NRNP 6566 Advanced Care of Adults in Acute Settings I | Walden University |
Academic Year 2026/2027 | Final Comprehensive Examination | over 100 Verified
Questions and Correct Answer Rationales
1. Which of the following accounts for half of the bladder tumors among men and one-
third in women? - ANSWERS-Cigarette smoke, both active and passive inhalation
2. You have a new patient that presents with generalized lymphadenopathy. You know
that this is indicative of: - ANSWERS-Cancer of the liver
3. Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel
syndrome. Your next step is to - ANSWERS-try neutral position wrist splinting and
order an oral NSAID
4. Which drug category contains the drugs that are the first line Gold standard therapy
for COPD? - ANSWERS-Inhaled beta-2 agonist bronchodilators
5. Potential causes of septic arthritis include which of the following? - ANSWERS-A and
B
6. A patient has been taking fluoxetine (Prozac) since being diagnosed with major
depression, first episode, 2 months ago. She reports considerable improvement in her
symptoms and her intention to discontinue the medication. What should be the nurse
practitioner's recommendation? - ANSWERS-Recommend that the patient continue
the antidepressant medication for at least 4 more months
7. Your patient has an elevated mean cell volume (MCV). What should you be
considering in terms of diagnosis? - ANSWERS-Liver disease
8. Which of the following medications increase the risk for metabolic syndrome? -
ANSWERS-All of the above
(Antihistamines, PPI, protease inhibitors)
9. The hallmark of neurofibromatosis (von Recklinghausen's disease) present in almost
100% of patients is - ANSWERS-Café au lait spots
10. The most commonly recommended pharmacological treatment regimen for low back
pain (LBP) is: - ANSWERS-acetaminophen, nonsteroidal anti-inflammatory drugs
(nsaids)
11. Legal authority for advanced practice nursing rests with - ANSWERS-Certifying bodies
(maybe)
12. Which of the following physical modalities recommended for treatment of
rheumatoid arthritis provides the most effective long term pain relief? - ANSWERS-
Application of cold
, 13. A patient presents with dehydration, hypotension, and fever. Laboratory testing
reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are
corrected, but the patient returns 6 weeks later with the same symptoms of
hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s)
should the nurse practitioner take? - ANSWERS-Obtain a thorough history and
physical, and check serum cortisol and ACTH levels.
14. Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states
that he did not know if it was ever elevated before. When you retake his blood pressure
at the end of the exam, it remains at 144/98. What should your next action be? -
ANSWERS-stage 2 hypertension (lifestyle change, and medication
15. Martin is complaining of erectile dysfunction. He also has a condition that has
reduced arterial blood flow to his penis. The most common cause of this condition is
- ANSWERS-Diabetes mellitus
16. Which of the following is not a risk factor associated with the development of
syndrome X and type 2 diabetes mellitus? - ANSWERS-Postprandial hypoglycemia
17. A 28 years old female presents to the office requesting testing for the diagnosis of
hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is
concerned about her risk factors the nurse practitioner explains that: - ANSWERS-B
and D
(Hereditary thrombophilia does not always require anticoagulation therapy and
genetic and risk managment counseling are recommended)
18. The 4 classic features of Parkinson's disease - ANSWERS-tremor at rest, rigidity,
bradykinesia, and postural disturbances
19. Which if the following set of symptoms should raise suspicion of brain tumor -
ANSWERS-Holocarnial headaches present in the morning and accompanied by
projective vomiting without nausea
20. The most common cause of elevated liver function test is - ANSWERS-Chronic
alcohol abuse
21. A 60-year-old male patient with multiple health problems presents with a complain
of erectile dysfunction (ED). Of the following which medication is most likely to be
causing the problem? - ANSWERS-thiazide diuretic
(hypertensive meds such as hydrochlorothiazide and other DM2 meds)
22. The physiological explanation of syncope is - ANSWERS-a cycle of inappropriate
vasodilation, bradycardia, and hypotension.
23. The cardinal sign of infectious arthritis is - ANSWERS-Affected joint is painful at rest,
with movement and weight bearing
Academic Year 2026/2027 | Final Comprehensive Examination | over 100 Verified
Questions and Correct Answer Rationales
1. Which of the following accounts for half of the bladder tumors among men and one-
third in women? - ANSWERS-Cigarette smoke, both active and passive inhalation
2. You have a new patient that presents with generalized lymphadenopathy. You know
that this is indicative of: - ANSWERS-Cancer of the liver
3. Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel
syndrome. Your next step is to - ANSWERS-try neutral position wrist splinting and
order an oral NSAID
4. Which drug category contains the drugs that are the first line Gold standard therapy
for COPD? - ANSWERS-Inhaled beta-2 agonist bronchodilators
5. Potential causes of septic arthritis include which of the following? - ANSWERS-A and
B
6. A patient has been taking fluoxetine (Prozac) since being diagnosed with major
depression, first episode, 2 months ago. She reports considerable improvement in her
symptoms and her intention to discontinue the medication. What should be the nurse
practitioner's recommendation? - ANSWERS-Recommend that the patient continue
the antidepressant medication for at least 4 more months
7. Your patient has an elevated mean cell volume (MCV). What should you be
considering in terms of diagnosis? - ANSWERS-Liver disease
8. Which of the following medications increase the risk for metabolic syndrome? -
ANSWERS-All of the above
(Antihistamines, PPI, protease inhibitors)
9. The hallmark of neurofibromatosis (von Recklinghausen's disease) present in almost
100% of patients is - ANSWERS-Café au lait spots
10. The most commonly recommended pharmacological treatment regimen for low back
pain (LBP) is: - ANSWERS-acetaminophen, nonsteroidal anti-inflammatory drugs
(nsaids)
11. Legal authority for advanced practice nursing rests with - ANSWERS-Certifying bodies
(maybe)
12. Which of the following physical modalities recommended for treatment of
rheumatoid arthritis provides the most effective long term pain relief? - ANSWERS-
Application of cold
, 13. A patient presents with dehydration, hypotension, and fever. Laboratory testing
reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are
corrected, but the patient returns 6 weeks later with the same symptoms of
hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s)
should the nurse practitioner take? - ANSWERS-Obtain a thorough history and
physical, and check serum cortisol and ACTH levels.
14. Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states
that he did not know if it was ever elevated before. When you retake his blood pressure
at the end of the exam, it remains at 144/98. What should your next action be? -
ANSWERS-stage 2 hypertension (lifestyle change, and medication
15. Martin is complaining of erectile dysfunction. He also has a condition that has
reduced arterial blood flow to his penis. The most common cause of this condition is
- ANSWERS-Diabetes mellitus
16. Which of the following is not a risk factor associated with the development of
syndrome X and type 2 diabetes mellitus? - ANSWERS-Postprandial hypoglycemia
17. A 28 years old female presents to the office requesting testing for the diagnosis of
hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is
concerned about her risk factors the nurse practitioner explains that: - ANSWERS-B
and D
(Hereditary thrombophilia does not always require anticoagulation therapy and
genetic and risk managment counseling are recommended)
18. The 4 classic features of Parkinson's disease - ANSWERS-tremor at rest, rigidity,
bradykinesia, and postural disturbances
19. Which if the following set of symptoms should raise suspicion of brain tumor -
ANSWERS-Holocarnial headaches present in the morning and accompanied by
projective vomiting without nausea
20. The most common cause of elevated liver function test is - ANSWERS-Chronic
alcohol abuse
21. A 60-year-old male patient with multiple health problems presents with a complain
of erectile dysfunction (ED). Of the following which medication is most likely to be
causing the problem? - ANSWERS-thiazide diuretic
(hypertensive meds such as hydrochlorothiazide and other DM2 meds)
22. The physiological explanation of syncope is - ANSWERS-a cycle of inappropriate
vasodilation, bradycardia, and hypotension.
23. The cardinal sign of infectious arthritis is - ANSWERS-Affected joint is painful at rest,
with movement and weight bearing
