrated form glucose to the client.
c. Administer a prn dose of insulin.
d. Measure the client's urine for ketones. - A
An elderly client is at increased risk of developing drug toxicity to prescribed
medications due to declining hepatic and renal functioning. Which of these strategies
should a nurse plan to decrease this risk?
a. Increasing the time interval between medication doses.
b. Limiting the client's oral fluid intake.
c. Administering the medications with meals.
d. Encouraging the client to void every three to four hours. - A
A client has persistent paranoid delusions that the food on the unit is poisoned. Which of
these measures should a nurse include in the client's care plan?
a. Explaining that staff does not poison clients.
b. Focusing on how the hospital staff helps clients.
, c. Allowing the client to eat food from sealed containers.
d. Telling the client that not eating the food that is served will result in privilege
restrictions. - C
Thrombophlebitis is a complication that may result due to surgery. Which of these
actions should a nurse take in the operating room to prevent this complication from
occurring?
a. Gatch the knee of the bed.
b. Administer anticoagulants preoperatively.
c. Apply sequential compression devices.
d. Maintain the legs in a dependent position. - C
When discussing weigh gain during pregnancy, a nurse should recommend that the
total weight gain for a pregnant client who is at ideal body weight for her height is:
a. at least 15 pounds.
b. 15 to 20 pounds.
c. 25 to 35 pounds.
d. at least 45 pounds. - C
Which of these manifestations, if reported by a client who is 10-weeks-pregnant,
supports the diagnosis of ruptured tubal pregnancy.
a. Sharp unilateral abdominal pain.
b. Uncontrollable vomiting.
c. Marked abdominal distention.
d. Profuse vaginal bleeding. - A
Which of these assignments, if made by a nurse to a nursing assistant, indicates that
the nurse needs additional instructions regarding the principles of delegation?
a. "Please bathe the client in room 12, and then bring the client to the dining room for
breakfast by 9 A.M."
b. "Please bathe the client in room 10, administer a back rub, and then evaluate if the
back rub eased the client's discomfort."
c. "Please measure the intake and output for the client's in rooms 8. 9. and 10, and
record each on the intake/output sheets by 2 P.M."
d. "Please toilet the clients in rooms 11, 12, and 13 mid-morning and after lunch." - B
Which of these instructions should a nurse include in the teaching plan for a client who
had removal of a cataract in the left eye?
a. "Forcefully cough and take deep breaths every two hours to keep your airway clear."
VERIFIED EXPLANATIONS UPDATED QUESTION
BANK QUESTIONS & DETAILED ANSWERSALREADY
GRADED A+
Which of these instructions should a nurse include in the plan of care for a 32-week
gestation client who had an amniocentesis today?
a. "Drink at least six glasses of fluids during the next six hours after the test."
b. "Call the clinic if you experience any abdominal cramps."
c. "Don't be concerned if you have some vaginal spotting in the next 12 hours."
d. "When you get home, stay on bed-rest for the next 48 hours." - B
An adolescent has a nursing diagnosis of fatigue related to inadequate intake of ironrich
foods. Selection of which of these lunches by the client indicates a correct
understanding of foods high in iron content?
a. Peanut butter and jam sandwich.
b. Chicken nuggets with rice.
c. Tuna salad sandwich.
d. Beefburger with cheese. - D
A client has been admitted with acute pancreatitis. Which of these laboratory test results
supports this diagnosis?
,a. Elevated serum potassium level.
b. Elevated serum amylase level.
c. Elevated serum sodium level.
d. Elevated serum creatinine level. - B
Which of these manifestations, if assessed in a client who is two-hours postoperative
after abdominal surgery, should a nurse report immediately?
a. Vomiting and a pulse rate of 106/minute.
b. Respiratory rate of 12/minute and urine dribbling.
c. Blood pressure of 100/60 mm Hg and wound discomfort.
d. Urine output of 100 mL/hr and flushed skin. - A
Which of these observations of a student nurse's behavior while interacting with a client
who is crying indicates a correct understanding of therapeutic communication?
a. The student maintains continuous eye contact with the client.
b. The student places one arm around the client's shoulder?
c. The student sits quietly next to the client.
d. The student leaves the room to provide privacy for the client. - C
Which of these actions should a nurse take initially if a client who is diagnosed with
diabetes mellitus develops tremors and ataxia?
a. Measure the client's blood sugar level.
b. Administer a concentrated form glucose to the client.
c. Administer a prn dose of insulin.
d. Measure the client's urine for ketones. - A
An elderly client is at increased risk of developing drug toxicity to prescribed
medications due to declining hepatic and renal functioning. Which of these strategies
should a nurse plan to decrease this risk?
a. Increasing the time interval between medication doses.
b. Limiting the client's oral fluid intake.
c. Administering the medications with meals.
d. Encouraging the client to void every three to four hours. - A
A client has persistent paranoid delusions that the food on the unit is poisoned. Which of
these measures should a nurse include in the client's care plan?
a. Explaining that staff does not poison clients.
b. Focusing on how the hospital staff helps clients.
, c. Allowing the client to eat food from sealed containers.
d. Telling the client that not eating the food that is served will result in privilege
restrictions. - C
Thrombophlebitis is a complication that may result due to surgery. Which of these
actions should a nurse take in the operating room to prevent this complication from
occurring?
a. Gatch the knee of the bed.
b. Administer anticoagulants preoperatively.
c. Apply sequential compression devices.
d. Maintain the legs in a dependent position. - C
When discussing weigh gain during pregnancy, a nurse should recommend that the
total weight gain for a pregnant client who is at ideal body weight for her height is:
a. at least 15 pounds.
b. 15 to 20 pounds.
c. 25 to 35 pounds.
d. at least 45 pounds. - C
Which of these manifestations, if reported by a client who is 10-weeks-pregnant,
supports the diagnosis of ruptured tubal pregnancy.
a. Sharp unilateral abdominal pain.
b. Uncontrollable vomiting.
c. Marked abdominal distention.
d. Profuse vaginal bleeding. - A
Which of these assignments, if made by a nurse to a nursing assistant, indicates that
the nurse needs additional instructions regarding the principles of delegation?
a. "Please bathe the client in room 12, and then bring the client to the dining room for
breakfast by 9 A.M."
b. "Please bathe the client in room 10, administer a back rub, and then evaluate if the
back rub eased the client's discomfort."
c. "Please measure the intake and output for the client's in rooms 8. 9. and 10, and
record each on the intake/output sheets by 2 P.M."
d. "Please toilet the clients in rooms 11, 12, and 13 mid-morning and after lunch." - B
Which of these instructions should a nurse include in the teaching plan for a client who
had removal of a cataract in the left eye?
a. "Forcefully cough and take deep breaths every two hours to keep your airway clear."
