NUR 6130 Exam 3 - Advanced Practice Nursing III P… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 6130 Exam 3 - Advanced Practice Nursing III Prep
2026/2027 UPDATE WPU
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 6130 Exam 3 - Advanced Practice Nursing III P… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 68-year-old male presents with a history of HFrEF (EF 30%). He is currently on Lisinopril,
Carvedilol, and Spironolactone. His BP is 132/78 and HR is 68. Which of the following is the
most appropriate next step to improve survival according to current guidelines?
A. Increase Carvedilol dosage
B. Add Digoxin 0.125 mg daily
C. Switch Lisinopril to Sacubitril/Valsartan
D. Add Furosemide 20 mg daily
Answer: C
Rationale: Switching an ACE inhibitor to an ARNI (Sacubitril/Valsartan) is recommended for patients
with HFrEF to further reduce morbidity and mortality, provided they can tolerate it. Exam questions
often test whether you can pick the most practical and safe choice for the client in real situations.
Focus on what the nurse can actually do right now. In practice, this guides the nurse to set priorities
and protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
2. When interpreting pulmonary function tests, a FEV1/FVC ratio of less than 0.70 post-
bronchodilator confirms which of the following?
A. Restrictive lung disease
B. Persistent airflow limitation
C. Normal lung function
D. Reversible airway hyperresponsiveness
Answer: B
Rationale: A post-bronchodilator FEV1/FVC < 0.70 is the diagnostic hallmark of obstructive lung
disease, such as COPD, indicating persistent airflow limitation. This knowledge supports safe care and
helps the nurse teach the client and family clearly and simply. Clear teaching improves cooperation
and reduces anxiety. Knowing the reason behind the correct answer makes it easier to rule out the
wrong options quickly. Look for the choice that protects the client and matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 6130 Exam 3 - Advanced Practice Nursing III P… 2026/2027 • Verified • Assured Grade A+
3. A 45-year-old patient with Type 2 Diabetes has a stable GFR of 45 mL/min. Which class of
medication is specifically recommended to reduce the risk of progression to end-stage renal
disease?
A. SGLT2 inhibitors
B. DPP-4 inhibitors
C. Sulfonylureas
D. Meglitinides
Answer: A
Rationale: SGLT2 inhibitors have been shown to provide significant renal protection and reduce the
risk of progression in chronic kidney disease associated with T2DM. Clear understanding of this
concept improves both test performance and everyday clinical judgment. Practice applying it to short
case scenarios to lock the idea in place. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities.
4. A patient presents with a ‘curtain coming down’ over their vision in one eye. This
symptom is most characteristic of which condition?
A. Acute Angle Closure Glaucoma
B. Central Retinal Artery Occlusion
C. Retinal Detachment
D. Macular Degeneration
Answer: C
Rationale: Retinal detachment often presents as a shadow or ‘curtain’ moving across the visual field,
often accompanied by flashes of light or floaters. This is important because the nurse must choose the
action that keeps the client safest while still meeting their basic needs. Always think about safety first
when answering these questions. Understanding this helps the nurse notice early warning signs and
act before the problem gets worse. Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 6130 Exam 3 - Advanced Practice Nursing III Prep
2026/2027 UPDATE WPU
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NUR 6130 Exam 3 - Advanced Practice Nursing III P… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 68-year-old male presents with a history of HFrEF (EF 30%). He is currently on Lisinopril,
Carvedilol, and Spironolactone. His BP is 132/78 and HR is 68. Which of the following is the
most appropriate next step to improve survival according to current guidelines?
A. Increase Carvedilol dosage
B. Add Digoxin 0.125 mg daily
C. Switch Lisinopril to Sacubitril/Valsartan
D. Add Furosemide 20 mg daily
Answer: C
Rationale: Switching an ACE inhibitor to an ARNI (Sacubitril/Valsartan) is recommended for patients
with HFrEF to further reduce morbidity and mortality, provided they can tolerate it. Exam questions
often test whether you can pick the most practical and safe choice for the client in real situations.
Focus on what the nurse can actually do right now. In practice, this guides the nurse to set priorities
and protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
2. When interpreting pulmonary function tests, a FEV1/FVC ratio of less than 0.70 post-
bronchodilator confirms which of the following?
A. Restrictive lung disease
B. Persistent airflow limitation
C. Normal lung function
D. Reversible airway hyperresponsiveness
Answer: B
Rationale: A post-bronchodilator FEV1/FVC < 0.70 is the diagnostic hallmark of obstructive lung
disease, such as COPD, indicating persistent airflow limitation. This knowledge supports safe care and
helps the nurse teach the client and family clearly and simply. Clear teaching improves cooperation
and reduces anxiety. Knowing the reason behind the correct answer makes it easier to rule out the
wrong options quickly. Look for the choice that protects the client and matches the priority need.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 6130 Exam 3 - Advanced Practice Nursing III P… 2026/2027 • Verified • Assured Grade A+
3. A 45-year-old patient with Type 2 Diabetes has a stable GFR of 45 mL/min. Which class of
medication is specifically recommended to reduce the risk of progression to end-stage renal
disease?
A. SGLT2 inhibitors
B. DPP-4 inhibitors
C. Sulfonylureas
D. Meglitinides
Answer: A
Rationale: SGLT2 inhibitors have been shown to provide significant renal protection and reduce the
risk of progression in chronic kidney disease associated with T2DM. Clear understanding of this
concept improves both test performance and everyday clinical judgment. Practice applying it to short
case scenarios to lock the idea in place. In practice, this guides the nurse to set priorities and protect
the client from harm. Safety, nutrition, and clear communication are frequent priorities.
4. A patient presents with a ‘curtain coming down’ over their vision in one eye. This
symptom is most characteristic of which condition?
A. Acute Angle Closure Glaucoma
B. Central Retinal Artery Occlusion
C. Retinal Detachment
D. Macular Degeneration
Answer: C
Rationale: Retinal detachment often presents as a shadow or ‘curtain’ moving across the visual field,
often accompanied by flashes of light or floaters. This is important because the nurse must choose the
action that keeps the client safest while still meeting their basic needs. Always think about safety first
when answering these questions. Understanding this helps the nurse notice early warning signs and
act before the problem gets worse. Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 3
