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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 2026-2027 GRADED A+
APEA 3P – Practice Exam: Questions
1–10: Adult Medical-Surgical
1. A patient with chronic kidney disease reports nausea and confusion. Which lab is most critical
to review?
Answer: Serum potassium
Rationale: Hyperkalemia can cause cardiac arrhythmias and mental status changes.
2. Patient post-op day 1 has BP 85/50 and HR 125. Priority action:
Answer: Assess for hemorrhage and notify provider
3. A patient with pneumonia has RR 30, SpO₂ 88%. First nursing action:
Answer: Administer oxygen
4. A patient reports new-onset chest pain radiating to left arm. Priority action:
Answer: Call rapid response / notify provider
5. A patient with diabetes reports dizziness, sweating, and trembling. Likely cause:
Answer: Hypoglycemia
2026 2027 GRADED A+
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6. A patient receiving furosemide reports leg cramps and palpitations. Likely electrolyte
imbalance:
Answer: Hypokalemia
7. Which post-op patient is at highest risk for pneumonia?
Answer: Older adult with limited mobility
8. Patient has chest tube draining 600 mL in first hour. Nurse action:
Answer: Notify provider immediately
9. Which assessment finding indicates fluid overload?
Answer: Crackles, edema, increased BP
10. A patient with atrial fibrillation is on warfarin. INR is 5.5. Action:
Answer: Hold dose and notify provider
11–20: Maternal-Newborn
11. A postpartum client 8 hours after delivery has a boggy fundus and saturated pads. First
action:
Answer: Massage fundus
12. A neonate has nasal flaring, grunting, and retracting. Priority action:
Answer: Provide oxygen and support airway
13. A woman at 36 weeks reports painless bright red vaginal bleeding. Likely cause:
Answer: Placenta previa
2026 2027 GRADED A+
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14. A patient on magnesium sulfate reports decreased reflexes and RR 10. Action:
Answer: Stop infusion and notify provider
15. Expected lochia at 2 days postpartum:
Answer: Lochia rubra
16. A neonate’s APGAR at 1 minute is 5. Immediate intervention:
Answer: Stimulation and oxygen
17. A client reports decreased fetal movement. Nurse action:
Answer: Assess fetal heart rate and notify provider
18. Which intervention prevents postpartum hemorrhage?
Answer: Uterine massage and monitoring
19. Neonatal hypoglycemia is indicated by:
Answer: Glucose <40 mg/dL
20. A breastfeeding mother has cracked nipples. Nursing intervention:
Answer: Assess latch and educate
21–30: Pediatrics
21. A child presents with sudden stridor and drooling. Likely condition:
Answer: Epiglottitis
22. Signs of dehydration in a toddler:
Answer: Dry mucous membranes, sunken fontanelle, decreased urine
2026 2027 GRADED A+
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23. A child with asthma wheezes and uses accessory muscles. Priority action:
Answer: Administer rescue inhaler
24. Child with sickle cell crisis complains of severe pain. First action:
Answer: Administer prescribed analgesia
25. A 2-year-old has 104°F fever and irritability. Nursing intervention:
Answer: Monitor, provide antipyretics, encourage fluids
26. Signs of increased ICP in children include:
Answer: Vomiting, bulging fontanelle, irritability
27. Child with croup should be positioned:
Answer: Upright and provide humidified air
28. Pediatric patient with diarrhea. Priority intervention:
Answer: Assess hydration and replace fluids
29. Child with CF produces thick sputum. Best intervention:
Answer: Chest physiotherapy
30. School-age child with newly diagnosed diabetes. Priority teaching:
Answer: Insulin administration and blood glucose monitoring
31–40: Pharmacology & Medication Safety
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 2026-2027 GRADED A+
APEA 3P – Practice Exam: Questions
1–10: Adult Medical-Surgical
1. A patient with chronic kidney disease reports nausea and confusion. Which lab is most critical
to review?
Answer: Serum potassium
Rationale: Hyperkalemia can cause cardiac arrhythmias and mental status changes.
2. Patient post-op day 1 has BP 85/50 and HR 125. Priority action:
Answer: Assess for hemorrhage and notify provider
3. A patient with pneumonia has RR 30, SpO₂ 88%. First nursing action:
Answer: Administer oxygen
4. A patient reports new-onset chest pain radiating to left arm. Priority action:
Answer: Call rapid response / notify provider
5. A patient with diabetes reports dizziness, sweating, and trembling. Likely cause:
Answer: Hypoglycemia
2026 2027 GRADED A+
,2|Page
6. A patient receiving furosemide reports leg cramps and palpitations. Likely electrolyte
imbalance:
Answer: Hypokalemia
7. Which post-op patient is at highest risk for pneumonia?
Answer: Older adult with limited mobility
8. Patient has chest tube draining 600 mL in first hour. Nurse action:
Answer: Notify provider immediately
9. Which assessment finding indicates fluid overload?
Answer: Crackles, edema, increased BP
10. A patient with atrial fibrillation is on warfarin. INR is 5.5. Action:
Answer: Hold dose and notify provider
11–20: Maternal-Newborn
11. A postpartum client 8 hours after delivery has a boggy fundus and saturated pads. First
action:
Answer: Massage fundus
12. A neonate has nasal flaring, grunting, and retracting. Priority action:
Answer: Provide oxygen and support airway
13. A woman at 36 weeks reports painless bright red vaginal bleeding. Likely cause:
Answer: Placenta previa
2026 2027 GRADED A+
,3|Page
14. A patient on magnesium sulfate reports decreased reflexes and RR 10. Action:
Answer: Stop infusion and notify provider
15. Expected lochia at 2 days postpartum:
Answer: Lochia rubra
16. A neonate’s APGAR at 1 minute is 5. Immediate intervention:
Answer: Stimulation and oxygen
17. A client reports decreased fetal movement. Nurse action:
Answer: Assess fetal heart rate and notify provider
18. Which intervention prevents postpartum hemorrhage?
Answer: Uterine massage and monitoring
19. Neonatal hypoglycemia is indicated by:
Answer: Glucose <40 mg/dL
20. A breastfeeding mother has cracked nipples. Nursing intervention:
Answer: Assess latch and educate
21–30: Pediatrics
21. A child presents with sudden stridor and drooling. Likely condition:
Answer: Epiglottitis
22. Signs of dehydration in a toddler:
Answer: Dry mucous membranes, sunken fontanelle, decreased urine
2026 2027 GRADED A+
, 4|Page
23. A child with asthma wheezes and uses accessory muscles. Priority action:
Answer: Administer rescue inhaler
24. Child with sickle cell crisis complains of severe pain. First action:
Answer: Administer prescribed analgesia
25. A 2-year-old has 104°F fever and irritability. Nursing intervention:
Answer: Monitor, provide antipyretics, encourage fluids
26. Signs of increased ICP in children include:
Answer: Vomiting, bulging fontanelle, irritability
27. Child with croup should be positioned:
Answer: Upright and provide humidified air
28. Pediatric patient with diarrhea. Priority intervention:
Answer: Assess hydration and replace fluids
29. Child with CF produces thick sputum. Best intervention:
Answer: Chest physiotherapy
30. School-age child with newly diagnosed diabetes. Priority teaching:
Answer: Insulin administration and blood glucose monitoring
31–40: Pharmacology & Medication Safety
2026 2027 GRADED A+
