1|Page
NRNP 6552 FINAL EXAM (WALDEN) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| NRNP6552 ADVANCED NURSE
PRACTICE IN REPRODUCTIVE HEALTH FINAL EXAM REVIEW
WITH COMPLETE EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
1. An adult client presents to the primary care clinic with persistent
fatigue, unexplained weight loss, night sweats, and a low-grade fever
that has continued for several weeks. Which initial action by the
advanced practice nurse is most appropriate?
A. Reassure the client that these symptoms are most likely related to
stress
B. Obtain a focused history and comprehensive assessment while
evaluating for potentially serious underlying disease
C. Recommend increased physical activity and reassess in six months
D. Initiate treatment for depression without further assessment
Answer: B
Rationale: Persistent constitutional symptoms such as unexplained
weight loss, fever, and night sweats require a thorough history and
physical examination to identify potentially significant infectious,
inflammatory, malignant, or other systemic causes.
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2. A 68-year-old client with hypertension and diabetes reports new
exertional chest pressure that resolves after resting for several minutes.
Which interpretation is most concerning?
A. The symptoms are consistent with stable angina and should be
ignored
B. The symptoms may represent myocardial ischemia and require timely
cardiovascular evaluation
C. The symptoms are most likely caused by dehydration
D. The symptoms are expected because of the client's age
Answer: B
Rationale: Exertional chest pressure relieved by rest is concerning for
myocardial ischemia. The client's cardiovascular risk factors further
increase the need for appropriate evaluation.
3. A client presents with unilateral leg swelling, warmth, tenderness,
and an increase in calf circumference compared with the opposite leg.
What should the advanced practice nurse suspect?
A. Deep-vein thrombosis
B. Chronic dehydration
C. Cellulitis in both legs
D. Peripheral neuropathy
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Answer: A
Rationale: Unilateral swelling, warmth, tenderness, and asymmetry are
classic findings that raise concern for DVT and warrant appropriate
diagnostic evaluation.
4. A client with known heart failure reports a rapid increase in weight,
worsening bilateral lower-extremity edema, and increasing shortness of
breath when lying flat. Which management priority is most
appropriate?
A. Encourage the client to increase sodium intake
B. Evaluate for worsening volume overload and heart failure
exacerbation
C. Discontinue all prescribed cardiac medications
D. Recommend unrestricted fluid intake
Answer: B
Rationale: Rapid weight gain, edema, and orthopnea suggest worsening
fluid retention and possible heart failure exacerbation requiring prompt
assessment and management.
5. A client with type 2 diabetes has a hemoglobin A1C of 9.4% despite
reporting adherence to the current treatment plan. Which approach is
most appropriate?
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A. Determine contributing factors, review adherence and lifestyle
factors, and intensify therapy when clinically appropriate
B. Discontinue all diabetes medications
C. Tell the client that the result is acceptable
D. Recommend avoiding all carbohydrates permanently
Answer: A
Rationale: Poor glycemic control requires assessment of adherence,
medication effectiveness, lifestyle factors, access barriers, and other
contributors before appropriately intensifying treatment.
6. A client with diabetes reports burning pain and decreased sensation
in both feet. Which complication should the nurse practitioner suspect?
A. Diabetic peripheral neuropathy
B. Acute appendicitis
C. Pulmonary embolism
D. Hyperthyroidism
Answer: A
Rationale: Distal symmetric burning pain and sensory loss are
characteristic manifestations of diabetic peripheral neuropathy.
NRNP 6552 FINAL EXAM (WALDEN) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| NRNP6552 ADVANCED NURSE
PRACTICE IN REPRODUCTIVE HEALTH FINAL EXAM REVIEW
WITH COMPLETE EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
1. An adult client presents to the primary care clinic with persistent
fatigue, unexplained weight loss, night sweats, and a low-grade fever
that has continued for several weeks. Which initial action by the
advanced practice nurse is most appropriate?
A. Reassure the client that these symptoms are most likely related to
stress
B. Obtain a focused history and comprehensive assessment while
evaluating for potentially serious underlying disease
C. Recommend increased physical activity and reassess in six months
D. Initiate treatment for depression without further assessment
Answer: B
Rationale: Persistent constitutional symptoms such as unexplained
weight loss, fever, and night sweats require a thorough history and
physical examination to identify potentially significant infectious,
inflammatory, malignant, or other systemic causes.
,2|Page
2. A 68-year-old client with hypertension and diabetes reports new
exertional chest pressure that resolves after resting for several minutes.
Which interpretation is most concerning?
A. The symptoms are consistent with stable angina and should be
ignored
B. The symptoms may represent myocardial ischemia and require timely
cardiovascular evaluation
C. The symptoms are most likely caused by dehydration
D. The symptoms are expected because of the client's age
Answer: B
Rationale: Exertional chest pressure relieved by rest is concerning for
myocardial ischemia. The client's cardiovascular risk factors further
increase the need for appropriate evaluation.
3. A client presents with unilateral leg swelling, warmth, tenderness,
and an increase in calf circumference compared with the opposite leg.
What should the advanced practice nurse suspect?
A. Deep-vein thrombosis
B. Chronic dehydration
C. Cellulitis in both legs
D. Peripheral neuropathy
,3|Page
Answer: A
Rationale: Unilateral swelling, warmth, tenderness, and asymmetry are
classic findings that raise concern for DVT and warrant appropriate
diagnostic evaluation.
4. A client with known heart failure reports a rapid increase in weight,
worsening bilateral lower-extremity edema, and increasing shortness of
breath when lying flat. Which management priority is most
appropriate?
A. Encourage the client to increase sodium intake
B. Evaluate for worsening volume overload and heart failure
exacerbation
C. Discontinue all prescribed cardiac medications
D. Recommend unrestricted fluid intake
Answer: B
Rationale: Rapid weight gain, edema, and orthopnea suggest worsening
fluid retention and possible heart failure exacerbation requiring prompt
assessment and management.
5. A client with type 2 diabetes has a hemoglobin A1C of 9.4% despite
reporting adherence to the current treatment plan. Which approach is
most appropriate?
, 4|Page
A. Determine contributing factors, review adherence and lifestyle
factors, and intensify therapy when clinically appropriate
B. Discontinue all diabetes medications
C. Tell the client that the result is acceptable
D. Recommend avoiding all carbohydrates permanently
Answer: A
Rationale: Poor glycemic control requires assessment of adherence,
medication effectiveness, lifestyle factors, access barriers, and other
contributors before appropriately intensifying treatment.
6. A client with diabetes reports burning pain and decreased sensation
in both feet. Which complication should the nurse practitioner suspect?
A. Diabetic peripheral neuropathy
B. Acute appendicitis
C. Pulmonary embolism
D. Hyperthyroidism
Answer: A
Rationale: Distal symmetric burning pain and sensory loss are
characteristic manifestations of diabetic peripheral neuropathy.
