Exam (elaborations)
APEA Pre-Predictor Exam Questions and Answers 2024
- Course
- Nursing
- Institution
- Alexandria State University
APEA Pre-Predictor Exam Questions and Answers 2024
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APEA Pre-Predictor ExamQuestions and Answers
1. Prescriptive authority:: may be exercised by giving a verbal
medication order to a pharmacist.
An example of exercising prescriptive authority is giving a verbal
order to a pharma- cist or writing an order for a prescription
medication. Prescriptive authority rules and regulations vary from
state to state. Prescriptive authority is granted only to those
APRNs who meet the requirements of the governing body for the
state in which the APRN practices.
2. When examining a pregnant patient, where should the
fundal height be at
22 weeks?: Above the umbilicus
Between 18 and 32 weeks, there is good correlation between
fundal height and gestational age of the fetus. The expected
heights are: 10-12 weeks: fundus slightly above the symphysis
pubis 16 weeks: fundus midway between the symphysis pubis
and umbilicus 20 weeks: fundus at the level of umbilicus 28
,weeks: fundus 3 fingerbreadths above the umbilicus 36 weeks:
fundus just below the xiphoid process
3. What intervention does the American College of
Rheumatology recommend as first-line therapy for
osteoarthritis?: Exercise and weight loss
Exercise, weight loss, and rest are recommended by the
American College of Rheumatology guidelines for the initial
management of osteoarthritis (OA). Given the adverse effects of
medications used to treat OA, it is best to minimize dosage and
delay use as long as possible. An extensive diagnostic workup is
not recommended unless the presentation is in question.
Patients who have severe degenerative
joint disease (DJD), joint fusion, or whose pain severity is not
relieved by more conservative therapies may be candidates for
joint replacement. Acetaminophen is recommended as a first-
line medication.
4. A 63-year-old male retired accountant complains of pain
and stiffness in his feet and hands of several years
duration. He reports that the pain and stiffness become
worse with activity. On examination, he is noted to have
Heberden's nodes but no other bony deformities. Which of
,the following is the most probable diagnosis?: Osteoarthritis
(OA)
Although his vocation involved sedentary activity, this patient is
not at great risk
for osteoarthritis. Rheumatoid arthritis is characterized by
several joint deformities, usually bilaterally symmetrical. RA is
characterized by inflammatory processes, while OA is not. RA
and OA are chronic conditions. Gout is characterized by
acute exacerbations related to a defect in purine metabolism,
increased uric acid production, or decreased uric acid
excretion.
5. The family of a 78-year-old man moved him into an
assisted living center because he can no longer be left at
home alone. He is unable to toilet when asked to do so
and he has had several episodes of incontinence. He has
walked out of the facility twice and been unable to find his
way back from 3 blocks away. On examination, he is
pleasant but mildly confused. Which of his medications is
LEAST likely contributing to his behavior?: ramipril (Altace)
Tricyclic antidepressants, like amitriptyline, have anticholinergic
side effects which are especially problematic in the elderly
, because they contribute to urinary retention. Hydrochlorothiazide
is a diuretic and may contribute to his incontinence. Cimetidine is
well known to produce adverse reactions such as confusion in
elders. Ramipril, an ACE inhibitor, is unlikely to contribute to this
patient's incontinence or confusion. Toileting may be a
complicated by the anticholinergic medication and/or the diuretic
causing diuresis, urge incontinence, and inability to void at will.
6. A patient with no significant medical history has varicose
veins. She com- plains of "aching legs".The intervention that
will provide the greatest relief for her complaint is to:: elevate
her legs periodically.
The intervention that will provide the greatest relief for this
patient is elevating her legs periodically. This will facilitate venous
return. Use of support stockings will prolong the length of time
she is able to stand in place, but will not provide relief after her
legs begin aching. Support stockings should be applied prior to
getting out of bed.
7. Stress urinary incontinence is:: may be aggravated by
caffeine or alcohol.
Stress urinary incontinence is not expected as a result of the
normal aging process. The primary problem is sphincter
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