NRNP 6531 MIDTERM EXAM (VERIFIED
AND CORRECT Q & A) SATISFACTION
GUARANTEED 2026/2027
1. A 65-year-old male patient presents with a sudden onset of ‘the worst headache of my
life.’ He has a history of hypertension but no previous history of migraines. What is the most
likely diagnosis?
A. Cluster headache
B. Tension headache
C. Subarachnoid hemorrhage
D. Migraine with aura
Answer: C
Conceptual Explanation: The classic presentation of a subarachnoid hemorrhage is a
sudden, severe headache often described as the ‘thunderclap’ or ‘worst headache of my
life.’
2. Which of the following physical examination findings is most characteristic of a patient
with Chronic Obstructive Pulmonary Disease (COPD)?
A. Hyperresonance on percussion
B. Increased tactile fremitus
,C. Narrowed intercostal spaces
D. Tracheal deviation to the affected side
Answer: A
Conceptual Explanation: Hyperresonance on percussion is a sign of hyperinflation, which
is common in COPD due to air trapping.
3. According to the JNC 8 guidelines, what is the target blood pressure for a 62-year-old
patient with type 2 diabetes mellitus?
A. <140/90 mmHg
B. <130/80 mmHg
C. <120/80 mmHg
D. <150/90 mmHg
Answer: A
Conceptual Explanation: For patients aged 18 years or older with diabetes, the JNC 8
guidelines recommend a blood pressure goal of less than 140/90 mmHg.
4. A 45-year-old female presents with fatigue, weight gain, and cold intolerance. Her TSH is
12.5 mIU/L and her Free T4 is low. What is the most appropriate initial treatment?
A. Propylthiouracil (PTU)
B. Methimazole 10 mg daily
C. Radioactive iodine ablation
, D. Levothyroxine 25-50 mcg daily
Answer: D
Conceptual Explanation: The labs indicate primary hypothyroidism. Levothyroxine is the
standard replacement therapy.
5. In the management of stable angina, which of the following medication classes is
considered first-line for symptom control and reducing myocardial oxygen demand?
A. Calcium channel blockers
B. Beta-blockers
C. Long-acting nitrates
D. ACE inhibitors
Answer: B
Conceptual Explanation: Beta-blockers are first-line therapy for stable angina because
they reduce heart rate and contractility, thereby decreasing oxygen demand.
6. A patient presents with a ‘curtain-like’ loss of vision in one eye. This symptom is most
suggestive of:
A. Acute angle-closure glaucoma
B. Cataracts
C. Macular degeneration
D. Retinal detachment
AND CORRECT Q & A) SATISFACTION
GUARANTEED 2026/2027
1. A 65-year-old male patient presents with a sudden onset of ‘the worst headache of my
life.’ He has a history of hypertension but no previous history of migraines. What is the most
likely diagnosis?
A. Cluster headache
B. Tension headache
C. Subarachnoid hemorrhage
D. Migraine with aura
Answer: C
Conceptual Explanation: The classic presentation of a subarachnoid hemorrhage is a
sudden, severe headache often described as the ‘thunderclap’ or ‘worst headache of my
life.’
2. Which of the following physical examination findings is most characteristic of a patient
with Chronic Obstructive Pulmonary Disease (COPD)?
A. Hyperresonance on percussion
B. Increased tactile fremitus
,C. Narrowed intercostal spaces
D. Tracheal deviation to the affected side
Answer: A
Conceptual Explanation: Hyperresonance on percussion is a sign of hyperinflation, which
is common in COPD due to air trapping.
3. According to the JNC 8 guidelines, what is the target blood pressure for a 62-year-old
patient with type 2 diabetes mellitus?
A. <140/90 mmHg
B. <130/80 mmHg
C. <120/80 mmHg
D. <150/90 mmHg
Answer: A
Conceptual Explanation: For patients aged 18 years or older with diabetes, the JNC 8
guidelines recommend a blood pressure goal of less than 140/90 mmHg.
4. A 45-year-old female presents with fatigue, weight gain, and cold intolerance. Her TSH is
12.5 mIU/L and her Free T4 is low. What is the most appropriate initial treatment?
A. Propylthiouracil (PTU)
B. Methimazole 10 mg daily
C. Radioactive iodine ablation
, D. Levothyroxine 25-50 mcg daily
Answer: D
Conceptual Explanation: The labs indicate primary hypothyroidism. Levothyroxine is the
standard replacement therapy.
5. In the management of stable angina, which of the following medication classes is
considered first-line for symptom control and reducing myocardial oxygen demand?
A. Calcium channel blockers
B. Beta-blockers
C. Long-acting nitrates
D. ACE inhibitors
Answer: B
Conceptual Explanation: Beta-blockers are first-line therapy for stable angina because
they reduce heart rate and contractility, thereby decreasing oxygen demand.
6. A patient presents with a ‘curtain-like’ loss of vision in one eye. This symptom is most
suggestive of:
A. Acute angle-closure glaucoma
B. Cataracts
C. Macular degeneration
D. Retinal detachment
