NRNP 6531 Exam Combined Midterm
and Final Review 2025-2026 Over 300+
Questions and Correct Answers
Rated A+
A patient comes to an emergency department with chest pain. The patient
describes the pain is sharp and stabbing and reports that it has been
present for several weeks. Upon questioning, the examiner determines that
the pain is worse after eating. The patient reports getting relief after taking
a friend's nitroglycerin during one episode. What is the most likely cause of
this chest pain?
Pleural pain
Cardiac pain
Aortic dissection pain
Esophageal pain - ANSWERS-Esophageal pain
A patient who has a central line develops respiratory compromise. What is
the initial
intervention for this patient?
Obtaining cultures and starting antibiotics
Lung ultrasonography to determine the cause
Prompt removal of the central line
,Rapid assessment and resuscitation - ANSWERS-Rapid assessment and
resuscitation
A patient has a cough and fever and the provider auscultates rales in both
lungs that do not clear with cough. The patient reports having a headache
and sore throat prior to the onset of coughing. A chest radiograph shows
patchy, nonhomogeneous infiltrates. Based on these findings, which
organism is the most likely cause of this patient's pneumonia? S.
pneumonia
A virus
Mycoplasma
Tuberculosis - ANSWERS-Mycoplasma
A high school athlete reports recent onset of chest pain that is aggravated
by deep breathing and lifting. A 12-lead electrocardiogram in the clinic is
normal. The examiner notes localized pain near the sternum that increases
with pressure. What will the provider do next?
Recommend an NSAID
Prescribe an antibiotic
Refer to a cardiologist
Order a chest radiograph - ANSWERS-Recommend an NSAID
A patient who was initially treated as an outpatient for pneumonia and then
hospitalized
for two weeks after no improvement continues to show no improvement
after several
antibiotic regimens have been attempted. What is the next step in
managing this
patient?
Increasing the dose of the antibiotics
Open lung biopsy
Performing diagnostic bronchoscopy
Administration of the pneumonia vaccine - ANSWERS-Performing a
diagnostic broncho
,A health care provider in a clinic finds a patient in a room, unresponsive
and pale. Which sign should be used to identify the need to initiate
cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing - ANSWERS-Assessment
of gasping breaths or not breathing
An African-American patient who is being treated with a thiazide diuretic for
chronic hypertension reports blurred vision and shortness of breath. The
provider notes a blood pressure of 185/115. What is the recommended
action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker - ANSWERS-Admit to the hospital for
evaluation and treatment
A patient reports sustained, irregular heart palpitations. What is the most
likely cause of
these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks - ANSWERS-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 - ANSWERS-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 - ANSWERS-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. - ANSWERS-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 - ANSWERS-Cauda equina syndrome
Which are causes of secondary hypertension? (Select all that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
and Final Review 2025-2026 Over 300+
Questions and Correct Answers
Rated A+
A patient comes to an emergency department with chest pain. The patient
describes the pain is sharp and stabbing and reports that it has been
present for several weeks. Upon questioning, the examiner determines that
the pain is worse after eating. The patient reports getting relief after taking
a friend's nitroglycerin during one episode. What is the most likely cause of
this chest pain?
Pleural pain
Cardiac pain
Aortic dissection pain
Esophageal pain - ANSWERS-Esophageal pain
A patient who has a central line develops respiratory compromise. What is
the initial
intervention for this patient?
Obtaining cultures and starting antibiotics
Lung ultrasonography to determine the cause
Prompt removal of the central line
,Rapid assessment and resuscitation - ANSWERS-Rapid assessment and
resuscitation
A patient has a cough and fever and the provider auscultates rales in both
lungs that do not clear with cough. The patient reports having a headache
and sore throat prior to the onset of coughing. A chest radiograph shows
patchy, nonhomogeneous infiltrates. Based on these findings, which
organism is the most likely cause of this patient's pneumonia? S.
pneumonia
A virus
Mycoplasma
Tuberculosis - ANSWERS-Mycoplasma
A high school athlete reports recent onset of chest pain that is aggravated
by deep breathing and lifting. A 12-lead electrocardiogram in the clinic is
normal. The examiner notes localized pain near the sternum that increases
with pressure. What will the provider do next?
Recommend an NSAID
Prescribe an antibiotic
Refer to a cardiologist
Order a chest radiograph - ANSWERS-Recommend an NSAID
A patient who was initially treated as an outpatient for pneumonia and then
hospitalized
for two weeks after no improvement continues to show no improvement
after several
antibiotic regimens have been attempted. What is the next step in
managing this
patient?
Increasing the dose of the antibiotics
Open lung biopsy
Performing diagnostic bronchoscopy
Administration of the pneumonia vaccine - ANSWERS-Performing a
diagnostic broncho
,A health care provider in a clinic finds a patient in a room, unresponsive
and pale. Which sign should be used to identify the need to initiate
cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing - ANSWERS-Assessment
of gasping breaths or not breathing
An African-American patient who is being treated with a thiazide diuretic for
chronic hypertension reports blurred vision and shortness of breath. The
provider notes a blood pressure of 185/115. What is the recommended
action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker - ANSWERS-Admit to the hospital for
evaluation and treatment
A patient reports sustained, irregular heart palpitations. What is the most
likely cause of
these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks - ANSWERS-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 - ANSWERS-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 - ANSWERS-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. - ANSWERS-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 - ANSWERS-Cauda equina syndrome
Which are causes of secondary hypertension? (Select all that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
