APEA QBANK PRACTICE TEST SET 2 2026
COMPLETE SOLUTION SCRIPT ACCURATE
RESPONSES A+
◉ Ramipril has been initiated at a low dose in a patient with heart
failure. What is most important to monitor in about 1 week?
Heart rate
Blood pressure
EKG
Potassium level
*image includes symptoms of hyperkalemia Answer: Potassium level
◉ At what age should initial blood pressure screening take place?
3 years
4-6 years
6 years
6-10 years Answer: 3 years
,Should be measured immediately after birth and anytime a cardiac
problem is expected. Then BP is checked at 3 years of age and annually
after that.
◉ A patient with mitral regurgitation (MR) has developed the most
common arrhythmia associated with MR. The intervention most likely to
prevent complications from this arrhythmia is:
immediate referral for a pacemaker.
anticoagulation.
beta blocker administration.
valve replacement. Answer: anticoagulation
Most common arrhythmia associated with mitral regurgitation is atrial
fibrillation.
AFIB occurs because the fibers in the atrium are stretched as the atrium
dilates. The stretch results in conduction defects, notably, AFIB.
◉ A child's resting heart rate is expected to be between 60 and 100 beats
per minute once he reaches:
4 years of age.
6 years of age.
10 years of age.
12 years of age. Answer: 10 years of age
,◉ Which study would be most helpful in evaluating the degree of
hypertrophy of the atrium or ventricle?
Chest X-ray
Electrocardiography
Echocardiography
Doppler ultrasound Answer: Echocardiography
◉ The nurse practitioner is caring for an independent 74-year-old female
who had acute coronary syndrome (ACS) about 6 weeks ago. What
medications should be part of her regimen unless there is a
contraindication?
ASA and beta blocker
ACE and beta blocker
ACE, ASA, and beta blocker
ACE, ASA, beta blocker, and statin Answer: ACE, ASA, beta blocker,
and statin
◉ A patient who takes HCTZ 25 mg daily has complaints of muscle
cramps. He probably has:
hypocalcemia.
hypomagnesemia.
hypokalemia.
hypercalcemia. Answer: hypokalemia
, ◉ A 50-year-old patient with hypertension has taken
hydrochlorothiazide 25 mg daily for the past 4 weeks. How should the
nurse practitioner proceed?
2/2 - 155/95, 69 bpm
3/2 - 145/90, 66 bpm
Wait 4 weeks before making a dosage change.
Increase the hydrochlorothiazide to 50 mg daily.
Add a drug from another class to the daily 25 mg hydrochlorothiazide.
Stop the hydrochlorothiazide and start a drug from a different class.
Answer: Add a drug from another class to the daily 25 mg
hydrochlorothiazide
Increasing the dose of HCTZ to 50 mg daily will not result in a decrease
in BP, only an increase in potassium loss. Adding a drug from a different
class is a better choice
◉ A patient will be screened for hyperlipidemia via a serum specimen.
He should be told:
to fast for 12-14 hours.
to fast for 6-8 hours.
that black coffee is allowed.
COMPLETE SOLUTION SCRIPT ACCURATE
RESPONSES A+
◉ Ramipril has been initiated at a low dose in a patient with heart
failure. What is most important to monitor in about 1 week?
Heart rate
Blood pressure
EKG
Potassium level
*image includes symptoms of hyperkalemia Answer: Potassium level
◉ At what age should initial blood pressure screening take place?
3 years
4-6 years
6 years
6-10 years Answer: 3 years
,Should be measured immediately after birth and anytime a cardiac
problem is expected. Then BP is checked at 3 years of age and annually
after that.
◉ A patient with mitral regurgitation (MR) has developed the most
common arrhythmia associated with MR. The intervention most likely to
prevent complications from this arrhythmia is:
immediate referral for a pacemaker.
anticoagulation.
beta blocker administration.
valve replacement. Answer: anticoagulation
Most common arrhythmia associated with mitral regurgitation is atrial
fibrillation.
AFIB occurs because the fibers in the atrium are stretched as the atrium
dilates. The stretch results in conduction defects, notably, AFIB.
◉ A child's resting heart rate is expected to be between 60 and 100 beats
per minute once he reaches:
4 years of age.
6 years of age.
10 years of age.
12 years of age. Answer: 10 years of age
,◉ Which study would be most helpful in evaluating the degree of
hypertrophy of the atrium or ventricle?
Chest X-ray
Electrocardiography
Echocardiography
Doppler ultrasound Answer: Echocardiography
◉ The nurse practitioner is caring for an independent 74-year-old female
who had acute coronary syndrome (ACS) about 6 weeks ago. What
medications should be part of her regimen unless there is a
contraindication?
ASA and beta blocker
ACE and beta blocker
ACE, ASA, and beta blocker
ACE, ASA, beta blocker, and statin Answer: ACE, ASA, beta blocker,
and statin
◉ A patient who takes HCTZ 25 mg daily has complaints of muscle
cramps. He probably has:
hypocalcemia.
hypomagnesemia.
hypokalemia.
hypercalcemia. Answer: hypokalemia
, ◉ A 50-year-old patient with hypertension has taken
hydrochlorothiazide 25 mg daily for the past 4 weeks. How should the
nurse practitioner proceed?
2/2 - 155/95, 69 bpm
3/2 - 145/90, 66 bpm
Wait 4 weeks before making a dosage change.
Increase the hydrochlorothiazide to 50 mg daily.
Add a drug from another class to the daily 25 mg hydrochlorothiazide.
Stop the hydrochlorothiazide and start a drug from a different class.
Answer: Add a drug from another class to the daily 25 mg
hydrochlorothiazide
Increasing the dose of HCTZ to 50 mg daily will not result in a decrease
in BP, only an increase in potassium loss. Adding a drug from a different
class is a better choice
◉ A patient will be screened for hyperlipidemia via a serum specimen.
He should be told:
to fast for 12-14 hours.
to fast for 6-8 hours.
that black coffee is allowed.
