APEA Pathophysiology NHA CCMA 1nd Practice Test - 150
Questions and Answers Already Graded A+ Premium Exam
Tested And Verified
Subject Area APEA Pathophysiology NHA CCMA 1nd Practice Test
Description Exam compiled from the shared exam library.
Expected Grade A+
Total Questions 150
Duration 3 hours
Learning Outcomes 1. Demonstrate mastery of core concepts
Accreditation Sourced from the shared exam library.
Page 1
,1. The home health nurse is assigned to visit all of these clients when a change in
agency staffing requires that one of the clients should be rescheduled for a visit on
the following day. Which of these clients would be best to reschedule?
A. Client with emphysema who has been on home oxygen for a month and has SPO2 levels
of 91% to 93%
B. Client with history of a cough, weight loss, and night sweats who has just had a positive
Mantoux test
C. Client with newly diagnosed pleural effusion who needs an admission visit and an initial
intake assessment
D. Client with percutaneous lung biopsy yesterday who called in to report increased dyspnea
Answer: A. Client with emphysema who has been on home oxygen for a month and
has SPO2 levels of 91% to 93%
This client has an appropriate Spo2 for home oxygen use.
2. The nurse is formulating a plan of care for a client with a cognitive disorder.
Which activity is most appropriate for the client with confusion and a short attention
span?
A. Meeting with an assertiveness training group
B. participating in unit community goal setting
C. going on a field trip with a group of clients
D. taking part in a reality-orientation group
Answer: D. taking part in a reality-orientation group
3. The home health nurse is planning for the day's visits. Which client should be seen
first?
A. The 78 year old who had a gastrectomy 3 weeks ago with a PEG tube
B. The 5 month old discharged 1 week ago with pneumonia who is being treated with
amoxicillin liquid suspension
C. The 50 year old with MRSA being treated with Vancomycin via a PICC line
D. The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via
a centrally placed venous catheter
Answer: D. The 30 year old with an exacerbation of multiple sclerosis being treated
with cortisone via a centrally placed venous catheter
The priority client is the one with multiple sclerosis who is being treated with cortisone
via the central line. This client is at highest risk for complications.
Page 2
,4. Which of the components of a client's family history are of particular importance
to the home health nurse who is assessing a new client with asthma?
A. Brother is allergic to peanuts.
B. Father is obese.
C. Mother is diabetic.
D. Sister is pregnant.
Answer: A. Brother is allergic to peanuts.
Clients with asthma often have a family history of allergies. It will be important to
assess whether this client has any allergies that may serve as triggers for an asthma
attack.
5. The nurse is doing an admission assessment on a client with a history of duodenal
ulcer. To determine whether the problem is currently active, the nurse should assess
the client for which sign(s)/symptom(s) of duodenal ulcer?
A. Weight loss
B. Nausea and vomiting
C. Pain relieved by food intake
D. Pain radiating down the right arm
Answer: C. Pain relieved by food intake
A frequent symptom of duodenal ulcer is pain that is relieved by food intake. These
clients generally describe the pain as a burning, heavy, sharp, or 'hungry' pain that
often localizes in the mid-epigastric area. The client with duodenal ulcer usually does
not experience weight loss or nausea and vomiting. These symptoms are more typical in
the client with a gastric ulcer.
Page 3
, 6. A nurse is assessing a client who has a chest tube connected to a dry suction water
seal drainage system. The nurse observes continuous bubbling in the water seal
chamber. Which of the following actions should the nurse take first?
A. Check the chest tube insertion site for air leak.
B. Increase the suction pressure to eliminate the leak.
C. Clamp the chest tube near the insertion site.
D. Replace the drainage system with a new one.
Answer: A. Check the chest tube insertion site for air leak.
Continuous bubbling in the water seal chamber indicates an air leak in the system. The
first step is to locate the source of the leak. The nurse should assess the chest tube
insertion site and all connections to determine if the leak is from the patient (e.g., lung
leak) or from the system (e.g., loose connection). Increasing suction may worsen a leak.
Clamping is dangerous if there is a persistent air leak as it can cause tension
pneumothorax. Replacing the system is premature without assessing the source.
7. What is the correct procedure for boring cylinders in a parent for engine?
A. Bore to new piston size plus clearance
B. Bore to new piston skirt diameter
C. Hone to new piston size and bore to clearance specifications
D. Bore to specified size and hone to the clearance specification
Answer: D. Bore to specified size and hone to the clearance specification
Page 4
Questions and Answers Already Graded A+ Premium Exam
Tested And Verified
Subject Area APEA Pathophysiology NHA CCMA 1nd Practice Test
Description Exam compiled from the shared exam library.
Expected Grade A+
Total Questions 150
Duration 3 hours
Learning Outcomes 1. Demonstrate mastery of core concepts
Accreditation Sourced from the shared exam library.
Page 1
,1. The home health nurse is assigned to visit all of these clients when a change in
agency staffing requires that one of the clients should be rescheduled for a visit on
the following day. Which of these clients would be best to reschedule?
A. Client with emphysema who has been on home oxygen for a month and has SPO2 levels
of 91% to 93%
B. Client with history of a cough, weight loss, and night sweats who has just had a positive
Mantoux test
C. Client with newly diagnosed pleural effusion who needs an admission visit and an initial
intake assessment
D. Client with percutaneous lung biopsy yesterday who called in to report increased dyspnea
Answer: A. Client with emphysema who has been on home oxygen for a month and
has SPO2 levels of 91% to 93%
This client has an appropriate Spo2 for home oxygen use.
2. The nurse is formulating a plan of care for a client with a cognitive disorder.
Which activity is most appropriate for the client with confusion and a short attention
span?
A. Meeting with an assertiveness training group
B. participating in unit community goal setting
C. going on a field trip with a group of clients
D. taking part in a reality-orientation group
Answer: D. taking part in a reality-orientation group
3. The home health nurse is planning for the day's visits. Which client should be seen
first?
A. The 78 year old who had a gastrectomy 3 weeks ago with a PEG tube
B. The 5 month old discharged 1 week ago with pneumonia who is being treated with
amoxicillin liquid suspension
C. The 50 year old with MRSA being treated with Vancomycin via a PICC line
D. The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via
a centrally placed venous catheter
Answer: D. The 30 year old with an exacerbation of multiple sclerosis being treated
with cortisone via a centrally placed venous catheter
The priority client is the one with multiple sclerosis who is being treated with cortisone
via the central line. This client is at highest risk for complications.
Page 2
,4. Which of the components of a client's family history are of particular importance
to the home health nurse who is assessing a new client with asthma?
A. Brother is allergic to peanuts.
B. Father is obese.
C. Mother is diabetic.
D. Sister is pregnant.
Answer: A. Brother is allergic to peanuts.
Clients with asthma often have a family history of allergies. It will be important to
assess whether this client has any allergies that may serve as triggers for an asthma
attack.
5. The nurse is doing an admission assessment on a client with a history of duodenal
ulcer. To determine whether the problem is currently active, the nurse should assess
the client for which sign(s)/symptom(s) of duodenal ulcer?
A. Weight loss
B. Nausea and vomiting
C. Pain relieved by food intake
D. Pain radiating down the right arm
Answer: C. Pain relieved by food intake
A frequent symptom of duodenal ulcer is pain that is relieved by food intake. These
clients generally describe the pain as a burning, heavy, sharp, or 'hungry' pain that
often localizes in the mid-epigastric area. The client with duodenal ulcer usually does
not experience weight loss or nausea and vomiting. These symptoms are more typical in
the client with a gastric ulcer.
Page 3
, 6. A nurse is assessing a client who has a chest tube connected to a dry suction water
seal drainage system. The nurse observes continuous bubbling in the water seal
chamber. Which of the following actions should the nurse take first?
A. Check the chest tube insertion site for air leak.
B. Increase the suction pressure to eliminate the leak.
C. Clamp the chest tube near the insertion site.
D. Replace the drainage system with a new one.
Answer: A. Check the chest tube insertion site for air leak.
Continuous bubbling in the water seal chamber indicates an air leak in the system. The
first step is to locate the source of the leak. The nurse should assess the chest tube
insertion site and all connections to determine if the leak is from the patient (e.g., lung
leak) or from the system (e.g., loose connection). Increasing suction may worsen a leak.
Clamping is dangerous if there is a persistent air leak as it can cause tension
pneumothorax. Replacing the system is premature without assessing the source.
7. What is the correct procedure for boring cylinders in a parent for engine?
A. Bore to new piston size plus clearance
B. Bore to new piston skirt diameter
C. Hone to new piston size and bore to clearance specifications
D. Bore to specified size and hone to the clearance specification
Answer: D. Bore to specified size and hone to the clearance specification
Page 4
