William Paterson University
Adv Practice Nursing I
NUR 6111 - Advanced Practice Nursing I Exam 3
Pages Total Marks Section Questions
16 100 1 50
Section 1 Multiple Choice 50 questions 100 total marks
Name Student ID
Date Signature
,Section 100 total marks
Multiple Choice
Select the single best answer for each clinical scenario or conceptual question.
Question 1 2 marks
A 52-year-old African American male presents with a persistent blood pressure of 142/88 mmHg. He
has no history of diabetes or chronic kidney disease. According to current guidelines for this population,
which medication class is recommended as first-line therapy?
A ACE Inhibitor
B Beta Blocker
C Angiotensin Receptor Blocker
D Calcium Channel Blocker
Question 2 2 marks
A patient with a history of Type 2 Diabetes is found to have a blood pressure of 135/84 mmHg on three
separate occasions. Which pharmacological agent should be initiated first to manage his hypertension
while providing renal protection?
A Chlorthalidone
B Atenolol
C Lisinopril
D Amlodipine
Question 3 2 marks
A 66-year-old female is diagnosed with stage 1 hypertension and has a calculated 10-year ASCVD risk
of 12%. What is the target blood pressure goal for this patient?
A 120/70 mmHg
B 135/85 mmHg
C 140/90 mmHg
D 130/80 mmHg
, Question 4 2 marks
Secondary hypertension should be suspected in which of the following patients?
A A 55-year-old with a BMI of 30.
B A 45-year-old with a history of smoking.
C A 60-year-old whose father had high blood pressure.
D A 22-year-old with a sudden onset of Stage 2 hypertension.
Question 5 2 marks
When starting a patient on an ACE inhibitor, which laboratory value must be closely monitored due to
the risk of medication-induced elevation?
A Magnesium
B Potassium
C Calcium
D Sodium
Question 6 2 marks
Using the CHA2DS2-VASc scoring system, how many points are assigned to a patient who is 76 years
old?
A 1 point
B 0 points
C 3 points
D 2 points
Question 7 2 marks
A patient with non-valvular atrial fibrillation has a CHA2DS2-VASc score of 4. Which of the following is
the most appropriate management?
A Metoprolol 25 mg daily only
B Aspirin 81 mg daily
C Clopidogrel 75 mg daily
D Rivaroxaban 20 mg daily
Adv Practice Nursing I
NUR 6111 - Advanced Practice Nursing I Exam 3
Pages Total Marks Section Questions
16 100 1 50
Section 1 Multiple Choice 50 questions 100 total marks
Name Student ID
Date Signature
,Section 100 total marks
Multiple Choice
Select the single best answer for each clinical scenario or conceptual question.
Question 1 2 marks
A 52-year-old African American male presents with a persistent blood pressure of 142/88 mmHg. He
has no history of diabetes or chronic kidney disease. According to current guidelines for this population,
which medication class is recommended as first-line therapy?
A ACE Inhibitor
B Beta Blocker
C Angiotensin Receptor Blocker
D Calcium Channel Blocker
Question 2 2 marks
A patient with a history of Type 2 Diabetes is found to have a blood pressure of 135/84 mmHg on three
separate occasions. Which pharmacological agent should be initiated first to manage his hypertension
while providing renal protection?
A Chlorthalidone
B Atenolol
C Lisinopril
D Amlodipine
Question 3 2 marks
A 66-year-old female is diagnosed with stage 1 hypertension and has a calculated 10-year ASCVD risk
of 12%. What is the target blood pressure goal for this patient?
A 120/70 mmHg
B 135/85 mmHg
C 140/90 mmHg
D 130/80 mmHg
, Question 4 2 marks
Secondary hypertension should be suspected in which of the following patients?
A A 55-year-old with a BMI of 30.
B A 45-year-old with a history of smoking.
C A 60-year-old whose father had high blood pressure.
D A 22-year-old with a sudden onset of Stage 2 hypertension.
Question 5 2 marks
When starting a patient on an ACE inhibitor, which laboratory value must be closely monitored due to
the risk of medication-induced elevation?
A Magnesium
B Potassium
C Calcium
D Sodium
Question 6 2 marks
Using the CHA2DS2-VASc scoring system, how many points are assigned to a patient who is 76 years
old?
A 1 point
B 0 points
C 3 points
D 2 points
Question 7 2 marks
A patient with non-valvular atrial fibrillation has a CHA2DS2-VASc score of 4. Which of the following is
the most appropriate management?
A Metoprolol 25 mg daily only
B Aspirin 81 mg daily
C Clopidogrel 75 mg daily
D Rivaroxaban 20 mg daily
