NURS 6531 Final Exam 3
Versions Primary Care
2026/2027 – Questions &
Answers with Detailed
Rationales | Comprehensive
Study Guide Guaranteed Pass
(GRADED A+)
Question 1
A 52-year-old patient presents for a routine primary-care visit.
The patient has a blood pressure of 148/92 mmHg. Which action
is most appropriate before diagnosing hypertension?
A. Start two antihypertensive medications immediately
B. Repeat the measurement using proper technique and obtain
additional readings
C. Diagnose stage 2 hypertension from this single reading
D. Recommend complete bed rest for 24 hours
Answer: B. Repeat the measurement using proper technique
and obtain additional readings.
Rationale: A single elevated office blood-pressure measurement
is generally insufficient to establish a diagnosis. Proper
,technique and repeated measurements, often supplemented by
home or ambulatory monitoring, help distinguish persistent
hypertension from transient elevation or white-coat
hypertension.
Question 2
A patient with type 2 diabetes asks which laboratory test best
reflects average glycemic control over the previous several
months. Which test should the nurse practitioner identify?
A. Random plasma glucose
B. Urinalysis
C. Hemoglobin A1C
D. Serum insulin level
Answer: C. Hemoglobin A1C.
Rationale: Hemoglobin A1C reflects average blood-glucose
exposure over approximately the preceding 2–3 months and is
commonly used to assess long-term glycemic control.
Question 3
A 24-year-old patient reports dysuria and urinary frequency
without vaginal discharge or flank pain. Which diagnosis is most
consistent with these symptoms?
A. Acute uncomplicated cystitis
B. Pyelonephritis
,C. Nephrolithiasis
D. Pelvic inflammatory disease
Answer: A. Acute uncomplicated cystitis.
Rationale: Dysuria and urinary frequency without systemic
illness, flank pain, or vaginal symptoms are classic features of
lower urinary tract infection such as acute uncomplicated
cystitis.
Question 4
A 67-year-old patient reports progressive difficulty hearing
conversations, particularly in noisy environments. Which initial
assessment is most appropriate?
A. Assess for cerumen impaction and perform hearing screening
B. Immediately order brain MRI
C. Diagnose otitis media
D. Prescribe antibiotics
Answer: A. Assess for cerumen impaction and perform
hearing screening.
Rationale: Conductive causes such as cerumen impaction
should be assessed during the initial evaluation. Hearing
screening and examination help determine whether further
audiologic or specialist evaluation is needed.
Question 5
, A patient with asthma reports using a short-acting
bronchodilator several times every day. What does this pattern
suggest?
A. Excellent asthma control
B. Poor asthma control requiring reassessment
C. Normal medication use
D. Resolution of airway inflammation
Answer: B. Poor asthma control requiring reassessment.
Rationale: Frequent reliance on a short-acting rescue
medication suggests inadequate control. The clinician should
reassess adherence, inhaler technique, triggers, severity, and
the patient's controller regimen.
Question 6
A 45-year-old patient presents with fatigue, constipation, cold
intolerance, and weight gain. Which laboratory test is most
appropriate initially?
A. TSH
B. Serum cortisol
C. Troponin
D. Serum amylase
Answer: A. TSH.
Rationale: The symptoms are compatible with hypothyroidism.
Thyroid-stimulating hormone is typically the initial laboratory
test used to evaluate suspected primary hypothyroidism.
Versions Primary Care
2026/2027 – Questions &
Answers with Detailed
Rationales | Comprehensive
Study Guide Guaranteed Pass
(GRADED A+)
Question 1
A 52-year-old patient presents for a routine primary-care visit.
The patient has a blood pressure of 148/92 mmHg. Which action
is most appropriate before diagnosing hypertension?
A. Start two antihypertensive medications immediately
B. Repeat the measurement using proper technique and obtain
additional readings
C. Diagnose stage 2 hypertension from this single reading
D. Recommend complete bed rest for 24 hours
Answer: B. Repeat the measurement using proper technique
and obtain additional readings.
Rationale: A single elevated office blood-pressure measurement
is generally insufficient to establish a diagnosis. Proper
,technique and repeated measurements, often supplemented by
home or ambulatory monitoring, help distinguish persistent
hypertension from transient elevation or white-coat
hypertension.
Question 2
A patient with type 2 diabetes asks which laboratory test best
reflects average glycemic control over the previous several
months. Which test should the nurse practitioner identify?
A. Random plasma glucose
B. Urinalysis
C. Hemoglobin A1C
D. Serum insulin level
Answer: C. Hemoglobin A1C.
Rationale: Hemoglobin A1C reflects average blood-glucose
exposure over approximately the preceding 2–3 months and is
commonly used to assess long-term glycemic control.
Question 3
A 24-year-old patient reports dysuria and urinary frequency
without vaginal discharge or flank pain. Which diagnosis is most
consistent with these symptoms?
A. Acute uncomplicated cystitis
B. Pyelonephritis
,C. Nephrolithiasis
D. Pelvic inflammatory disease
Answer: A. Acute uncomplicated cystitis.
Rationale: Dysuria and urinary frequency without systemic
illness, flank pain, or vaginal symptoms are classic features of
lower urinary tract infection such as acute uncomplicated
cystitis.
Question 4
A 67-year-old patient reports progressive difficulty hearing
conversations, particularly in noisy environments. Which initial
assessment is most appropriate?
A. Assess for cerumen impaction and perform hearing screening
B. Immediately order brain MRI
C. Diagnose otitis media
D. Prescribe antibiotics
Answer: A. Assess for cerumen impaction and perform
hearing screening.
Rationale: Conductive causes such as cerumen impaction
should be assessed during the initial evaluation. Hearing
screening and examination help determine whether further
audiologic or specialist evaluation is needed.
Question 5
, A patient with asthma reports using a short-acting
bronchodilator several times every day. What does this pattern
suggest?
A. Excellent asthma control
B. Poor asthma control requiring reassessment
C. Normal medication use
D. Resolution of airway inflammation
Answer: B. Poor asthma control requiring reassessment.
Rationale: Frequent reliance on a short-acting rescue
medication suggests inadequate control. The clinician should
reassess adherence, inhaler technique, triggers, severity, and
the patient's controller regimen.
Question 6
A 45-year-old patient presents with fatigue, constipation, cold
intolerance, and weight gain. Which laboratory test is most
appropriate initially?
A. TSH
B. Serum cortisol
C. Troponin
D. Serum amylase
Answer: A. TSH.
Rationale: The symptoms are compatible with hypothyroidism.
Thyroid-stimulating hormone is typically the initial laboratory
test used to evaluate suspected primary hypothyroidism.
