WALDEN UNIVERSITY NRNP 6531 latest version 2024-2025
question and CORRECT ANSWER
A 19 year old basketball player complains of itching in the crural folds, buttocks, and
upper thighs. The lesions are well demarcated and are half-moon shaped. The area is
red, irritated, and there are small breaks in the skin from scratching. What is this
patient's diagnosis and how should it be treated? - CORRECT ANSWER Tinea cruris,
treat with a topical antifungal
A 20 year old is diagnosed with mild persistent asthma. What drug combination would
be most effective in keeping him symptom-free? - CORRECT ANSWER A
bronchodilator PRN and an inhaled corticosteroid
A 20 year old male patient complains of "scrotal swelling." He states his scrotum feels
heavy, but denies pain. On examination, the nurse practitioner notes transillumination of
the scrotum. What is the most likely diagnosis? - CORRECT ANSWER Hydrocele
A 26 year old female presents with elbow pain that is described as aching and burning.
There is point tenderness along the lateral aspect of the elbow and painful passive
flexion and extension. She reports she has been playing tennis almost daily for the past
month. The most likely diagnosis is: - CORRECT ANSWER Lateral epicondylitis
A 45 year old with diabetes has had itching and burning lesions between her toes for 2
months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best
initial treatment option for this patient? - CORRECT ANSWER Provide an anti fungal
powder for application between toes and in her shoes and a topical prescription strength
antifungal cream for other affected areas. Monitor for secondary bacterial infections
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner
correctly tells him: - CORRECT ANSWER It can be cured with surgical excision or
radiation therapy
A 57-year-old male presents to urgent care complaining of substernal chest discomfort
for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse
practitioner is aware that these changes are consistent with which myocardial infarction
territory? - CORRECT ANSWER Inferior wall
A 60 year old female patient complains of sudden onset unilateral, stabbing, surface
pain in the lower part of her face lasting a few minutes, subsiding, and then returning.
The pain is triggered by touch or temperature extremes. Physical examination is normal.
Which of the following is the most likely diagnosis? - CORRECT ANSWER Trigeminal
neuralgia
, A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation,
confusion, and impaired attention. This is accompanied by visual hallucinations and
sleep disturbance. What is the most likely cause of this behavior? - CORRECT
ANSWER Delirium
A patient comes in complaining of 1 week of pain in the posterior neck with difficulty
turning the head to the right. What additional history is needed? - CORRECT ANSWER
Any recent trauma
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement
therapy is prescribed. How long should the nurse practitioner wait before checking the
patient's TSH? - CORRECT ANSWER 8 weeks
A patient presents to the office with a blood pressure 142/80. This patient is classified
as having: - CORRECT ANSWER Stage 1 hypertension
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity
edema. The echocardiogram reveals and ejection fraction of 38%. The nurse
practitioner knows that these findings are consistent with: - CORRECT ANSWER
Systolic heart failure
A patient presents with classic symptoms of gastroesophageal reflux disease (GERD).
He is instructed on life style modifications and drug therapy for 8 weeks. Three months
later he returns, reporting that he was "fine" as long as he took the medication. The
most appropriate next step is: - CORRECT ANSWER Investigation with endoscopy,
manometry, and/ or pH testing
A patient taking levothyroxine is being over-replaced. What condition is he at risk for? -
CORRECT ANSWER Osteoporosis
A positive drawer sign supports a diagnosis of: - CORRECT ANSWER Cruciate
ligament injury
A typical description of a tension headache is: - CORRECT ANSWER Bilateral,
occipital, or frontal tightening or fullness with waves of aching pain
After thorough history, physical examination, and laboratory tests, a patient is
diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment
plans is currently considered most effective? - CORRECT ANSWER A low fat,
thyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to
psychosocial factors
Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes? - CORRECT ANSWER Acute bronchitis
question and CORRECT ANSWER
A 19 year old basketball player complains of itching in the crural folds, buttocks, and
upper thighs. The lesions are well demarcated and are half-moon shaped. The area is
red, irritated, and there are small breaks in the skin from scratching. What is this
patient's diagnosis and how should it be treated? - CORRECT ANSWER Tinea cruris,
treat with a topical antifungal
A 20 year old is diagnosed with mild persistent asthma. What drug combination would
be most effective in keeping him symptom-free? - CORRECT ANSWER A
bronchodilator PRN and an inhaled corticosteroid
A 20 year old male patient complains of "scrotal swelling." He states his scrotum feels
heavy, but denies pain. On examination, the nurse practitioner notes transillumination of
the scrotum. What is the most likely diagnosis? - CORRECT ANSWER Hydrocele
A 26 year old female presents with elbow pain that is described as aching and burning.
There is point tenderness along the lateral aspect of the elbow and painful passive
flexion and extension. She reports she has been playing tennis almost daily for the past
month. The most likely diagnosis is: - CORRECT ANSWER Lateral epicondylitis
A 45 year old with diabetes has had itching and burning lesions between her toes for 2
months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best
initial treatment option for this patient? - CORRECT ANSWER Provide an anti fungal
powder for application between toes and in her shoes and a topical prescription strength
antifungal cream for other affected areas. Monitor for secondary bacterial infections
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner
correctly tells him: - CORRECT ANSWER It can be cured with surgical excision or
radiation therapy
A 57-year-old male presents to urgent care complaining of substernal chest discomfort
for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse
practitioner is aware that these changes are consistent with which myocardial infarction
territory? - CORRECT ANSWER Inferior wall
A 60 year old female patient complains of sudden onset unilateral, stabbing, surface
pain in the lower part of her face lasting a few minutes, subsiding, and then returning.
The pain is triggered by touch or temperature extremes. Physical examination is normal.
Which of the following is the most likely diagnosis? - CORRECT ANSWER Trigeminal
neuralgia
, A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation,
confusion, and impaired attention. This is accompanied by visual hallucinations and
sleep disturbance. What is the most likely cause of this behavior? - CORRECT
ANSWER Delirium
A patient comes in complaining of 1 week of pain in the posterior neck with difficulty
turning the head to the right. What additional history is needed? - CORRECT ANSWER
Any recent trauma
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement
therapy is prescribed. How long should the nurse practitioner wait before checking the
patient's TSH? - CORRECT ANSWER 8 weeks
A patient presents to the office with a blood pressure 142/80. This patient is classified
as having: - CORRECT ANSWER Stage 1 hypertension
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity
edema. The echocardiogram reveals and ejection fraction of 38%. The nurse
practitioner knows that these findings are consistent with: - CORRECT ANSWER
Systolic heart failure
A patient presents with classic symptoms of gastroesophageal reflux disease (GERD).
He is instructed on life style modifications and drug therapy for 8 weeks. Three months
later he returns, reporting that he was "fine" as long as he took the medication. The
most appropriate next step is: - CORRECT ANSWER Investigation with endoscopy,
manometry, and/ or pH testing
A patient taking levothyroxine is being over-replaced. What condition is he at risk for? -
CORRECT ANSWER Osteoporosis
A positive drawer sign supports a diagnosis of: - CORRECT ANSWER Cruciate
ligament injury
A typical description of a tension headache is: - CORRECT ANSWER Bilateral,
occipital, or frontal tightening or fullness with waves of aching pain
After thorough history, physical examination, and laboratory tests, a patient is
diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment
plans is currently considered most effective? - CORRECT ANSWER A low fat,
thyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to
psychosocial factors
Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes? - CORRECT ANSWER Acute bronchitis
