NURS 6531 ADVANCED PRACTICE
CARE EXAM STUDY GUIDE 2026/2027
(CORRECT Q & A) SATISFACTION
GUARANTEED
1. A 68-year-old male presents with a new onset of atrial fibrillation. He has a history of
hypertension and diabetes. According to the CHA2DS2-VASc score, what is the most
appropriate management for stroke prevention?
A. Oral anticoagulation with a DOAC or Warfarin
B. Aspirin 325 mg daily
C. Aspirin 81 mg daily
D. Dual antiplatelet therapy with Aspirin and Clopidogrel
Answer: A
Conceptual Explanation: A CHA2DS2-VASc score of 2 or more in men indicates a high risk
for stroke, necessitating oral anticoagulation rather than antiplatelet therapy alone.
2. Which physical examination finding is most characteristic of a patient presenting with
acute cholecystitis?
A. Positive McBurney’s sign
B. Positive Psoas sign
,C. Positive Rovsing’s sign
D. Positive Murphy’s sign
Answer: D
Conceptual Explanation: Murphy’s sign, defined as inspiratory arrest during deep
palpation of the right upper quadrant, is highly suggestive of acute cholecystitis.
3. A 55-year-old female presents with fatigue and a cold intolerance. Lab results show a TSH
of 12.5 mIU/L and a low Free T4. What is the initial recommended dose of Levothyroxine for
this patient assuming no cardiac history?
A. 1.6 mcg/kg/day
B. 25 mcg daily
C. 12.5 mcg daily
D. 100 mcg daily regardless of weight
Answer: A
Conceptual Explanation: For healthy adults with primary hypothyroidism, the full
replacement dose is approximately 1.6 mcg/kg/day. Older patients or those with cardiac
disease should start at lower doses (12.5-25 mcg).
4. In the management of Chronic Obstructive Pulmonary Disease (COPD), which medication
class is indicated for all patients in GOLD Group C?
A. SABA as needed only
, B. Theophylline
C. LABA + ICS
D. LAMA
Answer: D
Conceptual Explanation: GOLD Group C patients (high risk, fewer symptoms) are
recommended to start with a Long-Acting Muscarinic Antagonist (LAMA).
5. A patient presents with a ‘curtain dropping’ sensation over their vision in one eye. This is a
classic presentation of which emergency condition?
A. Acute angle-closure glaucoma
B. Macular degeneration
C. Cataracts
D. Retinal detachment
Answer: D
Conceptual Explanation: A ‘curtain’ or ‘veil’ over the field of vision is a classic symptom of
retinal detachment, requiring urgent ophthalmological evaluation.
6. Which of the following heart murmurs is best heard at the 2nd intercostal space, right
sternal border, and radiates to the carotid arteries?
A. Mitral Regurgitation
B. Mitral Stenosis
CARE EXAM STUDY GUIDE 2026/2027
(CORRECT Q & A) SATISFACTION
GUARANTEED
1. A 68-year-old male presents with a new onset of atrial fibrillation. He has a history of
hypertension and diabetes. According to the CHA2DS2-VASc score, what is the most
appropriate management for stroke prevention?
A. Oral anticoagulation with a DOAC or Warfarin
B. Aspirin 325 mg daily
C. Aspirin 81 mg daily
D. Dual antiplatelet therapy with Aspirin and Clopidogrel
Answer: A
Conceptual Explanation: A CHA2DS2-VASc score of 2 or more in men indicates a high risk
for stroke, necessitating oral anticoagulation rather than antiplatelet therapy alone.
2. Which physical examination finding is most characteristic of a patient presenting with
acute cholecystitis?
A. Positive McBurney’s sign
B. Positive Psoas sign
,C. Positive Rovsing’s sign
D. Positive Murphy’s sign
Answer: D
Conceptual Explanation: Murphy’s sign, defined as inspiratory arrest during deep
palpation of the right upper quadrant, is highly suggestive of acute cholecystitis.
3. A 55-year-old female presents with fatigue and a cold intolerance. Lab results show a TSH
of 12.5 mIU/L and a low Free T4. What is the initial recommended dose of Levothyroxine for
this patient assuming no cardiac history?
A. 1.6 mcg/kg/day
B. 25 mcg daily
C. 12.5 mcg daily
D. 100 mcg daily regardless of weight
Answer: A
Conceptual Explanation: For healthy adults with primary hypothyroidism, the full
replacement dose is approximately 1.6 mcg/kg/day. Older patients or those with cardiac
disease should start at lower doses (12.5-25 mcg).
4. In the management of Chronic Obstructive Pulmonary Disease (COPD), which medication
class is indicated for all patients in GOLD Group C?
A. SABA as needed only
, B. Theophylline
C. LABA + ICS
D. LAMA
Answer: D
Conceptual Explanation: GOLD Group C patients (high risk, fewer symptoms) are
recommended to start with a Long-Acting Muscarinic Antagonist (LAMA).
5. A patient presents with a ‘curtain dropping’ sensation over their vision in one eye. This is a
classic presentation of which emergency condition?
A. Acute angle-closure glaucoma
B. Macular degeneration
C. Cataracts
D. Retinal detachment
Answer: D
Conceptual Explanation: A ‘curtain’ or ‘veil’ over the field of vision is a classic symptom of
retinal detachment, requiring urgent ophthalmological evaluation.
6. Which of the following heart murmurs is best heard at the 2nd intercostal space, right
sternal border, and radiates to the carotid arteries?
A. Mitral Regurgitation
B. Mitral Stenosis
