NRNP 6540 EXAM WITH QUESTIONS AND
ANSWERS|| LATEST VERSION 2026
Mr. Angulo is an 89-year-old patient who was recently an inpatient for
pneumonia and was bedridden for 1 week. He is now presenting dysuria,
suprapubic tenderness accompanied by fever, and increased confusion. Based
on his recent history, which of the following conditions may be developing?
1. Cystitis
2. Distended bladder
3. Prostate stones
4.Subacute prostatitis - ANSWER-5. Answer: 1
Page: 289
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1.
Symptoms are indicative of cystitis, and because the patient was bedridden and
may have had placement of a catheter, this increases the likelihood.
2.
Distended bladder is less likely to be the condition the patient is developing,
given the history and symptoms.
3.
Prostate stones are less likely to be the condition the patient is developing, given
the history and symptoms.
4.
,Subacute prostatitis is less likely to be the condition the patient is developing,
given the history and symptoms.
Which of the following statements is true for untreated symptomatic cystitis?
1. Untreated symptomatic cystitis can lead to pneumonia.
2. Untreated symptomatic cystitis can resolve on its own.
3. Untreated symptomatic cystitis can lead to pyelonephritis, sepsis, shock, and
death.
4. Untreated symptomatic cystitis can lead to prostatic cancer, vaginitis, and
sepsis. - ANSWER-6. Answer: 3
Page: 291
Feedback
1.
Pneumonia is a complication in the respiratory system.
2.
Treatment is indicated to resolve cystitis.
3.
Untreated symptomatic cystitis can lead to pyelonephritis, sepsis, shock, and
death.
4.
Untreated symptomatic cystitis does not lead to prostatic cancer or vaginitis, but
it can lead to sepsis.
The nurse practitioner is considering ordering medications to help control an
older patient's agitation. She chooses which of the following?
,1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants - ANSWER-4. Answer: 1
Page: 429
Feedback
1.
There are two types of treatment for agitation: psychotropic medications and
behavioral interventions. Psychotropic medications include antipsychotics,
anxiolytics, and antidepressants.
2.
Antiseizure drugs are used for manic-like symptoms. Evidence supports the use
of antiseizure medications instead of antipsychotics.
3.
Anxiolytics treat the symptoms of anxiety that often accompany agitation.
4.
If there is evidence of depression, an antidepressant may be indicated.
6. Jane Smith is a 70-year-old Caucasian woman who comes to see her nurse
practitioner for pain in her abdomen. The nurse practitioner is aware that Mrs.
Smith is obese and has diabetes. Which of the following is a definitive
diagnostic test for cholecystitis?
1. A flat plate of the abdomen.
2. Complete blood count (CBC).
3. Lipase, amylase, and liver function tests.
4. Real-time ultrasonography of the gallbladder and biliary tree. - ANSWER-6.
Answer: 4
, Page: 232
Feedback
1.
A flat plate of the abdomen will not provide the information that a real-time
ultrasound will.
2.
Mild leukocytosis with increased band formation is the most common
abnormality seen in laboratory studies; however, white blood cell counts may
not be elevated in the older adult.
3.
Elevation in lipase, amylase, and elevated liver function tests would prompt
further evaluation for gallstone pancreatitis; however, laboratory values may be
normal.
4.
Real-time ultrasonography of the gallbladder and biliary tree is the diagnostic
procedure of choice for both acute and chronic cholecystitis, showing
gallstones, thickening of the gallbladder wall, and (if the common bile duct is
obstructed) dilation of the biliary tract.
7. Kefka Jones, 60 years old, has diabetes and is now having urinary tract
symptoms. The nurse practitioner orders a glomerular filtration rate (GFR) from
a urine sample. Which of the following would indicate a stage 1 chronic kidney
disease (CKD)?
1. GFR greater than or equal to 120mL/min.
2. GFR greater than or equal to 90 mL/min with other symptoms.
3. GFR of 45 to 59 mL/min.
4. GFR less than 15 mL/min. - ANSWER-7. Answer: 2
Page: 236
ANSWERS|| LATEST VERSION 2026
Mr. Angulo is an 89-year-old patient who was recently an inpatient for
pneumonia and was bedridden for 1 week. He is now presenting dysuria,
suprapubic tenderness accompanied by fever, and increased confusion. Based
on his recent history, which of the following conditions may be developing?
1. Cystitis
2. Distended bladder
3. Prostate stones
4.Subacute prostatitis - ANSWER-5. Answer: 1
Page: 289
Feedback
1.
Symptoms are indicative of cystitis, and because the patient was bedridden and
may have had placement of a catheter, this increases the likelihood.
2.
Distended bladder is less likely to be the condition the patient is developing,
given the history and symptoms.
3.
Prostate stones are less likely to be the condition the patient is developing, given
the history and symptoms.
4.
,Subacute prostatitis is less likely to be the condition the patient is developing,
given the history and symptoms.
Which of the following statements is true for untreated symptomatic cystitis?
1. Untreated symptomatic cystitis can lead to pneumonia.
2. Untreated symptomatic cystitis can resolve on its own.
3. Untreated symptomatic cystitis can lead to pyelonephritis, sepsis, shock, and
death.
4. Untreated symptomatic cystitis can lead to prostatic cancer, vaginitis, and
sepsis. - ANSWER-6. Answer: 3
Page: 291
Feedback
1.
Pneumonia is a complication in the respiratory system.
2.
Treatment is indicated to resolve cystitis.
3.
Untreated symptomatic cystitis can lead to pyelonephritis, sepsis, shock, and
death.
4.
Untreated symptomatic cystitis does not lead to prostatic cancer or vaginitis, but
it can lead to sepsis.
The nurse practitioner is considering ordering medications to help control an
older patient's agitation. She chooses which of the following?
,1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants - ANSWER-4. Answer: 1
Page: 429
Feedback
1.
There are two types of treatment for agitation: psychotropic medications and
behavioral interventions. Psychotropic medications include antipsychotics,
anxiolytics, and antidepressants.
2.
Antiseizure drugs are used for manic-like symptoms. Evidence supports the use
of antiseizure medications instead of antipsychotics.
3.
Anxiolytics treat the symptoms of anxiety that often accompany agitation.
4.
If there is evidence of depression, an antidepressant may be indicated.
6. Jane Smith is a 70-year-old Caucasian woman who comes to see her nurse
practitioner for pain in her abdomen. The nurse practitioner is aware that Mrs.
Smith is obese and has diabetes. Which of the following is a definitive
diagnostic test for cholecystitis?
1. A flat plate of the abdomen.
2. Complete blood count (CBC).
3. Lipase, amylase, and liver function tests.
4. Real-time ultrasonography of the gallbladder and biliary tree. - ANSWER-6.
Answer: 4
, Page: 232
Feedback
1.
A flat plate of the abdomen will not provide the information that a real-time
ultrasound will.
2.
Mild leukocytosis with increased band formation is the most common
abnormality seen in laboratory studies; however, white blood cell counts may
not be elevated in the older adult.
3.
Elevation in lipase, amylase, and elevated liver function tests would prompt
further evaluation for gallstone pancreatitis; however, laboratory values may be
normal.
4.
Real-time ultrasonography of the gallbladder and biliary tree is the diagnostic
procedure of choice for both acute and chronic cholecystitis, showing
gallstones, thickening of the gallbladder wall, and (if the common bile duct is
obstructed) dilation of the biliary tract.
7. Kefka Jones, 60 years old, has diabetes and is now having urinary tract
symptoms. The nurse practitioner orders a glomerular filtration rate (GFR) from
a urine sample. Which of the following would indicate a stage 1 chronic kidney
disease (CKD)?
1. GFR greater than or equal to 120mL/min.
2. GFR greater than or equal to 90 mL/min with other symptoms.
3. GFR of 45 to 59 mL/min.
4. GFR less than 15 mL/min. - ANSWER-7. Answer: 2
Page: 236
