NURS 629 EXAM 3 Study Pack 2026/2027
Revision Guide & Complete Questions with
Rationale
Introduction
This study pack is designed to support preparation for NURS
629 Exam 3 by reviewing major advanced nursing concepts
commonly covered in graduate-level nursing courses. The
questions emphasize clinical judgment, evidence-based
practice, pharmacology, pathophysiology, diagnostic
interpretation, patient safety, leadership, and advanced
patient management. Each question includes the correct
answer and a concise rationale to reinforce learning.
---
Practice Questions and Answers
A nurse practitioner evaluates a patient with uncontrolled
hypertension despite adherence to three antihypertensive
medications, including a diuretic. Which condition should be
suspected first?
A. Essential hypertension
B. Secondary hypertension
C. White coat hypertension
D. Orthostatic hypotension
Answer: B
,Rationale: Resistant hypertension often suggests an
underlying secondary cause such as renal artery stenosis,
endocrine disorders, or obstructive sleep apnea.
---
A patient with chronic kidney disease has a glomerular
filtration rate (GFR) of 22 mL/min/1.73m². Which stage of
kidney disease does this indicate?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: D
Rationale: Stage 4 chronic kidney disease is characterized by
a GFR between 15 and 29 mL/min/1.73m².
---
Which laboratory value is most concerning in a patient
receiving warfarin therapy?
A. INR 1.0
B. INR 2.5
C. INR 4.8
, D. INR 2.0
Answer: C
Rationale: An INR of 4.8 significantly increases bleeding risk
and may require dose adjustment or intervention.
---
A patient presents with sudden unilateral facial drooping and
arm weakness. What is the nurse practitioner’s priority
action?
A. Obtain a complete medication history
B. Schedule outpatient imaging
C. Activate emergency stroke protocol
D. Assess dietary intake
Answer: C
Rationale: Rapid recognition and intervention are critical in
suspected stroke to preserve neurologic function.
---
Which finding is most consistent with left-sided heart failure?
A. Hepatomegaly
Revision Guide & Complete Questions with
Rationale
Introduction
This study pack is designed to support preparation for NURS
629 Exam 3 by reviewing major advanced nursing concepts
commonly covered in graduate-level nursing courses. The
questions emphasize clinical judgment, evidence-based
practice, pharmacology, pathophysiology, diagnostic
interpretation, patient safety, leadership, and advanced
patient management. Each question includes the correct
answer and a concise rationale to reinforce learning.
---
Practice Questions and Answers
A nurse practitioner evaluates a patient with uncontrolled
hypertension despite adherence to three antihypertensive
medications, including a diuretic. Which condition should be
suspected first?
A. Essential hypertension
B. Secondary hypertension
C. White coat hypertension
D. Orthostatic hypotension
Answer: B
,Rationale: Resistant hypertension often suggests an
underlying secondary cause such as renal artery stenosis,
endocrine disorders, or obstructive sleep apnea.
---
A patient with chronic kidney disease has a glomerular
filtration rate (GFR) of 22 mL/min/1.73m². Which stage of
kidney disease does this indicate?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: D
Rationale: Stage 4 chronic kidney disease is characterized by
a GFR between 15 and 29 mL/min/1.73m².
---
Which laboratory value is most concerning in a patient
receiving warfarin therapy?
A. INR 1.0
B. INR 2.5
C. INR 4.8
, D. INR 2.0
Answer: C
Rationale: An INR of 4.8 significantly increases bleeding risk
and may require dose adjustment or intervention.
---
A patient presents with sudden unilateral facial drooping and
arm weakness. What is the nurse practitioner’s priority
action?
A. Obtain a complete medication history
B. Schedule outpatient imaging
C. Activate emergency stroke protocol
D. Assess dietary intake
Answer: C
Rationale: Rapid recognition and intervention are critical in
suspected stroke to preserve neurologic function.
---
Which finding is most consistent with left-sided heart failure?
A. Hepatomegaly
