APEA PREDICTOR TEST PAPER 2026 FULL
QUESTIONS WITH SOLUTIONS GRADED A+
▶ A nurse is examining a client's IV site and notes a hardened vein above
their IV site. The client reports a throbbing, burning pain at the IV site. The
nurse should identify that the client's manifestations indicate which of the
following complications of IV therapy? Answer: Thrombophlebitis
▶ A nurse is reinforcing teaching with a client prior to the removal of a leg
cast. Which of the following statements should indicate to the nurse that the
client understands the teaching? Answer: "I will feel vibrations on my leg
from the cast cutter."
▶ A nurse is collecting data from a client and notices several skin lesions.
Which of the following findings should the nurse report as possible
melanoma? Answer: Irregular borders
▶ A nurse is assisting with the care for a client who has difficulty
swallowing. Which of the following actions should the nurse implement to
prevent aspiration? Answer: Give the client liquids with increased viscosity.
▶ A nurse is reinforcing teaching regarding the use of a continuous passive
motion (CPM) machine with a client who is scheduled for a total knee
arthroplasty. Which of the following information should the nurse include in
the teaching? (Select all that apply.) Answer: "Your knee is flexed and
extended as prescribed by your provider."
"The machine is padded with sheep skin."
▶ A nurse is assisting with the care for a client who has a prescription for
digoxin 0.25 mg PO daily. While taking the client's apical pulse, the nurse
notes a rate of 58/min. Which of the following actions should the nurse
take? Answer: Withhold the dose.
▶ A nurse is collecting data from a 55-year-old female client who reports
vaginal dryness and hot flashes. The client is interested in trying hormone
replacement therapy (HRT). Which of the following should the nurse
recognize as a contraindication to HRT? Answer: History of treatment for
blood clots
,▶ A nurse is reinforcing teaching with a client who has diabetes mellitus
and a new prescription for regular and NPH insulin. Which of the following
instructions on preparing the insulins should the nurse include? Answer:
Withdraw the regular insulin before withdrawing the NPH insulin.
▶ A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c)
testing with a client who has diabetes mellitus. Which of the following
statements indicates that the client understands the teaching? Answer: "I
will have my HbA1c checked twice per year."
▶ A nurse is assisting in the care of a client who is receiving a continuous
tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client
receive in 12 hr? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.) Answer: 864 calories
▶ A nurse is assisting with the care for a client who is 2 hr postoperative
following the amputation of a foot. Which of the following actions should the
nurse take first? Answer: Check the incisional dressing.
▶ A nurse in a health clinic is reinforcing teaching with a client about
tuberculosis (TB). Which of the following client statements indicates an
understanding of the teaching? Answer: "I can develop TB by breathing in
the infection."
▶ A nurse is preparing to assist a client out of bed 4 hr following a
laparoscopic cholecystectomy. Which of the following actions should the
nurse take first? Answer: Obtain the client's blood pressure.
▶ A nurse is contributing to the plan of care for a client who has Ménière's
disease. Which of the following interventions should the nurse include in
the plan of care? Answer: Administer an antiemetic to the client.
▶ A nurse is preparing to suction a client who has a tracheostomy. Which
of the following actions should the nurse take first? Answer: Ventilate the
client with 100% oxygen.
▶ A nurse is reinforcing teaching with a client who has chronic kidney
disease about disease management. Which of the following statements by
, the client indicates an understanding of the teaching? Answer: "I will limit
my daily intake of protein."
▶ A nurse is reinforcing teaching with a client who has mitral valve disease.
Which of the following statements by the client indicates an understanding
of the disease process? Answer: "I should call my doctor if my ankles
swell."
▶ A nurse is assisting with the care of a client who has prostate cancer.
The client asks the nurse why they are having difficulty with urination.
Which of the following responses should the nurse make? Answer: "The
tumor causes obstruction of urine from the urethra."
▶ A nurse is assisting with the care for a client following a gastrectomy.
Which of the following actions should the nurse take to decrease episodes
of dumping syndrome. Answer: Place the client in the supine position after
meals.
▶ A nurse on a medical-surgical unit is assign with the care of a newly
admitted client. Select the 3 findings that require follow-up by the nurse.
Answer: Oxygen Saturation
Pain level
Wound dressing
▶ The nurse is assisting with the care of the client. Complete the following
sentence by using the lists of options. Answer: The client is most likely
experiencing a hemothorax as evidenced by the client's respiratory
findings.
▶ The nurse is assisting with the care of the client. Drag words from the
choices below to fill in each blank in the following sentence. Answer: The
nurse should first address the client's blood pressure, followed by the
client's oxygenation.
▶ For each potential provider prescription, click to specify if the potential
prescription is anticipated or contraindicated for the client. Answer:
Anticipated- Transfuse packed RBC's. Prepare the client for the chest tube
insertion. Initiate NPO status.
Contraindicated- Place the client in Trendelenburg position. Cover the
client with a cooling blanket.
QUESTIONS WITH SOLUTIONS GRADED A+
▶ A nurse is examining a client's IV site and notes a hardened vein above
their IV site. The client reports a throbbing, burning pain at the IV site. The
nurse should identify that the client's manifestations indicate which of the
following complications of IV therapy? Answer: Thrombophlebitis
▶ A nurse is reinforcing teaching with a client prior to the removal of a leg
cast. Which of the following statements should indicate to the nurse that the
client understands the teaching? Answer: "I will feel vibrations on my leg
from the cast cutter."
▶ A nurse is collecting data from a client and notices several skin lesions.
Which of the following findings should the nurse report as possible
melanoma? Answer: Irregular borders
▶ A nurse is assisting with the care for a client who has difficulty
swallowing. Which of the following actions should the nurse implement to
prevent aspiration? Answer: Give the client liquids with increased viscosity.
▶ A nurse is reinforcing teaching regarding the use of a continuous passive
motion (CPM) machine with a client who is scheduled for a total knee
arthroplasty. Which of the following information should the nurse include in
the teaching? (Select all that apply.) Answer: "Your knee is flexed and
extended as prescribed by your provider."
"The machine is padded with sheep skin."
▶ A nurse is assisting with the care for a client who has a prescription for
digoxin 0.25 mg PO daily. While taking the client's apical pulse, the nurse
notes a rate of 58/min. Which of the following actions should the nurse
take? Answer: Withhold the dose.
▶ A nurse is collecting data from a 55-year-old female client who reports
vaginal dryness and hot flashes. The client is interested in trying hormone
replacement therapy (HRT). Which of the following should the nurse
recognize as a contraindication to HRT? Answer: History of treatment for
blood clots
,▶ A nurse is reinforcing teaching with a client who has diabetes mellitus
and a new prescription for regular and NPH insulin. Which of the following
instructions on preparing the insulins should the nurse include? Answer:
Withdraw the regular insulin before withdrawing the NPH insulin.
▶ A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c)
testing with a client who has diabetes mellitus. Which of the following
statements indicates that the client understands the teaching? Answer: "I
will have my HbA1c checked twice per year."
▶ A nurse is assisting in the care of a client who is receiving a continuous
tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client
receive in 12 hr? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.) Answer: 864 calories
▶ A nurse is assisting with the care for a client who is 2 hr postoperative
following the amputation of a foot. Which of the following actions should the
nurse take first? Answer: Check the incisional dressing.
▶ A nurse in a health clinic is reinforcing teaching with a client about
tuberculosis (TB). Which of the following client statements indicates an
understanding of the teaching? Answer: "I can develop TB by breathing in
the infection."
▶ A nurse is preparing to assist a client out of bed 4 hr following a
laparoscopic cholecystectomy. Which of the following actions should the
nurse take first? Answer: Obtain the client's blood pressure.
▶ A nurse is contributing to the plan of care for a client who has Ménière's
disease. Which of the following interventions should the nurse include in
the plan of care? Answer: Administer an antiemetic to the client.
▶ A nurse is preparing to suction a client who has a tracheostomy. Which
of the following actions should the nurse take first? Answer: Ventilate the
client with 100% oxygen.
▶ A nurse is reinforcing teaching with a client who has chronic kidney
disease about disease management. Which of the following statements by
, the client indicates an understanding of the teaching? Answer: "I will limit
my daily intake of protein."
▶ A nurse is reinforcing teaching with a client who has mitral valve disease.
Which of the following statements by the client indicates an understanding
of the disease process? Answer: "I should call my doctor if my ankles
swell."
▶ A nurse is assisting with the care of a client who has prostate cancer.
The client asks the nurse why they are having difficulty with urination.
Which of the following responses should the nurse make? Answer: "The
tumor causes obstruction of urine from the urethra."
▶ A nurse is assisting with the care for a client following a gastrectomy.
Which of the following actions should the nurse take to decrease episodes
of dumping syndrome. Answer: Place the client in the supine position after
meals.
▶ A nurse on a medical-surgical unit is assign with the care of a newly
admitted client. Select the 3 findings that require follow-up by the nurse.
Answer: Oxygen Saturation
Pain level
Wound dressing
▶ The nurse is assisting with the care of the client. Complete the following
sentence by using the lists of options. Answer: The client is most likely
experiencing a hemothorax as evidenced by the client's respiratory
findings.
▶ The nurse is assisting with the care of the client. Drag words from the
choices below to fill in each blank in the following sentence. Answer: The
nurse should first address the client's blood pressure, followed by the
client's oxygenation.
▶ For each potential provider prescription, click to specify if the potential
prescription is anticipated or contraindicated for the client. Answer:
Anticipated- Transfuse packed RBC's. Prepare the client for the chest tube
insertion. Initiate NPO status.
Contraindicated- Place the client in Trendelenburg position. Cover the
client with a cooling blanket.
