NUR 6111 ADVANCED PRACTICE
NURSING I - EXAM 3 PREP
1. A 65-year-old male with HFrEF (EF 30%) remains symptomatic despite being on Lisinopril
and Carvedilol. Which medication class is now recommended to further reduce mortality and
hospitalization?
A. Loop Diuretics
B. Calcium Channel Blockers
C. ARNI (Sacubitril/Valsartan)
D. Digoxin
Answer: C
Conceptual Explanation: For patients with HFrEF who remain symptomatic on an ACE
inhibitor or ARB and a beta-blocker, switching to an ARNI is recommended to further
decrease morbidity and mortality.
2. When evaluating a patient for Community-Acquired Pneumonia (CAP), which factor in the
CURB-65 score warrants immediate consideration for inpatient admission?
A. Age over 55
,B. Temperature > 101 F
C. Heart rate > 90 bpm
D. Confusion
Answer: D
Conceptual Explanation: The CURB-65 score includes Confusion, Urea > 7 mmol/L,
Respiratory rate >= 30, Blood pressure (SBP < 90 or DBP <= 60), and Age >= 65. A score of
2 or more generally suggests the need for hospitalization.
3. Which physical exam finding is most specific for Acute Otitis Media (AOM) rather than
Otitis Media with Effusion (OME)?
A. Presence of fluid behind the tympanic membrane
B. Cloudy tympanic membrane
C. Air-fluid levels
D. Bulging of the tympanic membrane
Answer: D
Conceptual Explanation: Bulging of the tympanic membrane is a hallmark of
inflammation and pressure associated with acute infection (AOM), whereas OME is
characterized by fluid without signs of acute infection.
, 4. According to the JNC 8 guidelines, what is the goal blood pressure for a 62-year-old patient
with Chronic Kidney Disease?
A. < 120/80
B. < 130/80
C. < 140/90
D. < 150/90
Answer: C
Conceptual Explanation: JNC 8 guidelines recommend a blood pressure goal of < 140/90
mmHg for adults aged 18 years or older with CKD or Diabetes.
5. A 24-year-old female presents with a ‘strawberry cervix’ and a yellow-green malodorous
discharge. What is the gold standard diagnostic test for this condition?
A. NAAT (Nucleic Acid Amplification Test)
B. Wet mount microscopy
C. Whiff test
D. Gram stain
Answer: A
Conceptual Explanation: Trichomoniasis presents with a strawberry cervix and
malodorous discharge. While wet mount is common, NAAT is the most sensitive and
specific diagnostic tool.
NURSING I - EXAM 3 PREP
1. A 65-year-old male with HFrEF (EF 30%) remains symptomatic despite being on Lisinopril
and Carvedilol. Which medication class is now recommended to further reduce mortality and
hospitalization?
A. Loop Diuretics
B. Calcium Channel Blockers
C. ARNI (Sacubitril/Valsartan)
D. Digoxin
Answer: C
Conceptual Explanation: For patients with HFrEF who remain symptomatic on an ACE
inhibitor or ARB and a beta-blocker, switching to an ARNI is recommended to further
decrease morbidity and mortality.
2. When evaluating a patient for Community-Acquired Pneumonia (CAP), which factor in the
CURB-65 score warrants immediate consideration for inpatient admission?
A. Age over 55
,B. Temperature > 101 F
C. Heart rate > 90 bpm
D. Confusion
Answer: D
Conceptual Explanation: The CURB-65 score includes Confusion, Urea > 7 mmol/L,
Respiratory rate >= 30, Blood pressure (SBP < 90 or DBP <= 60), and Age >= 65. A score of
2 or more generally suggests the need for hospitalization.
3. Which physical exam finding is most specific for Acute Otitis Media (AOM) rather than
Otitis Media with Effusion (OME)?
A. Presence of fluid behind the tympanic membrane
B. Cloudy tympanic membrane
C. Air-fluid levels
D. Bulging of the tympanic membrane
Answer: D
Conceptual Explanation: Bulging of the tympanic membrane is a hallmark of
inflammation and pressure associated with acute infection (AOM), whereas OME is
characterized by fluid without signs of acute infection.
, 4. According to the JNC 8 guidelines, what is the goal blood pressure for a 62-year-old patient
with Chronic Kidney Disease?
A. < 120/80
B. < 130/80
C. < 140/90
D. < 150/90
Answer: C
Conceptual Explanation: JNC 8 guidelines recommend a blood pressure goal of < 140/90
mmHg for adults aged 18 years or older with CKD or Diabetes.
5. A 24-year-old female presents with a ‘strawberry cervix’ and a yellow-green malodorous
discharge. What is the gold standard diagnostic test for this condition?
A. NAAT (Nucleic Acid Amplification Test)
B. Wet mount microscopy
C. Whiff test
D. Gram stain
Answer: A
Conceptual Explanation: Trichomoniasis presents with a strawberry cervix and
malodorous discharge. While wet mount is common, NAAT is the most sensitive and
specific diagnostic tool.
