NRNP 6531 ACTUAL 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Diagnostic confirmation of acute leukemia is based on: - ✔✔Bone marrow aspiration
& biopsy
✔✔Which of the following are classic features of ulcerative colitis? - ✔✔Remissions and
exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain, and
weight loss
✔✔Reed-Sternberg B lymphocytes are associated with which of the following disorders:
- ✔✔Hodgkin's lymphoma
✔✔Which of the following is not appropriate suppression therapy for chronic bacterial
prostatitis? - ✔✔Erythromycin daily
✔✔A patient has been diagnosed with hypothyroidism and thyroid hormone
replacement therapy is prescribed. How long should the nurse practitioner wait before
checking the patient's TSH? - ✔✔8 weeks
✔✔After thorough history, physical examination, and laboratory tests, a patient is
diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment
plans is currently considered most effective? - ✔✔A low fat, thyramine-free, caffeine-
free, high fiber diet, along with a daily diary, and attention to psychosocial factors
✔✔What is the most common cause of Cushing's syndrome? - ✔✔Administration of a
glucocorticoid or ACTH
✔✔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? - ✔✔Peppermint
✔✔Microalbuminuria is a measure of: - ✔✔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? - ✔✔Hydrocele
✔✔Of the following choices, the least likely cause of cough is: - ✔✔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: - ✔✔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? - ✔✔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:
- ✔✔100mg/dL
✔✔The most commonly recommended method for prostate cancer screening in a 55
year old male is: - ✔✔Digital rectal exam and PSA
✔✔Which of the following patients most warrants screening for hypothyroidism? - ✔✔An
elderly female with recent onset of mental dysfunction
✔✔Which of the following is not a common early sign of benign prostatic hyperplasia
(BPH)? - ✔✔Increased flow of urine flow
✔✔Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse
practitioner orders liver function studies. The patient's aminotransferase (ALT) is
elevated. What laboratory test(s) should be ordered? - ✔✔Serologic markers for
hepatitis
✔✔The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male
patient. The drug of choice for treatment of this patient is: - ✔✔Oral doxycycline
(Virbamycin) and IM Ceftriaxone
✔✔John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be
screened for hypercholesterolemia? - ✔✔Every 5 years
✔✔Marvin has sudden eye redness that occurred after a strenuous coughing episode.
You diagnose a subconjunctival hemorrhage. Your next step is to - ✔✔Do nothing but
provide reassurance
✔✔A 45 year old with diabetes has had itching and burning lesions between her toes for
2 months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best
initial treatment option for this patient? - ✔✔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? - ✔✔DM
SOLUTIONS GRADED A+
✔✔Diagnostic confirmation of acute leukemia is based on: - ✔✔Bone marrow aspiration
& biopsy
✔✔Which of the following are classic features of ulcerative colitis? - ✔✔Remissions and
exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain, and
weight loss
✔✔Reed-Sternberg B lymphocytes are associated with which of the following disorders:
- ✔✔Hodgkin's lymphoma
✔✔Which of the following is not appropriate suppression therapy for chronic bacterial
prostatitis? - ✔✔Erythromycin daily
✔✔A patient has been diagnosed with hypothyroidism and thyroid hormone
replacement therapy is prescribed. How long should the nurse practitioner wait before
checking the patient's TSH? - ✔✔8 weeks
✔✔After thorough history, physical examination, and laboratory tests, a patient is
diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment
plans is currently considered most effective? - ✔✔A low fat, thyramine-free, caffeine-
free, high fiber diet, along with a daily diary, and attention to psychosocial factors
✔✔What is the most common cause of Cushing's syndrome? - ✔✔Administration of a
glucocorticoid or ACTH
✔✔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? - ✔✔Peppermint
✔✔Microalbuminuria is a measure of: - ✔✔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? - ✔✔Hydrocele
✔✔Of the following choices, the least likely cause of cough is: - ✔✔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: - ✔✔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? - ✔✔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:
- ✔✔100mg/dL
✔✔The most commonly recommended method for prostate cancer screening in a 55
year old male is: - ✔✔Digital rectal exam and PSA
✔✔Which of the following patients most warrants screening for hypothyroidism? - ✔✔An
elderly female with recent onset of mental dysfunction
✔✔Which of the following is not a common early sign of benign prostatic hyperplasia
(BPH)? - ✔✔Increased flow of urine flow
✔✔Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse
practitioner orders liver function studies. The patient's aminotransferase (ALT) is
elevated. What laboratory test(s) should be ordered? - ✔✔Serologic markers for
hepatitis
✔✔The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male
patient. The drug of choice for treatment of this patient is: - ✔✔Oral doxycycline
(Virbamycin) and IM Ceftriaxone
✔✔John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be
screened for hypercholesterolemia? - ✔✔Every 5 years
✔✔Marvin has sudden eye redness that occurred after a strenuous coughing episode.
You diagnose a subconjunctival hemorrhage. Your next step is to - ✔✔Do nothing but
provide reassurance
✔✔A 45 year old with diabetes has had itching and burning lesions between her toes for
2 months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best
initial treatment option for this patient? - ✔✔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? - ✔✔DM
