NUR 6130 Advanced Practice Nursing III Exam Prep … 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 6130 Advanced Practice Nursing III Exam 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 Advanced Practice Nursing III Exam Prep … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 68-year-old patient with HFrEF (LVEF 35%) is already taking Lisinopril, Carvedilol, and
Spironolactone. The patient remains symptomatic (NYHA Class II). According to current
guidelines, what is the most appropriate next step in pharmacological management?
A. Add Digoxin to improve contractility
B. Add Ivabradine if the heart rate is above 60 bpm
C. Increase the dose of Carvedilol to maximum tolerance
D. Switch Lisinopril to Sacubitril/Valsartan (ARNI)
Answer: D
Rationale: Current guidelines for HFrEF recommend switching an ACEi or ARB to an ARNI
(Sacubitril/Valsartan) for patients who remain symptomatic to further reduce morbidity and mortality. A
36-hour washout period is required when switching from an ACEi. 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. 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.
2. Which of the following physical exam findings is most characteristic of a patient
presenting with severe Aortic Stenosis?
A. High-pitched decrescendo diastolic murmur at the left sternal border
B. Pulsus parvus et tardus and a harsh systolic crescendo-decrescendo murmur
C. Mid-systolic click followed by a late systolic murmur
D. Holosystolic murmur at the apex radiating to the axilla
Answer: B
Rationale: Aortic Stenosis is characterized by a harsh systolic crescendo-decrescendo murmur and
‘pulsus parvus et tardus’ (weak and delayed carotid upstroke). This knowledge supports safe care and
helps the nurse teach the client and family clearly and simply. Clear teaching improves cooperation
and reduces anxiety. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 6130 Advanced Practice Nursing III Exam Prep … 2026/2027 • Verified • Assured Grade A+
3. A 54-year-old male with a history of COPD presents with increased sputum purulence and
volume. His FEV1 is 45% predicted. Which of the following is the most appropriate
outpatient antibiotic choice if no risk factors for Pseudomonas are present?
A. Clindamycin
B. Ciprofloxacin
C. Amoxicillin-Clavulanate
D. Vancomycin
Answer: C
Rationale: For acute exacerbations of COPD with increased sputum volume and purulence,
Amoxicillin-Clavulanate, Azithromycin, or Doxycycline are preferred first-line agents unless
Pseudomonas is suspected. In practice, this guides the nurse to set priorities and protect the client
from harm. Safety, nutrition, and clear communication are frequent priorities. 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.
4. A patient with Type 2 Diabetes and established Atherosclerotic Cardiovascular Disease
(ASCVD) has an A1c of 7.8% despite Metformin. Which class of medication provides the best
secondary prevention for major adverse cardiovascular events?
A. DPP-4 Inhibitors
B. Sulfonylureas
C. TZDs (Thiazolidinediones)
D. has an A1c of 7.8% despite Metformin. Which class of medication provides the best secondary
prevention for major adverse cardiovascular events?
Answer: D
Rationale: GLP-1 Receptor Agonists and SGLT2 Inhibitors have proven cardiovascular benefits and
are recommended for patients with DM2 and established ASCVD regardless of A1c. 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 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NUR 6130 Advanced Practice Nursing III Exam 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 Advanced Practice Nursing III Exam Prep … 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 68-year-old patient with HFrEF (LVEF 35%) is already taking Lisinopril, Carvedilol, and
Spironolactone. The patient remains symptomatic (NYHA Class II). According to current
guidelines, what is the most appropriate next step in pharmacological management?
A. Add Digoxin to improve contractility
B. Add Ivabradine if the heart rate is above 60 bpm
C. Increase the dose of Carvedilol to maximum tolerance
D. Switch Lisinopril to Sacubitril/Valsartan (ARNI)
Answer: D
Rationale: Current guidelines for HFrEF recommend switching an ACEi or ARB to an ARNI
(Sacubitril/Valsartan) for patients who remain symptomatic to further reduce morbidity and mortality. A
36-hour washout period is required when switching from an ACEi. 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. 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.
2. Which of the following physical exam findings is most characteristic of a patient
presenting with severe Aortic Stenosis?
A. High-pitched decrescendo diastolic murmur at the left sternal border
B. Pulsus parvus et tardus and a harsh systolic crescendo-decrescendo murmur
C. Mid-systolic click followed by a late systolic murmur
D. Holosystolic murmur at the apex radiating to the axilla
Answer: B
Rationale: Aortic Stenosis is characterized by a harsh systolic crescendo-decrescendo murmur and
‘pulsus parvus et tardus’ (weak and delayed carotid upstroke). This knowledge supports safe care and
helps the nurse teach the client and family clearly and simply. Clear teaching improves cooperation
and reduces anxiety. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NUR 6130 Advanced Practice Nursing III Exam Prep … 2026/2027 • Verified • Assured Grade A+
3. A 54-year-old male with a history of COPD presents with increased sputum purulence and
volume. His FEV1 is 45% predicted. Which of the following is the most appropriate
outpatient antibiotic choice if no risk factors for Pseudomonas are present?
A. Clindamycin
B. Ciprofloxacin
C. Amoxicillin-Clavulanate
D. Vancomycin
Answer: C
Rationale: For acute exacerbations of COPD with increased sputum volume and purulence,
Amoxicillin-Clavulanate, Azithromycin, or Doxycycline are preferred first-line agents unless
Pseudomonas is suspected. In practice, this guides the nurse to set priorities and protect the client
from harm. Safety, nutrition, and clear communication are frequent priorities. 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.
4. A patient with Type 2 Diabetes and established Atherosclerotic Cardiovascular Disease
(ASCVD) has an A1c of 7.8% despite Metformin. Which class of medication provides the best
secondary prevention for major adverse cardiovascular events?
A. DPP-4 Inhibitors
B. Sulfonylureas
C. TZDs (Thiazolidinediones)
D. has an A1c of 7.8% despite Metformin. Which class of medication provides the best secondary
prevention for major adverse cardiovascular events?
Answer: D
Rationale: GLP-1 Receptor Agonists and SGLT2 Inhibitors have proven cardiovascular benefits and
are recommended for patients with DM2 and established ASCVD regardless of A1c. 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 3
