NRNP 6531 PRIMARY CARE OF ADULTS FINAL
2026 FINAL REVIEW QUESTIONS ANSWERS
BUNDLED PRACTICE COLLECTION
◉ Sam, age 78, presents to the clinic with respiratory symptoms. His
pulmonary function tests are as follows: a normal total lung capacity,
a decreased PaO2, and an increased PaCO2. On assessment, you
auscultate coarse crackles and forced expiratory wheezes. What is
your diagnosis?
A. Asthma
B. Emphysema
C. Chronic bronchitis
D. Influenza.
Answer: C. Chronic bronchitis
◉ You are using the CURB-65 clinical prediction tool to decide
whether Latisha, whom you have diagnosed with community-
acquired pneumonia (CAP), should be hospitalized or treated at
home. Which of the following risk factors would increase Latisha's
chance of CAP associated mortality and complications?
A. Temperature of 100°F
,B. Respiratory rate 22 breaths per minute
C. Hemoglobin 9.5 g/dL
D. History of diabetes mellitus.
Answer: D. History of diabetes mellitus
◉ Fredericka is a 40-year-old Hispanic female with a history of
diabetes mellitus, hypertension, and HIV. She has a tuberculosis (TB)
skin test. What is the smallest diameter of induration that would
indicate a positive result?
A. 2 mm
B. 5 mm
C. 8 mm
D. 10 mm.
Answer: B. 5 mm
◉ Why do you suspect that your patient may have a decreased
response to the tuberculin skin test (TST)?
A. She is on a high-protein diet.
B. She is an adolescent.
C. She has been on a long-term corticosteroid therapy.
D. She just got over a cold..
,Answer: C. She has been on a long-term corticosteroid therapy.
◉ Marci has been started on a TB regimen. Because isoniazid (INH)
may cause peripheral neuropathy, you consider ordering which of
the following drugs prophylactically?
A. Pyridoxine
B. Thiamine
C. Probiotic
D. Phytonadione.
Answer: A. Pyridoxine
◉ Which of the following patients is most likely to have squamous
cell carcinoma?
A. Janice, a 70-year-old female and is a nonsmoker
B. Bill, a 65-year-old male with a 20-year history of smoking
C. Sophie, a 30-year-old female with a family history of lung cancer
D. David, a 90-year-old man whose brother passed away from lung
cancer.
Answer: B. Bill, a 65-year-old male with a 20-year history of smoking
, ◉ Amy has a history of lung cancer and is experiencing new-onset
right side ptosis and miosis and says, "I'm so hot, but I'm not
sweating." Which of the following conditions can be attributed to her
new-onset symptoms?
A. Bell's palsy
B. Turner's syndrome
C. Murphy's syndrome
D. Horner's syndrome.
Answer: D. Horner's syndrome
◉ Jolene has breast cancer that has been staged as T1, N0, M0. What
might this mean?
A. The tumor size cannot be evaluated; the cancer has not spread to
the lymph nodes; and the distant spread cannot be evaluated.
B. The cancer is in situ; it is spreading into the lymph nodes but the
spread cannot be evaluated otherwise.
C. The cancer is less than 3 cm in size and has not spread to the
lymph nodes or other parts of the body.
2026 FINAL REVIEW QUESTIONS ANSWERS
BUNDLED PRACTICE COLLECTION
◉ Sam, age 78, presents to the clinic with respiratory symptoms. His
pulmonary function tests are as follows: a normal total lung capacity,
a decreased PaO2, and an increased PaCO2. On assessment, you
auscultate coarse crackles and forced expiratory wheezes. What is
your diagnosis?
A. Asthma
B. Emphysema
C. Chronic bronchitis
D. Influenza.
Answer: C. Chronic bronchitis
◉ You are using the CURB-65 clinical prediction tool to decide
whether Latisha, whom you have diagnosed with community-
acquired pneumonia (CAP), should be hospitalized or treated at
home. Which of the following risk factors would increase Latisha's
chance of CAP associated mortality and complications?
A. Temperature of 100°F
,B. Respiratory rate 22 breaths per minute
C. Hemoglobin 9.5 g/dL
D. History of diabetes mellitus.
Answer: D. History of diabetes mellitus
◉ Fredericka is a 40-year-old Hispanic female with a history of
diabetes mellitus, hypertension, and HIV. She has a tuberculosis (TB)
skin test. What is the smallest diameter of induration that would
indicate a positive result?
A. 2 mm
B. 5 mm
C. 8 mm
D. 10 mm.
Answer: B. 5 mm
◉ Why do you suspect that your patient may have a decreased
response to the tuberculin skin test (TST)?
A. She is on a high-protein diet.
B. She is an adolescent.
C. She has been on a long-term corticosteroid therapy.
D. She just got over a cold..
,Answer: C. She has been on a long-term corticosteroid therapy.
◉ Marci has been started on a TB regimen. Because isoniazid (INH)
may cause peripheral neuropathy, you consider ordering which of
the following drugs prophylactically?
A. Pyridoxine
B. Thiamine
C. Probiotic
D. Phytonadione.
Answer: A. Pyridoxine
◉ Which of the following patients is most likely to have squamous
cell carcinoma?
A. Janice, a 70-year-old female and is a nonsmoker
B. Bill, a 65-year-old male with a 20-year history of smoking
C. Sophie, a 30-year-old female with a family history of lung cancer
D. David, a 90-year-old man whose brother passed away from lung
cancer.
Answer: B. Bill, a 65-year-old male with a 20-year history of smoking
, ◉ Amy has a history of lung cancer and is experiencing new-onset
right side ptosis and miosis and says, "I'm so hot, but I'm not
sweating." Which of the following conditions can be attributed to her
new-onset symptoms?
A. Bell's palsy
B. Turner's syndrome
C. Murphy's syndrome
D. Horner's syndrome.
Answer: D. Horner's syndrome
◉ Jolene has breast cancer that has been staged as T1, N0, M0. What
might this mean?
A. The tumor size cannot be evaluated; the cancer has not spread to
the lymph nodes; and the distant spread cannot be evaluated.
B. The cancer is in situ; it is spreading into the lymph nodes but the
spread cannot be evaluated otherwise.
C. The cancer is less than 3 cm in size and has not spread to the
lymph nodes or other parts of the body.
