Advance Practice Nursing NUR 6111 Exam 3
STUDY GUIDE 2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Hot flashes that occur during peri menopause are thought to be related to -
ANSWER ✔ fluctuating estrogen level
2. Which of the following physical exam findings in a 65 year old woman
warrant further evaluation - ANSWER ✔ Inverted nipple
3. Which of the following is not representative of the presentation of primary
syphillis - ANSWER ✔ flu like symptoms
4. A patient diagnosed with trichomoniasis is being treated with metronidazole.
When teaching the patient about this medication, which of the following will
the nurse practitioner include - ANSWER ✔ do not consume alcohol (reduce
possibility of a disulfiram like reaction)
5. The recommended time to initiate screening for cervical cancer in women is
- ANSWER ✔ 21 years old
6. The NP recognizes the following assessment findings as being consistent
with Chalmydia (select all that apply) - ANSWER ✔ Vaginal discharge
Cervical changes
,7. The NP is treating a 35 year old patient for primary herpes infection. The
first line treatment option for primary herpes infection include
A. Acyclovir 400mg TID for 7-10 days
B. Valacyclovir 1g daily for 3 days
C. Famciclovir 250mg BID for5 days
D. No treatment needed - ANSWER ✔ A. Acyclovir 400mg TID 7-10
days (genital herpes)
8. A 65 year old male patient with no history of ACVD or DM. Lipid profile:
total cholesterol 210, LDL 130, HDL 35, triglycerides 129. Based on the
guidelines, what Is the next step to manage this patient - ANSWER ✔
Calculate the patients 10 year CV risk
9. A 52 year old male patient with known DM has the following lipid profile:
total cholesterol 198, LDL 115, HDL 35, Triglycerides 124. ASCVD risk
score 6.7%. how would you manage this patient - ANSWER ✔ Moderate
intensity (DM 40-75 with LDL 70-189)
10.A patient on simvastatin for newly diagnosed hyperlipidemia complains of
generalized muscle aches for about two weeks. How should this be
evaluated - ANSWER ✔ Check CPK (creatine phosphokinase)
11.In order to reduce lipid levels, statins are the most beneficial when taken -
ANSWER ✔ diet and exercise
12.A 45 year old diabetic patient with elevated BP. Which medication would
you consider first in treating his HTN - ANSWER ✔ Enalapril 10mg daily
(ACE inhibitor preferred in PT with diabetes)
,13.A 40 year old African American has had BP readings between 135/90 and
144/80 despite his lifestyle medication for 3 months. What is the appropriate
plan of care for this patient - ANSWER ✔ Calcium channel blockers
(preferred with African Americans)
14.When starting patient on ACE inhibitor, which laboratory test should you
monitor - ANSWER ✔ Increase in potassium (monitor for hypokalemia)
15.A 54 year old patient was recently diagnosed with HTN. She was started on
lisinopril 20mg QD 3 months ago. Her current BP is 156/94. Using the
guidelines, what is the appropriate next step - ANSWER ✔ HCTZ 25mg PO
(ace inhibitor then diuretic)
16.Which would represent the best choice of anti HTN agent for the indicated
patients condition? - ANSWER ✔ Beta blocker for pt with MI
17.Which antihypertensive medication would you avoid using in a patient with
severe asthma - ANSWER ✔ Beta blockers (may cause bronchospasm)
18.Which class of antihypertensive medication is used to improve long term
outcomes of patients with systolic dysfunction - ANSWER ✔ Ace inhibitors
(preferred in HF)
19.You are trying to determine the thromboembolic risk in a patient with afib.
Using the CHADSVASc score, you would consider the following as risk
factors except - ANSWER ✔ Age 55
, 20.A patient with new onset fib has a CHADVasc score of 4 with no bleeding
risk. The best approach for this patient is to - ANSWER ✔ start rivaroxaban
20mg daily
21.A w of deep vein thrombosis is - ANSWER ✔ PE
22.The NP examines a patient with complaints of foul smelling, frothy, copious
and pale yellow to gray green vaginal discharge On exam, vulvogaginal
irritation and cervical petechiae is noted. Based on this the most likely tx
includes
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Azithromycin - ANSWER ✔ B. Metronidazole
these findings are consistent with trichomoniasis, metronidazole is the first
line tx of choice for protozoal infection
23.STI education - ANSWER ✔ if STI present or suspected, instruct patient to
refer sex partners for evaluation and treatment
discuss therapeutic and diagnostic plans
inform patient that swelling and discomfort may persist for weeks or months
after eradication of infecting organism
educate regarding prevention, transmission, and treatment of STI; encourage
continued use of condoms
STUDY GUIDE 2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Hot flashes that occur during peri menopause are thought to be related to -
ANSWER ✔ fluctuating estrogen level
2. Which of the following physical exam findings in a 65 year old woman
warrant further evaluation - ANSWER ✔ Inverted nipple
3. Which of the following is not representative of the presentation of primary
syphillis - ANSWER ✔ flu like symptoms
4. A patient diagnosed with trichomoniasis is being treated with metronidazole.
When teaching the patient about this medication, which of the following will
the nurse practitioner include - ANSWER ✔ do not consume alcohol (reduce
possibility of a disulfiram like reaction)
5. The recommended time to initiate screening for cervical cancer in women is
- ANSWER ✔ 21 years old
6. The NP recognizes the following assessment findings as being consistent
with Chalmydia (select all that apply) - ANSWER ✔ Vaginal discharge
Cervical changes
,7. The NP is treating a 35 year old patient for primary herpes infection. The
first line treatment option for primary herpes infection include
A. Acyclovir 400mg TID for 7-10 days
B. Valacyclovir 1g daily for 3 days
C. Famciclovir 250mg BID for5 days
D. No treatment needed - ANSWER ✔ A. Acyclovir 400mg TID 7-10
days (genital herpes)
8. A 65 year old male patient with no history of ACVD or DM. Lipid profile:
total cholesterol 210, LDL 130, HDL 35, triglycerides 129. Based on the
guidelines, what Is the next step to manage this patient - ANSWER ✔
Calculate the patients 10 year CV risk
9. A 52 year old male patient with known DM has the following lipid profile:
total cholesterol 198, LDL 115, HDL 35, Triglycerides 124. ASCVD risk
score 6.7%. how would you manage this patient - ANSWER ✔ Moderate
intensity (DM 40-75 with LDL 70-189)
10.A patient on simvastatin for newly diagnosed hyperlipidemia complains of
generalized muscle aches for about two weeks. How should this be
evaluated - ANSWER ✔ Check CPK (creatine phosphokinase)
11.In order to reduce lipid levels, statins are the most beneficial when taken -
ANSWER ✔ diet and exercise
12.A 45 year old diabetic patient with elevated BP. Which medication would
you consider first in treating his HTN - ANSWER ✔ Enalapril 10mg daily
(ACE inhibitor preferred in PT with diabetes)
,13.A 40 year old African American has had BP readings between 135/90 and
144/80 despite his lifestyle medication for 3 months. What is the appropriate
plan of care for this patient - ANSWER ✔ Calcium channel blockers
(preferred with African Americans)
14.When starting patient on ACE inhibitor, which laboratory test should you
monitor - ANSWER ✔ Increase in potassium (monitor for hypokalemia)
15.A 54 year old patient was recently diagnosed with HTN. She was started on
lisinopril 20mg QD 3 months ago. Her current BP is 156/94. Using the
guidelines, what is the appropriate next step - ANSWER ✔ HCTZ 25mg PO
(ace inhibitor then diuretic)
16.Which would represent the best choice of anti HTN agent for the indicated
patients condition? - ANSWER ✔ Beta blocker for pt with MI
17.Which antihypertensive medication would you avoid using in a patient with
severe asthma - ANSWER ✔ Beta blockers (may cause bronchospasm)
18.Which class of antihypertensive medication is used to improve long term
outcomes of patients with systolic dysfunction - ANSWER ✔ Ace inhibitors
(preferred in HF)
19.You are trying to determine the thromboembolic risk in a patient with afib.
Using the CHADSVASc score, you would consider the following as risk
factors except - ANSWER ✔ Age 55
, 20.A patient with new onset fib has a CHADVasc score of 4 with no bleeding
risk. The best approach for this patient is to - ANSWER ✔ start rivaroxaban
20mg daily
21.A w of deep vein thrombosis is - ANSWER ✔ PE
22.The NP examines a patient with complaints of foul smelling, frothy, copious
and pale yellow to gray green vaginal discharge On exam, vulvogaginal
irritation and cervical petechiae is noted. Based on this the most likely tx
includes
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Azithromycin - ANSWER ✔ B. Metronidazole
these findings are consistent with trichomoniasis, metronidazole is the first
line tx of choice for protozoal infection
23.STI education - ANSWER ✔ if STI present or suspected, instruct patient to
refer sex partners for evaluation and treatment
discuss therapeutic and diagnostic plans
inform patient that swelling and discomfort may persist for weeks or months
after eradication of infecting organism
educate regarding prevention, transmission, and treatment of STI; encourage
continued use of condoms
