LATEST UPDATED APEA 3P PREDICTOR EXAM TEST BANK
WITH BEST SOLUTIONS GUARANTEED PASS
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 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.
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.
d. Baked macaroni with cheddar cheese and corn. -
ANSWER-a. Broiled steak, baked potato, and spinach.
WITH BEST SOLUTIONS GUARANTEED PASS
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 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.
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.
d. Baked macaroni with cheddar cheese and corn. -
ANSWER-a. Broiled steak, baked potato, and spinach.
