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NRNP 6531/ FINAL EXAM NRNP 6531 LATEST UPDATE 2025/2026 QUESTIONS WITH DETAILED VERIFIED ANSWERS GRADED A+ WITH RATIONALES $14.99
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NRNP 6531/ FINAL EXAM NRNP 6531 LATEST UPDATE 2025/2026 QUESTIONS WITH DETAILED VERIFIED ANSWERS GRADED A+ WITH RATIONALES

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NRNP 6531/ FINAL EXAM NRNP 6531 LATEST UPDATE 2025/2026 QUESTIONS WITH DETAILED VERIFIED ANSWERS GRADED A+ WITH RATIONALES

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  • January 18, 2025
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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NRNP 6531/ FINAL EXAM NRNP 6531 LATEST UPDATE
2025/2026 QUESTIONS WITH DETAILED VERIFIED
ANSWERS GRADED A+ WITH RATIONALES
1. Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily.
Her exacerbations affect her activities and occur at least twice weekly, lasting for days. She is affected
more than once weekly during the night with an exacerbation. Which category of asthma severity is
Lisa in?

A. Mild Intermittent
B. Mild Persistent
C. Moderate Persistent
D. Severe Persistent

Answer: C. Moderate Persistent
Rationale: Moderate persistent asthma is characterized by daily symptoms, nighttime awakenings more
than once a week, and exacerbations that affect activity levels.



2. Harriet, a 79-year-old woman, comes to your office every 3 months for follow-up on her
hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500
mg daily. At today's visit, her blood pressure is 170/89. According to JNC VIII guidelines, what should
you do next to control Harriet's blood pressure?

A. Increase Lisinopril to 10mg daily
B. Add a thiazide diuretic to Lisinopril 5mg daily
C. Add a calcium channel blocker
D. Discontinue Lisinopril and start a beta-blocker

Answer: B. Add a thiazide diuretic to Lisinopril 5mg daily
Rationale: JNC VIII guidelines recommend adding a thiazide diuretic if blood pressure is not controlled
with an ACE inhibitor like Lisinopril.



3. What condition is associated with mucus production greater than 3 months per year for at least 2
consecutive years?

,A. Asthma
B. Chronic Bronchitis
C. Emphysema
D. Pneumonia

Answer: B. Chronic Bronchitis
Rationale: Chronic bronchitis is defined by mucus production for more than 3 months per year for at
least 2 consecutive years.



4. Risk factors for acute arterial insufficiency include which of the following?

A. Recent MI, Arterial Fibrillation, and Atherosclerosis
B. Hypertension, Diabetes, and Obesity
C. Smoking, Alcohol Use, and Sedentary Lifestyle
D. Hyperlipidemia, Family History, and Stress

Answer: A. Recent MI, Arterial Fibrillation, and Atherosclerosis
Rationale: Recent MI, arterial fibrillation, and atherosclerosis are significant risk factors for acute arterial
insufficiency.



5. Other than smoking cessation, which of the following slows the progression of COPD in smokers?

A. Engaging in moderate to high levels of physical activity
B. Taking daily multivitamins
C. Avoiding cold weather
D. Using antihistamines

Answer: A. Engaging in moderate to high levels of physical activity
Rationale: Physical activity has been shown to slow the progression of COPD in smokers.



6. Management of a patient with hypertension and an abdominal aortic aneurysm would include:

A. Referral to a cardiologist
B. Immediate surgical intervention
C. Lifestyle modifications only
D. Prescribing beta-blockers

Answer: A. Referral to a cardiologist
Rationale: Patients with hypertension and an abdominal aortic aneurysm should be referred to a
cardiologist for specialized management.

, 7. A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The
echocardiogram reveals an ejection fraction of 38%. The nurse practitioner knows that these findings
are consistent with:

A. Systolic heart failure
B. Diastolic heart failure
C. Pulmonary embolism
D. Chronic bronchitis

Answer: A. Systolic heart failure
Rationale: An ejection fraction below 40% is indicative of systolic heart failure.



8. A 20-year-old is diagnosed with mild persistent asthma. What drug combination would be most
effective in keeping him symptom-free?

A. A bronchodilator PRN and an inhaled corticosteroid
B. Oral corticosteroids and antihistamines
C. Leukotriene modifiers and antihistamines
D. Beta-blockers and diuretics

Answer: A. A bronchodilator PRN and an inhaled corticosteroid
Rationale: For mild persistent asthma, a bronchodilator PRN and an inhaled corticosteroid are the most
effective combination.



9. A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past
hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these
changes are consistent with which myocardial infarction territory?

A. Anterior wall
B. Inferior wall
C. Lateral wall
D. Posterior wall

Answer: B. Inferior wall
Rationale: ST elevations in Leads II, III, and AVF indicate an inferior wall myocardial infarction.



10. Antibiotic administration has been demonstrated to be of little benefit to the treatment of which
of the following disease processes?

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