NUR 504 APEA Final Study Guide
2025/2026 Exam Questions and Answers
| A+ Score Assured
Retractions are observed in all the following areas except the:
Supraventricular area
hilar area.
intercostal area
costal marginal area. - 🧠 ANSWER ✔✔hilar area.
A 3 year-old presents with a history of fever and cough over the past 24
hours. Findings on exam reveal: temperature of 102°F, apical heart rate of
157 beats/minute, and respiratory rate of 40 breaths/minute. Tachypnea in
this child is most likely related to
,Paradoxical respirations.
the child's febrile state.
the child's age.
an airway obstruction. - 🧠 ANSWER ✔✔the child's febrile state.
When percussing the lower posterior chest, begin by:
standing on the side rather than directly behind the patient.
having the patient lie supine on the examining table.
carefully palpating any area the patient has reported pain.
using the ball or the ulnar surface of the hand - 🧠 ANSWER ✔✔standing on
the side rather than directly behind the patient.
The palpation technique used to assess respiratory expansion of the chest
is placing the hands on the eight or tenth ribs posteriorly with the thumbs
close to the vertebrae, sliding the hand medially and grasping a small fold
of skin between the thumbs. Then
ask the patient to cough and note chest expansion.
ask the patient to take a deep breathe and note any delay in expansion
during inhalation.
, have the patient hold his breath for 15 seconds then note chest expansion.
have the patient exhale forcefully noting expansion on expiration. - 🧠
ANSWER ✔✔ask the patient to take a deep breathe and note any delay in
expansion during inhalation.
When trying to differentiate between hemoptysis or blood streaked
material, which one of the following observations is correct?
Hemoptysis is seen frequently in infants, children, and adolescents with
allergic rhinitis.
Blood originating in the stomach is usually brighter than blood originating
from the respiratory tract.
Hemoptysis is common in children with cystic fibrosis.
Blood streaked material often originates from the gastrointestinal tract. - 🧠
ANSWER ✔✔Blood streaked material often originates from the
gastrointestinal tract.
When percussing the chest in a patient who has left sided heart failure, the
sound emanated would be:
Resonant.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
2025/2026 Exam Questions and Answers
| A+ Score Assured
Retractions are observed in all the following areas except the:
Supraventricular area
hilar area.
intercostal area
costal marginal area. - 🧠 ANSWER ✔✔hilar area.
A 3 year-old presents with a history of fever and cough over the past 24
hours. Findings on exam reveal: temperature of 102°F, apical heart rate of
157 beats/minute, and respiratory rate of 40 breaths/minute. Tachypnea in
this child is most likely related to
,Paradoxical respirations.
the child's febrile state.
the child's age.
an airway obstruction. - 🧠 ANSWER ✔✔the child's febrile state.
When percussing the lower posterior chest, begin by:
standing on the side rather than directly behind the patient.
having the patient lie supine on the examining table.
carefully palpating any area the patient has reported pain.
using the ball or the ulnar surface of the hand - 🧠 ANSWER ✔✔standing on
the side rather than directly behind the patient.
The palpation technique used to assess respiratory expansion of the chest
is placing the hands on the eight or tenth ribs posteriorly with the thumbs
close to the vertebrae, sliding the hand medially and grasping a small fold
of skin between the thumbs. Then
ask the patient to cough and note chest expansion.
ask the patient to take a deep breathe and note any delay in expansion
during inhalation.
, have the patient hold his breath for 15 seconds then note chest expansion.
have the patient exhale forcefully noting expansion on expiration. - 🧠
ANSWER ✔✔ask the patient to take a deep breathe and note any delay in
expansion during inhalation.
When trying to differentiate between hemoptysis or blood streaked
material, which one of the following observations is correct?
Hemoptysis is seen frequently in infants, children, and adolescents with
allergic rhinitis.
Blood originating in the stomach is usually brighter than blood originating
from the respiratory tract.
Hemoptysis is common in children with cystic fibrosis.
Blood streaked material often originates from the gastrointestinal tract. - 🧠
ANSWER ✔✔Blood streaked material often originates from the
gastrointestinal tract.
When percussing the chest in a patient who has left sided heart failure, the
sound emanated would be:
Resonant.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
