APEA 3P NR 509 2024 EXAM UPDATED AND
VERIFIED QUESTIONS AND ANSWERS
Question 1
When trying to differentiate between hemoptysis or blood-streaked
... [Show More] 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. Incorrect Hemoptysis is common in children with cystic fibrosis.
Correct: Blood streaked material often originates from the gastrointestinal tract.
Explanation:
Hemoptysis is rare in infants, children, and adolescents, although common in those with
cystic fibrosis. Blood originating in the stomach is usually darker than blood from the
respiratory tract and may be mixed with food particles. Blood or blood-streaked material
may originate in the mouth, pharynx, or less commonly from the gastrointestinal tract.
Question 2
When percussing the chest in a patient who has left sided heart failure, the sound emanated
would be:
resonant. Correct
dulltympany.
Diffusely
hyperresonant.
Incorrect Explanation:
A patient with left sided heart failure experiences increased pressure in the pulmonary veins
causing congestion and interstitial edema. Percussion sounds emitted would most likely beresonant.
Consolidation in the lungs produces a dull sound on percussion. Tympany (low-high pitched
musical sound) is usually audible when percussing a distended abdomen or when a
pneumothorax is present. Chronic obstructive lung disease produces diffusely hyperresonant
sound on percussion.
Question 3
The line that extends through the inferior angle of the scapula when the arms are at the
sides of the body is the:
mid vertebral
line. scapular
line.
Correct: midclavicular line.
mid-spinal
line.
Explanation:
The line that extends through the inferior angle of the scapula when the arms are at the
sides of the body is the scapular line.
Question 4
A condition associated with a chronic cough that produces copious amounts of purulent
sputum is most likely:
tracheobronchitis.
chronic bronchitis.
Incorrect:bronchiectas
is.
Correct: laryngitis.
Explanation:An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is
tracheobronchitis. An acute, mild illness often associated with viral nasopharyngitis and
hoarseness islaryngitis. The initial cough is dry and nonproductive but may become productive over time.
A chronic bronchitis cough is characteristically productive with mucoid to purulent sputum
and may be blood tinged. Bronchiectasis produces a chronic cough with sputum that is
copious and foul-smelling. It may be blood tinged.
Question 5
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. Correct
the child's age.
an airway obstruction [Show Less]