APEA 3P
APEA 3P 2025/2026 Actual Exam Prep – 100 Questions &
Answers with In-Depth Rationales, 100% Guaranteed Pass
||Complete A+ Guide
This Document Contains:
APEA 3P 2025/2026 Actual Exam Prep
100 Questions & Answers with In-Depth Rationales
100% Guaranteed Pass
Complete A+ Guide
Ascorers Stuvia
, APEA 3P 2025/2026 Actual Exam Prep – 100
Questions & Answers with In-Depth Rationales,
100% Guaranteed Pass ||Complete A+ Guide
1. A nurse is assessing a client who reports sudden shortness of breath and chest pain.
The client has a history of deep vein thrombosis. Which of the following actions should
the nurse take first?
A. Administer oxygen via nasal cannula
B. Obtain a blood sample for D-dimer
C. Call the rapid response team
D. Start an IV line
Answer: C. Call the rapid response team
Rationale: A client with sudden shortness of breath, chest pain, and a history of DVT is at
high risk for a pulmonary embolism, which is life-threatening. The nurse’s first action is to
call for immediate help. Administering oxygen, obtaining labs, or starting an IV are secondary
interventions to be performed once emergency assistance is activated to prevent further
complications.
2. A nurse is caring for a client who is 2 days post-operative following abdominal
surgery. The client reports incisional pain rated 8/10 and has a heart rate of 110/min.
Which intervention is most appropriate?
A. Encourage ambulation
B. Administer prescribed analgesic
,C. Notify the provider about tachycardia
D. Apply a warm compress to the incision
Answer: B. Administer prescribed analgesic
Rationale: Pain can increase sympathetic activity, resulting in tachycardia. The nurse’s
priority is to relieve pain using prescribed analgesics. Ambulation may increase discomfort,
and while monitoring and notifying the provider are important, immediate pain control is
essential to prevent further complications.
3. A nurse is teaching a client who has newly diagnosed type 2 diabetes mellitus about
diet management. Which statement indicates understanding?
A. "I will avoid all carbohydrates."
B. "I should eat small, frequent meals with controlled carbohydrate intake."
C. "I can have unlimited fruits."
D. "Skipping breakfast is recommended to control blood sugar."
Answer: B. "I should eat small, frequent meals with controlled carbohydrate intake."
Rationale: Diabetes management involves controlling blood glucose through balanced meals,
portion control, and consistent carbohydrate intake. Avoiding all carbohydrates or skipping
meals can cause hypoglycemia. Unlimited fruit increases sugar intake and is not
recommended.
4. A nurse is caring for a client receiving heparin therapy for DVT. Which lab value
should the nurse monitor closely?
A. INR
B. aPTT
, C. Creatinine
D. Hemoglobin
Answer: B. aPTT
Rationale: Heparin therapy prolongs aPTT, which measures the effectiveness and safety of
anticoagulation. INR is used for warfarin therapy. Creatinine and hemoglobin are important
for overall health but do not indicate heparin effectiveness.
5. A nurse is teaching a client with chronic kidney disease about foods to limit. Which
food choice requires further teaching?
A. Apple
B. Banana
C. Carrot sticks
D. White bread
Answer: B. Banana
Rationale: Clients with chronic kidney disease must limit potassium-rich foods to prevent
hyperkalemia. Bananas are high in potassium, while apples, carrots, and white bread are
safer choices. Correct education reduces the risk of cardiac complications.
6. A nurse is assessing a client with left-sided heart failure. Which manifestation should
the nurse expect?
A. Jugular vein distention
B. Pulmonary congestion
C. Peripheral edema
D. Hepatomegaly
APEA 3P 2025/2026 Actual Exam Prep – 100 Questions &
Answers with In-Depth Rationales, 100% Guaranteed Pass
||Complete A+ Guide
This Document Contains:
APEA 3P 2025/2026 Actual Exam Prep
100 Questions & Answers with In-Depth Rationales
100% Guaranteed Pass
Complete A+ Guide
Ascorers Stuvia
, APEA 3P 2025/2026 Actual Exam Prep – 100
Questions & Answers with In-Depth Rationales,
100% Guaranteed Pass ||Complete A+ Guide
1. A nurse is assessing a client who reports sudden shortness of breath and chest pain.
The client has a history of deep vein thrombosis. Which of the following actions should
the nurse take first?
A. Administer oxygen via nasal cannula
B. Obtain a blood sample for D-dimer
C. Call the rapid response team
D. Start an IV line
Answer: C. Call the rapid response team
Rationale: A client with sudden shortness of breath, chest pain, and a history of DVT is at
high risk for a pulmonary embolism, which is life-threatening. The nurse’s first action is to
call for immediate help. Administering oxygen, obtaining labs, or starting an IV are secondary
interventions to be performed once emergency assistance is activated to prevent further
complications.
2. A nurse is caring for a client who is 2 days post-operative following abdominal
surgery. The client reports incisional pain rated 8/10 and has a heart rate of 110/min.
Which intervention is most appropriate?
A. Encourage ambulation
B. Administer prescribed analgesic
,C. Notify the provider about tachycardia
D. Apply a warm compress to the incision
Answer: B. Administer prescribed analgesic
Rationale: Pain can increase sympathetic activity, resulting in tachycardia. The nurse’s
priority is to relieve pain using prescribed analgesics. Ambulation may increase discomfort,
and while monitoring and notifying the provider are important, immediate pain control is
essential to prevent further complications.
3. A nurse is teaching a client who has newly diagnosed type 2 diabetes mellitus about
diet management. Which statement indicates understanding?
A. "I will avoid all carbohydrates."
B. "I should eat small, frequent meals with controlled carbohydrate intake."
C. "I can have unlimited fruits."
D. "Skipping breakfast is recommended to control blood sugar."
Answer: B. "I should eat small, frequent meals with controlled carbohydrate intake."
Rationale: Diabetes management involves controlling blood glucose through balanced meals,
portion control, and consistent carbohydrate intake. Avoiding all carbohydrates or skipping
meals can cause hypoglycemia. Unlimited fruit increases sugar intake and is not
recommended.
4. A nurse is caring for a client receiving heparin therapy for DVT. Which lab value
should the nurse monitor closely?
A. INR
B. aPTT
, C. Creatinine
D. Hemoglobin
Answer: B. aPTT
Rationale: Heparin therapy prolongs aPTT, which measures the effectiveness and safety of
anticoagulation. INR is used for warfarin therapy. Creatinine and hemoglobin are important
for overall health but do not indicate heparin effectiveness.
5. A nurse is teaching a client with chronic kidney disease about foods to limit. Which
food choice requires further teaching?
A. Apple
B. Banana
C. Carrot sticks
D. White bread
Answer: B. Banana
Rationale: Clients with chronic kidney disease must limit potassium-rich foods to prevent
hyperkalemia. Bananas are high in potassium, while apples, carrots, and white bread are
safer choices. Correct education reduces the risk of cardiac complications.
6. A nurse is assessing a client with left-sided heart failure. Which manifestation should
the nurse expect?
A. Jugular vein distention
B. Pulmonary congestion
C. Peripheral edema
D. Hepatomegaly
