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NRNP 6540 MIDTERM EXAM LATEST/NRNP6540
MIDTERM EXAM PREPARATION/ NRNP 6540 MIDTERM
EXAM PRACTICE QUESTIONS AND ANSWERS (VERIFIED
ANSWERS)|WALDEN UNIVERSITY
Question 1
A patient with acute otitis media presents with ear pain and fever. Which
treatment is commonly prescribed first-line for bacterial infection?
A. Amoxicillin
B. Ciprofloxacin
C. Metronidazole
D. Vancomycin
Answer: A
Rationale: Amoxicillin is commonly the first-line treatment for acute otitis
media.
Question 2
Which symptom is most commonly associated with hypothyroidism?
A. Fatigue
B. Heat intolerance
C. Weight loss
D. Tachycardia
Answer: A
Rationale: Hypothyroidism slows metabolism, causing fatigue.
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Question 3
A patient with asthma is prescribed albuterol. What is the primary action of this
medication?
A. Bronchodilation
B. Mucus suppression
C. Antibiotic effect
D. Sedation
Answer: A
Rationale: Albuterol relaxes bronchial smooth muscle to improve airflow.
Question 4
Which laboratory value is most useful in monitoring long-term glucose control?
A. Hemoglobin A1C
B. Troponin
C. Potassium
D. WBC count
Answer: A
Rationale: Hemoglobin A1C reflects average glucose over several months.
Question 5
A patient reports chest pain relieved by rest. Which condition should the
provider suspect?
A. Stable angina
B. Pulmonary embolism
C. Pneumonia
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D. Pericarditis
Answer: A
Rationale: Stable angina commonly improves with rest.
Question 6
Which vaccine is recommended annually for most adults?
A. Influenza vaccine
B. Rabies vaccine
C. HPV vaccine
D. Varicella vaccine
Answer: A
Rationale: Annual influenza vaccination reduces seasonal flu risk.
Question 7
A patient with GERD should be instructed to avoid which behavior?
A. Lying down after meals
B. Eating smaller meals
C. Weight reduction
D. Avoiding alcohol
Answer: A
Rationale: Reclining after eating increases reflux symptoms.
Question 8
Which symptom is commonly associated with urinary tract infection?
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A. Dysuria
B. Bradycardia
C. Hemoptysis
D. Edema
Answer: A
Rationale: Dysuria is a classic UTI symptom.
Question 9
A patient with hypertension should reduce intake of which nutrient?
A. Sodium
B. Fiber
C. Calcium
D. Protein
Answer: A
Rationale: Excess sodium contributes to elevated blood pressure.
Question 10
Which assessment finding is most concerning in a patient with pneumonia?
A. Oxygen saturation of 84%
B. Mild cough
C. Fatigue
D. Low-grade fever
Answer: A
Rationale: Severe hypoxemia requires immediate intervention.
pg. 4
NRNP 6540 MIDTERM EXAM LATEST/NRNP6540
MIDTERM EXAM PREPARATION/ NRNP 6540 MIDTERM
EXAM PRACTICE QUESTIONS AND ANSWERS (VERIFIED
ANSWERS)|WALDEN UNIVERSITY
Question 1
A patient with acute otitis media presents with ear pain and fever. Which
treatment is commonly prescribed first-line for bacterial infection?
A. Amoxicillin
B. Ciprofloxacin
C. Metronidazole
D. Vancomycin
Answer: A
Rationale: Amoxicillin is commonly the first-line treatment for acute otitis
media.
Question 2
Which symptom is most commonly associated with hypothyroidism?
A. Fatigue
B. Heat intolerance
C. Weight loss
D. Tachycardia
Answer: A
Rationale: Hypothyroidism slows metabolism, causing fatigue.
pg. 1
,2|Page
Question 3
A patient with asthma is prescribed albuterol. What is the primary action of this
medication?
A. Bronchodilation
B. Mucus suppression
C. Antibiotic effect
D. Sedation
Answer: A
Rationale: Albuterol relaxes bronchial smooth muscle to improve airflow.
Question 4
Which laboratory value is most useful in monitoring long-term glucose control?
A. Hemoglobin A1C
B. Troponin
C. Potassium
D. WBC count
Answer: A
Rationale: Hemoglobin A1C reflects average glucose over several months.
Question 5
A patient reports chest pain relieved by rest. Which condition should the
provider suspect?
A. Stable angina
B. Pulmonary embolism
C. Pneumonia
pg. 2
,3|Page
D. Pericarditis
Answer: A
Rationale: Stable angina commonly improves with rest.
Question 6
Which vaccine is recommended annually for most adults?
A. Influenza vaccine
B. Rabies vaccine
C. HPV vaccine
D. Varicella vaccine
Answer: A
Rationale: Annual influenza vaccination reduces seasonal flu risk.
Question 7
A patient with GERD should be instructed to avoid which behavior?
A. Lying down after meals
B. Eating smaller meals
C. Weight reduction
D. Avoiding alcohol
Answer: A
Rationale: Reclining after eating increases reflux symptoms.
Question 8
Which symptom is commonly associated with urinary tract infection?
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, 4|Page
A. Dysuria
B. Bradycardia
C. Hemoptysis
D. Edema
Answer: A
Rationale: Dysuria is a classic UTI symptom.
Question 9
A patient with hypertension should reduce intake of which nutrient?
A. Sodium
B. Fiber
C. Calcium
D. Protein
Answer: A
Rationale: Excess sodium contributes to elevated blood pressure.
Question 10
Which assessment finding is most concerning in a patient with pneumonia?
A. Oxygen saturation of 84%
B. Mild cough
C. Fatigue
D. Low-grade fever
Answer: A
Rationale: Severe hypoxemia requires immediate intervention.
pg. 4
