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APEA PREDATOR CERTIFICATION EXAM QUESTIONS AND CORRECT ANSWERS

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APEA PREDATOR CERTIFICATION EXAM QUESTIONS AND CORRECT ANSWERS Which of these measures should a nurse include when planning care for an 88-year-old client who is admitted to the hospital with pneumonia? a. Restricting visitors to the client's immediate family members. b. Limiting the client car...

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  • November 1, 2024
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  • 2024/2025
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APEA PREDATOR CERTIFICATION
EXAM QUESTIONS AND CORRECT
ANSWERS

Which of these measures should a nurse include when planning care for an 88-year-old
client who is admitted to the hospital with pneumonia?
a. Restricting visitors to the client's immediate family members.
b. Limiting the client care activities to no more than five minutes each.
c. Allowing the client to perform self-care as tolerated.
d. Providing the client with a non-stimulating environment. - Answer-c. Allowing the
client to perform self-care as tolerated.

A client, who is newly diagnosed with cancer says to anurse, "I suppose I need to
complete all unfinished business as soon as possible." Which of these responses is
appropriate?
a. "Yes, you should do this immediately.
b. "Don't you think you should stay focused on your treatment for now?
c. "Exactly what things are you talking about?"
d. "It sounds like you are concerned with your diagnosis." - Answer-d. "It sounds like
you are concerned with your diagnosis."

Which of these interventions should plan for a child who is receiving chelation therapy
for lead poisoning?
a. Keeping an accurate record of intake and output.
b. Instituting measures to prevent skeletal fractures.
c. Maintaining isolation precautions.
d. Maintaining strict bed rest. - Answer-a. Keeping an accurate record of intake and
output.

A nurse obtains these vital signs on an adult client. Which finding should the nurse
follow-up first?
a. Heart rate, 60/minute and regular.
b. Respiration, 30/minute and deep.
c. Temperature, 97.1 °F (36.2 °C)
d. Blood pressure, 136/86 mm Hg - Answer-b. Respiration, 30/minute and deep.

When determining the duration of a uterine contraction, a nurse should measure the
contraction from the:
a. beginning of one contraction to the end of that contraction.
b. end of one contraction to the beginning of the next contraction.
c. beginning of one contraction to the beginning of the next contraction.

,d. strongest point of one contraction to the strongest point of the next contraction. -
Answer-a. beginning of one contraction to the end of that contraction.

A nurse should recognize which of these signs is a probably sign of pregnancy?
a. Frequency of urination.
b. Positive pregnancy test.
c. Nausea in the morning.
d. Abdominal distention. - Answer-b. Positive pregnancy test.

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. - Answer-c. 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 re-record 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.
d. Bleeding time. - Answer-a. Partial thromboplastin time.

Which of these techniques should a nurse use to assess for correct placement of a
nasogastric tube prior to administering a feeding?
a. Aspirate 10 mL contents and measure the pH.
b. Slowly inject 50 mL of saline and observe for resistance.
c. Inject 20 mL of water and listen for gurgling sounds.
d. Observe for bubbles after submerging the end of the tube in a cup of water. - Answer-
a. Aspirate 10 mL contents and measure the pH.

A client has shortness of breath when lying down and usually assumes an upright or
sitting position in order to breathe more comfortably. A nurse should document this
observation as:
a. dyspnea.
b. bradypnea.
c. orthopnea.
d. apnea. - Answer-c. orthopnea.

Which of these instructions should a nurse give to a client when collecting a sputum
specimen?
a. "Take a deep breath, then cough and spit into this container."
b. "Gargle with antiseptic mouthwash before you spit into this container.
c. "Spit whatever sputum you have in your mouth into this container."
d. "Drink some fluids to loosen your secretions and the spit into this container." -
Answer-a. "Take a deep breath, then cough and spit into this container."

A client who is receiving radiation therapy has a nursing diagnosis of imbalanced
nutrition: less than body requirements related to diminished taste perception and
nausea. Which of these additional nursing diagnoses should a nurse consider for the
client?
a. Risk for aspiration.
b. Ineffective protection.
c. Risk for deficient fluid volume.
d. Altered tissue perfusion. - Answer-c. Risk for deficient fluid volume.

Which of these menus, if chosen by a parent of a child who has celiac disease, would
indicate to a nurse that the parent understands the teaching about a gluten-free diet?
a. Broiled steak, baked potato, and spinach.
b. Pork chop, egg noodles, and green peas.
c. Fried chicken, white roll, and mixed vegetables.

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