APEA PREDICTOR EXAM WITH
CORRECT ANSWERS
2025
Which of these instructions should a nurse include in the teaching plan for
a client
had removal
who of a cataract in the
left eye?
a. "Forcefully cough and take deep breaths every two hours to keep your
airway
b. "Perform
clear."
the prescribed eye exercises each day to strengthen your
eye
c. "Rinse
muscles."
your eyes with saline each morning to prevent postoperative
d. "Take the prescribed stool softener to avoid increasing intraocular
infection."
pressure."
correct answers )
(
d
A client vomits during a continuous nasogastric tube feeding. A nurse
should stop
feeding and the
take which of these
actions?
a. Suction the nasogastric
tube.
b. Flush the tube with 30 mL of sterile
water.
c. Remove the nasogastric
tube.
d. Check the residual volume. ( correct
answers ) D
Which of these actions best demonstrates cultural sensitivity by
a nurse?
a. The nurse talks in a slow-paced
b. The nurse asks clients about their beliefs and practices toward
speech.
c. The nurse uses charts and diagrams when teaching
pregnancy.
pregnant
d. The nurse
clients.
can speak several different languages. ( correct
answers ) B
Which of these manifestations should a nurse expect to observe in a
infant who is diagnosed with
3-month-old
dehydration?
a.
b.
Hyperreflexia.
c.
Tachycardia.
d. Agitation. ( correct answers )
Bradypnea.
B
When assessing a client's risk of developing nosocomial infection, a
nurse planspotential
determine to entry portals, which
include:
a. the urinary
meatus.
,b.
c. contaminated
vomitus.
d. sexual intercourse. ( correct
water.
answers ) A
A client who is on the inpatient psychiatric unit has a history of
violence. Which of these actions should a nurse take if the client is
agitated?
a. Encourage
b. the client
Lock the client to verbalize feelings.
in a secluded
c. Ask the other clients to give feedback regarding the client's
room.
d. Ignore the client's inappropriate behavior.
behavior. ( correct answers ) A
Which of these measures should a nurse include when planning care for
a school- aged child during a sickle cell crisis episode?
a. Monitoring for signs of bleeding.
b. Providing pain
relief.
c. Administering cool sponge baths to reduce
fevers.
d. Offering a high calorie diet. ( correct answers ) B
Which of these instructions should a nurse include in the plan of care for
a 32-week gestation client who had an amniocentesis today?
a. "Drink at least six glasses of fluids during the next six hours after the
test."
b. "Call the clinic if you experience any abdominal
cramps."
c. "Don't be concerned if you have some vaginal spotting in the
next
d. 12 hours."
"When you get home, stay on bed-rest for the next 48 hours."
( correct answers )
B
An adolescent has a nursing diagnosis of fatigue related to inadequate
intake
rich foods.
of iron-
Selection of which of these lunches by the client
indicates a correct
understanding of foods high in iron
content?
a. Peanut butter and jam
b. Chicken nuggets with
sandwich.
c. Tuna salad
rice.
sandwich.
d. Beefburger with cheese. ( correct answers ) D
A client has been admitted with acute pancreatitis. Which of these
laboratory test results supports this diagnosis?
a. Elevated serum potassium
level.
b. Elevated serum amylase
level.
c. Elevated serum sodium
level.
, d. Elevated serum creatinine level. ( correct
answers ) B
Which of these manifestations, if assessed in a client who is two-hours
after abdominal surgery, should a nurse report
postoperative
immediately?
a. Vomiting and a pulse rate of
b. Respiratory rate of 12/minute and urine
106/minute.
c. Blood pressure of 100/60 mm Hg and wound
dribbling.
d. Urine output of 100 mL/hr and flushed skin. ( correct
discomfort.
answers ) A
Which of these observations of a student nurse's behavior while
interacting
client who is
with
crying
a indicates a correct understanding of therapeutic
communication?
a. The student maintains continuous eye contact with
theThe
b. client.
student places one arm around the client's
c. The student sits quietly next to the
shoulder?
client.
d. The student leaves the room to provide privacy for the client. ( correct
answers )
C
Which of these actions should a nurse take initially if a client who is
diagnosedmellitus
diabetes with develops tremors and
ataxia?
a. Measure the client's blood sugar
level.
b. Administer a concentrated form glucose to
theAdminister
c. client. a prn dose of
insulin.
d. Measure the client's urine for ketones. ( correct
answers ) A
An elderly client is at increased risk of developing drug toxicity to
medications due to declining hepatic and renal functioning. Which of
prescribed
these strategies
should a nurse plan to decrease this
risk?
a. Increasing the time interval between
medication
b. Limiting the
doses.
client's oral fluid
c. Administering the medications with
intake.
d. Encouraging the client to void every three to four hours.
meals.
( correct answers ) A
A client has persistent paranoid delusions that the food on the unit is
poisoned.
of these measures
Which should a nurse include in the client's
care plan?
a. Explaining that staff does not poison
clients.
b. Focusing on how the hospital staff helps
clients.
c. Allowing the client to eat food from sealed
containers.
d. Telling the client that not eating the food that is served will result
in privilege ( correct answers )
restrictions.
C
CORRECT ANSWERS
2025
Which of these instructions should a nurse include in the teaching plan for
a client
had removal
who of a cataract in the
left eye?
a. "Forcefully cough and take deep breaths every two hours to keep your
airway
b. "Perform
clear."
the prescribed eye exercises each day to strengthen your
eye
c. "Rinse
muscles."
your eyes with saline each morning to prevent postoperative
d. "Take the prescribed stool softener to avoid increasing intraocular
infection."
pressure."
correct answers )
(
d
A client vomits during a continuous nasogastric tube feeding. A nurse
should stop
feeding and the
take which of these
actions?
a. Suction the nasogastric
tube.
b. Flush the tube with 30 mL of sterile
water.
c. Remove the nasogastric
tube.
d. Check the residual volume. ( correct
answers ) D
Which of these actions best demonstrates cultural sensitivity by
a nurse?
a. The nurse talks in a slow-paced
b. The nurse asks clients about their beliefs and practices toward
speech.
c. The nurse uses charts and diagrams when teaching
pregnancy.
pregnant
d. The nurse
clients.
can speak several different languages. ( correct
answers ) B
Which of these manifestations should a nurse expect to observe in a
infant who is diagnosed with
3-month-old
dehydration?
a.
b.
Hyperreflexia.
c.
Tachycardia.
d. Agitation. ( correct answers )
Bradypnea.
B
When assessing a client's risk of developing nosocomial infection, a
nurse planspotential
determine to entry portals, which
include:
a. the urinary
meatus.
,b.
c. contaminated
vomitus.
d. sexual intercourse. ( correct
water.
answers ) A
A client who is on the inpatient psychiatric unit has a history of
violence. Which of these actions should a nurse take if the client is
agitated?
a. Encourage
b. the client
Lock the client to verbalize feelings.
in a secluded
c. Ask the other clients to give feedback regarding the client's
room.
d. Ignore the client's inappropriate behavior.
behavior. ( correct answers ) A
Which of these measures should a nurse include when planning care for
a school- aged child during a sickle cell crisis episode?
a. Monitoring for signs of bleeding.
b. Providing pain
relief.
c. Administering cool sponge baths to reduce
fevers.
d. Offering a high calorie diet. ( correct answers ) B
Which of these instructions should a nurse include in the plan of care for
a 32-week gestation client who had an amniocentesis today?
a. "Drink at least six glasses of fluids during the next six hours after the
test."
b. "Call the clinic if you experience any abdominal
cramps."
c. "Don't be concerned if you have some vaginal spotting in the
next
d. 12 hours."
"When you get home, stay on bed-rest for the next 48 hours."
( correct answers )
B
An adolescent has a nursing diagnosis of fatigue related to inadequate
intake
rich foods.
of iron-
Selection of which of these lunches by the client
indicates a correct
understanding of foods high in iron
content?
a. Peanut butter and jam
b. Chicken nuggets with
sandwich.
c. Tuna salad
rice.
sandwich.
d. Beefburger with cheese. ( correct answers ) D
A client has been admitted with acute pancreatitis. Which of these
laboratory test results supports this diagnosis?
a. Elevated serum potassium
level.
b. Elevated serum amylase
level.
c. Elevated serum sodium
level.
, d. Elevated serum creatinine level. ( correct
answers ) B
Which of these manifestations, if assessed in a client who is two-hours
after abdominal surgery, should a nurse report
postoperative
immediately?
a. Vomiting and a pulse rate of
b. Respiratory rate of 12/minute and urine
106/minute.
c. Blood pressure of 100/60 mm Hg and wound
dribbling.
d. Urine output of 100 mL/hr and flushed skin. ( correct
discomfort.
answers ) A
Which of these observations of a student nurse's behavior while
interacting
client who is
with
crying
a indicates a correct understanding of therapeutic
communication?
a. The student maintains continuous eye contact with
theThe
b. client.
student places one arm around the client's
c. The student sits quietly next to the
shoulder?
client.
d. The student leaves the room to provide privacy for the client. ( correct
answers )
C
Which of these actions should a nurse take initially if a client who is
diagnosedmellitus
diabetes with develops tremors and
ataxia?
a. Measure the client's blood sugar
level.
b. Administer a concentrated form glucose to
theAdminister
c. client. a prn dose of
insulin.
d. Measure the client's urine for ketones. ( correct
answers ) A
An elderly client is at increased risk of developing drug toxicity to
medications due to declining hepatic and renal functioning. Which of
prescribed
these strategies
should a nurse plan to decrease this
risk?
a. Increasing the time interval between
medication
b. Limiting the
doses.
client's oral fluid
c. Administering the medications with
intake.
d. Encouraging the client to void every three to four hours.
meals.
( correct answers ) A
A client has persistent paranoid delusions that the food on the unit is
poisoned.
of these measures
Which should a nurse include in the client's
care plan?
a. Explaining that staff does not poison
clients.
b. Focusing on how the hospital staff helps
clients.
c. Allowing the client to eat food from sealed
containers.
d. Telling the client that not eating the food that is served will result
in privilege ( correct answers )
restrictions.
C
