NRNP 6531 ACTUAL 2026 EXAM QUESTIONS AND
SOLUTIONS GRADED A+
✔✔A woman at 32 weeks gestation has a positive throat culture for Streptococcus
pyogenes (strep throat). She denies allergies but becomes very nauseated with
erythromycin. Which of the following is the best choice for this pregnant patient? -
✔✔Penicillin (Pen VK)
✔✔The treatment plan of patients with AIDS who have CD4 counts of less than 200
cells/mm3 should emphasize: - ✔✔Preventive therapy for PCP
✔✔What type of testing is recommended before starting a patient on a prescription of
hydroxychloroquine (Plaquenil)? - ✔✔Comprehensive eye exam
✔✔Pulsus paradoxus is best described as: - ✔✔A decrease in systolic blood pressure
on inspiration
✔✔Patients with Down syndrome are at higher risk for all of the following except: -
✔✔Melanoma
✔✔An 18-year-old college student, who is sexually active, wants to start taking birth
control pills. The nurse practitioner at the college health clinic explains the risks and
benefits of combined oral contraceptives to the patient. All of the following are
appropriate laboratory tests for this patient except: - ✔✔Pap smear
✔✔Which of the following is the best method to diagnose a vaginal trichomonas
infection? - ✔✔Wet smear with microscopy
✔✔You are reviewing the bilirubin level of a 3-day-old full-term neonate. You note that it
is 10 mg/dL. The infant has a slight yellow color to his skin, mucous membranes, and
sclera. The infant is feeding well, is not irritable, and has eight to 10 wet diapers per
day. Which of the following is a true statement? - ✔✔Keep monitoring the infant's
bilirubin level until it returns to normal in about 1 week
✔✔All of the following clinical signs are seen in patients with Parkinson's disease
except: - ✔✔Increased facial movements due to tics
✔✔Your female patient of 10 years is concerned about her most recent diagnosis. She
was told by her dermatologist that she has an advanced case of actinic keratosis. Which
of the following is the best explanation for this patient? - ✔✔It is a precancerous lesion
and needs to be followed up with her dermatologist
, ✔✔A 13-year-old girl has a throat culture that is positive for strep throat. She reports
that her younger brother was recently diagnosed with strep throat and treated. The
patient has a severe allergy to penicillin and reports that erythromycin makes her very
nauseated. Which of the following antibiotics is the best choice? - ✔✔Azithromycin
(Zithromax)
✔✔An asthmatic 20-year-old woman who was seen for a viral upper respiratory
infection 2 weeks ago presents to the nurse practitioner's office complaining of a recent
onset of shortness of breath, inspiratory and expiratory wheezing, and chest tightness.
She has been using her albuterol inhaler four to six times a day with poor relief. She is
unable to speak in full sentences. When the nurse practitioner quickly evaluates the
patient, she notices that the patient is pale, diaphoretic, fatigued, and using her
sternocleidomastoid accessory muscles for respiration. Her respiratory rate is 32
breaths/min and pulse is 130 beats/min. Which of the following interventions is not
indicated? - ✔✔Initiate cardiopulmonary resuscitation (CPR) immediately
✔✔A 67-year-old woman with a 30-pack-year history of smoking presents for a routine
annual physical examination. She complains of being easily short of breath and is
frequently fatigued. Physical examination reveals diminished breath sounds,
hyperresonance, and hypertrophied respiratory accessory muscles. Her complete blood
count (CBC) results reveal that her hematocrit level is elevated. Her pulmonary function
test (PFT) results show increased total lung capacity. What is the most likely diagnosis
for this patient? - ✔✔Chronic obstructive pulmonary disease (COPD)
✔✔Signs and symptoms of depression include all of the following except: - ✔✔Apraxia
✔✔All of the following are considered category X drugs except: - ✔✔Meperidine
(Demerol)
✔✔A patient who is complaining of a new onset of severe headache is being examined.
The patient is instructed to lie down on the examining table while the nurse practitioner
flexes his head and neck forward to his chest. The patient reacts by quickly flexing his
hip and knee. What is the name of this positive finding? - ✔✔Brudzinski's sign
✔✔Which of the following findings is associated with B12 deficiency anemia? -
✔✔Tingling and numbness of both feet
✔✔A 70-year-old man with open-angle glaucoma is prescribed Betimol (timolol)
ophthalmic drops. All of the following are contraindications to Betimol ophthalmic drops
except: - ✔✔Migraine headaches
✔✔Which of the following murmurs can radiate to the neck? - ✔✔Aortic stenosis
SOLUTIONS GRADED A+
✔✔A woman at 32 weeks gestation has a positive throat culture for Streptococcus
pyogenes (strep throat). She denies allergies but becomes very nauseated with
erythromycin. Which of the following is the best choice for this pregnant patient? -
✔✔Penicillin (Pen VK)
✔✔The treatment plan of patients with AIDS who have CD4 counts of less than 200
cells/mm3 should emphasize: - ✔✔Preventive therapy for PCP
✔✔What type of testing is recommended before starting a patient on a prescription of
hydroxychloroquine (Plaquenil)? - ✔✔Comprehensive eye exam
✔✔Pulsus paradoxus is best described as: - ✔✔A decrease in systolic blood pressure
on inspiration
✔✔Patients with Down syndrome are at higher risk for all of the following except: -
✔✔Melanoma
✔✔An 18-year-old college student, who is sexually active, wants to start taking birth
control pills. The nurse practitioner at the college health clinic explains the risks and
benefits of combined oral contraceptives to the patient. All of the following are
appropriate laboratory tests for this patient except: - ✔✔Pap smear
✔✔Which of the following is the best method to diagnose a vaginal trichomonas
infection? - ✔✔Wet smear with microscopy
✔✔You are reviewing the bilirubin level of a 3-day-old full-term neonate. You note that it
is 10 mg/dL. The infant has a slight yellow color to his skin, mucous membranes, and
sclera. The infant is feeding well, is not irritable, and has eight to 10 wet diapers per
day. Which of the following is a true statement? - ✔✔Keep monitoring the infant's
bilirubin level until it returns to normal in about 1 week
✔✔All of the following clinical signs are seen in patients with Parkinson's disease
except: - ✔✔Increased facial movements due to tics
✔✔Your female patient of 10 years is concerned about her most recent diagnosis. She
was told by her dermatologist that she has an advanced case of actinic keratosis. Which
of the following is the best explanation for this patient? - ✔✔It is a precancerous lesion
and needs to be followed up with her dermatologist
, ✔✔A 13-year-old girl has a throat culture that is positive for strep throat. She reports
that her younger brother was recently diagnosed with strep throat and treated. The
patient has a severe allergy to penicillin and reports that erythromycin makes her very
nauseated. Which of the following antibiotics is the best choice? - ✔✔Azithromycin
(Zithromax)
✔✔An asthmatic 20-year-old woman who was seen for a viral upper respiratory
infection 2 weeks ago presents to the nurse practitioner's office complaining of a recent
onset of shortness of breath, inspiratory and expiratory wheezing, and chest tightness.
She has been using her albuterol inhaler four to six times a day with poor relief. She is
unable to speak in full sentences. When the nurse practitioner quickly evaluates the
patient, she notices that the patient is pale, diaphoretic, fatigued, and using her
sternocleidomastoid accessory muscles for respiration. Her respiratory rate is 32
breaths/min and pulse is 130 beats/min. Which of the following interventions is not
indicated? - ✔✔Initiate cardiopulmonary resuscitation (CPR) immediately
✔✔A 67-year-old woman with a 30-pack-year history of smoking presents for a routine
annual physical examination. She complains of being easily short of breath and is
frequently fatigued. Physical examination reveals diminished breath sounds,
hyperresonance, and hypertrophied respiratory accessory muscles. Her complete blood
count (CBC) results reveal that her hematocrit level is elevated. Her pulmonary function
test (PFT) results show increased total lung capacity. What is the most likely diagnosis
for this patient? - ✔✔Chronic obstructive pulmonary disease (COPD)
✔✔Signs and symptoms of depression include all of the following except: - ✔✔Apraxia
✔✔All of the following are considered category X drugs except: - ✔✔Meperidine
(Demerol)
✔✔A patient who is complaining of a new onset of severe headache is being examined.
The patient is instructed to lie down on the examining table while the nurse practitioner
flexes his head and neck forward to his chest. The patient reacts by quickly flexing his
hip and knee. What is the name of this positive finding? - ✔✔Brudzinski's sign
✔✔Which of the following findings is associated with B12 deficiency anemia? -
✔✔Tingling and numbness of both feet
✔✔A 70-year-old man with open-angle glaucoma is prescribed Betimol (timolol)
ophthalmic drops. All of the following are contraindications to Betimol ophthalmic drops
except: - ✔✔Migraine headaches
✔✔Which of the following murmurs can radiate to the neck? - ✔✔Aortic stenosis
