NRNP 6531 Midterm Exam 2025-2026
Questions and Correct Answers Rated A+
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:
Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis - ANSWERS-Gonococcal conjunctivitis
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: A
common case of shingles and prescribe an analgesic and an
antiviral agent
,A complicated case of shingles and prescribe acyclovir, an
analgesic, and a topical
cortisone cream
Herpes zoster and consider that this patient may be
immunocompromised
A recurrence of chickenpox and treat the patient's symptoms -
ANSWERS-Herpes
zoster and consider that this patient may be
immunocompromised
Which type of lung cancer has the poorest prognosis?
Adenocarcinoma
Epidermoid carcinoma
Small cell carcinoma
Large cell carcinoma - ANSWERS-Small cell carcinoma
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:
Acute diarrhea
,Chronic diarrhea
Irritable bowel
Functional bowel disease - ANSWERS-Chronic diarrhea
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?
An allergic reaction
Relapsing polychondritis
Lymphocytoma cutis
Systemic lupus erythematosus - ANSWERS-Systemic lupus
erythematosus
Antibiotic administration has been demonstrated to be of little
benefit to the treatment of
which of the following disease processes?
Chronic sinusitis
Acute bronchitis
Bacterial pneumonia
, Acute exacerbation of chronic bronchitis - ANSWERS-Acute
bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled
short-acting beta-2 agonist daily. Her exacerbations affect her
activities and they occur at least twice weekly and may last for
days. She is affected more than once weekly during the night with
an exacerbation. Which category of asthma severity is Lisa in?
Mild intermittent
Mild persistent
Moderate persistent - ANSWERS-Moderate persistent
Which of the following is the most appropriate therapeutic
regimen for an adult patient
with no known allergies diagnosed with group A B-hemolytic
strep?
Penicillin V 500 milligrams PO every 8 hours for 10 days
Ampicillin 250 milligrams PO twice a day for 10 days
Clarithromycin 500 milligrams po daily for 7 days
None of the above - ANSWERS-Penicillin V 500 milligrams PO
every 8 hours for 10
days
Questions and Correct Answers Rated A+
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:
Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis - ANSWERS-Gonococcal conjunctivitis
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: A
common case of shingles and prescribe an analgesic and an
antiviral agent
,A complicated case of shingles and prescribe acyclovir, an
analgesic, and a topical
cortisone cream
Herpes zoster and consider that this patient may be
immunocompromised
A recurrence of chickenpox and treat the patient's symptoms -
ANSWERS-Herpes
zoster and consider that this patient may be
immunocompromised
Which type of lung cancer has the poorest prognosis?
Adenocarcinoma
Epidermoid carcinoma
Small cell carcinoma
Large cell carcinoma - ANSWERS-Small cell carcinoma
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:
Acute diarrhea
,Chronic diarrhea
Irritable bowel
Functional bowel disease - ANSWERS-Chronic diarrhea
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?
An allergic reaction
Relapsing polychondritis
Lymphocytoma cutis
Systemic lupus erythematosus - ANSWERS-Systemic lupus
erythematosus
Antibiotic administration has been demonstrated to be of little
benefit to the treatment of
which of the following disease processes?
Chronic sinusitis
Acute bronchitis
Bacterial pneumonia
, Acute exacerbation of chronic bronchitis - ANSWERS-Acute
bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled
short-acting beta-2 agonist daily. Her exacerbations affect her
activities and they occur at least twice weekly and may last for
days. She is affected more than once weekly during the night with
an exacerbation. Which category of asthma severity is Lisa in?
Mild intermittent
Mild persistent
Moderate persistent - ANSWERS-Moderate persistent
Which of the following is the most appropriate therapeutic
regimen for an adult patient
with no known allergies diagnosed with group A B-hemolytic
strep?
Penicillin V 500 milligrams PO every 8 hours for 10 days
Ampicillin 250 milligrams PO twice a day for 10 days
Clarithromycin 500 milligrams po daily for 7 days
None of the above - ANSWERS-Penicillin V 500 milligrams PO
every 8 hours for 10
days
