NURS APEA FINAL EXAM QUESTIONS WITH
ACCURATE ANSWERS LATEST (UPDATE
2025/ 2026) A+ ASSURED SUCCESS
Question 1
An ischemic stroke is:
A. a transient episode of neurologic dysfunction by focal brain, spinal cord, or
retinal ischemia, without acute infarction. Incorrect
B. an infarction of the central nervous system tissue that may be silent
or symptomatic.
C. the abrupt onset of motor or sensory deficits.
D. focal or asymmetric weaknesses caused by central and peripheral nerve damage.
EXPLANATION;
Ischemic stroke is “an infarction of central nervous system tissue” that may be symptomatic
or silent. TIA is now defined as “a transient episode of neurological dysfunction caused by
focal brain, spinal cord, or retinal ischemia, without acute infarction.” The other terms are
not related to the new definitions.
Question 2
During this type of seizure activity, the patient experiences partial seizures that resemble
tonic-clonic seizures. The patient may recall the aura and a unilateral neurologic deficit is
present during the postictal period. This type of seizure activity is referred to as a:
A. focal seizure with impairment of consciousness.
B. Jacksonian seizure.
C. focal seizure that becomes generalized.
NURS APEA EXAM QUESTIONS WITH ANSWERS
2025 UPATE A+ ASSURED SUCCESS
,D. grand mal seizure.
NURS APEA EXAM QUESTIONS WITH ANSWERS
2025 UPATE A+ ASSURED SUCCESS
,EXPLANATION;
Focal seizures that become generalized are partial seizures that resemble tonic-clonic
seizures. The patient may recall the aura and a unilateral neurologic deficit is present
during the postictal period. Focal seizures with impairment of consciousness the person
appears confused. Automatisms include automatic motor behaviors such as chewing,
smacking the lips, walking about, and unbuttoning clothes. Tonic and then clonic
movements that start unilaterally in the hand, foot, or face and spread to other body parts
on the same side with the patient remaining conscious are known as Jacksonian seizures.
During a grand mal seizure the person loses consciousness suddenly, sometimes with a
cry, and the body stiffens into tonic extensor rigidity. Breathing stops, and the person
becomes cyanotic. A clonic phase of rhythmic muscular contraction follows.
Question 4
When assessing abdominal cutaneous reflexes, the nurse practitioner strokes the lower
abdomen, the localized twitch is absent. This finding could be suggestive of a pathologic
lesion in which segmented level of the spine? CORRECT--
A. Thoracic 8, 9, and 10
B. Thoracic 10, 11, and 12
C. Lumbar 5 and Sacral 1
D. Sacral 2, 3, and 4
EXPLANATION;
Superficial (cutaneous) reflexes and their corresponding spinal segments include the
following: Abdominal reflexes: upper thoracic 8, 9, 10 and lower thoracic 10, 11, 12;
Plantar: lumbar 5 and sacral 1; and Anal: sacral 2, 3, 4.
Question 5
An example of symmetric weakness is:
NURS APEA EXAM QUESTIONS WITH ANSWERS
2025 UPATE A+ ASSURED SUCCESS
, A. the right shoulder.
B. the right
hand. C. both
arms.
D. one the right side of the face.
EXPLANATION;
There are 4 different patterns of weakness: Proximal, distal, symmetric, and asymmetric.
An example of proximal weakness is weakness in the shoulder or hip girdle. Distal
weakness occurs in the hands or feet. Symmetric weakness occurs in the same areas on
both sides of the body. An asymmetric weakness occurs in a portion of the face or
extremity
- a form of focal weakness.
Question 6
Assessment of a 70-year-old's ability to maintain personal safety would be most adversely
affected by declining function in the:
A. cardiovascular system.
B. respiratory system.
C. sensory perception system.
D. gastrointestinal system.
EXPLANATION;
NURS APEA EXAM QUESTIONS WITH ANSWERS
2025 UPATE A+ ASSURED SUCCESS
ACCURATE ANSWERS LATEST (UPDATE
2025/ 2026) A+ ASSURED SUCCESS
Question 1
An ischemic stroke is:
A. a transient episode of neurologic dysfunction by focal brain, spinal cord, or
retinal ischemia, without acute infarction. Incorrect
B. an infarction of the central nervous system tissue that may be silent
or symptomatic.
C. the abrupt onset of motor or sensory deficits.
D. focal or asymmetric weaknesses caused by central and peripheral nerve damage.
EXPLANATION;
Ischemic stroke is “an infarction of central nervous system tissue” that may be symptomatic
or silent. TIA is now defined as “a transient episode of neurological dysfunction caused by
focal brain, spinal cord, or retinal ischemia, without acute infarction.” The other terms are
not related to the new definitions.
Question 2
During this type of seizure activity, the patient experiences partial seizures that resemble
tonic-clonic seizures. The patient may recall the aura and a unilateral neurologic deficit is
present during the postictal period. This type of seizure activity is referred to as a:
A. focal seizure with impairment of consciousness.
B. Jacksonian seizure.
C. focal seizure that becomes generalized.
NURS APEA EXAM QUESTIONS WITH ANSWERS
2025 UPATE A+ ASSURED SUCCESS
,D. grand mal seizure.
NURS APEA EXAM QUESTIONS WITH ANSWERS
2025 UPATE A+ ASSURED SUCCESS
,EXPLANATION;
Focal seizures that become generalized are partial seizures that resemble tonic-clonic
seizures. The patient may recall the aura and a unilateral neurologic deficit is present
during the postictal period. Focal seizures with impairment of consciousness the person
appears confused. Automatisms include automatic motor behaviors such as chewing,
smacking the lips, walking about, and unbuttoning clothes. Tonic and then clonic
movements that start unilaterally in the hand, foot, or face and spread to other body parts
on the same side with the patient remaining conscious are known as Jacksonian seizures.
During a grand mal seizure the person loses consciousness suddenly, sometimes with a
cry, and the body stiffens into tonic extensor rigidity. Breathing stops, and the person
becomes cyanotic. A clonic phase of rhythmic muscular contraction follows.
Question 4
When assessing abdominal cutaneous reflexes, the nurse practitioner strokes the lower
abdomen, the localized twitch is absent. This finding could be suggestive of a pathologic
lesion in which segmented level of the spine? CORRECT--
A. Thoracic 8, 9, and 10
B. Thoracic 10, 11, and 12
C. Lumbar 5 and Sacral 1
D. Sacral 2, 3, and 4
EXPLANATION;
Superficial (cutaneous) reflexes and their corresponding spinal segments include the
following: Abdominal reflexes: upper thoracic 8, 9, 10 and lower thoracic 10, 11, 12;
Plantar: lumbar 5 and sacral 1; and Anal: sacral 2, 3, 4.
Question 5
An example of symmetric weakness is:
NURS APEA EXAM QUESTIONS WITH ANSWERS
2025 UPATE A+ ASSURED SUCCESS
, A. the right shoulder.
B. the right
hand. C. both
arms.
D. one the right side of the face.
EXPLANATION;
There are 4 different patterns of weakness: Proximal, distal, symmetric, and asymmetric.
An example of proximal weakness is weakness in the shoulder or hip girdle. Distal
weakness occurs in the hands or feet. Symmetric weakness occurs in the same areas on
both sides of the body. An asymmetric weakness occurs in a portion of the face or
extremity
- a form of focal weakness.
Question 6
Assessment of a 70-year-old's ability to maintain personal safety would be most adversely
affected by declining function in the:
A. cardiovascular system.
B. respiratory system.
C. sensory perception system.
D. gastrointestinal system.
EXPLANATION;
NURS APEA EXAM QUESTIONS WITH ANSWERS
2025 UPATE A+ ASSURED SUCCESS
