APEA PREDICTOR EXAM 2023 TEST-BANK 300 + QUESTIONS AND ANSWERS WITH RATIONALES GRADED A+,,NEW BRAND 2023

APEA PREDICTOR EXAM 2023 TEST-BANK 300 + QUESTIONS AND ANSWERS WITH RATIONALES GRADED A+,,NEW BRAND 2023





A 75-year-old client who is newly admitted to a long-term care facility has all these nursing diagnoses. Which one is the priority?
a. Risk of injury.
b. Anxiety.
c. Sleep pattern disturbance.
d. Chronic. - CORRECT ANSWER-a. Risk of injury.

A 12-month-old child is playing with the father. Which of these behaviors indicates that the child is demonstrating object permanence?
a. The child transfers a toy to the other hand when given another one.
b. The child returns a block to the same spot on the table.
c. The child looks for a toy that the father has hidden under the table.
d. The child recognizes that a ball of clay is the same when flattened out. - CORRECT ANSWER-c. The child looks for a toy that the father has hidden under the table.

A nurse should recognize that a client's selection of which of these foods demonstrates a correct understanding of a high-fiber diet for colon cancer prevention?
a. Corn muffin.
b. Bran flakes.
c. Raising muffin.
d. Green salad. - CORRECT ANSWER-b. Bran flakes.

Which of these discharge instructions should a nurse include for a client who has a ruptured tympanic membrane that occurred during a fall?
a. "No showers or washing of the hair for the next month."
b. "Avoid yawning or holding your head down."
c. "Do not allow any water to enter the ear until healing is confirmed by direct visualization."
d. "Avoid swallowing and coughing until your ear has healed." - CORRECT ANSWER-c. "Do not allow any water to enter the ear until healing is confirmed by direct visualization."

Which of these nursing measures is appropriate for a client who has recurrent renal calculi?
a. Weighing the client daily before breakfast.
b. Measuring the blood pressure every four hours.
c. Encouraging a daily intake of three liters of fluids.
d. Testing the urine for protein each shift. - CORRECT ANSWER-c. Encouraging a daily intake of three liters of fluids.

When auscultating the lungs of a woman who is admitted for severe pregnancy-induced hypertension, a nurse notes the presence of crackles and moist respirations. These assessment findings most likely indicate which of these complications?
a. A convulsion is imminent.
b. Pulmonary edema has developed.
c. Bilateral lobar pneumonia is present.
d. Respiratory failure is evident. - CORRECT ANSWER-b. Pulmonary edema has developed.

A licensed practical nurse (LPN) is assigned to care for all of these clients. Which client should the nurse assess first?
a. A client who is eight-hours postoperative after a hip replacement.
b. A client who is drowsy after falling out a third story window.
c. A client who is four hours post-colonoscopy and polyp removal.
d. A client who is dysphasic after a transient ischemic attack. - CORRECT ANSWER-b. A client who is drowsy after falling out a third story window.

Which of these clients is at the highest risk of developing osteoporosis?
a. An obese African-American adolescent who does not exercise.
b. A pregnant Asian client who is a vegetarian.
c. A middle-aged Native-American male who is quadriplegic.
d. A thin, elderly Caucasian female who lives alone. - CORRECT ANSWER-d. A thin, elderly Caucasian female who lives alone.

A nurse is obtaining the health history of a client who is admitted for surgical repair of an inguinal hernia. Which of these factors should the nurse recognize as having the greatest impact on the outcome of the surgery?
a. The client takes several acetylsalicylic acid (Aspirin) tablets daily for knee pain.
b. The client drinks one glass of beer every evening with dinner.
c. The client had a knee replacement six months prior to this admission.
d. The client is allergic to all penicillin-type antibiotics. - CORRECT ANSWER-a. The client takes several acetylsalicylic acid (Aspirin) tablets daily for knee pain.

A nurse should recognize that a client who has chronic obstructive pulmonary disease (COPD), needs additional instructions if the client makes which of these statements?
a. "I will try to take slow, deep breaths when I feel short of breath."
b. "I will use the albuterol (Proventil) nebulizer before I eat.
c. "I will drink most of my fluids between meals."
d. "I will turn up the oxygen flow rate if I have difficulty breathing." - CORRECT ANSWER-d. "I will turn up the oxygen flow rate if I have difficulty breathing."

A woman is treated in the emergency room for a broken arm and multiple facial bruises caused by her spouse. Which of these statements, if made by a nurse, is therapeutic?
a. "You should leave this relationship now or you will be sorry."
b. "Are you aware that women who remain in abusive relationships eventually are killed?"
c. "This type of abuse typically recurs after a period of remorse by the abuser."
d. "Can you think of what you did to cause this abuse?" - CORRECT ANSWER-c. "This type of abuse typically recurs after a period of remorse by the abuser."


A 40 year old male patient presents with a 2 week history of rectal pain and itching. He reports a past history of constipation, and finding spots of bright red blood on toilet paper several times a week. Rectal exam reveals a tender, swollen, bluish, ovoid mass. The stool guaiac test is negative. Which of the following actions should the nurse practitioner take?
A. Prescribe diphenoxylate/atropine( Lomotil)
B. Schedule a colonoscopy to rule out colon cancer
C. Repeat the guaiac test three times and obtain complete blood count
D. Prescribe bulk forming agents and hydrocortisone suppositories. - CORRECT ANSWER-D. Prescribe bulk forming agents and hydrocortisone suppositories.

A 17 year old female is suspected of having polycystic ovary syndrome. In addition to testosterone, the most appropriate diagnostic tests to order would be:
A. BUN, creatinine, electrolytes, and dehydroepiandrosterone(DHEA)
B. CBC, BUN, creatinine, and estrone
C. Fasting blood sugar (FBS), complete blood count (CBC), BUN, and sex hormone binding globulin
D. Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone (TSH) - CORRECT ANSWER-D. FSH, LH, TSH

Which of the following wet-mount results confirms a preliminary diagnosis of bacterial vaginosis?
A. Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, and many white cells
B. Squamous epithelial cells with clear cytoplasm and distinct borders, many lactobacillus rods, and occasional WBC
C. Organisms about the size of white blood cells with undulating flagellum, occasional lactobacillus rods, and many WBC
D. Hyphae and spores, few lactobacillus rods, and occasional WBC - CORRECT ANSWER-Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, and many white cells.

A patient is referred with a diagnosis of diabetes mellitus, hypertension, and coronary artery disease. The patient is on both insulin and a beta blocker. Assuming that the patient will continue the beta blocker, it will be important to educate the patient on the recognition of hypoglycemia. Which symptom would be most indicative of hypoglycemia in this patient?
A. edema
B. Tachycardia
C. Palpitations
D. Sweating - CORRECT ANSWER-D. Sweating