NRP 571 ADVANCED PRACTICE
NURSING EXAM REVIEW QUESTIONS
AND ANSWERS | 2026/2027 UPDATE |
100% CORRECT
1. A 65-year-old patient presents with new-onset atrial fibrillation. Which diagnostic tool is
most essential for calculating the stroke risk to determine anticoagulation therapy?
A. Framingham Risk Score
B. HAS-BLED score
C. CHADS2-VASc score
D. NYHA Classification
Answer: C
Conceptual Explanation: The CHA2DS2-VASc score is the clinical validated tool used to
estimate the risk of stroke in patients with non-valvular atrial fibrillation and guides the
initiation of anticoagulation.
2. During a physical exam, the nurse practitioner notes a mid-systolic click followed by a late
systolic murmur at the apex. This finding is most consistent with:
A. Aortic Stenosis
B. Mitral Regurgitation
,C. Mitral Valve Prolapse
D. Tricuspid Stenosis
Answer: C
Conceptual Explanation: Mitral valve prolapse (MVP) is classically characterized by a
mid-systolic click often followed by a late systolic murmur of mitral regurgitation.
3. A patient with COPD presents with an FEV1/FVC ratio of 0.62 and an FEV1 of 45%
predicted. According to GOLD criteria, how would this be classified?
A. GOLD 1: Mild
B. GOLD 2: Moderate
C. GOLD 4: Very Severe
D. GOLD 3: Severe
Answer: D
Conceptual Explanation: GOLD 3 (Severe) is defined by an FEV1/FVC < 0.70 and an FEV1
between 30% and 49% of the predicted value.
4. Which of the following physical exam maneuvers is most sensitive for detecting an anterior
cruciate ligament (ACL) tear?
A. McMurray test
B. Lachman test
C. Valgus stress test
, D. Posterior drawer test
Answer: B
Conceptual Explanation: The Lachman test is widely considered the most sensitive
clinical test for diagnosing an ACL injury, superior to the anterior drawer test.
5. A 45-year-old male presents with severe pain in the first metatarsophalangeal joint.
Microscopic examination of joint fluid reveals negatively birefringent needle-shaped crystals.
What is the diagnosis?
A. Pseudogout
B. Rheumatoid Arthritis
C. Gout
D. Septic Arthritis
Answer: C
Conceptual Explanation: Gout is definitively diagnosed by identifying negatively
birefringent needle-shaped monosodium urate crystals in synovial fluid.
6. In the interpretation of Thyroid Function Tests, a low TSH and a high Free T4 are indicative
of:
A. Primary Hyperthyroidism
B. Secondary Hypothyroidism
C. Primary Hypothyroidism
NURSING EXAM REVIEW QUESTIONS
AND ANSWERS | 2026/2027 UPDATE |
100% CORRECT
1. A 65-year-old patient presents with new-onset atrial fibrillation. Which diagnostic tool is
most essential for calculating the stroke risk to determine anticoagulation therapy?
A. Framingham Risk Score
B. HAS-BLED score
C. CHADS2-VASc score
D. NYHA Classification
Answer: C
Conceptual Explanation: The CHA2DS2-VASc score is the clinical validated tool used to
estimate the risk of stroke in patients with non-valvular atrial fibrillation and guides the
initiation of anticoagulation.
2. During a physical exam, the nurse practitioner notes a mid-systolic click followed by a late
systolic murmur at the apex. This finding is most consistent with:
A. Aortic Stenosis
B. Mitral Regurgitation
,C. Mitral Valve Prolapse
D. Tricuspid Stenosis
Answer: C
Conceptual Explanation: Mitral valve prolapse (MVP) is classically characterized by a
mid-systolic click often followed by a late systolic murmur of mitral regurgitation.
3. A patient with COPD presents with an FEV1/FVC ratio of 0.62 and an FEV1 of 45%
predicted. According to GOLD criteria, how would this be classified?
A. GOLD 1: Mild
B. GOLD 2: Moderate
C. GOLD 4: Very Severe
D. GOLD 3: Severe
Answer: D
Conceptual Explanation: GOLD 3 (Severe) is defined by an FEV1/FVC < 0.70 and an FEV1
between 30% and 49% of the predicted value.
4. Which of the following physical exam maneuvers is most sensitive for detecting an anterior
cruciate ligament (ACL) tear?
A. McMurray test
B. Lachman test
C. Valgus stress test
, D. Posterior drawer test
Answer: B
Conceptual Explanation: The Lachman test is widely considered the most sensitive
clinical test for diagnosing an ACL injury, superior to the anterior drawer test.
5. A 45-year-old male presents with severe pain in the first metatarsophalangeal joint.
Microscopic examination of joint fluid reveals negatively birefringent needle-shaped crystals.
What is the diagnosis?
A. Pseudogout
B. Rheumatoid Arthritis
C. Gout
D. Septic Arthritis
Answer: C
Conceptual Explanation: Gout is definitively diagnosed by identifying negatively
birefringent needle-shaped monosodium urate crystals in synovial fluid.
6. In the interpretation of Thyroid Function Tests, a low TSH and a high Free T4 are indicative
of:
A. Primary Hyperthyroidism
B. Secondary Hypothyroidism
C. Primary Hypothyroidism
