NRNP 6531 Final Exam 2025-2026 |NRNP
Latest Update Questions and Correct
Answers| Rated A+
A 54 year old white man with no obvious risk for prostate
cancer opted to undergo PSA screening and
DRE testing. The DRE findings are normal and his PSA is
3..7ng/ml. You recommend: A. Repeating the PSA test
immediately.
B. Repeat screening in 1 yr.
C. Repeat screening in 2 yrs.
D. Repeat screening in 5 yrs. - ANSWERS-Repeat screening
in 1 yr.
Which of the following mediations is associated with the
highest incidence of erectile dysfunction?
a. Lamotrigine (Lamictal)
b. Clonazepam (Klonopin)
c. Paroxetine (Paxil)
d. Doxepin (Sinequan) - ANSWERS-Paroxetine (Paxil)
Which of the following is not a common risk factor for erectile
dysfunction (ED)?
,A. diabetes mellitus
B. hypertension
C. cigarette smoking
D. testosterone deficiency - ANSWERS-testosterone
deficiency
When taking a phosphodiesterase-5 (PDE-5) inhibitor,
concomitant use of which
medication must be
avoided?
A. statins
B. sulfonylurea
C. angiotensin-converting enzyme (ACE) inhibitors
D. nitrates - ANSWERS-nitrates
A patient who has had a swollen, nontender scrotum for one
week is found to have a mass within the tunica vaginalis that
transilluminates readily. The family nurse practitioner suspects:
a.) a hydrocele.
b.) a varicocele.
c.) an indirect inguinal hernia.
d.) carcinoma of the testis. - ANSWERS-a hydrocele.
A client had excessive blood loss and prolonged hypotension
during surgery. His postoperative urine
output is sharply decreased, and his blood urea nitrogen (BUN)
is elevated. The most likely cause for the change is acute: A)
Prerenal inflammation
B) Bladder outlet obstruction
C) Tubular necrosis
,D) Intrarenal nephrotoxicity - ANSWERS-Bladder outlet
obstruction
Mr. S. comes to you with scrotal pain. The examinations of his
scrotum, penis, and rectum are normal. Which of the following
conditions outside of the scrotum may present as scrotal pain?
A. Inguinal herniation and peritonitis
B. Renal colic and cardiac ischemia
C. Pancreatitis and Crohn ' s disease
D. Polyarteritis nodosa and ulcerative colitis - ANSWERS-
Inguinal herniation and peritonitis
The most common type of hernia is a(n): A. indirect inguinal
hernia.
B. direct inguinal hernia.
C. femoral hernia.
D. umbilical hernia. - ANSWERS-indirect inguinal hernia.
Max, age 70, is obese. He is complaining of a bulge in his groin
that has been there for months. He
states that it is not painful, but it is annoying. You note that the
origin of swelling is above the inguinal ligament directly behind
and through the external ring. You diagnose this as a(n):
A. indirect inguinal hernia.
B. direct inguinal hernia.
C. femoral hernia.
D. strangulated hernia. - ANSWERS-direct inguinal hernia.
A 35 year old sexually active man presents with a 1 week
history of fever and pain over the left scrotum.
It is accompanied by frequency and dysuria. The scrotum is
edematous and tender to touch. He denies flank pain, nausea,
, and vomiting. He reports that eh pain is lessend when he uses
scrotal-support briefs.
The urinalysis shows 2 + blood and a large number of
leukocytes. What is the most likely diagnosis?
A. Acute urinary tract infection
B. Acute pyelonephritis
C. Acute orthitis
D. Acute epididymitis - ANSWERS-Acute epididymitis
Orchitis is caused by which of the following?
A. Mumps virus
B. Measles virus
C. Chlamydia trachomatis
D. Chronic urinary tract infections that are not treated
adequately - ANSWERS-Mumps virus
A 10 year old boy complains of sudden onset of scrotal pain
upon awakening that morning. He is also
complaining of severe nausea and vomiting. During the
physical examination, the nurse practitioner
finds a tender, warm, and swollen left scrotum. The cremastic
reflex is negative and the urine dipstick is negative for
leukocytes, nitrites, and blood. The most likely diagnosis is:
A. Acute epididymitis
B. Severe salmonella infection
C. Testicular torsion
D. Acute orchitis - ANSWERS-Testicular torsion
What type of follow up should this patient receive?
A. Refer to a urologist within 48 hours
B. Refer him to the emergency department as soon as
possible
Latest Update Questions and Correct
Answers| Rated A+
A 54 year old white man with no obvious risk for prostate
cancer opted to undergo PSA screening and
DRE testing. The DRE findings are normal and his PSA is
3..7ng/ml. You recommend: A. Repeating the PSA test
immediately.
B. Repeat screening in 1 yr.
C. Repeat screening in 2 yrs.
D. Repeat screening in 5 yrs. - ANSWERS-Repeat screening
in 1 yr.
Which of the following mediations is associated with the
highest incidence of erectile dysfunction?
a. Lamotrigine (Lamictal)
b. Clonazepam (Klonopin)
c. Paroxetine (Paxil)
d. Doxepin (Sinequan) - ANSWERS-Paroxetine (Paxil)
Which of the following is not a common risk factor for erectile
dysfunction (ED)?
,A. diabetes mellitus
B. hypertension
C. cigarette smoking
D. testosterone deficiency - ANSWERS-testosterone
deficiency
When taking a phosphodiesterase-5 (PDE-5) inhibitor,
concomitant use of which
medication must be
avoided?
A. statins
B. sulfonylurea
C. angiotensin-converting enzyme (ACE) inhibitors
D. nitrates - ANSWERS-nitrates
A patient who has had a swollen, nontender scrotum for one
week is found to have a mass within the tunica vaginalis that
transilluminates readily. The family nurse practitioner suspects:
a.) a hydrocele.
b.) a varicocele.
c.) an indirect inguinal hernia.
d.) carcinoma of the testis. - ANSWERS-a hydrocele.
A client had excessive blood loss and prolonged hypotension
during surgery. His postoperative urine
output is sharply decreased, and his blood urea nitrogen (BUN)
is elevated. The most likely cause for the change is acute: A)
Prerenal inflammation
B) Bladder outlet obstruction
C) Tubular necrosis
,D) Intrarenal nephrotoxicity - ANSWERS-Bladder outlet
obstruction
Mr. S. comes to you with scrotal pain. The examinations of his
scrotum, penis, and rectum are normal. Which of the following
conditions outside of the scrotum may present as scrotal pain?
A. Inguinal herniation and peritonitis
B. Renal colic and cardiac ischemia
C. Pancreatitis and Crohn ' s disease
D. Polyarteritis nodosa and ulcerative colitis - ANSWERS-
Inguinal herniation and peritonitis
The most common type of hernia is a(n): A. indirect inguinal
hernia.
B. direct inguinal hernia.
C. femoral hernia.
D. umbilical hernia. - ANSWERS-indirect inguinal hernia.
Max, age 70, is obese. He is complaining of a bulge in his groin
that has been there for months. He
states that it is not painful, but it is annoying. You note that the
origin of swelling is above the inguinal ligament directly behind
and through the external ring. You diagnose this as a(n):
A. indirect inguinal hernia.
B. direct inguinal hernia.
C. femoral hernia.
D. strangulated hernia. - ANSWERS-direct inguinal hernia.
A 35 year old sexually active man presents with a 1 week
history of fever and pain over the left scrotum.
It is accompanied by frequency and dysuria. The scrotum is
edematous and tender to touch. He denies flank pain, nausea,
, and vomiting. He reports that eh pain is lessend when he uses
scrotal-support briefs.
The urinalysis shows 2 + blood and a large number of
leukocytes. What is the most likely diagnosis?
A. Acute urinary tract infection
B. Acute pyelonephritis
C. Acute orthitis
D. Acute epididymitis - ANSWERS-Acute epididymitis
Orchitis is caused by which of the following?
A. Mumps virus
B. Measles virus
C. Chlamydia trachomatis
D. Chronic urinary tract infections that are not treated
adequately - ANSWERS-Mumps virus
A 10 year old boy complains of sudden onset of scrotal pain
upon awakening that morning. He is also
complaining of severe nausea and vomiting. During the
physical examination, the nurse practitioner
finds a tender, warm, and swollen left scrotum. The cremastic
reflex is negative and the urine dipstick is negative for
leukocytes, nitrites, and blood. The most likely diagnosis is:
A. Acute epididymitis
B. Severe salmonella infection
C. Testicular torsion
D. Acute orchitis - ANSWERS-Testicular torsion
What type of follow up should this patient receive?
A. Refer to a urologist within 48 hours
B. Refer him to the emergency department as soon as
possible
