NRNP 6531 EXAM 2 PRACTICE ASSESSMENT
2026 FULL QUESTIONS AND ANSWERS
GRADED A PLUS COMPLETE REVISION GUIDE
◉ A patient reports sustained, irregular heart palpitations. What is
the most likely cause of these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks.
Answer: Atrial fibrillation
◉ A patient has a cardiac murmur that peaks in midsystole and is
best heard along the left sternal border. The provider determines
that the murmur decreases in intensity when the patient changes
from standing to squatting and increases in intensity with the
Valsalva maneuver. Which cause will the provider suspect for this
murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse.
Answer: Hypertrophic cardiomyopathy
,◉ A patient is brought to an emergency department with symptoms
of acute ST-segment elevation MI (STEMI). The nearest hospital that
can perform percutaneous coronary intervention (PCI) is 3 hours
away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment.
Answer: Initiate fibrinolytic treatment
◉ Patients who meet the criteria for statin therapy to help prevent
atherosclerotic cardiovascular disease are those with a history of
(Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL..
Answer: previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
,◉ A 75-year-old patient reports pain and a feeling of tiredness in
both legs that only relieves after sitting for 30 minutes or more.
What the does provider suspect as the cause for these symptoms?
Buerger's disease
Cauda equina syndrome
Diabetic neuropathy
Peripheral arterial disease.
Answer: Cauda equina syndrome
◉ Which are causes of secondary hypertension? (Select all that
apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake.
Answer: Oral contraceptives
NSAIDS
Sleep apnea
◉ A young female patient has known mitral valve prolapse. During a
routine health maintenance exam, the provider notes an apical
systolic murmur and a midsystolic click on auscultation. The patient
, denies chest pain, syncope, or palpitations. What will the provider
do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
Admit the patient to the hospital for evaluation and treatment
Consult with cardiology to determine appropriate diagnostic tests.
Answer: Consult with cardiology to determine appropriate
diagnostic tests
◉ A patient reports abdominal and back pain with anorexia and
nausea. During an exam, the provider notes a pulsatile abdominal
mass. What is the initial action?
Scheduling an MRI to evaluate for aortic disease
Immediate referral to a thoracic surgeon
US of the mass to determine size
Ordering CT angiography.
Answer: US of the mass to determine size
◉ A patient is brought to an emergency department with symptoms
of acute ST-segment elevations MI (STEMI). The nearest hospital
that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Initiate fibrinolytic treatment
2026 FULL QUESTIONS AND ANSWERS
GRADED A PLUS COMPLETE REVISION GUIDE
◉ A patient reports sustained, irregular heart palpitations. What is
the most likely cause of these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks.
Answer: Atrial fibrillation
◉ A patient has a cardiac murmur that peaks in midsystole and is
best heard along the left sternal border. The provider determines
that the murmur decreases in intensity when the patient changes
from standing to squatting and increases in intensity with the
Valsalva maneuver. Which cause will the provider suspect for this
murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse.
Answer: Hypertrophic cardiomyopathy
,◉ A patient is brought to an emergency department with symptoms
of acute ST-segment elevation MI (STEMI). The nearest hospital that
can perform percutaneous coronary intervention (PCI) is 3 hours
away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment.
Answer: Initiate fibrinolytic treatment
◉ Patients who meet the criteria for statin therapy to help prevent
atherosclerotic cardiovascular disease are those with a history of
(Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL..
Answer: previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
,◉ A 75-year-old patient reports pain and a feeling of tiredness in
both legs that only relieves after sitting for 30 minutes or more.
What the does provider suspect as the cause for these symptoms?
Buerger's disease
Cauda equina syndrome
Diabetic neuropathy
Peripheral arterial disease.
Answer: Cauda equina syndrome
◉ Which are causes of secondary hypertension? (Select all that
apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake.
Answer: Oral contraceptives
NSAIDS
Sleep apnea
◉ A young female patient has known mitral valve prolapse. During a
routine health maintenance exam, the provider notes an apical
systolic murmur and a midsystolic click on auscultation. The patient
, denies chest pain, syncope, or palpitations. What will the provider
do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
Admit the patient to the hospital for evaluation and treatment
Consult with cardiology to determine appropriate diagnostic tests.
Answer: Consult with cardiology to determine appropriate
diagnostic tests
◉ A patient reports abdominal and back pain with anorexia and
nausea. During an exam, the provider notes a pulsatile abdominal
mass. What is the initial action?
Scheduling an MRI to evaluate for aortic disease
Immediate referral to a thoracic surgeon
US of the mass to determine size
Ordering CT angiography.
Answer: US of the mass to determine size
◉ A patient is brought to an emergency department with symptoms
of acute ST-segment elevations MI (STEMI). The nearest hospital
that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Initiate fibrinolytic treatment
