NUR 6130 EXAM 3 COMPREHENSIVE
REVIEW — FULL QUESTIONS AND
ANSWERS WITH RATIONALES —
2026/2027 UPDATED — WILLIAM
PATERSON UNIVERSITY
Original advanced practice question bank for graduate-level advanced practice
nursing review. This study resource is designed to strengthen clinical reasoning and
preparation; it is not an official university exam or a guarantee of a particular grade.
Introduction
NUR 6130 Exam 3 Comprehensive Review is intended for graduate nursing students
preparing for an advanced practice nursing assessment at William Paterson University
(WPU). This practice resource emphasizes clinical judgment, evidence-based
decision-making, diagnostic reasoning, pharmacologic management, patient safety,
and individualized care planning.
Advanced practice nursing examinations commonly assess a student's ability to apply
theoretical knowledge to complex clinical situations, prioritize competing patient
needs, interpret assessment findings, evaluate treatment responses, and recognize
when further investigation or referral is necessary. Questions may use clinical
vignettes, multiple-choice answers, and scenarios requiring the selection of the most
appropriate next action. The precise Exam 3 content and format depend on the current
course syllabus and instructor guidance.
This question bank provides original, scenario-based multiple-choice practice with
four answer options and detailed rationales. Each rationale explains the clinical
reasoning behind the best answer and why the alternatives are less appropriate. Use
the questions to identify knowledge gaps, reinforce safe prescribing and assessment
practices, and develop a systematic approach to clinical decision-making. For the
strongest preparation, compare the topics with your current course materials and
review the relevant clinical guidelines before your examination.
Core domains tested
The university's published course description identifies management of acute and
chronic conditions in pediatric and childbearing populations, with evidence-based
care planning and critical thinking as central themes. The following domains provide
a broad practice framework; they are not a verified list of Exam 3 objectives.
,William Paterson University
+1
1.
Pediatric and adolescent care: Growth, development, acute illness, and
preventive care.
2.
3.
Pregnancy and postpartum care: Prenatal complications, hypertensive
disorders, postpartum emergencies, and maternal assessment.
4.
5.
Cardiovascular disorders: Congenital and acquired disease, murmurs, and
emergency presentations.
6.
7.
Respiratory disorders: Asthma, bronchiolitis, pneumonia, and respiratory
distress.
8.
9.
Endocrine and metabolic conditions: Diabetes, thyroid dysfunction, and
metabolic emergencies.
10.
11.
Gastrointestinal and nutritional conditions: Dehydration, abdominal
emergencies, and feeding concerns.
12.
13.
Neurological disorders: Seizures, headaches, developmental concerns, and
urgent neurological findings.
14.
15.
Hematologic and immune disorders: Anemia, bleeding, infection, and
immune-mediated disease.
, 16.
17.
Genitourinary and reproductive health: Urinary infections, reproductive
assessment, and pregnancy-related concerns.
18.
19.
Musculoskeletal and dermatologic conditions: Injury, inflammatory disease,
common rashes, and serious skin findings.
20.
21.
HEENT disorders: Ear, eye, nose, throat, and related infections.
22.
23.
Mental health and behavioral care: Screening, safety assessment, and
appropriate referral.
24.
25.
Pharmacology and prescribing safety: Dosing, contraindications, adverse
effects, and monitoring.
26.
27.
Evidence-based clinical reasoning: Differential diagnosis, appropriate
investigations, patient education, and follow-up.
28.
QUESTIONS 1–100
Section 1: Pediatric and adolescent care
Q1: A 3-year-old presents with fever, drooling, muffled speech, and tripod positioning.
The child appears anxious and has inspiratory stridor. What is the most appropriate
immediate action?
A) Obtain a throat culture using a tongue depressor.
, B) Arrange emergency airway management while minimizing agitation.
C) Administer an oral antibiotic and observe for one hour.
D) Place the child supine for a complete examination.
Rationale: B is correct because suspected epiglottitis can cause sudden, complete
airway obstruction. The child needs emergency airway-capable care, and unnecessary
manipulation should be avoided. A is incorrect because throat examination can
precipitate obstruction. C delays airway stabilization and oral medication may be
unsafe. D can worsen respiratory distress and does not address the airway emergency.
Q2: A 6-week-old infant has a rectal temperature of 38.2°C (100.8°F) but appears
alert and is feeding reasonably well. What is the best approach?
A) Reassure the parents because the infant is feeding.
B) Recommend acetaminophen and review in 48 hours.
C) Arrange prompt emergency evaluation for a febrile young infant.
D) Obtain a urine dipstick at home before deciding whether to refer.
Rationale: C is correct because fever of at least 38°C in an infant younger than 3
months requires prompt evaluation for potentially serious bacterial infection. A well
appearance does not exclude invasive disease. A and B underestimate the risk. D
delays evaluation and cannot rule out other serious infections.
Q3: A 4-year-old has fever, cough, conjunctivitis, and a generalized maculopapular
rash that began on the face. Koplik spots are visible. What is the most appropriate
next step?
A) Diagnose a routine allergic reaction and prescribe an antihistamine.
B) Send the child to the waiting room with a surgical mask.
C) Institute airborne precautions, isolate the child, and notify public health according
to local requirements.
D) Begin topical corticosteroids and arrange routine follow-up.
Rationale: C is correct because the presentation strongly suggests measles, a highly
contagious airborne infection. Appropriate isolation, notification, and diagnostic
coordination are essential. A and D do not address the infection. B is insufficient
because a surgical mask alone does not replace appropriate airborne precautions and
isolation.
Q4: A 7-year-old with asthma develops worsening wheezing, marked retractions, and
difficulty speaking. After repeated bronchodilator treatment, the wheeze becomes
REVIEW — FULL QUESTIONS AND
ANSWERS WITH RATIONALES —
2026/2027 UPDATED — WILLIAM
PATERSON UNIVERSITY
Original advanced practice question bank for graduate-level advanced practice
nursing review. This study resource is designed to strengthen clinical reasoning and
preparation; it is not an official university exam or a guarantee of a particular grade.
Introduction
NUR 6130 Exam 3 Comprehensive Review is intended for graduate nursing students
preparing for an advanced practice nursing assessment at William Paterson University
(WPU). This practice resource emphasizes clinical judgment, evidence-based
decision-making, diagnostic reasoning, pharmacologic management, patient safety,
and individualized care planning.
Advanced practice nursing examinations commonly assess a student's ability to apply
theoretical knowledge to complex clinical situations, prioritize competing patient
needs, interpret assessment findings, evaluate treatment responses, and recognize
when further investigation or referral is necessary. Questions may use clinical
vignettes, multiple-choice answers, and scenarios requiring the selection of the most
appropriate next action. The precise Exam 3 content and format depend on the current
course syllabus and instructor guidance.
This question bank provides original, scenario-based multiple-choice practice with
four answer options and detailed rationales. Each rationale explains the clinical
reasoning behind the best answer and why the alternatives are less appropriate. Use
the questions to identify knowledge gaps, reinforce safe prescribing and assessment
practices, and develop a systematic approach to clinical decision-making. For the
strongest preparation, compare the topics with your current course materials and
review the relevant clinical guidelines before your examination.
Core domains tested
The university's published course description identifies management of acute and
chronic conditions in pediatric and childbearing populations, with evidence-based
care planning and critical thinking as central themes. The following domains provide
a broad practice framework; they are not a verified list of Exam 3 objectives.
,William Paterson University
+1
1.
Pediatric and adolescent care: Growth, development, acute illness, and
preventive care.
2.
3.
Pregnancy and postpartum care: Prenatal complications, hypertensive
disorders, postpartum emergencies, and maternal assessment.
4.
5.
Cardiovascular disorders: Congenital and acquired disease, murmurs, and
emergency presentations.
6.
7.
Respiratory disorders: Asthma, bronchiolitis, pneumonia, and respiratory
distress.
8.
9.
Endocrine and metabolic conditions: Diabetes, thyroid dysfunction, and
metabolic emergencies.
10.
11.
Gastrointestinal and nutritional conditions: Dehydration, abdominal
emergencies, and feeding concerns.
12.
13.
Neurological disorders: Seizures, headaches, developmental concerns, and
urgent neurological findings.
14.
15.
Hematologic and immune disorders: Anemia, bleeding, infection, and
immune-mediated disease.
, 16.
17.
Genitourinary and reproductive health: Urinary infections, reproductive
assessment, and pregnancy-related concerns.
18.
19.
Musculoskeletal and dermatologic conditions: Injury, inflammatory disease,
common rashes, and serious skin findings.
20.
21.
HEENT disorders: Ear, eye, nose, throat, and related infections.
22.
23.
Mental health and behavioral care: Screening, safety assessment, and
appropriate referral.
24.
25.
Pharmacology and prescribing safety: Dosing, contraindications, adverse
effects, and monitoring.
26.
27.
Evidence-based clinical reasoning: Differential diagnosis, appropriate
investigations, patient education, and follow-up.
28.
QUESTIONS 1–100
Section 1: Pediatric and adolescent care
Q1: A 3-year-old presents with fever, drooling, muffled speech, and tripod positioning.
The child appears anxious and has inspiratory stridor. What is the most appropriate
immediate action?
A) Obtain a throat culture using a tongue depressor.
, B) Arrange emergency airway management while minimizing agitation.
C) Administer an oral antibiotic and observe for one hour.
D) Place the child supine for a complete examination.
Rationale: B is correct because suspected epiglottitis can cause sudden, complete
airway obstruction. The child needs emergency airway-capable care, and unnecessary
manipulation should be avoided. A is incorrect because throat examination can
precipitate obstruction. C delays airway stabilization and oral medication may be
unsafe. D can worsen respiratory distress and does not address the airway emergency.
Q2: A 6-week-old infant has a rectal temperature of 38.2°C (100.8°F) but appears
alert and is feeding reasonably well. What is the best approach?
A) Reassure the parents because the infant is feeding.
B) Recommend acetaminophen and review in 48 hours.
C) Arrange prompt emergency evaluation for a febrile young infant.
D) Obtain a urine dipstick at home before deciding whether to refer.
Rationale: C is correct because fever of at least 38°C in an infant younger than 3
months requires prompt evaluation for potentially serious bacterial infection. A well
appearance does not exclude invasive disease. A and B underestimate the risk. D
delays evaluation and cannot rule out other serious infections.
Q3: A 4-year-old has fever, cough, conjunctivitis, and a generalized maculopapular
rash that began on the face. Koplik spots are visible. What is the most appropriate
next step?
A) Diagnose a routine allergic reaction and prescribe an antihistamine.
B) Send the child to the waiting room with a surgical mask.
C) Institute airborne precautions, isolate the child, and notify public health according
to local requirements.
D) Begin topical corticosteroids and arrange routine follow-up.
Rationale: C is correct because the presentation strongly suggests measles, a highly
contagious airborne infection. Appropriate isolation, notification, and diagnostic
coordination are essential. A and D do not address the infection. B is insufficient
because a surgical mask alone does not replace appropriate airborne precautions and
isolation.
Q4: A 7-year-old with asthma develops worsening wheezing, marked retractions, and
difficulty speaking. After repeated bronchodilator treatment, the wheeze becomes
