NRNP 6531 Exam Week 6 Midterm Review |
Walden University -Adult Primary Care -
100/100 Correct and Verified Answers |
Latest Update 2026
Question 1
When completing this quiz, did you comply with Walden University's Code of Conduct
including the expectations for academic integrity?
Answer: Yes. ✔✔
Rationale: This is an affirmation of academic honesty. The expected answer is "Yes" to
confirm compliance with the university's academic integrity policy.
Question 2
The most common cancer found on the auricle is:
Answer: Basal cell carcinoma. ✔✔
Rationale: Basal cell carcinoma is the most common skin cancer found on the auricle
due to chronic sun exposure. It typically appears as a pearly, translucent nodule that
may ulcerate.
Question 3
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient?
Answer: Antihistamines. ✔✔
Rationale: Antihistamines can thicken bronchial secretions, impair mucociliary
clearance, and worsen ventilation-perfusion mismatch in patients with bronchitis.
Question 4
A 47 year old male patient presents to the clinic with a single episode of a moderate
amount of bright red rectal bleeding. On examination, external hemorrhoids are noted.
How should the nurse practitioner proceed?
Answer: Refer the patient for a barium enema and sigmoidoscopy. ✔✔
pg. 1
,Rationale: Bright red rectal bleeding in a patient over 40 requires further evaluation to
rule out colorectal cancer or other serious pathology. The presence of external
hemorrhoids does not exclude more proximal causes of bleeding.
Question 5
Which of the following patient characteristics are associated with chronic bronchitis?
Answer: Overweight, cyanosis, and normal or slightly increased respiratory rate. ✔✔
Rationale: Chronic bronchitis (Blue Bloater) is characterized by overweight, cyanosis,
and normal to slightly increased respiratory rate due to hypoxemia and carbon dioxide
retention.
Question 6
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant
pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams
po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess.
The most appropriate diagnostic test for this patient at this time is:
Answer: CT scan. ✔✔
Rationale: CT scan with contrast is the diagnostic test of choice for acute diverticulitis
and can detect abscesses, perforation, or other complications.
Question 7
A patient reports "something flew in my eye" about an hour ago while he was splitting
logs. If there were a foreign body in his eye, the nurse practitioner would expect to find
all except:
Answer: Purulent drainage. ✔✔
Rationale: Purulent drainage indicates infection, not a foreign body. Foreign body
sensation typically presents with tearing, photophobia, and a positive fluorescein stain.
Question 8
A 21 year old college student presents to the student health center with copious,
markedly purulent discharge from her left eye. The nurse practitioner student should
suspect:
Answer: Gonococcal conjunctivitis. ✔✔
Rationale: Gonococcal conjunctivitis presents with copious, purulent discharge and
pg. 2
, requires prompt treatment to prevent corneal perforation. It is common in sexually
active young adults.
Question 9
A 35 year old man presents with radicular pain followed by the appearance of grouped
vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect:
Answer: Herpes zoster and consider that this patient may be immunocompromised.
✔✔
Rationale: Involvement of multiple dermatomes (3 or more) in herpes zoster
(shingles) suggests immunocompromise and may require evaluation for underlying
conditions.
Question 10
Which type of lung cancer has the poorest prognosis?
Answer: Small cell carcinoma. ✔✔
Rationale: Small cell lung cancer has the poorest prognosis due to rapid growth, early
metastasis, and aggressive course. It is strongly associated with smoking.
Question 11
An 83-year-old female presents to the office complaining of diarrhea for several days.
She explains she has even had fecal incontinence one time. She describes loose stools 3-
4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The
history suggests that the patient has:
Answer: Chronic diarrhea. ✔✔
Rationale: Diarrhea lasting more than 4 weeks is defined as chronic diarrhea. The
patient's age and lack of acute symptoms suggest a chronic process requiring further
evaluation.
Question 12
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a
butterfly distribution on her face. The rash has red papules and plaques with a fine
scale. What do you suspect?
Answer: Systemic lupus erythematosus. ✔✔
Rationale: The malar (butterfly) rash with joint pain is classic for systemic lupus
erythematosus (SLE). The rash typically spares the nasolabial folds.
pg. 3
Walden University -Adult Primary Care -
100/100 Correct and Verified Answers |
Latest Update 2026
Question 1
When completing this quiz, did you comply with Walden University's Code of Conduct
including the expectations for academic integrity?
Answer: Yes. ✔✔
Rationale: This is an affirmation of academic honesty. The expected answer is "Yes" to
confirm compliance with the university's academic integrity policy.
Question 2
The most common cancer found on the auricle is:
Answer: Basal cell carcinoma. ✔✔
Rationale: Basal cell carcinoma is the most common skin cancer found on the auricle
due to chronic sun exposure. It typically appears as a pearly, translucent nodule that
may ulcerate.
Question 3
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient?
Answer: Antihistamines. ✔✔
Rationale: Antihistamines can thicken bronchial secretions, impair mucociliary
clearance, and worsen ventilation-perfusion mismatch in patients with bronchitis.
Question 4
A 47 year old male patient presents to the clinic with a single episode of a moderate
amount of bright red rectal bleeding. On examination, external hemorrhoids are noted.
How should the nurse practitioner proceed?
Answer: Refer the patient for a barium enema and sigmoidoscopy. ✔✔
pg. 1
,Rationale: Bright red rectal bleeding in a patient over 40 requires further evaluation to
rule out colorectal cancer or other serious pathology. The presence of external
hemorrhoids does not exclude more proximal causes of bleeding.
Question 5
Which of the following patient characteristics are associated with chronic bronchitis?
Answer: Overweight, cyanosis, and normal or slightly increased respiratory rate. ✔✔
Rationale: Chronic bronchitis (Blue Bloater) is characterized by overweight, cyanosis,
and normal to slightly increased respiratory rate due to hypoxemia and carbon dioxide
retention.
Question 6
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant
pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams
po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess.
The most appropriate diagnostic test for this patient at this time is:
Answer: CT scan. ✔✔
Rationale: CT scan with contrast is the diagnostic test of choice for acute diverticulitis
and can detect abscesses, perforation, or other complications.
Question 7
A patient reports "something flew in my eye" about an hour ago while he was splitting
logs. If there were a foreign body in his eye, the nurse practitioner would expect to find
all except:
Answer: Purulent drainage. ✔✔
Rationale: Purulent drainage indicates infection, not a foreign body. Foreign body
sensation typically presents with tearing, photophobia, and a positive fluorescein stain.
Question 8
A 21 year old college student presents to the student health center with copious,
markedly purulent discharge from her left eye. The nurse practitioner student should
suspect:
Answer: Gonococcal conjunctivitis. ✔✔
Rationale: Gonococcal conjunctivitis presents with copious, purulent discharge and
pg. 2
, requires prompt treatment to prevent corneal perforation. It is common in sexually
active young adults.
Question 9
A 35 year old man presents with radicular pain followed by the appearance of grouped
vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect:
Answer: Herpes zoster and consider that this patient may be immunocompromised.
✔✔
Rationale: Involvement of multiple dermatomes (3 or more) in herpes zoster
(shingles) suggests immunocompromise and may require evaluation for underlying
conditions.
Question 10
Which type of lung cancer has the poorest prognosis?
Answer: Small cell carcinoma. ✔✔
Rationale: Small cell lung cancer has the poorest prognosis due to rapid growth, early
metastasis, and aggressive course. It is strongly associated with smoking.
Question 11
An 83-year-old female presents to the office complaining of diarrhea for several days.
She explains she has even had fecal incontinence one time. She describes loose stools 3-
4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The
history suggests that the patient has:
Answer: Chronic diarrhea. ✔✔
Rationale: Diarrhea lasting more than 4 weeks is defined as chronic diarrhea. The
patient's age and lack of acute symptoms suggest a chronic process requiring further
evaluation.
Question 12
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a
butterfly distribution on her face. The rash has red papules and plaques with a fine
scale. What do you suspect?
Answer: Systemic lupus erythematosus. ✔✔
Rationale: The malar (butterfly) rash with joint pain is classic for systemic lupus
erythematosus (SLE). The rash typically spares the nasolabial folds.
pg. 3
