NRNP 6541 TEST BANK 2026/2027 LATEST SPRING
SUMMER ACTUAL EXAM ACTUAL EXAM Complete
Verified Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
Your 25-year-old male patient presents to the primary care office with a complaint of sore throat,
difficulty swallowing, and flu-like symptoms. Which of the following potentially life-threatening illnesses
should you rule out in your evaluation?
A. Tonsillitis
B. Leukoplakia
C. Lichens planus
D. Retropharyngeal
D
Your 24-year-old male patient has been admitted post-motor vehicle collision at a high rate of speed. A
CT head is performed revealing a pyramidal fracture involving the lateral walls of the maxillary sinuses
and inferior orbital rim. Which classification of fracture is this?
A. Le fort IV
B. Le Fort II
C. Le Fort I
D. Le Fort III
B
A young adult female presents with painful swelling of the right cheek anterior to the TMJ. The diagnosis
is sialadenitis. To determine the appropriate treatment for this patient, the most common infecting
organism in bacterial sialadenitis is:
A. Moraxella catarrhalis
B. Group A beta hemolytic Streptococcus
C. Staphylococcus aeurus
C
An adult patient present with acute onset of right eye pain, redness and decreased vision. Suspecting
open-angle glaucoma the nurse practitioner should:
A. Refer to ophthalmology and prescribe topical steroid
B. Refer to ophthalmology and prescribe pilocarpine
1
,C. Advise applying warm compresses and returning in the morning
D. Prescribe antibiotic ointment and pilocarpine
B
Your patient has a Le Forte III fracture and is admitted for close monitoring. Which of the following
represent a potential complication of this type of fracture?
A. Cerebrospinal fluid leak
B. Sternocleidomastoid impingement
C. Tetany
D. Loss of bowel tone
A
A patient states they do not want to have any further medical care and wishes to leave against medical
advice. Unknown to you, the healthcare tech then held their arm down to get an IV catheter placed
against their will. The healthcare tech is at risk of being charged with which of the following:
A. Battery
B. Verbal assault
C. Verbal battery
D. None of these options
A
Which of the following risks of patient use of convenient/urgent care may increase the risk of a nurse
practitioner to miss subtle changes in the patient's condition over time?
A. Lack of longitudinal management and trending
B. Repeating of tests
C. Over testing
D. Overuse of medical imaging
A
Evidence based health screening is utilized with an understanding of the limits of interpreting the
results. In this context, the term sensitivity refers to the ability of a test to:
A. Detect an abnormal condition when it exists
B. Detect the prevalence of a given condition
C. Provide reproducible results
D. Identify the specific condition
A
2
,Your irate patient on involuntary hold due to risk of harm to themself or others says they are going to
"kill you when you leave work after they get discharged". This statement is an example of which of the
following?
A. Verbal assault
B. Verbal battery
C. Emotional battery
D. None of these options
A
Multimodal analgesia involves the use of multiple agents to avoid reliance on which particular class of
medication?
A. Opioids
B. NSAIDS
C. Muscle relaxants
D. Topical analgesia agents
A
The nurse practitioner is caring for an acutely-ill 92 year old ICU intubated patient not responding to the
best available care after a perforated gastric ulcer who underwent surgical exploration and washout two
weeks ago. They have gone into ventricular tachycardia twice this morning and resuscitated with the use
of DC cardioversion and IV amiodarone. Subsequent labs reveal profound lactic acidosis and they are not
expected to survive the day due to a presumed diagnosis of mesenteric infarct. Before the first surgery,
the patient told you and the family they did not want to undergo extreme measures to sustain their life
and would like to "go out with some dignity". Which of the following would NOT be an appropriate
consult to make at this time?
Surgical consult for emergent abdominal re-exploration
An 87-year-old female has a history of ovarian cancer. She recently completed the tenth of 26
chemotherapy treatments. She informs the nurse practitioner that she plans to stop chemotherapy; she
has lived a good life and is ready to die. She is alert and very active, and lives with her son. The family is
determined that the patient will complete the chemotherapy. The nurse practitioner's most appropriate
action is to:
support the patient's decision
In a mass casualty situation with presumed anthrax exposure, the drug of choice for prophylaxis is:
A. doxycycline (Doryx).
B. tetracycline (Achromycin).
C. chloramphenicol (Chloromycetin).
D. amoxicillin (Amoxil).
A
3
, Which of the following refers to the primary access point of medical care patients are encouraged to use
to aid in providing continuity and reduction of cost per the Affordable Care Act?
A. The Medical Home
B. The Emergency Department
C. Urgent Care
D. Consulting Healthcare Providers
A
A 65-year-old man presents for follow-up of his well-controlled hypertension and expresses concerns
about maintaining bone health. He is a smoker and has a sedentary lifestyle. What is the most
appropriate initial recommendation to reduce his risk of osteoporosis?
A. Weight-bearing exercise and smoking cessation
B. Start bisphosphonates
C. Calcium and vitamin D supplementation
D. Hormone replacement therapy
A
Which following medical term refers to the concept of not intentionally harming the patient while
providing care?
A. Nonmaleficence
B. Negligence
C. Beneficence
D. Assault
A
A 14-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a
follow-up examination after a recent hospitalization. It is most important to continue monitoring
growth, development, and:
A. fecal occult blood test.
B. white blood cell levels.
C. urine dipsticks.
D. hemoglobin
D
A patient with rheumatoid arthritis is admitted to the rehab unit you oversee for management of pain
due to pelvic fracture after motor vehicle collision. Admission labs show ANC of 1.4. The patient is
asymptomatic and denies history of repeated infection. What is the most appropriate level of
intervention for his patient?
Observation until the patient becomes symptomatic
4
SUMMER ACTUAL EXAM ACTUAL EXAM Complete
Verified Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
Your 25-year-old male patient presents to the primary care office with a complaint of sore throat,
difficulty swallowing, and flu-like symptoms. Which of the following potentially life-threatening illnesses
should you rule out in your evaluation?
A. Tonsillitis
B. Leukoplakia
C. Lichens planus
D. Retropharyngeal
D
Your 24-year-old male patient has been admitted post-motor vehicle collision at a high rate of speed. A
CT head is performed revealing a pyramidal fracture involving the lateral walls of the maxillary sinuses
and inferior orbital rim. Which classification of fracture is this?
A. Le fort IV
B. Le Fort II
C. Le Fort I
D. Le Fort III
B
A young adult female presents with painful swelling of the right cheek anterior to the TMJ. The diagnosis
is sialadenitis. To determine the appropriate treatment for this patient, the most common infecting
organism in bacterial sialadenitis is:
A. Moraxella catarrhalis
B. Group A beta hemolytic Streptococcus
C. Staphylococcus aeurus
C
An adult patient present with acute onset of right eye pain, redness and decreased vision. Suspecting
open-angle glaucoma the nurse practitioner should:
A. Refer to ophthalmology and prescribe topical steroid
B. Refer to ophthalmology and prescribe pilocarpine
1
,C. Advise applying warm compresses and returning in the morning
D. Prescribe antibiotic ointment and pilocarpine
B
Your patient has a Le Forte III fracture and is admitted for close monitoring. Which of the following
represent a potential complication of this type of fracture?
A. Cerebrospinal fluid leak
B. Sternocleidomastoid impingement
C. Tetany
D. Loss of bowel tone
A
A patient states they do not want to have any further medical care and wishes to leave against medical
advice. Unknown to you, the healthcare tech then held their arm down to get an IV catheter placed
against their will. The healthcare tech is at risk of being charged with which of the following:
A. Battery
B. Verbal assault
C. Verbal battery
D. None of these options
A
Which of the following risks of patient use of convenient/urgent care may increase the risk of a nurse
practitioner to miss subtle changes in the patient's condition over time?
A. Lack of longitudinal management and trending
B. Repeating of tests
C. Over testing
D. Overuse of medical imaging
A
Evidence based health screening is utilized with an understanding of the limits of interpreting the
results. In this context, the term sensitivity refers to the ability of a test to:
A. Detect an abnormal condition when it exists
B. Detect the prevalence of a given condition
C. Provide reproducible results
D. Identify the specific condition
A
2
,Your irate patient on involuntary hold due to risk of harm to themself or others says they are going to
"kill you when you leave work after they get discharged". This statement is an example of which of the
following?
A. Verbal assault
B. Verbal battery
C. Emotional battery
D. None of these options
A
Multimodal analgesia involves the use of multiple agents to avoid reliance on which particular class of
medication?
A. Opioids
B. NSAIDS
C. Muscle relaxants
D. Topical analgesia agents
A
The nurse practitioner is caring for an acutely-ill 92 year old ICU intubated patient not responding to the
best available care after a perforated gastric ulcer who underwent surgical exploration and washout two
weeks ago. They have gone into ventricular tachycardia twice this morning and resuscitated with the use
of DC cardioversion and IV amiodarone. Subsequent labs reveal profound lactic acidosis and they are not
expected to survive the day due to a presumed diagnosis of mesenteric infarct. Before the first surgery,
the patient told you and the family they did not want to undergo extreme measures to sustain their life
and would like to "go out with some dignity". Which of the following would NOT be an appropriate
consult to make at this time?
Surgical consult for emergent abdominal re-exploration
An 87-year-old female has a history of ovarian cancer. She recently completed the tenth of 26
chemotherapy treatments. She informs the nurse practitioner that she plans to stop chemotherapy; she
has lived a good life and is ready to die. She is alert and very active, and lives with her son. The family is
determined that the patient will complete the chemotherapy. The nurse practitioner's most appropriate
action is to:
support the patient's decision
In a mass casualty situation with presumed anthrax exposure, the drug of choice for prophylaxis is:
A. doxycycline (Doryx).
B. tetracycline (Achromycin).
C. chloramphenicol (Chloromycetin).
D. amoxicillin (Amoxil).
A
3
, Which of the following refers to the primary access point of medical care patients are encouraged to use
to aid in providing continuity and reduction of cost per the Affordable Care Act?
A. The Medical Home
B. The Emergency Department
C. Urgent Care
D. Consulting Healthcare Providers
A
A 65-year-old man presents for follow-up of his well-controlled hypertension and expresses concerns
about maintaining bone health. He is a smoker and has a sedentary lifestyle. What is the most
appropriate initial recommendation to reduce his risk of osteoporosis?
A. Weight-bearing exercise and smoking cessation
B. Start bisphosphonates
C. Calcium and vitamin D supplementation
D. Hormone replacement therapy
A
Which following medical term refers to the concept of not intentionally harming the patient while
providing care?
A. Nonmaleficence
B. Negligence
C. Beneficence
D. Assault
A
A 14-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a
follow-up examination after a recent hospitalization. It is most important to continue monitoring
growth, development, and:
A. fecal occult blood test.
B. white blood cell levels.
C. urine dipsticks.
D. hemoglobin
D
A patient with rheumatoid arthritis is admitted to the rehab unit you oversee for management of pain
due to pelvic fracture after motor vehicle collision. Admission labs show ANC of 1.4. The patient is
asymptomatic and denies history of repeated infection. What is the most appropriate level of
intervention for his patient?
Observation until the patient becomes symptomatic
4
