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NSG 6998 APEA PREDICTOR EXAM 3 LATEST
2025/2026 QUESTIONS AND CORRECT ANSWERS
GRADED A+ SOUTH UNIVERSITY
Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is diagnosed with dehydration?
a. Hyperreflexia.
b. Tachycardia.
c. Bradypnea.
d. Agitation.
B
When assessing a client's risk of developing nosocomial infection, a nurse plans to determine potential entry portals, which include:
a. the urinary meatus.
b. vomitus.
c. contaminated water.
d. sexual intercourse.
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 the client to verbalize feelings.
b. Lock the client in a secluded room.
c. Ask the other clients to give feedback regarding the client's behavior.
d. Ignore the client's inappropriate behavior.
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.
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 12 hours."
d. "When you get home, stay on bed-rest for the next 48 hours."
b. The nurse asks clients about their beliefs and practices toward pregnancy.
c. The nurse uses charts and diagrams when teaching pregnant clients.
d. The nurse can speak several different languages.
B
An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-rich foods. Selection of which of these lunches by the client indicates a correct understanding of foods high in iron content?
a. Peanut butter and jam sandwich.
b. Chicken nuggets with rice.
c. Tuna salad sandwich.
d. Beefburger with cheese.
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.
B
Which of these manifestations, if assessed in a client who is two-hours postoperative after abdominal surgery, should a nurse report immediately?
a. Vomiting and a pulse rate of 106/minute.
b. Respiratory rate of 12/minute and urine dribbling.
c. Blood pressure of 100/60 mm Hg and wound discomfort.
d. Urine output of 100 mL/hr and flushed skin.
A
Which of these observations of a student nurse's behavior while interacting with a client who is crying indicates a correct understanding of therapeutic communication?
a. The student maintains continuous eye contact with the client.
b. The student places one arm around the client's shoulder?
c. The student sits quietly next to the client.
d. The student leaves the room to provide privacy for the client.
C
Which of these actions should a nurse take initially if a client who is diagnosed with diabetes mellitus develops tremors and ataxia?
a. Measure the client's blood sugar level.
b. Administer a concentrated form glucose to the client.
c. Administer a prn dose of insulin.
d. Measure the client's urine for ketones.
a. Gatch the knee of the bed.
b. Administer anticoagulants preoperatively.
c. Apply sequential compression devices.
d. Maintain the legs in a dependent position.
C
When discussing weigh gain during pregnancy, a nurse should recommend that the total weight gain for a pregnant client who is at ideal body weight for her height is:
a. at least 15 pounds.
b. 15 to 20 pounds.
c. 25 to 35 pounds.
d. at least 45 pounds.
C
Which of these manifestations, if reported by a client who is 10-weeks-pregnant, supports the diagnosis of ruptured tubal pregnancy.
a. Sharp unilateral abdominal pain.
b. Uncontrollable vomiting.
c. Marked abdominal distention.
d. Profuse vaginal bleeding.
A
Which of these assignments, if made by a nurse to a nursing assistant, indicates that the nurse needs additional instructions regarding the principles of delegation?
a. "Please bathe the client in room 12, and then bring the client to the dining room for breakfast by 9 A.M."
b. "Please bathe the client in room 10, administer a back rub, and then evaluate if the back rub eased the client's discomfort."
c. "Please measure the intake and output for the client's in rooms 8. 9. and 10, and record each on the intake/output sheets by 2 P.M."
d. "Please toilet the clients in rooms 11, 12, and 13 mid-morning and after lunch."
B
A client has the following order for regular insulin (Humulin R) on a sliding scale:
Blood sugar 150-180 mg: Give 2 units regular insulin
Blood sugar 181-200 mg: Give 4 units regular insulin
Blood sugar 201-220 mg: Give 6 units of regular insulin
Blood sugar above 220 mg: Call MD
At 11 A.M., a nurse obtains a finger stick glucose of 198 mg. The only syringe is a three milliliter one. Regular insulin is available as 100 units per milliliter. How many milliliters should the nurse administer?
a. 0.
b. 0.
c. 4
a. Respiratory status.
b. Renal function.
c. Level of pain.
d. Signs of infection.
A
A nurse should place a child who is two hours post-tonsillectomy and adenoidectomy in which of these positions?
a. Supine, flat.
b. Orthopneic.
c. Trendelenberg.
d. Side-lying.
D
Which of these instructions should a nurse include in the discharge teaching for a client who has diabetes mellitus?
a. "Soak your feet in hot water once a day."
b. "Cut your toenails in an oval shape weekly."
c. "Avoid using any soap on your feet."
d. "Apply lotion to your feet each day."
D
A nurse inadvertently administers an incorrect medication to a client. Which of these actions should the nurse take first?
a. Assess the client.
b. Notify the physician.
c. Contact the nurse manager.
d. Complete an incident report.
A
An elderly client who is receiving a blood transfusion develops a rapid bounding pulse and an elevated blood pressure. Which of these actions should a nurse take?
a. Add a 5% dextrose solution to the line.
b. Raise the head of the bed.
c. Stop the transfusion.
d. Measure the client's temperature.
C
When caring for a client who has hepatitis B, a nurse should wear:
a. gloves when administering oral medications to the client.
b. a gown when changing the client's position.
c. gloves when removing the intravenous cannula.
a. Bulging anterior fontanel.
b. Pulse rate of 120/minute.
c. Decreased urine output.
d. Cyanosis of the mucus membrane.
C
Which of these instructions should be included in the teaching plan for the parents of a 10-month-old infant who is admitted to the hospital for failure to thrive?
a. Advise the mother to make sure the infant drinks the entire bottle at each feeding.
b. Encourage the mother to feed the infant slowly in a quiet environment.
c. Teach the mother to position the infant on the abdomen following feedings.
d. Instruct the mother to play actively with the infant during bottle feedings.
B
When a newborn is 48 hours old, a nurse notes that the child is jaundiced. The nurse should recognize which of these conditions as a probable cause of the newborn's jaundice?
a. Dehydration.
b. Liver immaturity.
c. ABO incompatibility.
d. Gallbladder immaturity.
B
Which of these items should a nurse removed from the food tray of a client who is on a sodium- restricted diet?
a. Packet of a salt substitute.
b. Grapefruit juice.
c. Container of jelly.
d. Ketchup.
D
Which of these statements, if made by a client who had a total hip replacement, would indicate a correct understanding of the postoperative instructions?
a. "I will stoop carefully to pick up items from the floor."
b. "I will use a raised toilet seat in the bathroom."
c. "I will bend forward when tying my shoes."
d. "I will put my leg through the full range of motion each day."
B
Which of these measures should a nurse include when planning care for an 88-year-old client who is admitted to the hospital with pneumonia?
a. Restricting visitors to the client's immediate family members.
b. Limiting the client care activities to no more than five minutes each.
b. Respiration, 30/minute and deep.
c. Temperature, 97.1 °F (36.2 °C)
d. Blood pressure, 136/86 mm Hg
b
When determining the duration of a uterine contraction, a nurse should measure the contraction from the:
a. beginning of one contraction to the end of that contraction.
b. end of one contraction to the beginning of the next contraction.
c. beginning of one contraction to the beginning of the next contraction.
d. strongest point of one contraction to the strongest point of the next contraction.
a
A nurse should recognize which of these signs is a probably sign of pregnancy?
a. Frequency of urination.
b. Positive pregnancy test.
c. Nausea in the morning.
d. Abdominal distention.
b
All of these clients are on bed rest. Which one is the most at risk to develop skin breakdown?
a. An 82-year-old client who bathes once a week.
b. An 83-year-old client who applies powder after drying the skin.
c. An 84-year-old client who has been NPO for four days.
d. An 85-year-old client who has coronary artery disease.
c
A client diagnosed with type 1 diabetes mellitus has a glycosylated hemoglobin A1c of 4.2%. A nurse should interpret this to mean that the client has:
a. had a period of sustained hyperglycemia.
b. been non-compliant with home management.
c. been in relatively good diabetic control.
d. eaten a high carbohydrate snack just prior to testing.
c
A nurse is caring for a client with burns and in reverse isolation. Which measures should the nurse include?
a. Wearing disposable gloves when chaging the dressings.
b. Having the client wear goggles when staff is in the room.
c. Wearing a gown, mask, and gloves when providing care to the client.
d. Disposing of the client's soiled laundry in a red bag.
c
A physician has ordered 100 mg of Amoxicillin po for a child. The available liquid amoxicillin is 250 mg/ mL. How many milliliters should a nurse administer?
a. 1.
b. 1.5.
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.
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.
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.
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.
a. flushed skin and thirst.
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.
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.
a. Aspirate 10 mL contents and measure the pH.
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.
