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NRNP 6531 Combined Midterm and Final
Review | Exam Questions and Answers |
Walden University Advanced Practice Care of
Adults | 2026/2027
Walden University – NRNP 6531: Advanced Practice Care of Adults
Combined Midterm and Final Examination Review
Verified Exam Questions & Correct Answers
Edition | Graduate Nursing (NP) Course Review
Core Clinical Content Areas:
Advanced Health Assessment, Adult & Geriatric Primary Care, Cardiovascular Disorders,
Respiratory Conditions, Endocrine & Metabolic Disorders, Renal & Genitourinary Conditions,
Gastrointestinal Disorders, Neurological Conditions, Musculoskeletal Disorders, Evidence-Based
Practice, Diagnostic Reasoning, Pharmacologic Management | Walden-Aligned Course Outcomes
Exam Structure
The NRNP 6531 Combined Midterm and Final Exam is a computer-based graduate-level
assessment consisting of board-style multiple-choice questions and advanced clinical
application scenarios. The exam evaluates the student’s ability to assess adult patients, formulate
differential diagnoses, order and interpret diagnostics, and implement evidence-based
management plans.
Introduction
This NRNP 6531 Combined Review (2026/2027 Edition) reflects current Walden University
MSN/FNP program standards for Advanced Practice Care of Adults. The content emphasizes
clinical decision-making, guideline-based treatment, and safe prescribing practices, supporting
readiness for advanced practice coursework and national NP certification exams.
Answer Format
• Correct answers are clearly highlighted in bold
• Each question includes a concise, graduate-level clinical rationale
• Rationales emphasize diagnostic reasoning, guideline alignment, and patient safety
• Designed for efficient midterm + final review, remediation, and exam confidence
,Question:
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
Answer
Assessment of gasping breaths or not breathing
Question:
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
Answer
Admit to the hospital for evaluation and treatment
Question:
A patient report sustained, irregular heart palpitations. What is the most likely cause of these
symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
Answer
Atrial fibrillation
Question:
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
,Question:
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
Question:
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.
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
Answer
a 10 year risk score of 8% with an LDL of 80 mg/dL.
Question:
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
Question:
Which are causes of secondary hypertension? (Select all that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
Oral contraceptives
Answer
NSAIDS
Sleep apnea
, Question:
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
Question:
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
Question:
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
Administer heparin
Transfer to the PCI-capable institution
Answer
Initiate fibrinolytic treatment
Question:
A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient denies
headaches, palpitations, snoring, muscle weakness, and nocturia and does not take any
medications. What will the provider do next to evaluate this patient?
Continue to monitor blood pressure at each health maintenance visit
Assess serum cortisol levels
Order urinalysis, CBC, BUN and creatinine
Refer to specialist for sleep study
Answer
Order urinalysis, CBC, BUN and creatinine
NRNP 6531 Combined Midterm and Final
Review | Exam Questions and Answers |
Walden University Advanced Practice Care of
Adults | 2026/2027
Walden University – NRNP 6531: Advanced Practice Care of Adults
Combined Midterm and Final Examination Review
Verified Exam Questions & Correct Answers
Edition | Graduate Nursing (NP) Course Review
Core Clinical Content Areas:
Advanced Health Assessment, Adult & Geriatric Primary Care, Cardiovascular Disorders,
Respiratory Conditions, Endocrine & Metabolic Disorders, Renal & Genitourinary Conditions,
Gastrointestinal Disorders, Neurological Conditions, Musculoskeletal Disorders, Evidence-Based
Practice, Diagnostic Reasoning, Pharmacologic Management | Walden-Aligned Course Outcomes
Exam Structure
The NRNP 6531 Combined Midterm and Final Exam is a computer-based graduate-level
assessment consisting of board-style multiple-choice questions and advanced clinical
application scenarios. The exam evaluates the student’s ability to assess adult patients, formulate
differential diagnoses, order and interpret diagnostics, and implement evidence-based
management plans.
Introduction
This NRNP 6531 Combined Review (2026/2027 Edition) reflects current Walden University
MSN/FNP program standards for Advanced Practice Care of Adults. The content emphasizes
clinical decision-making, guideline-based treatment, and safe prescribing practices, supporting
readiness for advanced practice coursework and national NP certification exams.
Answer Format
• Correct answers are clearly highlighted in bold
• Each question includes a concise, graduate-level clinical rationale
• Rationales emphasize diagnostic reasoning, guideline alignment, and patient safety
• Designed for efficient midterm + final review, remediation, and exam confidence
,Question:
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
Answer
Assessment of gasping breaths or not breathing
Question:
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
Answer
Admit to the hospital for evaluation and treatment
Question:
A patient report sustained, irregular heart palpitations. What is the most likely cause of these
symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
Answer
Atrial fibrillation
Question:
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
,Question:
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
Question:
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.
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
Answer
a 10 year risk score of 8% with an LDL of 80 mg/dL.
Question:
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
Question:
Which are causes of secondary hypertension? (Select all that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
Oral contraceptives
Answer
NSAIDS
Sleep apnea
, Question:
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
Question:
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
Question:
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
Administer heparin
Transfer to the PCI-capable institution
Answer
Initiate fibrinolytic treatment
Question:
A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient denies
headaches, palpitations, snoring, muscle weakness, and nocturia and does not take any
medications. What will the provider do next to evaluate this patient?
Continue to monitor blood pressure at each health maintenance visit
Assess serum cortisol levels
Order urinalysis, CBC, BUN and creatinine
Refer to specialist for sleep study
Answer
Order urinalysis, CBC, BUN and creatinine
