NRNP 6531 Combined Midterm & Final
Review – Actual Questions & Answers
(Walden University) 100% Guarantee
Pass
1. A 79-year-old female lost her husband of 55 years 4 days ago. She reports
hearing her husband's voice though she knows he has died. She hasn't slept well
and hasn't eaten much. She has no history of psychiatric illness. How should the NP
manage this?
A) Tell her this is a normal response and will resolve
B) Prescribe a benzodiazepine for anxiety relief
C) Encourage her daughter to consider assisted living placement
D) Prescribe an antidepressant and follow up in 1-2 weeks
Answer: A) Tell her this is a normal response and will resolve
2. A 14-year-old girl with a positive pregnancy test tells the NP she wants to be
referred to Planned Parenthood to consider termination. The NP's personal beliefs
are pro-life. What is the best action?
A) NP should excuse herself from the case
B) NP should tell the patient about her personal beliefs and advise against abortion
C) NP should advise the patient that a peer can help answer her questions more
thoroughly
D) NP should refer the patient to an obstetrician
Answer: C) NP should advise the patient that a peer can help answer her questions
more thoroughly
3. A 17-year-old boy reports something on his left scrotum. Palpation reveals soft,
movable blood vessels feeling like "a bag of worms." The testicle is not swollen or
reddened. Most likely diagnosis:
A) Testicular torsion
B) Varicocele
C) Chronic orchitis
D) Chronic epididymitis
Answer: B) Varicocele
4. A 50-year-old male presents with fever, chills, pelvic pain, and dysuria. He should
be diagnosed with:
A) Urinary tract infection
B) Acute bacterial prostatitis
C) Nonbacterial prostatitis
D) Chronic bacterial prostatitis
Answer: B) Acute bacterial prostatitis
,5. A 2-year-old presents with a white pupillary reflex. Most likely cause:
A) Viral conjunctivitis
B) Glaucoma
C) Corneal abrasion
D) Retinoblastoma
Answer: D) Retinoblastoma
6. A 3-day-old, full-term breastfeeding female infant develops jaundice with TcB in
the intermediate risk zone. What will the provider tell the mother?
A) Use a breast pump to increase milk supply and increase baby to breast; return in
5 days
B) Supplement with extra water; return in 5 days
C) Switch to formula; return in 5 days
D) Decrease breastfeeding frequency; return in 5 days
Answer: A) Use a breast pump to increase milk supply and increase baby to breast;
return in 5 days
7. A 3-month-old male infant has painless scrotal swelling that transilluminates. What
will the provider recommend?
A) A short course of empiric antibiotics
B) Observation and reassurance that spontaneous resolution may occur
C) A Doppler ultrasound
D) Immediate referral to a genitourinary surgeon
Answer: B) Observation and reassurance that spontaneous resolution may occur
8. A 13-year-old obese boy has left knee pain worsening for 2 months, now unable to
bear weight, with groin/thigh/knee pain, negative drawer/Lachman/McMurray tests,
decreased hip internal rotation/abduction. Suspected diagnosis:
A) Left meniscal tear
B) Left ACL tear
C) Slipped capital femoral epiphysis (SCFE)
D) Osgood-Schlatter disease
Answer: C) Slipped capital femoral epiphysis (SCFE)
9. A 16-year-old male presents with mild sore throat, fever, fatigue, posterior cervical
adenopathy, and palatine petechiae. Without a definitive diagnosis, which drug is
least appropriate?
A) Ibuprofen
B) Erythromycin
C) Amoxicillin
D) Acetaminophen
Answer: C) Amoxicillin
10. A 16-year-old female with first UTI had an allergic reaction (hives) to sulfa as a
child. Which antibiotic is contraindicated?
A) Trimethoprim-sulfamethoxazole
B) Cephalexin
C) Nitrofurantoin
D) Ampicillin
,Answer: A) Trimethoprim-sulfamethoxazole
11. A 19-year-old on combined OCPs is seen for lower GI pain, has slight discomfort
during ovary palpation on bimanual exam. Which is true?
A) The fallopian tubes/ovaries are not sensitive to any palpation
B) The ovaries are sensitive to deep palpation but should not be painful
C) The uterus and ovaries are not important reproductive organs
D) The uterus and ovaries are sensitive to any palpation
Answer: B) The ovaries are sensitive to deep palpation but should not be painful
12. A 20-year-old is diagnosed with mild persistent asthma. What drug combination
is most effective?
A) A long-acting bronchodilator
B) An inhaled corticosteroid and cromolyn
C) Theophylline and a short-acting bronchodilator
D) A bronchodilator PRN and an inhaled corticosteroid
Answer: D) A bronchodilator PRN and an inhaled corticosteroid
13. A 20-year-old female with tachycardia, weight loss, decreased TSH, increased
T3/T4/free T4, negative pregnancy test. Initial treatment?
A) Radioiodine therapy
B) Surgical resection of thyroid
C) Beta blocker medications
D) Thionamide therapy
Answer: C) Beta blocker medications
14. A 20-year-old male has epididymitis. Most common complaint?
A) Scrotal pain
B) Burning with urination
C) Penile discharge
D) Testicular pain
Answer: A) Scrotal pain
15. A 21-year-old college student presents with copious purulent discharge from the
left eye. Suspect:
A) Viral conjunctivitis
B) Common pink eye
C) Gonococcal conjunctivitis
D) Allergic conjunctivitis
Answer: C) Gonococcal conjunctivitis
16. A 21-year-old has HPV on the penile shaft. Which method visualizes subclinical
HPV lesions?
A) Perform a KOH exam
B) Order a serum herpes virus titer
C) Scrape skin for culture and sensitivity
D) Apply acetic acid to look for acetowhite changes
Answer: D) Apply acetic acid to look for acetowhite changes
17. A 22-year-old rock band musician finds it difficult to understand fellow musicians
in noisy environments. Most characteristic of:
, A) Sensorineural loss
B) Conductive loss
C) Tinnitus
D) Vertigo
Answer: A) Sensorineural loss
18. A 24-year-old female with RLQ pain/tenderness, normal pelvic exam/UA,
elevated WBC, negative pregnancy test. Part of the differential:
A) UTI
B) Pelvic inflammatory disease
C) Ectopic pregnancy
D) Appendicitis
Answer: D) Appendicitis
19. A 24-year-old with intermittent nausea/vomiting for 5 days, afebrile, normal vitals.
What should be ordered initially?
A) Electrolytes and qualitative beta hCG
B) Metabolic panel and potassium level
C) CBC and urine for ketones
D) Electrolytes and quantitative beta hCG
Answer: A) Electrolytes and qualitative beta hCG
20. A 25-year-old female with lower abdominal pain. Which finding indicates PID?
A) Abnormal CMP
B) Hematuria
C) Temperature greater than 101°F
D) Presence of hyphae
Answer: C) Temperature greater than 101°F
21. A 26-year-old female diagnosed with gonorrhea. How should she be managed?
A) Ceftriaxone and azithromycin
B) Cefixime and azithromycin
C) Ceftriaxone only
D) Penicillin G
Answer: A) Ceftriaxone and azithromycin
22. A 27-year-old asymptomatic male with generalized lymphadenopathy, multiple
partners, infrequent condom use. What test should be performed?
A) HIV test
B) Comprehensive metabolic panel
C) Lymph node biopsy
D) RPR
Answer: A) HIV test
23. A 29-year-old postpartum female with concentration/sleep difficulty, guilt,
sadness since delivery 1 month ago. Diagnosis:
A) Dysthymia
B) Hypothyroidism
C) Postpartum depression
D) Minor depressive disorder
Review – Actual Questions & Answers
(Walden University) 100% Guarantee
Pass
1. A 79-year-old female lost her husband of 55 years 4 days ago. She reports
hearing her husband's voice though she knows he has died. She hasn't slept well
and hasn't eaten much. She has no history of psychiatric illness. How should the NP
manage this?
A) Tell her this is a normal response and will resolve
B) Prescribe a benzodiazepine for anxiety relief
C) Encourage her daughter to consider assisted living placement
D) Prescribe an antidepressant and follow up in 1-2 weeks
Answer: A) Tell her this is a normal response and will resolve
2. A 14-year-old girl with a positive pregnancy test tells the NP she wants to be
referred to Planned Parenthood to consider termination. The NP's personal beliefs
are pro-life. What is the best action?
A) NP should excuse herself from the case
B) NP should tell the patient about her personal beliefs and advise against abortion
C) NP should advise the patient that a peer can help answer her questions more
thoroughly
D) NP should refer the patient to an obstetrician
Answer: C) NP should advise the patient that a peer can help answer her questions
more thoroughly
3. A 17-year-old boy reports something on his left scrotum. Palpation reveals soft,
movable blood vessels feeling like "a bag of worms." The testicle is not swollen or
reddened. Most likely diagnosis:
A) Testicular torsion
B) Varicocele
C) Chronic orchitis
D) Chronic epididymitis
Answer: B) Varicocele
4. A 50-year-old male presents with fever, chills, pelvic pain, and dysuria. He should
be diagnosed with:
A) Urinary tract infection
B) Acute bacterial prostatitis
C) Nonbacterial prostatitis
D) Chronic bacterial prostatitis
Answer: B) Acute bacterial prostatitis
,5. A 2-year-old presents with a white pupillary reflex. Most likely cause:
A) Viral conjunctivitis
B) Glaucoma
C) Corneal abrasion
D) Retinoblastoma
Answer: D) Retinoblastoma
6. A 3-day-old, full-term breastfeeding female infant develops jaundice with TcB in
the intermediate risk zone. What will the provider tell the mother?
A) Use a breast pump to increase milk supply and increase baby to breast; return in
5 days
B) Supplement with extra water; return in 5 days
C) Switch to formula; return in 5 days
D) Decrease breastfeeding frequency; return in 5 days
Answer: A) Use a breast pump to increase milk supply and increase baby to breast;
return in 5 days
7. A 3-month-old male infant has painless scrotal swelling that transilluminates. What
will the provider recommend?
A) A short course of empiric antibiotics
B) Observation and reassurance that spontaneous resolution may occur
C) A Doppler ultrasound
D) Immediate referral to a genitourinary surgeon
Answer: B) Observation and reassurance that spontaneous resolution may occur
8. A 13-year-old obese boy has left knee pain worsening for 2 months, now unable to
bear weight, with groin/thigh/knee pain, negative drawer/Lachman/McMurray tests,
decreased hip internal rotation/abduction. Suspected diagnosis:
A) Left meniscal tear
B) Left ACL tear
C) Slipped capital femoral epiphysis (SCFE)
D) Osgood-Schlatter disease
Answer: C) Slipped capital femoral epiphysis (SCFE)
9. A 16-year-old male presents with mild sore throat, fever, fatigue, posterior cervical
adenopathy, and palatine petechiae. Without a definitive diagnosis, which drug is
least appropriate?
A) Ibuprofen
B) Erythromycin
C) Amoxicillin
D) Acetaminophen
Answer: C) Amoxicillin
10. A 16-year-old female with first UTI had an allergic reaction (hives) to sulfa as a
child. Which antibiotic is contraindicated?
A) Trimethoprim-sulfamethoxazole
B) Cephalexin
C) Nitrofurantoin
D) Ampicillin
,Answer: A) Trimethoprim-sulfamethoxazole
11. A 19-year-old on combined OCPs is seen for lower GI pain, has slight discomfort
during ovary palpation on bimanual exam. Which is true?
A) The fallopian tubes/ovaries are not sensitive to any palpation
B) The ovaries are sensitive to deep palpation but should not be painful
C) The uterus and ovaries are not important reproductive organs
D) The uterus and ovaries are sensitive to any palpation
Answer: B) The ovaries are sensitive to deep palpation but should not be painful
12. A 20-year-old is diagnosed with mild persistent asthma. What drug combination
is most effective?
A) A long-acting bronchodilator
B) An inhaled corticosteroid and cromolyn
C) Theophylline and a short-acting bronchodilator
D) A bronchodilator PRN and an inhaled corticosteroid
Answer: D) A bronchodilator PRN and an inhaled corticosteroid
13. A 20-year-old female with tachycardia, weight loss, decreased TSH, increased
T3/T4/free T4, negative pregnancy test. Initial treatment?
A) Radioiodine therapy
B) Surgical resection of thyroid
C) Beta blocker medications
D) Thionamide therapy
Answer: C) Beta blocker medications
14. A 20-year-old male has epididymitis. Most common complaint?
A) Scrotal pain
B) Burning with urination
C) Penile discharge
D) Testicular pain
Answer: A) Scrotal pain
15. A 21-year-old college student presents with copious purulent discharge from the
left eye. Suspect:
A) Viral conjunctivitis
B) Common pink eye
C) Gonococcal conjunctivitis
D) Allergic conjunctivitis
Answer: C) Gonococcal conjunctivitis
16. A 21-year-old has HPV on the penile shaft. Which method visualizes subclinical
HPV lesions?
A) Perform a KOH exam
B) Order a serum herpes virus titer
C) Scrape skin for culture and sensitivity
D) Apply acetic acid to look for acetowhite changes
Answer: D) Apply acetic acid to look for acetowhite changes
17. A 22-year-old rock band musician finds it difficult to understand fellow musicians
in noisy environments. Most characteristic of:
, A) Sensorineural loss
B) Conductive loss
C) Tinnitus
D) Vertigo
Answer: A) Sensorineural loss
18. A 24-year-old female with RLQ pain/tenderness, normal pelvic exam/UA,
elevated WBC, negative pregnancy test. Part of the differential:
A) UTI
B) Pelvic inflammatory disease
C) Ectopic pregnancy
D) Appendicitis
Answer: D) Appendicitis
19. A 24-year-old with intermittent nausea/vomiting for 5 days, afebrile, normal vitals.
What should be ordered initially?
A) Electrolytes and qualitative beta hCG
B) Metabolic panel and potassium level
C) CBC and urine for ketones
D) Electrolytes and quantitative beta hCG
Answer: A) Electrolytes and qualitative beta hCG
20. A 25-year-old female with lower abdominal pain. Which finding indicates PID?
A) Abnormal CMP
B) Hematuria
C) Temperature greater than 101°F
D) Presence of hyphae
Answer: C) Temperature greater than 101°F
21. A 26-year-old female diagnosed with gonorrhea. How should she be managed?
A) Ceftriaxone and azithromycin
B) Cefixime and azithromycin
C) Ceftriaxone only
D) Penicillin G
Answer: A) Ceftriaxone and azithromycin
22. A 27-year-old asymptomatic male with generalized lymphadenopathy, multiple
partners, infrequent condom use. What test should be performed?
A) HIV test
B) Comprehensive metabolic panel
C) Lymph node biopsy
D) RPR
Answer: A) HIV test
23. A 29-year-old postpartum female with concentration/sleep difficulty, guilt,
sadness since delivery 1 month ago. Diagnosis:
A) Dysthymia
B) Hypothyroidism
C) Postpartum depression
D) Minor depressive disorder
