NUR 6130 EXAM 2 ADVANCED NURSING
CONCEPTS PRACTICE EXAM QUESTIONS AND
100% VERIFIED ANSWERS WITH RATIONALES
GRADED A+
William Paterson University
GUARANTEED PASS ON THE FIRST ATTEMPT
Question 1
A 72-year-old patient with heart failure presents with increasing shortness of
breath, crackles at the lung bases, and a 3-pound weight gain in 2 days. Which
finding most strongly indicates worsening fluid overload?
A. Decreased appetite
B. Peripheral edema
C. Orthopnea
D. Fatigue
Correct Answer: C
Rationale: Orthopnea reflects pulmonary congestion and is a sensitive indicator of
worsening fluid overload in heart failure, often preceding peripheral edema.
,Question 2
Which laboratory value is most critical to monitor in a patient receiving
intravenous furosemide?
A. Hemoglobin
B. Sodium
C. Potassium
D. Calcium
Correct Answer: C
Rationale: Loop diuretics increase potassium excretion, placing the patient at risk
for hypokalemia and associated cardiac dysrhythmias.
Question 3
A nurse practitioner evaluates a patient with type 2 diabetes whose HbA1c is 9.2%.
Which interpretation is most accurate?
A. The patient has adequate glycemic control
B. The patient’s fasting glucose is normal
C. The patient has poor long-term glucose control
D. The patient recently experienced hypoglycemia
Correct Answer: C
Rationale: HbA1c reflects average blood glucose over approximately 3 months; a
value of 9.2% indicates poor glycemic control.
Question 4
A patient prescribed an ACE inhibitor should be monitored closely for which
adverse effect?
A. Bradycardia
B. Dry cough
C. Hypoglycemia
D. Weight gain
,Correct Answer: B
Rationale: ACE inhibitors commonly cause a persistent dry cough due to
increased bradykinin levels.
Question 5
Which patient condition would contraindicate the use of metformin?
A. Obesity
B. Hypertension
C. Chronic kidney disease with eGFR 25 mL/min
D. Hyperlipidemia
Correct Answer: C
Rationale: Metformin is contraindicated in significant renal impairment due to the
increased risk of lactic acidosis.
Question 6
A patient with COPD is receiving supplemental oxygen. Which oxygen saturation
target is most appropriate?
A. 85–88%
B. 88–92%
C. 94–98%
D. 98–100%
Correct Answer: B
Rationale: In COPD, excessive oxygen can suppress respiratory drive;
maintaining saturation between 88–92% is recommended.
, Question 7
Which assessment finding suggests left-sided heart failure?
A. Ascites
B. Jugular venous distention
C. Pulmonary crackles
D. Peripheral edema
Correct Answer: C
Rationale: Left-sided heart failure leads to pulmonary congestion, manifested by
crackles.
Question 8
A patient with atrial fibrillation is prescribed warfarin. Which laboratory value
guides dosage adjustments?
A. aPTT
B. INR
C. Platelet count
D. Hematocrit
Correct Answer: B
Rationale: INR measures the anticoagulant effect of warfarin and is used to guide
dosing.
Question 9
Which symptom most strongly suggests hypoglycemia?
A. Polyuria
B. Polydipsia
C. Diaphoresis
D. Dry skin
CONCEPTS PRACTICE EXAM QUESTIONS AND
100% VERIFIED ANSWERS WITH RATIONALES
GRADED A+
William Paterson University
GUARANTEED PASS ON THE FIRST ATTEMPT
Question 1
A 72-year-old patient with heart failure presents with increasing shortness of
breath, crackles at the lung bases, and a 3-pound weight gain in 2 days. Which
finding most strongly indicates worsening fluid overload?
A. Decreased appetite
B. Peripheral edema
C. Orthopnea
D. Fatigue
Correct Answer: C
Rationale: Orthopnea reflects pulmonary congestion and is a sensitive indicator of
worsening fluid overload in heart failure, often preceding peripheral edema.
,Question 2
Which laboratory value is most critical to monitor in a patient receiving
intravenous furosemide?
A. Hemoglobin
B. Sodium
C. Potassium
D. Calcium
Correct Answer: C
Rationale: Loop diuretics increase potassium excretion, placing the patient at risk
for hypokalemia and associated cardiac dysrhythmias.
Question 3
A nurse practitioner evaluates a patient with type 2 diabetes whose HbA1c is 9.2%.
Which interpretation is most accurate?
A. The patient has adequate glycemic control
B. The patient’s fasting glucose is normal
C. The patient has poor long-term glucose control
D. The patient recently experienced hypoglycemia
Correct Answer: C
Rationale: HbA1c reflects average blood glucose over approximately 3 months; a
value of 9.2% indicates poor glycemic control.
Question 4
A patient prescribed an ACE inhibitor should be monitored closely for which
adverse effect?
A. Bradycardia
B. Dry cough
C. Hypoglycemia
D. Weight gain
,Correct Answer: B
Rationale: ACE inhibitors commonly cause a persistent dry cough due to
increased bradykinin levels.
Question 5
Which patient condition would contraindicate the use of metformin?
A. Obesity
B. Hypertension
C. Chronic kidney disease with eGFR 25 mL/min
D. Hyperlipidemia
Correct Answer: C
Rationale: Metformin is contraindicated in significant renal impairment due to the
increased risk of lactic acidosis.
Question 6
A patient with COPD is receiving supplemental oxygen. Which oxygen saturation
target is most appropriate?
A. 85–88%
B. 88–92%
C. 94–98%
D. 98–100%
Correct Answer: B
Rationale: In COPD, excessive oxygen can suppress respiratory drive;
maintaining saturation between 88–92% is recommended.
, Question 7
Which assessment finding suggests left-sided heart failure?
A. Ascites
B. Jugular venous distention
C. Pulmonary crackles
D. Peripheral edema
Correct Answer: C
Rationale: Left-sided heart failure leads to pulmonary congestion, manifested by
crackles.
Question 8
A patient with atrial fibrillation is prescribed warfarin. Which laboratory value
guides dosage adjustments?
A. aPTT
B. INR
C. Platelet count
D. Hematocrit
Correct Answer: B
Rationale: INR measures the anticoagulant effect of warfarin and is used to guide
dosing.
Question 9
Which symptom most strongly suggests hypoglycemia?
A. Polyuria
B. Polydipsia
C. Diaphoresis
D. Dry skin
