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APEA Predictor exam with correct verified answers. Grade A Assured

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12/14/24, 3:31 AM APEA Predictor exam | Quizlet




APEA Predictor exam
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1 How is a diagnosis of neuroblastoma confirmed?




Which of these actions, if taken by a nursing assistant, should a nurse recognize as increasing the
client's risk of developing a nosocomial infection?
a. Wearing non-sterile gloves while emptying the Foley drainage bag.
2

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,12/14/24, 3:31 AM APEA Predictor exam | Quizlet
b. Taping a paper bag to the side rail for tissue disposal.
c. Placing the Foley catheter drainage bag on the bed while transferring the client.
More
d. Using the same cuff to measure the blood pressures of all the clients on the unit.



A 65-yo male presents to a clinic complaining of increasing fatigue, dyspnea on exertion, and
ankle edema during the day. He has a history of mild hypertension, for which he saw his physician
years ago. The physician advised the patient to decrease his salt intake. On physical exam, the
patient is tachycardic, positive for jugular venous distension, and positive for S3, with a systolic
murmur. Chest xray reveals cardiomegaly with vascular redistribution. The nurse practitioner's
3
diagnosis should be:
A. mycardial infarction
B. pneumonia
C. Heart failure
D. pleural effusion




4 What 2 things put someone at the highest risk of developing pancreatitis?



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Terms in this set (1014)

Cranial nerve IX Glossopharyngeal- swallowing and rise of the palate, gag reflex

Cranial Nerve VIII Acoustic (Hearing and balance)

Cranial Nerve XI Spinal Accessory (upper trapezius)

Ankle- S1 primarily
Knee- Lumbar 2,3,4
Deep tendon reflex
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7

CHADS2
C-Congestive heart failure
H-Hypertension
Stroke risk scale
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA




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,12/14/24, 3:31 AM APEA Predictor exam | Quizlet
In the majority of children, the first permanent A. First Molars
teeth start to erupt at the age of 6 years. Which
of the following are the first permanent teeth to
erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines

All of the following are classified as activities of D. Grocery shopping
daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel
elimination
C. Personal hygiene and grooming
D. Grocery Shopping

You note the following result on a routine B. Pregnancy-induced hypertension (pre-eclampsia). Classic triad of symptoms of
urinalysis of a 37-year old primigravida who is preeclampsia include hypertension, edema (weight gain), and proteinuria.
at 30 weeks gestation. Leukocyte=trace,
nitrite=negative, protein=2+, blood=negative. Her
weight has increased by 5 lbs during the past
week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-
eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension

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The mother of a 12 month old infant reports to B. Roseola Infantum (Exanthema subitum)
the nurse practitioner that her child had a high
fever for several days, which spontaneously
resolved. After the fever resolved, the child
developed a maculopapular rash. Which of the
following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes




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A 70-year old male patient complains of a D. Subconjunctival hemorrhage. Bright red blood in a sharply defined area surrounded by
bright red-colored spot in his left eye for 2 normal-appearing conjunctiva indicates subconjunctival hemorrhage.
days. He denies eye pain, visual changes, or
headaches. He has a new onset of cough from
a recent viral upper respiratory infection. The
only medicine he is on Bayer aspirin, 1 tablet a
day. Which of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage

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A woman is being evaluated by the nurse A. Atrophic vaginitis. Symptoms of atrophic vaginitis include painful intercourse, atrophic
practitioner for complaints of dyspareunia. A squamous epithelial cells, and a decrease in pH. Vaginal atrophy is caused by lack of or
microscopy slide reveals a large number of imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
atrophic squamous epithelial cells. The vaginal
pH is 4.0. There are very few leukocytes and no
RBCs are seen on the wet smear. Which of the
following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding.

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The most common type of skin malignancy is: B. Basal skin cancer. It is several times more common that squamous cell skin cancer
A. Squamous cell cancer according to the NIH.
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi




Koplik's spots are associated with: B. Measles. S/S include fever over 101, coryza, cough, conjunctivitis, rash, and koplik's spots
A. Poxvirius infections on buccal mucosa
B. Measles
C. Kawasaki's disease
D. Reye's syndrome


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At what level of prevention would you classify D. primordial prevention. Screening for lung cancer is not currently recommended in the
for lung cancer? general population, but it is secondary prevention.
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention

A test called the visual fields by confrontation is A. Peripheral vision
used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation

Administration of a glucocorticoid or ACTH.
What is the most common cause of Cushing's Iatrogenic Cushing's syndrome is the most common type. Exogenous glucocorticoid
syndrome? administration produces a Cushing's Syndrome that is reversible by discontinuation of the
medication.

Elevate her legs periodically.
A patient with no significant medical history has
The intervention that will provide the greatest relief for this patient is elevating her legs
vericose veins. She complains of '"aching legs".
periodically. This will facilitate venous return. Use of support stockings will prolong the
The intervention that will provide the greatest
length of time she is able to stand in place, but will not provide relief after her legs begin
relief for her complaint is to:
aching. Support stockings should be applied prior to getting out of bed.

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A 25-yo female patient presents for a routine Itraductal papilloma.
well-women exam. On physical exam, the NP Intraductal papilloma often presents as a non-tender mass with serous or bloody nipple
notes a scant nipple discharge, absence of discharge located in the ductal system near the areola. Breast cancer, although usually non-
palpable mass, and absence of lymph node tender, may present with pain. Chest wall syndrome may present in some women as breast
enlargement. What is the most likely diagnosis? pain. Fibrocystic breast disease often presents with bilateral breast pain.

Direct nursing care role.
According to the ANA, the role of the NP who The NP with a traditional nursing care role is a primary health care provider. Increasing
provides primary health care is the: numbers of nurse practitioners are assuming indirect roles such as educator, administrator,
researcher, and consultant.

An 8-mo male presents with hemarthrosis of A type of hemophilia.
both knees and hematuria. The parents give no Hemophilia is usually diagnosed within the first year of life. It commonly presents with
history of trauma, but say " he has always hemarthrosis, bleeding into soft tissue, hematuria, and prolonged bleeding times.
bruised easily" The most likely diagnosis is:

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