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NUR 6111 ADVANCED PRACTICE NURSING I EXAM 2 EXAM
QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR – JUST RELEASED
NUR 6111 ADVANCED PRACTICE NURSING I EXAM 2
Exam Coverage
Advanced health assessment and comprehensive patient history collection.
Clinical reasoning, diagnostic decision-making, and differential diagnosis.
Evidence-based advanced nursing practice and interpretation of clinical findings.
Cardiovascular, respiratory, gastrointestinal, neurological, and musculoskeletal
assessment.
Endocrine, renal, reproductive, and hematologic assessment considerations.
Pharmacologic principles, medication safety, adverse effects, and therapeutic
monitoring.
Laboratory interpretation, diagnostic testing, and appropriate follow-up evaluation.
Preventive care, health promotion, screening, and patient-centered counseling.
Management of common acute and chronic conditions in advanced nursing practice.
Professional, ethical, cultural, communication, and patient-safety responsibilities.
Questions
1. Which component of the health history provides the patient's primary reason for seeking
care today?
A. Family history
B. Chief complaint
C. Review of systems
D. Past medical history
Answer: B
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Rationale: The chief complaint identifies the patient's primary concern or reason for seeking
medical attention and should generally be documented using the patient's own words when
appropriate.
2. A patient describes chest discomfort as pressure occurring during exertion and resolving
with rest; which additional characteristic is most important to clarify?
A. Hair and skin changes
B. Childhood illnesses
C. Dietary preferences
D. Radiation, severity, duration, and associated symptoms
Answer: D
Rationale: Characterizing chest pain through location, quality, severity, timing, radiation,
provoking factors, and associated symptoms helps distinguish potentially serious cardiovascular
causes.
3. Which approach best demonstrates patient-centered communication during an advanced
practice assessment?
A. Beginning with open-ended questions before narrowing the discussion
B. Asking only questions that require yes or no responses
C. Completing the history without allowing interruptions
D. Using medical terminology to establish professional authority
Answer: A
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Rationale: Open-ended questions encourage patients to describe concerns in their own words
and allow the clinician to identify information that may not emerge from highly structured
questioning.
4. When evaluating a patient's medication history, which information is particularly important
for identifying medication-related problems?
A. Preferred pharmacy color scheme
B. Patient's favorite medication
C. Prescription, over-the-counter, herbal, and supplement use
D. Number of healthcare facilities in the community
Answer: C
Rationale: A complete medication reconciliation includes prescription drugs, OTC medications,
supplements, and herbal products because interactions and adverse effects may occur across all
categories.
5. Which finding during cardiovascular assessment should prompt the clinician to investigate
possible peripheral arterial disease?
A. Warm feet with bounding pulses
B. Bilateral ankle edema after prolonged standing
C. Symmetric radial pulses
D. Diminished pedal pulses with cool extremities
Answer: D
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Rationale: Diminished peripheral pulses combined with cool extremities can indicate impaired
arterial perfusion and warrants further vascular evaluation.
6. A patient reports shortness of breath when lying flat but feels better after sitting upright;
which term describes this symptom?
A. Orthopnea
B. Hemoptysis
C. Pleurisy
D. Tachypnea
Answer: A
Rationale: Orthopnea is dyspnea that occurs when lying flat and improves with sitting or
standing, commonly associated with conditions such as heart failure.
7. Which respiratory examination finding is most concerning for significant airway
obstruction?
A. Mildly diminished breath sounds bilaterally
B. Expiratory wheezing
C. Inspiratory stridor
D. Occasional dry cough
Answer: C
Rationale: Stridor is a harsh, high-pitched sound generally associated with upper-airway
obstruction and may represent an urgent clinical problem.
NUR 6111 ADVANCED PRACTICE NURSING I EXAM 2 EXAM
QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR – JUST RELEASED
NUR 6111 ADVANCED PRACTICE NURSING I EXAM 2
Exam Coverage
Advanced health assessment and comprehensive patient history collection.
Clinical reasoning, diagnostic decision-making, and differential diagnosis.
Evidence-based advanced nursing practice and interpretation of clinical findings.
Cardiovascular, respiratory, gastrointestinal, neurological, and musculoskeletal
assessment.
Endocrine, renal, reproductive, and hematologic assessment considerations.
Pharmacologic principles, medication safety, adverse effects, and therapeutic
monitoring.
Laboratory interpretation, diagnostic testing, and appropriate follow-up evaluation.
Preventive care, health promotion, screening, and patient-centered counseling.
Management of common acute and chronic conditions in advanced nursing practice.
Professional, ethical, cultural, communication, and patient-safety responsibilities.
Questions
1. Which component of the health history provides the patient's primary reason for seeking
care today?
A. Family history
B. Chief complaint
C. Review of systems
D. Past medical history
Answer: B
, Page 2 of 108
Rationale: The chief complaint identifies the patient's primary concern or reason for seeking
medical attention and should generally be documented using the patient's own words when
appropriate.
2. A patient describes chest discomfort as pressure occurring during exertion and resolving
with rest; which additional characteristic is most important to clarify?
A. Hair and skin changes
B. Childhood illnesses
C. Dietary preferences
D. Radiation, severity, duration, and associated symptoms
Answer: D
Rationale: Characterizing chest pain through location, quality, severity, timing, radiation,
provoking factors, and associated symptoms helps distinguish potentially serious cardiovascular
causes.
3. Which approach best demonstrates patient-centered communication during an advanced
practice assessment?
A. Beginning with open-ended questions before narrowing the discussion
B. Asking only questions that require yes or no responses
C. Completing the history without allowing interruptions
D. Using medical terminology to establish professional authority
Answer: A
, Page 3 of 108
Rationale: Open-ended questions encourage patients to describe concerns in their own words
and allow the clinician to identify information that may not emerge from highly structured
questioning.
4. When evaluating a patient's medication history, which information is particularly important
for identifying medication-related problems?
A. Preferred pharmacy color scheme
B. Patient's favorite medication
C. Prescription, over-the-counter, herbal, and supplement use
D. Number of healthcare facilities in the community
Answer: C
Rationale: A complete medication reconciliation includes prescription drugs, OTC medications,
supplements, and herbal products because interactions and adverse effects may occur across all
categories.
5. Which finding during cardiovascular assessment should prompt the clinician to investigate
possible peripheral arterial disease?
A. Warm feet with bounding pulses
B. Bilateral ankle edema after prolonged standing
C. Symmetric radial pulses
D. Diminished pedal pulses with cool extremities
Answer: D
, Page 4 of 108
Rationale: Diminished peripheral pulses combined with cool extremities can indicate impaired
arterial perfusion and warrants further vascular evaluation.
6. A patient reports shortness of breath when lying flat but feels better after sitting upright;
which term describes this symptom?
A. Orthopnea
B. Hemoptysis
C. Pleurisy
D. Tachypnea
Answer: A
Rationale: Orthopnea is dyspnea that occurs when lying flat and improves with sitting or
standing, commonly associated with conditions such as heart failure.
7. Which respiratory examination finding is most concerning for significant airway
obstruction?
A. Mildly diminished breath sounds bilaterally
B. Expiratory wheezing
C. Inspiratory stridor
D. Occasional dry cough
Answer: C
Rationale: Stridor is a harsh, high-pitched sound generally associated with upper-airway
obstruction and may represent an urgent clinical problem.
