SAPPC CERTIFICATION 2026 PRACTICE TEST
PAPER COMPETENCY REVIEW SHEET FULL
SOLUTIONS
◉ The post hysterectomy patient with calls the clinic stating that she
has been having difficulty with incontinence. Which of the following
statements if made by the patient, indicates that further teaching is
needed?
A. I drink 8 oz. of fluid on the even hours while awake.
B. I will attempt to void 30 minutes after drinking 200 cc. of fluid
C. I will only drink fluid when I eat my meals
D. I will set the timer to remind me when to void Answer: C.
A patient saying that he or she will only drink fluids when eating
meals indicates that they don't know what to do in case of
incontinence.
FURTHER TEACHING indicates that the patient needs more
information
◉ An RN assesses a patient in the Cancer Center with a diagnosis of
terminal cancer. The patient states to the RN that he is short of
,breath, has no appetite and hurts everywhere. Which of the
following statements by the nurse is best?
A. Tell me how your family is coping
B. Show me where it does not hurt
C. I'll teach you relaxation techniques
D. Your physician should increase your pain medication Answer: C
◉ A clinical nurse returns to the desk to find 4 phone messages.
Which of the following messages should the nurse respond to first?
A. A post cervical laminectomy patient complaining of sudden
difficulty talking.
B. A patient with multiple sclerosis complaining of change in
peripheral vision.
C. A patient with a herniated disc complaining of consistent back
pain.
D. A patient with a cast due to a fracture of the right tibial bone
complaining of tingling toes. Answer: A
B and C are expected symptoms of the patient's condition. A and D
are unexpected. D is less critical than A. Best answer is A.
,◉ A 75 year old patient complains to the clinical nurse that he is
having difficulty sleeping. Which of the following actions by the
nurse is most appropriate?
A. Determine the patient's usual sleeping and waking patterns.
B. Suggest that the client abstain from alcohol and caffeine before
bed time.
C. Recommend that client establish a bedtime routine.
D. Ask how much sleep the client required before retirement.
Answer: A
B and C are recommendations that the RN can share after he/she
determines the patient's sleeping and waking patterns. So remove B
and C. D is an inquiry, but is concerned about the past (when the
person retired). Remove D. A is the best answer.
◉ The nurse cares for a patient several hours after a thyroidectomy.
The RN observes that the patient is diaphoretic and confused. The
vital signs are:
Temp = 102° (38.9 ° C); BP is 160/90; pulse is 110, respiration is 22.
The nurse expects the physician to order which of the following?
A. NPO, Dextran 10 ml/kg. IV, 02 4 L/min.
B. Propranolol (Inderal) 1 mg. IV, D5W 125 cc/hr IV,
propylthiaouracil (PTU) 200 mg po qld.
, C. Levothyroxine Sodium (Synthroid) 100 mcg IV, Lactated Ringer's
125 cc/hr IV, and ciprofloxacin (cipro) 500 mg. po bid.
D. Morphine sulfate 2.5 mg. IV q. 4 hrs. prn, 0.9% NACl. Answer: B
◉ A 63 year old female patient contacts the clinic to report that she
is has been extremely fatigued, is sleeping 12 hours a night, is always
cold and her hair is falling out. Which of the following responses by
the nurse is most appropriate?
A. You will have more energy if you walk 30 min every day.
B. You don't need to worry. Sleeping a lot is good for you.
C. Come in and see your health care provider today.
D. You should eat more green leafy vegetables. Answer: C
Need more info
◉ The RN performs blood pressure screening at the local
community center. Which of the following individuals is most likely
to suffer from a cerebrovascular accident?
A. A 30 year old man who is an account executive
B. A 40 year old man who jogs four times a week.
C. A 60 year old man whose father had a stroke.
PAPER COMPETENCY REVIEW SHEET FULL
SOLUTIONS
◉ The post hysterectomy patient with calls the clinic stating that she
has been having difficulty with incontinence. Which of the following
statements if made by the patient, indicates that further teaching is
needed?
A. I drink 8 oz. of fluid on the even hours while awake.
B. I will attempt to void 30 minutes after drinking 200 cc. of fluid
C. I will only drink fluid when I eat my meals
D. I will set the timer to remind me when to void Answer: C.
A patient saying that he or she will only drink fluids when eating
meals indicates that they don't know what to do in case of
incontinence.
FURTHER TEACHING indicates that the patient needs more
information
◉ An RN assesses a patient in the Cancer Center with a diagnosis of
terminal cancer. The patient states to the RN that he is short of
,breath, has no appetite and hurts everywhere. Which of the
following statements by the nurse is best?
A. Tell me how your family is coping
B. Show me where it does not hurt
C. I'll teach you relaxation techniques
D. Your physician should increase your pain medication Answer: C
◉ A clinical nurse returns to the desk to find 4 phone messages.
Which of the following messages should the nurse respond to first?
A. A post cervical laminectomy patient complaining of sudden
difficulty talking.
B. A patient with multiple sclerosis complaining of change in
peripheral vision.
C. A patient with a herniated disc complaining of consistent back
pain.
D. A patient with a cast due to a fracture of the right tibial bone
complaining of tingling toes. Answer: A
B and C are expected symptoms of the patient's condition. A and D
are unexpected. D is less critical than A. Best answer is A.
,◉ A 75 year old patient complains to the clinical nurse that he is
having difficulty sleeping. Which of the following actions by the
nurse is most appropriate?
A. Determine the patient's usual sleeping and waking patterns.
B. Suggest that the client abstain from alcohol and caffeine before
bed time.
C. Recommend that client establish a bedtime routine.
D. Ask how much sleep the client required before retirement.
Answer: A
B and C are recommendations that the RN can share after he/she
determines the patient's sleeping and waking patterns. So remove B
and C. D is an inquiry, but is concerned about the past (when the
person retired). Remove D. A is the best answer.
◉ The nurse cares for a patient several hours after a thyroidectomy.
The RN observes that the patient is diaphoretic and confused. The
vital signs are:
Temp = 102° (38.9 ° C); BP is 160/90; pulse is 110, respiration is 22.
The nurse expects the physician to order which of the following?
A. NPO, Dextran 10 ml/kg. IV, 02 4 L/min.
B. Propranolol (Inderal) 1 mg. IV, D5W 125 cc/hr IV,
propylthiaouracil (PTU) 200 mg po qld.
, C. Levothyroxine Sodium (Synthroid) 100 mcg IV, Lactated Ringer's
125 cc/hr IV, and ciprofloxacin (cipro) 500 mg. po bid.
D. Morphine sulfate 2.5 mg. IV q. 4 hrs. prn, 0.9% NACl. Answer: B
◉ A 63 year old female patient contacts the clinic to report that she
is has been extremely fatigued, is sleeping 12 hours a night, is always
cold and her hair is falling out. Which of the following responses by
the nurse is most appropriate?
A. You will have more energy if you walk 30 min every day.
B. You don't need to worry. Sleeping a lot is good for you.
C. Come in and see your health care provider today.
D. You should eat more green leafy vegetables. Answer: C
Need more info
◉ The RN performs blood pressure screening at the local
community center. Which of the following individuals is most likely
to suffer from a cerebrovascular accident?
A. A 30 year old man who is an account executive
B. A 40 year old man who jogs four times a week.
C. A 60 year old man whose father had a stroke.
