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NR 603 Week 4 APEA Predictor Exam study Guide Questions With Correct Detailed Answers & Rationales $14.99
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NR 603 Week 4 APEA Predictor Exam study Guide Questions With Correct Detailed Answers & Rationales
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NR 603 Week 4 APEA Predictor Exam study Guide Questions With Correct Detailed Answers & Rationales

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NR 603 Week 4 APEA Predictor Exam study
Guide Questions With Correct Detailed
Answers & Rationales


1. During pregnancy, dyspnea accompanied by increased respiratory rate, cough, t t t t t t t t



t rales, or respiratory distress raises concerns of:
t t t t t t




peripartum cardiomyopathy t




Explanation:
Dyspnea accompanied by increased respiratory rate, cough, rales, or respiratory distress raises
t t t t t t t t t t t


concerns of possible infection, asthma, pulmonary embolus, or peripartum cardiomyopathy.
t t t t t t t t t t




2. The middle section of the thoracic cavity containing the esophagus, trachea, heart,
t t t t t t t t t t t


and great vessels is the:
t t t t t



mediastinum
Explanation:
The middle section of the thoracic cavity containing the esophagus, trachea, heart, and great
t t t t t t t t t t t t t


vessels is the mediastinum. The right and left pleural cavities, are on either side of the
t t t t t t t t t t t t t t t t


mediastinum and those contain the lungs. The visceral pleura encloses the lung. The
t t t t t t t t t t t t t


pericardium surrounds the heart.
t t t t




3. A patient is unable to identify the smell of an orange. This inability could reflect an
t t t t t t t t t t t t t t t


abnormality in cranial nerves:
t t t t




Explanation:
Cranial Nerve I is the olfactory nerve responsible for the sense of smell. To test the sense of smell,
t t t t t t t t t t t t t t t t t t


the examiner presents the patient with familiar and nonirritating odors. A person should normally
t t t t t t t t t t t t t t


perceive odor on each side and correctly identify the source. Cranial Nerves Il and Ill assess vision
t t t t t t t t t t t t t t t t t


and pupillary reaction. Cranial Nerve VIII tests the hearing and balance.
t t t t t t t t t t t




4. A transient ischemic attack is: t t t t


a transient episode of neurologic dysfunction by focal brain, spinal cord, or retinal ischemia,
t t t t t t t t t t t t t


without acute infarction t



Explanation:
TIA is now defined as "a transient episode of neurological dysfunction caused by focal brain, spinal
t t t t t t t t t t t t t t t


cord, or retinal ischemia, without acute infarction." Ischemic stroke is "an infarction of central
t t t t t t t t t t t t t t


nervous system tissue" that may be symptomatic or silent. The other terms are not related to the
t t t t t t t t t t t t t t t t t


new definitions.
t t

, 5. The term asteatosis refers to: t t t t




skin that is dry, flaky, rough, and often itchy
t t t t t t t t




Explanation:
Physiologic changes of aging include loss of elastic turgor, and wrinkling. Skin that appears dry,
t t t t t t t t t t t t t t


flaky, rough, and itchy is termed asteatosis. Sun exposure can cause damage to the skin
t t t t t t t t t t t t t t t


resembling an appearance as weather beaten, thickened, yellowed, and deeply furrowed.
t t t t t t t t t t t


Seborrheic keratosis appear as raised, yellowish lesions that feel greasy, velvety, or warty. Painful
t t t t t t t t t t t t t


vesicular lesions in a dermatomal distribution may suggest herpes zoster.
t t t t t t t t t t




6. An enlarged liver with a smooth tender edge may suggest:
t t t t t t t t t



right-sided heart failure. t t




Explanation:
An enlarged liver with a smooth, tender edge suggests inflammation, as in hepatitis, or venous
t t t t t t t t t t t t t t


congestion, as in right-sided heart failure. Cirrhosis, hematochromatosis (increased amount of iron
t t t t t t t t t t t t


in the blood), and lymphoma produce an enlarged liver with a firm, nontender edge. An enlarged
t t t t t t t t t t t t t t t t


liver that is firm or hard and has an irregular edge or surface suggests hepatocellular carcinoma.
t t t t t t t t t t t t t t t t




7. New onset hypertension with proteinuria or end-organ damage is:
t t t t t t t t




preeclampsia Explanation: t


Chronic hypertension occurs when systolic BP (SBP) >140 mm Hg or diastolic BP (DBP) >90 mm
t t t t t t t t t t t t t t t


Hg documented prior to pregnancy, before 20 weeks, or beyond 12 weeks postpartum.
t t t t t t t t t t t t t


Gestational hypertension refers to elevated blood pressure detected after 20 weeks gestation in the
t t t t t t t t t t t t t


absence of proteinuria. Pre-eclampsia occurs in a woman who was previously normotensive but
t t t t t t t t t t t t t


now has new onset hypertension with either proteinuria or end-organ damage. Primary
t t t t t t t t t t t t


hypertension, formerly known as essential hypertension, is a disorder which is associated with
t t t t t t t t t t t t t


elevated blood pressure and an unidentifiable cause.
t t t t t t t




8. The psoas muscle group and muscles of the abdominal wall assist with:
t t t t t t t t t t t




flexion
Explanation:
The psoas muscle group and muscles of the abdominal wall assist with flexion. The deep intrinsic
t t t t t t t t t t t t t t t


muscles of the back assist with extension. The abdominal muscles and intrinsic muscles of the back
t t t t t t t t t t t t t t t t


assist with rotation. Lateral bending uses the abdominal muscles and intrinsic muscles of the back.
t t t t t t t t t t t t t t t




9. "Preterm small for gestational age" (SGA) infants are prone to: t t t t t t t t t




hypocalcemia
Explanation:
t


"Preterm appropriate for gestational age" (AGA) infants are prone to respiratory distress syndrome,
t t t t t t t t t t t t


apnea, patent ductus arteriosus with left-to-right shunt, and infection. "Preterm small for
t t t t t t t t t t t t


gestational age" (SGA) infants are more likely to experience asphyxia, hypoglycemia, and
t t t t t t t t t t t t


hypocalcemia.
t

, 10. Swelling noted 1-2 inches below the knee joint and on the medial surface of the t t t t t t t t t t t t t t



t knee would be suggestive of: t t t t




anserine bursitis t


Explanation:
t


Swelling 1-2 inches below the knee joint and on the medial surface would be suggestive of
t t t t t t t t t t t t t t t


anserine bursitis. Swelling over the tibial tubercle suggests infrapatellar bursitis. Swelling over
t t t t t t t t t t t t


the patella suggests prepatellar bursitis. Semimembranous bursitis would be suggested by
t t t t t t t t t t t


swelling on the posterior and medial surface of the knee.
t t t t t t t t t t




11. A patient states that the only way he can sleep at night is to use several pillows or to
t t t t t t t t t t t t t t t t t t


t sleep upright in a recliner. This sleep pattern is most consistent with:
t t t t t t t t t t t




obstructive lung disease Explanation: t t t


With obstructive lung disease, the patient experiences orthopnea, dyspnea that occurs when the
t t t t t t t t t t t t


patient lies down but improves with sitting. Therefore, the patient would use several pillows or
t t t t t t t t t t t t t t t


sleep upright in a recliner. Orthopnea is seen in obstructive lung disease, mitral stenosis, and heart
t t t t t t t t t t t t t t t t


failure. Paroxysmal nocturnal dyspnea describe episodes of sudden dyspnea that cause the patient
t t t t t t t t t t t t t


to awaken from sleep where the patient must sit up, walk, or stand for it to resolve. Coughing and
t t t t t t t t t t t t t t t t t t t


wheezing may also occur. Angina pectoris commonly creates chest pain or shortness of breath.
t t t t t t t t t t t t t t


Jugular venous pressure reflects right atrial pressure and volume status. In cases of cardiac or
t t t t t t t t t t t t t t t


pulmonary dysfunction, jugular venous pressures usually raise.
t t t t t t t




12. A positive obturator sign would elicit pain in the:
t t t t t t t t



right hypogastric area t t



Explanation:
Assessment of the obturator sign is performed by flexing. By flexing the patient's right thigh at the
t t t t t t t t t t t t t t t t


hip with the knees bent, rotating the leg internally at the hip. If this causes increased pain in the right
t t t t t t t t t t t t t t t t t t t t


epigastric area, then the obturator sign is positive. Hypogastric pain occurs as the obturator muscle
t t t t t t t t t t t t t t t


rubs an inflamed appendix.
t t t t




13. The lateral bone that serves as a strut between the scapula and the sternum is
t t t t t t t t t t t t t t



t known as the: t t




clavicle
Explanation:
t


The lateral bone that serves as a strut between the scapula and the sternum is known as the clavicle.
t t t t t t t t t t t t t t t t t t


The humerus is the long bone of the upper arm. The acromion process is an extension of the spine of
t t t t t t t t t t t t t t t t t t t t


the scapula and located at the highest point of the shoulder. The thick curved extension of the
t t t t t t t t t t t t t t t t t


superior border of the scapula is referred to as the coracoid process.
t t t t t t t t t t t t




14. When examining the foot of a patient, the nurse practitioner notes focal heel t t t t t t t t t t t t



t tenderness on palpation of the plantar fascia. This could be suggestive of: plantar t t t t t t t t t t t t



fasciitis


Explanation:

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