NRNP 6552 Final Exam (Version-3, 100 Q and
A, Latest-2024) / NRNP6552 Final Exam:
Walden University
1. A pregnant patient has three cats. You educate her that she should have
someone else clean the litter box as there is an infection that can be spread
through cat feces that can be harmful to the unborn baby. The infection is called:
A. E. Coli
B. Toxoplasmosis
C. Tetanus
D. Rubella
Answer: B. Toxoplasmosis
Rationale: Toxoplasmosis is a parasitic infection that can be transmitted through
cat feces and cause congenital abnormalities in the fetus.
2. All of the following are risk factors for fetal genetic or development
abnormalities in maternal, paternal, and family history except:
A. Maternal age equal or greater than 30 years
B. Mother and father related by blood
C. Maternal exposure to toxins
D. Congenital blindness or deafness
Answer: A. Maternal age equal or greater than 30 years
Rationale: Advanced maternal age is typically defined as 35 or older. While age 30
is a risk factor for some conditions, it is not universally categorized as a risk factor
for genetic abnormalities in the same way as the other options.
3. Hegar's sign, a physiological sign of pregnancy, is:
A. Cervical blueness
B. Softness of the uterus and ballottement at the isthmus
C. Cervical softness
D. Quickening
Answer: B. Softness of the uterus and ballottement at the isthmus
,Rationale: Hegar's sign is a softening of the lower uterine segment (isthmus) that
can be felt on bimanual examination around 6-8 weeks of gestation .
4. What is the simplest and safest method of suppressing lactation after it has
started?
A. Administering oral and long-acting injections of hormonal preparations
B. Using breast binders
C. Gradually weaning the baby to a bottle or cup over a 3-week period
D. Stopping "cold-turkey"
Answer: C. Gradually weaning the baby to a bottle or cup over a 3-week period
Rationale: Gradual weaning is the safest and most effective method to suppress
lactation, as it allows for a physiologic decrease in milk production and reduces the
risk of breast engorgement and mastitis .
5. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen
during an argument with her boyfriend. She has no obvious injuries and denies
pain. Aida needs to be monitored for the occurrence of:
A. Abruptio placentae
B. Liver hemorrhage
C. Ruptured spleen
D. Placenta previa
Answer: A. Abruptio placentae
Rationale: Abruptio placentae (premature separation of the placenta from the
uterine wall) is a significant risk following abdominal trauma in pregnancy, even
without immediate symptoms .
6. Carrie, of Irish descent, is due to deliver her second baby. During your work-
up, you note that she hemorrhaged after delivering her first baby 2 years ago,
has always had menorrhagia, and bruises easily. Her lab work reveals a normal
blood workup, including a normal prothrombin time and activated partial
thromboplastin time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
,D. Beta thalassemia
Answer: A. Von Willebrand's disease
Rationale: Von Willebrand's disease is a common bleeding disorder that can
present with menorrhagia and postpartum hemorrhage. It may not be picked up
on standard PT/PTT tests, requiring specific assays for diagnosis .
7. Koplik spots are small, white spots that occur on the inside of the cheeks early
in the course of:
A. Measles
B. Varicella
C. Fifth disease
D. Rheumatic fever
Answer: A. Measles
Rationale: Koplik spots are a pathognomonic sign of measles (rubeola), appearing
1-2 days before the characteristic rash .
8. The clinician is seeing a toddler for a follow-up visit. The chart indicates that
the previous examiner noted an innocent murmur. You should suspect a possible
pathological murmur if the examination reveals the following:
A. Murmur is grade I-II/VI
B. Murmur changes with toddler's position
C. Murmur is musical in quality
D. Murmur is diastolic
Answer: D. Murmur is diastolic
Rationale: Innocent murmurs are typically systolic, not diastolic. A diastolic
murmur is always considered pathological and warrants further evaluation .
9. Gloria just delivered her baby and wants to start a vigorous exercise program
to get back in shape. You advise her that she can start strenuous exercises:
A. In 1 week
B. In 3 weeks
C. In 6 weeks
D. In 8 weeks
Answer: B. In 3 weeks
, Rationale: Many sources recommend that women who have had uncomplicated
vaginal deliveries can begin moderate exercise within a few days and return to
more strenuous exercise by 3 weeks postpartum .
10. To obtain the daily calcium intake recommended during pregnancy, what
should a woman consume per day?
A. One quart of cow's milk
B. Two cups of yogurt
C. Four slices of cheese
D. One cup of cottage cheese
Answer: A. One quart of cow's milk
Rationale: One quart (approximately 4 cups) of cow's milk provides roughly 1200
mg of calcium, which meets or exceeds the daily recommended intake for
pregnant women .
11. Susie, who is 16 weeks pregnant, is having mild cramps with persistent and
excessive bleeding. On exam, you find that some portion of the products of
conception (placental) remains in the uterus, but the fetus has been expelled.
What type of abortion is Susie having?
A. Incomplete
B. Threatened
C. Inevitable
D. Missed
Answer: A. Incomplete
Rationale: An incomplete abortion is characterized by the expulsion of the fetus
but retention of some placental tissue, leading to persistent bleeding .
12. Margie, who has been breastfeeding for 4 weeks, has mastitis in her right
breast and is taking dicloxacillin. She asks you what she needs to do about
feeding the baby. You respond:
A. "You need to stop breastfeeding and start with a bottle."
B. "You can still breastfeed on your left side and express the milk from your right
side until the problem is resolved."
C. "There is no need to stop breastfeeding, but start with your left side."
A, Latest-2024) / NRNP6552 Final Exam:
Walden University
1. A pregnant patient has three cats. You educate her that she should have
someone else clean the litter box as there is an infection that can be spread
through cat feces that can be harmful to the unborn baby. The infection is called:
A. E. Coli
B. Toxoplasmosis
C. Tetanus
D. Rubella
Answer: B. Toxoplasmosis
Rationale: Toxoplasmosis is a parasitic infection that can be transmitted through
cat feces and cause congenital abnormalities in the fetus.
2. All of the following are risk factors for fetal genetic or development
abnormalities in maternal, paternal, and family history except:
A. Maternal age equal or greater than 30 years
B. Mother and father related by blood
C. Maternal exposure to toxins
D. Congenital blindness or deafness
Answer: A. Maternal age equal or greater than 30 years
Rationale: Advanced maternal age is typically defined as 35 or older. While age 30
is a risk factor for some conditions, it is not universally categorized as a risk factor
for genetic abnormalities in the same way as the other options.
3. Hegar's sign, a physiological sign of pregnancy, is:
A. Cervical blueness
B. Softness of the uterus and ballottement at the isthmus
C. Cervical softness
D. Quickening
Answer: B. Softness of the uterus and ballottement at the isthmus
,Rationale: Hegar's sign is a softening of the lower uterine segment (isthmus) that
can be felt on bimanual examination around 6-8 weeks of gestation .
4. What is the simplest and safest method of suppressing lactation after it has
started?
A. Administering oral and long-acting injections of hormonal preparations
B. Using breast binders
C. Gradually weaning the baby to a bottle or cup over a 3-week period
D. Stopping "cold-turkey"
Answer: C. Gradually weaning the baby to a bottle or cup over a 3-week period
Rationale: Gradual weaning is the safest and most effective method to suppress
lactation, as it allows for a physiologic decrease in milk production and reduces the
risk of breast engorgement and mastitis .
5. Aida, who is 29 weeks pregnant, received a blunt trauma to the abdomen
during an argument with her boyfriend. She has no obvious injuries and denies
pain. Aida needs to be monitored for the occurrence of:
A. Abruptio placentae
B. Liver hemorrhage
C. Ruptured spleen
D. Placenta previa
Answer: A. Abruptio placentae
Rationale: Abruptio placentae (premature separation of the placenta from the
uterine wall) is a significant risk following abdominal trauma in pregnancy, even
without immediate symptoms .
6. Carrie, of Irish descent, is due to deliver her second baby. During your work-
up, you note that she hemorrhaged after delivering her first baby 2 years ago,
has always had menorrhagia, and bruises easily. Her lab work reveals a normal
blood workup, including a normal prothrombin time and activated partial
thromboplastin time. What do you suspect?
A. Von Willebrand's disease
B. Hemophilia
C. Sickle cell anemia
,D. Beta thalassemia
Answer: A. Von Willebrand's disease
Rationale: Von Willebrand's disease is a common bleeding disorder that can
present with menorrhagia and postpartum hemorrhage. It may not be picked up
on standard PT/PTT tests, requiring specific assays for diagnosis .
7. Koplik spots are small, white spots that occur on the inside of the cheeks early
in the course of:
A. Measles
B. Varicella
C. Fifth disease
D. Rheumatic fever
Answer: A. Measles
Rationale: Koplik spots are a pathognomonic sign of measles (rubeola), appearing
1-2 days before the characteristic rash .
8. The clinician is seeing a toddler for a follow-up visit. The chart indicates that
the previous examiner noted an innocent murmur. You should suspect a possible
pathological murmur if the examination reveals the following:
A. Murmur is grade I-II/VI
B. Murmur changes with toddler's position
C. Murmur is musical in quality
D. Murmur is diastolic
Answer: D. Murmur is diastolic
Rationale: Innocent murmurs are typically systolic, not diastolic. A diastolic
murmur is always considered pathological and warrants further evaluation .
9. Gloria just delivered her baby and wants to start a vigorous exercise program
to get back in shape. You advise her that she can start strenuous exercises:
A. In 1 week
B. In 3 weeks
C. In 6 weeks
D. In 8 weeks
Answer: B. In 3 weeks
, Rationale: Many sources recommend that women who have had uncomplicated
vaginal deliveries can begin moderate exercise within a few days and return to
more strenuous exercise by 3 weeks postpartum .
10. To obtain the daily calcium intake recommended during pregnancy, what
should a woman consume per day?
A. One quart of cow's milk
B. Two cups of yogurt
C. Four slices of cheese
D. One cup of cottage cheese
Answer: A. One quart of cow's milk
Rationale: One quart (approximately 4 cups) of cow's milk provides roughly 1200
mg of calcium, which meets or exceeds the daily recommended intake for
pregnant women .
11. Susie, who is 16 weeks pregnant, is having mild cramps with persistent and
excessive bleeding. On exam, you find that some portion of the products of
conception (placental) remains in the uterus, but the fetus has been expelled.
What type of abortion is Susie having?
A. Incomplete
B. Threatened
C. Inevitable
D. Missed
Answer: A. Incomplete
Rationale: An incomplete abortion is characterized by the expulsion of the fetus
but retention of some placental tissue, leading to persistent bleeding .
12. Margie, who has been breastfeeding for 4 weeks, has mastitis in her right
breast and is taking dicloxacillin. She asks you what she needs to do about
feeding the baby. You respond:
A. "You need to stop breastfeeding and start with a bottle."
B. "You can still breastfeed on your left side and express the milk from your right
side until the problem is resolved."
C. "There is no need to stop breastfeeding, but start with your left side."
