NRNP 6531 PRIMARY CARE OF ADULTS FINAL
2026 ACTUAL TEST PAPER QUESTIONS
SOLUTIONS VERIFIED COMPLETE STUDY
PACKAGE
◉ You are doing a cerumen extraction and touch the external meatus
of your patient's ear. He winces and starts coughing. What is the
name of this reflex?
A. Baker phenomenon
B. Arnold reflex
C. Cough reflex
D. Tragus reflex.
Answer: B. Arnold reflex
◉ Based on these patients' histories, which of the following should
receive fungal serology testing for their chronic cough?
A. A patient with a history of sickle cell disease
B. A patient with a history of multiple sclerosis
C. A patient with a history of celiac disease
D. A patient with a history of AIDS.
,Answer: D. A patient with a history of AIDS
◉ Which of these patients should be given a decongestant?
A. Gerta, a 41-year-old female with GERD
B. Christine, a 15-year-old female with pneumonia
C. Dan, a 60-year-old male with allergic rhinitis
D. Andy, a 26-year-old with cystic fibrosis.
Answer: C. Dan, a 60-year-old male with allergic rhinitis
◉ Which of the following herbal supplements should be used
cautiously in a patient with hypertension?
A. Licorice
B. Horehound
C. Peppermint
D. Jasmine.
Answer: A. Licorice
◉ A patient with hypertension comes in and insists that one of his
new medications is causing him to cough. When looking at his list of
medications, you think the cough must be from:
,A. Metoprolol
B. Clopidogrel
C. Tadalafil
D. Captopril.
Answer: D. Captopril
◉ Lisa is a 25-year-old Hispanic female experiencing chest tightness,
a feeling of suffocation, and feels like she "can't get air in." She has no
current history of heart or lung disease and did not exercise leading
up to this attack. Which of the following is the most likely cause for
this dyspnea?
A. Severe chronic anemia
B. Congestive heart failure
C. Anxiety-related dyspnea
D. Chronic obstructive pulmonary disease (COPD).
Answer: C. Anxiety-related dyspnea
◉ Which of the following scales is useful to assess the degree of
dyspnea with a score of 6 to 20?
A. Borg scale
, B. Patient Health Questionnaire-9 scale
C. Visual analog scale
D. Global assessment of functioning scale.
Answer: A. Borg scale
◉ Annie is a 30-year-old African American woman that complains of
"coughing up blood." What is a likely cause of her condition?
A. Bronchogenic carcinoma
B. Pulmonary embolus with infarction
C. Mitral stenosis
D. Bronchitis.
Answer: C. Mitral stenosis
◉ African American patients seem to have a negative reaction to
which of the following asthma medications?
A. Inhaled corticosteroids
B. Long-term beta-agonist bronchodilators
C. Leukotriene-receptor agonists
D. Oral corticosteroids.
Answer: B. Long-term beta-agonist bronchodilators
2026 ACTUAL TEST PAPER QUESTIONS
SOLUTIONS VERIFIED COMPLETE STUDY
PACKAGE
◉ You are doing a cerumen extraction and touch the external meatus
of your patient's ear. He winces and starts coughing. What is the
name of this reflex?
A. Baker phenomenon
B. Arnold reflex
C. Cough reflex
D. Tragus reflex.
Answer: B. Arnold reflex
◉ Based on these patients' histories, which of the following should
receive fungal serology testing for their chronic cough?
A. A patient with a history of sickle cell disease
B. A patient with a history of multiple sclerosis
C. A patient with a history of celiac disease
D. A patient with a history of AIDS.
,Answer: D. A patient with a history of AIDS
◉ Which of these patients should be given a decongestant?
A. Gerta, a 41-year-old female with GERD
B. Christine, a 15-year-old female with pneumonia
C. Dan, a 60-year-old male with allergic rhinitis
D. Andy, a 26-year-old with cystic fibrosis.
Answer: C. Dan, a 60-year-old male with allergic rhinitis
◉ Which of the following herbal supplements should be used
cautiously in a patient with hypertension?
A. Licorice
B. Horehound
C. Peppermint
D. Jasmine.
Answer: A. Licorice
◉ A patient with hypertension comes in and insists that one of his
new medications is causing him to cough. When looking at his list of
medications, you think the cough must be from:
,A. Metoprolol
B. Clopidogrel
C. Tadalafil
D. Captopril.
Answer: D. Captopril
◉ Lisa is a 25-year-old Hispanic female experiencing chest tightness,
a feeling of suffocation, and feels like she "can't get air in." She has no
current history of heart or lung disease and did not exercise leading
up to this attack. Which of the following is the most likely cause for
this dyspnea?
A. Severe chronic anemia
B. Congestive heart failure
C. Anxiety-related dyspnea
D. Chronic obstructive pulmonary disease (COPD).
Answer: C. Anxiety-related dyspnea
◉ Which of the following scales is useful to assess the degree of
dyspnea with a score of 6 to 20?
A. Borg scale
, B. Patient Health Questionnaire-9 scale
C. Visual analog scale
D. Global assessment of functioning scale.
Answer: A. Borg scale
◉ Annie is a 30-year-old African American woman that complains of
"coughing up blood." What is a likely cause of her condition?
A. Bronchogenic carcinoma
B. Pulmonary embolus with infarction
C. Mitral stenosis
D. Bronchitis.
Answer: C. Mitral stenosis
◉ African American patients seem to have a negative reaction to
which of the following asthma medications?
A. Inhaled corticosteroids
B. Long-term beta-agonist bronchodilators
C. Leukotriene-receptor agonists
D. Oral corticosteroids.
Answer: B. Long-term beta-agonist bronchodilators
