2026/2027
William Paterson University NUR 6111
Advanced Practice Nursing Exam II
Practice Questions, Test Bank, and Exam
Prep 2026/2027
Question 1:
Which finding does NOT indicate a positive tuberculin skin test (TST/PPD)?
A. Induration ≥5 mm in immunocompromised patients
B. Induration ≥10 mm in high-risk individuals
C. Induration ≥15 mm in healthy individuals
D. Absence of induration in a healthy individual
Correct Answer: D. Absence of induration in a healthy individual
Rationale: A positive TST depends on the size of induration based on risk category.
Absence of induration (D) indicates a negative test. Options A–C describe valid
thresholds for a positive result.
Question 2:
Before starting isoniazid (INH) therapy for latent TB, which test should be ordered?
A. CBC
B. Liver function tests
C. Chest CT
D. Sputum culture
Correct Answer: B. Liver function tests
Rationale: INH can cause hepatotoxicity, so baseline liver function tests are required.
CBC (A) is not essential. CT (C) and sputum culture (D) are not needed for latent TB
without active disease.
Question 3:
Approximately what percentage of lung cancer cases are attributed to cigarette
smoking?
A. 50%
B. 70%
C. 80%
D. 90%
Correct Answer: D. 90%
Rationale: Smoking is the leading cause of lung cancer, responsible for about 90% of
cases. Lower percentages underestimate the strong association.
,2026/2027
Question 4:
Which symptom in a smoker with chronic cough is most concerning and warrants
further imaging?
A. Occasional dry cough
B. Persistent cough or change in cough pattern
C. Mild throat irritation
D. Intermittent sneezing
Correct Answer: B. Persistent cough or change in cough pattern
Rationale: A persistent or changing cough may indicate lung cancer or serious
pathology. The other options are less concerning and often benign.
Question 5:
Which recommendation is appropriate for smoking cessation counseling?
A. Encourage use of e-cigarettes as first-line therapy
B. Recommend against e-cigarettes as primary cessation method
C. Advise smoking reduction only
D. Suggest herbal remedies
Correct Answer: B. Recommend against e-cigarettes as primary cessation method
Rationale: E-cigarettes are not recommended as first-line cessation tools due to safety
concerns. Evidence-based therapies include counseling and FDA-approved
medications.
Question 6:
Which of the following is NOT a bacterial cause of acute bronchitis?
A. Mycoplasma pneumoniae
B. Chlamydia pneumoniae
C. Streptococcus pneumoniae
D. Pneumonia (disease entity)
Correct Answer: D. Pneumonia (disease entity)
Rationale: Pneumonia is a condition, not a bacterial cause. The other options are
organisms associated with bronchitis.
Question 7:
Which finding is NOT typically associated with pneumonia?
A. Fever
B. Productive cough
C. Shortness of breath
D. Normal mental status in severe illness
Correct Answer: D. Normal mental status in severe illness
Rationale: Altered mental status is common in severe pneumonia, especially in older
adults. The other symptoms are classic features.
, 2026/2027
Question 8:
What is used to confirm a diagnosis of pneumonia?
A. CBC
B. Chest X-ray
C. Pulse oximetry
D. Sputum culture only
Correct Answer: B. Chest X-ray
Rationale: Chest radiograph is the gold standard for confirming pneumonia. Other
tests support diagnosis but are not definitive.
Question 9:
High-risk patients should begin lung cancer screening at what age?
A. 40
B. 50
C. 55
D. 65
Correct Answer: C. 55
Rationale: Screening with low-dose CT is recommended starting at age 55 for high-
risk individuals (e.g., heavy smokers).
Question 10:
Which statement best describes asthma?
A. Acute lung infection
B. Chronic airway inflammation with bronchospasm
C. Permanent airway destruction
D. Bacterial lung disease
Correct Answer: B. Chronic airway inflammation with bronchospasm
Rationale: Asthma involves inflammation and reversible bronchospasm. It is not
infectious or permanently destructive like COPD.
Question 11:
Which medication is NOT used in treating pulmonary embolism?
A. Heparin
B. Warfarin
C. Rivaroxaban
D. Clopidogrel
Correct Answer: D. Clopidogrel
Rationale: Clopidogrel is an antiplatelet, not an anticoagulant used for PE. The others
are standard anticoagulants.
Question 12:
Classic ECG finding in pulmonary embolism includes:
A. ST elevation
William Paterson University NUR 6111
Advanced Practice Nursing Exam II
Practice Questions, Test Bank, and Exam
Prep 2026/2027
Question 1:
Which finding does NOT indicate a positive tuberculin skin test (TST/PPD)?
A. Induration ≥5 mm in immunocompromised patients
B. Induration ≥10 mm in high-risk individuals
C. Induration ≥15 mm in healthy individuals
D. Absence of induration in a healthy individual
Correct Answer: D. Absence of induration in a healthy individual
Rationale: A positive TST depends on the size of induration based on risk category.
Absence of induration (D) indicates a negative test. Options A–C describe valid
thresholds for a positive result.
Question 2:
Before starting isoniazid (INH) therapy for latent TB, which test should be ordered?
A. CBC
B. Liver function tests
C. Chest CT
D. Sputum culture
Correct Answer: B. Liver function tests
Rationale: INH can cause hepatotoxicity, so baseline liver function tests are required.
CBC (A) is not essential. CT (C) and sputum culture (D) are not needed for latent TB
without active disease.
Question 3:
Approximately what percentage of lung cancer cases are attributed to cigarette
smoking?
A. 50%
B. 70%
C. 80%
D. 90%
Correct Answer: D. 90%
Rationale: Smoking is the leading cause of lung cancer, responsible for about 90% of
cases. Lower percentages underestimate the strong association.
,2026/2027
Question 4:
Which symptom in a smoker with chronic cough is most concerning and warrants
further imaging?
A. Occasional dry cough
B. Persistent cough or change in cough pattern
C. Mild throat irritation
D. Intermittent sneezing
Correct Answer: B. Persistent cough or change in cough pattern
Rationale: A persistent or changing cough may indicate lung cancer or serious
pathology. The other options are less concerning and often benign.
Question 5:
Which recommendation is appropriate for smoking cessation counseling?
A. Encourage use of e-cigarettes as first-line therapy
B. Recommend against e-cigarettes as primary cessation method
C. Advise smoking reduction only
D. Suggest herbal remedies
Correct Answer: B. Recommend against e-cigarettes as primary cessation method
Rationale: E-cigarettes are not recommended as first-line cessation tools due to safety
concerns. Evidence-based therapies include counseling and FDA-approved
medications.
Question 6:
Which of the following is NOT a bacterial cause of acute bronchitis?
A. Mycoplasma pneumoniae
B. Chlamydia pneumoniae
C. Streptococcus pneumoniae
D. Pneumonia (disease entity)
Correct Answer: D. Pneumonia (disease entity)
Rationale: Pneumonia is a condition, not a bacterial cause. The other options are
organisms associated with bronchitis.
Question 7:
Which finding is NOT typically associated with pneumonia?
A. Fever
B. Productive cough
C. Shortness of breath
D. Normal mental status in severe illness
Correct Answer: D. Normal mental status in severe illness
Rationale: Altered mental status is common in severe pneumonia, especially in older
adults. The other symptoms are classic features.
, 2026/2027
Question 8:
What is used to confirm a diagnosis of pneumonia?
A. CBC
B. Chest X-ray
C. Pulse oximetry
D. Sputum culture only
Correct Answer: B. Chest X-ray
Rationale: Chest radiograph is the gold standard for confirming pneumonia. Other
tests support diagnosis but are not definitive.
Question 9:
High-risk patients should begin lung cancer screening at what age?
A. 40
B. 50
C. 55
D. 65
Correct Answer: C. 55
Rationale: Screening with low-dose CT is recommended starting at age 55 for high-
risk individuals (e.g., heavy smokers).
Question 10:
Which statement best describes asthma?
A. Acute lung infection
B. Chronic airway inflammation with bronchospasm
C. Permanent airway destruction
D. Bacterial lung disease
Correct Answer: B. Chronic airway inflammation with bronchospasm
Rationale: Asthma involves inflammation and reversible bronchospasm. It is not
infectious or permanently destructive like COPD.
Question 11:
Which medication is NOT used in treating pulmonary embolism?
A. Heparin
B. Warfarin
C. Rivaroxaban
D. Clopidogrel
Correct Answer: D. Clopidogrel
Rationale: Clopidogrel is an antiplatelet, not an anticoagulant used for PE. The others
are standard anticoagulants.
Question 12:
Classic ECG finding in pulmonary embolism includes:
A. ST elevation
