APEA PRE-PREDICTOR NP EXAM LATEST 2023-2024
ACTUAL EXAM 400+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
All of these clients are on bed rest. Which one is the most at risk to
develop skin breakdown?
a. An 82-year-old client who bathes once a week.
b. An 83-year-old client who applies powder after drying the skin.
c. An 84-year-old client who has been NPO for four days.
d. An 85-year-old client who has coronary artery disease. - ANSWERc. An 84-year-old client who has been NPO for four days.
A client diagnosed with type 1 diabetes mellitus has a glycosylated
hemoglobin A1c of 4.2%. A nurse should interpret this to mean that the
client has:
a. had a period of sustained hyperglycemia.
b. been non-compliant with home management.
c. been in relatively good diabetic control.
d. eaten a high carbohydrate snack just prior to testing. - ANSWER- c.
been in relatively good diabetic control.
A nurse is caring for a client with burns and in reverse isolation. Which
measures should the nurse include?
a. Wearing disposable gloves when chaging the dressings.
b. Having the client wear goggles when staff is in the room.
c. Wearing a gown, mask, and gloves when providing care to the client.
d. Disposing of the client's soiled laundry in a red bag. - ANSWER- c.
Wearing a gown, mask, and gloves when providing care to the client.
A physician has ordered 100 mg of Amoxicillin po for a child. The
available liquid amoxicillin is 250 mg/5 mL. How many milliliters
should a nurse administer?
a. 1.0
b. 1.5.
c. 2.0
d. 2.5 - ANSWER- c. 2.0
A nurse charts on all assigned clients at 2:00 P.M. The nurse then
remembers something that happened at 9:00 A.M. to a client who was
not charted. Which of these actions should the nurse take?
a. Include the 9:00 A.M. scenario in the shift report.
b. Enter the scenario after the original 2:00 P.M. charting and mark it as
a "late entry".
c. Put the information in the margin and indicate the accurate time
placement by drawing an arrow.
d. Draw a line through the previous charting with "error" and then rerecord everything, including the new information. - ANSWER- b. Enter
the scenario after the original 2:00 P.M. charting and mark it as a "late
entry".
While giving a bath to a client, a nurse notices that the client's back
appear reddened. Which of these interpretations and additional
assessments should the nurse make?
a. The client's skin is sensitive to touch; lightly rub the client's chest
area.
b. The client has decreased circulation; palpate the peripheral pulses.
c. The client is showing signs of pressure; press on the skin and observe
for a return of color.
d. The client is allergic to the soap; check the extremities for
discoloration. - ANSWER- c. The client is showing signs of pressure;
press on the skin and observe for a return of color.
A newborn is placed under fluorescent light as part of the treatment for
physiologic jaundice. During the duration of the newborn's treatment, a
nurse should:
a. cover the newborn's closed eyes with patches.
b. measure the newborn's pulse and respirations every two hours.
c. keep the newborn under the light at all times, even during the
feedings.
d. notify the physician if the newborns stools become greenish yellow. -
ANSWER- a. cover the newborn's closed eyes with patches.
Which of these symptoms should a nurse expect to assess in a client who
develops hypoglycemia?
a. Fruity breath odor.
b. Polyuria.
c. Diaphoresis.
d. Flushed skin. - ANSWER- c. Diaphoresis.
A client is eight hours postoperative after a transurethral resection of the
prostate (TURP). Which of these observations, if noted by a nurse,
indicates a complication?
a. Hourly urine output of 90 mL.
b. Reports of bladder spasms.
c. BP 92/60 mm Hg, pulse rate 118/minute.
d. Pink-tinged urine output. - ANSWER- c. BP 92/60 mm Hg, pulse rate
118/minute.
A nurse should assess a child who has diabetes mellitus (type 1) for
symptoms of hyperglycemia, which include:
a. flushed skin and thirst.
b. irritability and hunger.
c. sweating and jitteriness.
d. lethargy and tremors. - ANSWER- a. flushed skin and thirst.
Which of these laboratory test results should a nurse monitor for a client
who is receiving intravenous heparin therapy at a rate of 1,500 units per
hour for the treatment of an acute pulmonary embolism?
a. Partial thromboplastin time.
b. Clot retraction time.
c. Platelet levels.
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