NRNP 6540 EVIDENCE BASED PRACTICE
AND PATIENT MANAGEMENT PRACTICE
TEST 2026
◉ Which communication technique for a patient after laryngectomy
involves creation of a fistula between the esophagus and trachea in a
patient?
A. Electrolarynx
B. Esophageal speech
C. Transesophageal puncture
D. Keyboard- based communication program
Answer: C. Transesophageal puncture
◉ Which changes are expected in a patient after undergoing a total
laryngectomy? Select all that apply.
A. Loss of taste
B. Loss of smell
C. Loss of vision
D. Loss of speech
E. Loss of motor function
Answer: A. Loss of taste
B. Loss of smell
,D. Loss of speech
◉ When a patient is diagnosed with acute bacterial pharyngitis,
which prescribed medication would the nurse question?
A. Nystatin
B. Ibuprofen
C. Penicillin G
D. Acetaminophen
Answer: A. Nystatin
Rationale;
Nystatin is an antifungal medication that is used to treat fungal
pharyngitis, most typically caused by Candida. Penicillin is the
preferred treatment for bacterial pharyngitis. Ibuprofen and
acetaminophen are recommended for pain and fever relief
◉ Which diagnosis will the nurse expect for a patient who recently
brought home a cat and presents with a persistent runny nose,
sneezing, watery eyes, a recent onset of headache and nasal
congestion?
A. Influenza
B. Common cold
C. Allergic rhinitis
D. Nasal septal deviation
Answer: C. Allergic rhinitis
, ◉ Which assessment is most important to obtain for a patient with a
radical neck dissection who is refusing any enteral feeding?
A. Weight
B. Pulse rate
C. BP
D. Respiratory rate
Answer: A. Weight
◉ The nurse will include which teaching for a patient with sinusitis?
select all that apply.
A. Take plenty of rest
B. Drink plenty of water.
C. Take a cool water bath twice a day
D. Sleep with the head in a lower position
E. Perform large- volume nasal saline washes once or twice a day
Answer: A. Take plenty of rest
B. Drink plenty of water.
E. Perform large- volume nasal saline washes once or twice a day
◉ Which instructions will the nurse include in teaching a patient
with allergic rhinitis about the use of corticosteroid nasal spray?
Select all that apply
AND PATIENT MANAGEMENT PRACTICE
TEST 2026
◉ Which communication technique for a patient after laryngectomy
involves creation of a fistula between the esophagus and trachea in a
patient?
A. Electrolarynx
B. Esophageal speech
C. Transesophageal puncture
D. Keyboard- based communication program
Answer: C. Transesophageal puncture
◉ Which changes are expected in a patient after undergoing a total
laryngectomy? Select all that apply.
A. Loss of taste
B. Loss of smell
C. Loss of vision
D. Loss of speech
E. Loss of motor function
Answer: A. Loss of taste
B. Loss of smell
,D. Loss of speech
◉ When a patient is diagnosed with acute bacterial pharyngitis,
which prescribed medication would the nurse question?
A. Nystatin
B. Ibuprofen
C. Penicillin G
D. Acetaminophen
Answer: A. Nystatin
Rationale;
Nystatin is an antifungal medication that is used to treat fungal
pharyngitis, most typically caused by Candida. Penicillin is the
preferred treatment for bacterial pharyngitis. Ibuprofen and
acetaminophen are recommended for pain and fever relief
◉ Which diagnosis will the nurse expect for a patient who recently
brought home a cat and presents with a persistent runny nose,
sneezing, watery eyes, a recent onset of headache and nasal
congestion?
A. Influenza
B. Common cold
C. Allergic rhinitis
D. Nasal septal deviation
Answer: C. Allergic rhinitis
, ◉ Which assessment is most important to obtain for a patient with a
radical neck dissection who is refusing any enteral feeding?
A. Weight
B. Pulse rate
C. BP
D. Respiratory rate
Answer: A. Weight
◉ The nurse will include which teaching for a patient with sinusitis?
select all that apply.
A. Take plenty of rest
B. Drink plenty of water.
C. Take a cool water bath twice a day
D. Sleep with the head in a lower position
E. Perform large- volume nasal saline washes once or twice a day
Answer: A. Take plenty of rest
B. Drink plenty of water.
E. Perform large- volume nasal saline washes once or twice a day
◉ Which instructions will the nurse include in teaching a patient
with allergic rhinitis about the use of corticosteroid nasal spray?
Select all that apply
