Download NRNP 6531 Exam 2025-2026 |NRNP Latest Update Questions and Correct Answers| Rated A+ and more Exams Nursing in PDF only on Docsity!
NRNP 6531 Exam 2025- 2026 |NRNP
Latest Update Questions and Correct
Answers| Rated A+
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in? - ANSWERSModerate Persistent Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At
today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet's blood pressure? - ANSWERS-Add thiazide diuretic to Lisinopril 5mg daily What condition is associated with mucus production greater than 3 months per year for at least 2 consecutive years? - ANSWERS- Chronic Bronchitis Risk factors for acute arterial insufficiency include which of the following? - ANSWERS- Recent MI, Arterial Fibrillation, and Atherosclerosis Other than smoking cessation, which of the following slows the progression of COPD in smokers? - ANSWERS- Engaging in moderate to high levels of physical activity Management of a patient with hypertension and an abdominal aortic aneurysm would include: - ANSWERS- Referral to a cardiologist
Which of the following is not a goal of treatment for the patient with cystic fibrosis? - ANSWERS-Replacement of water soluble vitamins Which drug category contains the drugs that are the first line Gold standard therapy for COPD? - ANSWERS - Inhaled beta-2 agonist bronchodilators Which of the following patient characteristics are associated with chronic bronchitis? - ANSWERS-Normal weight, cyanosis, and greatly increased RR Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication? - ANSWERS- It is not effective during an acute asthma attack Which of the following is not a risk factor for coronary arterial insufficiency? - ANSWERS-Alcohol ingestion
Which type of lung cancer has the poorest prognosis? - ANSWERS- Small cell carcinoma A patient presents to the office with a blood pressure 142/80. This patient is classified as having: - ANSWERS- Stage 1 hypertension In order to decrease deaths from lung cancer: - ANSWERS- Patients should be counseled to quit smoking Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? - ANSWERS- Antihistamines Diagnostic confirmation of acute leukemia is based on: - ANSWERS - Bone marrow aspiration & biopsy Which of the following are classic features of ulcerative colitis? - ANSWERSRemissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain, and weight loss
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? - ANSWERS-Peppermint Microalbuminuria is a measure of: - ANSWERS- Protein lost in the urine A 20 year old male patient complains of "scrotal swelling." He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis? - ANSWERS-Hydrocele Of the following choices, the least likely cause of cough is: - ANSWERS-Acute pharyngitis A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was "fine" as long as he took the medication. The
most appropriate next step is: - ANSWERS- Investigation with endoscopy, manometry, and/ or pH testing Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? - ANSWERS- Postprandial hypoglycemia The National Cholesterol Education Program's Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than: - ANSWERS100mg/dL The most commonly recommended method for prostate cancer screening in a 55 year old male is: - ANSWERS-Digital rectal exam and PSA Which of the following patients most warrants screening for hypothyroidism? - ANSWERS-An elderly female with recent onset of mental dysfunction Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? - ANSWERS-Increased flow of urine flow
this patient? - ANSWERS-Provide an anti fungal powder for application between toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for secondary bacterial infections Which of the following is a predisposing condition for furunculosis? - ANSWERS-DM Which of the following statements about malignant melanomas is true? - ANSWERS- The prognosis is directly related to the thickness of the lesion A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed? - ANSWERS-Any recent trauma Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is: - ANSWERS-Trauma or inflammation
Harvey has had Meniere's disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo? - ANSWERS-A vestibular neurectomy Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is "like looking through a veil." He also sees floaters and flashing lights but is not having any pain. What do you suspect? - ANSWERS-Retinal detachment What conditions must be met for you to bill "incident to" the physician, receiving 100% reimbursement from Medicare? - ANSWERS-The physician must be onsite and engaged in patient care Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months postMI. To prevent reinfarction, the most important behavior change that he can make is to: - ANSWERS-Quit smoking Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: - ANSWERS-It can be cured with surgical excision or radiation therapy If a patient presents with a deep aching, red eye and there is no discharge, you should suspect: - ANSWERS-Iritis Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order? - ANSWERS- Antihistamines The Centor criteria for diagnosis of Group A B- hemolytic streptococcus includes which of the following? - ANSWERS-Fever history and tender, swollen anterior cervical lymph nodes Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect? - ANSWERS-Herpes zoster
A 19 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient's diagnosis and how should it be treated? - ANSWERS-Tinea cruris, treat with a topical antifungal Which of the following symptoms suggests a more serious cause of back pain? - ANSWERS-Pain associated with lying down at night Which of the following set of symptoms should raise suspicion of a brain tumor? - ANSWERS-Holocranial headaches present in the morning and accompanied by projective vomiting without nausea The most effective treatment of non-infectious bursitis includes: - ANSWERS-Rest an intra-articular corticosteroid injection and a concomitant oral NSAID A typical description of a tension headache is: - ANSWERS-Bilateral, occipital, or frontal tightening or fullness with waves of aching pain
A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis? - ANSWERS-Trigeminal neuralgia A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior? - ANSWERS-Delirium The correct treatment for ankle sprain during the first 48 hours after injury includes: - ANSWERS-Rest, elevation, compression, ice and pain The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are): - ANSWERS-Patient report of pain with the crossed straight leg raise
Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with: - ANSWERS-Stimulate medication along with behavioral and family intervention The most common symptoms of transient ischemic attack (TIA) include: - ANSWERS- Weakness in an extremity, abruptly slurred speech or partial loss of vision and sudden gait changes A patient taking levothyroxine is being over- replaced. What condition is he at risk for? - ANSWERS-Osteoporosis A positive drawer sign supports a diagnosis of: - ANSWERS-Cruciate ligament injury Which of the following statements about multiple sclerosis (MS) is correct? - ANSWERS-MS is a chronic treatable illness with unknown cause and a variable course Diagnostic radiological studies are indicated for low back pain: - ANSWERS-When there
