NUR 6130 Final Exam V2 NUR 6130
Advanced Practice Nursing III | Q&A with
Rationale (NUR6130 Final Exam) | William
Paterson University
1. A 75-year-old patient with Chronic Heart Failure (CHF) presents with increased edema and
dyspnea. According to the NYHA classification, the patient is symptomatic at rest. Which
classification best describes this patient’s status?
A. Class II
B. Class III
C. Class I
D. Class IV
Answer: D
Rationale: NYHA Class IV refers to patients who are unable to carry out any physical
activity without discomfort and have symptoms at rest. This classification is vital for
determining the intensity of pharmacological and surgical interventions. APNs must
recognize these stages to provide appropriate palliative or escalated cardiac care.
,2. When managing a 68-year-old patient with Type 2 Diabetes who has multiple
comorbidities and a history of severe hypoglycemia, what is the most appropriate HgbA1c
goal?
A. 7.5% to 8.0%
B. < 7.0%
C. < 6.5%
D. < 6.0%
Answer: A
Rationale: For older adults with complex health issues and high hypoglycemia risk, a less
stringent HgbA1c target of 7.5% to 8.0% is recommended. Overtreatment in this
population can lead to dangerous falls and cognitive impairment. The APN should
individualize goals based on life expectancy and functional status.
3. An 82-year-old female is being evaluated for polypharmacy. Which screening tool is
specifically designed to identify potentially inappropriate medications in the geriatric
population?
A. PHQ-9
B. Beers Criteria
C. HAS-BLED Score
D. CURB-65
, Answer: B
Rationale: The Beers Criteria is the gold standard for identifying medications that should
be avoided or used with caution in older adults. It helps clinicians reduce the risk of
adverse drug events and drug-drug interactions. Implementing these criteria is a core
competency for advanced practice nurses in gerontology.
4. A patient with Stage 3 Chronic Kidney Disease (CKD) presents for a follow-up. What is the
characteristic GFR range for this stage?
A. 30-59 mL/min
B. 60-89 mL/min
C. 15-29 mL/min
D. < 15 mL/min
Answer: A
Rationale: Stage 3 CKD is defined by a GFR between 30 and 59 mL/min per 1.73 m2. At
this stage, patients often begin to show complications such as anemia and bone disease.
Monitoring and managing blood pressure and glucose are critical to slow the progression
to Stage 4.
5. Which of the following findings is most characteristic of Delirium rather than Dementia in
an elderly hospitalized patient?
A. Gradual onset of memory loss
B. Acute change in mental status with fluctuating consciousness
Advanced Practice Nursing III | Q&A with
Rationale (NUR6130 Final Exam) | William
Paterson University
1. A 75-year-old patient with Chronic Heart Failure (CHF) presents with increased edema and
dyspnea. According to the NYHA classification, the patient is symptomatic at rest. Which
classification best describes this patient’s status?
A. Class II
B. Class III
C. Class I
D. Class IV
Answer: D
Rationale: NYHA Class IV refers to patients who are unable to carry out any physical
activity without discomfort and have symptoms at rest. This classification is vital for
determining the intensity of pharmacological and surgical interventions. APNs must
recognize these stages to provide appropriate palliative or escalated cardiac care.
,2. When managing a 68-year-old patient with Type 2 Diabetes who has multiple
comorbidities and a history of severe hypoglycemia, what is the most appropriate HgbA1c
goal?
A. 7.5% to 8.0%
B. < 7.0%
C. < 6.5%
D. < 6.0%
Answer: A
Rationale: For older adults with complex health issues and high hypoglycemia risk, a less
stringent HgbA1c target of 7.5% to 8.0% is recommended. Overtreatment in this
population can lead to dangerous falls and cognitive impairment. The APN should
individualize goals based on life expectancy and functional status.
3. An 82-year-old female is being evaluated for polypharmacy. Which screening tool is
specifically designed to identify potentially inappropriate medications in the geriatric
population?
A. PHQ-9
B. Beers Criteria
C. HAS-BLED Score
D. CURB-65
, Answer: B
Rationale: The Beers Criteria is the gold standard for identifying medications that should
be avoided or used with caution in older adults. It helps clinicians reduce the risk of
adverse drug events and drug-drug interactions. Implementing these criteria is a core
competency for advanced practice nurses in gerontology.
4. A patient with Stage 3 Chronic Kidney Disease (CKD) presents for a follow-up. What is the
characteristic GFR range for this stage?
A. 30-59 mL/min
B. 60-89 mL/min
C. 15-29 mL/min
D. < 15 mL/min
Answer: A
Rationale: Stage 3 CKD is defined by a GFR between 30 and 59 mL/min per 1.73 m2. At
this stage, patients often begin to show complications such as anemia and bone disease.
Monitoring and managing blood pressure and glucose are critical to slow the progression
to Stage 4.
5. Which of the following findings is most characteristic of Delirium rather than Dementia in
an elderly hospitalized patient?
A. Gradual onset of memory loss
B. Acute change in mental status with fluctuating consciousness
