NRNP 6531 ADVANCED PRACTICE
CARE OF ADULTS PRACTICE EXAM
(VERIFIED AND CORRECT Q & A)
SATISFACTION GUARANTEED 2026/2027
1. According to JNC 8 guidelines, what is the blood pressure goal for a 65-year-old patient
without diabetes or chronic kidney disease?
A. <130/80 mmHg
B. <150/90 mmHg
C. <140/90 mmHg
D. <120/80 mmHg
Answer: B
Conceptual Explanation: JNC 8 guidelines recommend a target blood pressure of <150/90
mmHg for adults aged 60 years or older without DM or CKD.
2. A 55-year-old male with Type 2 Diabetes has a serum creatinine of 1.9 mg/dL and an eGFR
of 28 mL/min/1.73m². Which medication is contraindicated?
A. Lisinopril
B. Metformin
C. Glipizide
,D. Atorvastatin
Answer: B
Conceptual Explanation: Metformin is contraindicated in patients with an eGFR less than
30 mL/min/1.73m² due to the risk of lactic acidosis.
3. Which of the following is the first-line antibiotic treatment for an adult with non-purulent
cellulitis and no risk factors for MRSA?
A. Bactrim (TMP/SMX)
B. Cephalexin
C. Doxycycline
D. Vancomycin
Answer: B
Conceptual Explanation: For non-purulent cellulitis without MRSA risk, beta-lactams like
Cephalexin are preferred for targeting Streptococcus.
4. A patient presents with a CURB-65 score of 3. What is the most appropriate management
setting?
A. Outpatient management
B. Outpatient with close follow-up
C. Intensive care unit (ICU)
D. Inpatient hospitalization
, Answer: D
Conceptual Explanation: A CURB-65 score of 3 or higher indicates a high risk of mortality
and necessitates inpatient hospitalization.
5. Which physical exam finding is most specific for Acute Cholecystitis?
A. McBurney’s sign
B. Murphy’s sign
C. Rovsing’s sign
D. Cullen’s sign
Answer: B
Conceptual Explanation: Murphy’s sign, defined as cessation of inspiration on deep
palpation of the right upper quadrant, is highly specific for cholecystitis.
6. What is the first-line treatment for a patient newly diagnosed with moderate-to-severe
Rheumatoid Arthritis?
A. Naproxen
B. Methotrexate
C. Prednisone
D. Adalimumab
Answer: B
CARE OF ADULTS PRACTICE EXAM
(VERIFIED AND CORRECT Q & A)
SATISFACTION GUARANTEED 2026/2027
1. According to JNC 8 guidelines, what is the blood pressure goal for a 65-year-old patient
without diabetes or chronic kidney disease?
A. <130/80 mmHg
B. <150/90 mmHg
C. <140/90 mmHg
D. <120/80 mmHg
Answer: B
Conceptual Explanation: JNC 8 guidelines recommend a target blood pressure of <150/90
mmHg for adults aged 60 years or older without DM or CKD.
2. A 55-year-old male with Type 2 Diabetes has a serum creatinine of 1.9 mg/dL and an eGFR
of 28 mL/min/1.73m². Which medication is contraindicated?
A. Lisinopril
B. Metformin
C. Glipizide
,D. Atorvastatin
Answer: B
Conceptual Explanation: Metformin is contraindicated in patients with an eGFR less than
30 mL/min/1.73m² due to the risk of lactic acidosis.
3. Which of the following is the first-line antibiotic treatment for an adult with non-purulent
cellulitis and no risk factors for MRSA?
A. Bactrim (TMP/SMX)
B. Cephalexin
C. Doxycycline
D. Vancomycin
Answer: B
Conceptual Explanation: For non-purulent cellulitis without MRSA risk, beta-lactams like
Cephalexin are preferred for targeting Streptococcus.
4. A patient presents with a CURB-65 score of 3. What is the most appropriate management
setting?
A. Outpatient management
B. Outpatient with close follow-up
C. Intensive care unit (ICU)
D. Inpatient hospitalization
, Answer: D
Conceptual Explanation: A CURB-65 score of 3 or higher indicates a high risk of mortality
and necessitates inpatient hospitalization.
5. Which physical exam finding is most specific for Acute Cholecystitis?
A. McBurney’s sign
B. Murphy’s sign
C. Rovsing’s sign
D. Cullen’s sign
Answer: B
Conceptual Explanation: Murphy’s sign, defined as cessation of inspiration on deep
palpation of the right upper quadrant, is highly specific for cholecystitis.
6. What is the first-line treatment for a patient newly diagnosed with moderate-to-severe
Rheumatoid Arthritis?
A. Naproxen
B. Methotrexate
C. Prednisone
D. Adalimumab
Answer: B
