1|Page
NURS 6531 FINAL EXAM VERSION 2 NEWEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| WALDEN UNIVERSITY
A 72-year-old female patient reports a 6-month history of
gradually progressive swollen and painful distal interphalangeal
(DIP) joints of one hand. She has no systemic symptoms but the
erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA),
and
rheumatoid factor (RF) are all minimally elevated. What is the
most likely diagnosis?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Infection
D. Lupus - ANSWER-B. Osteoarthritis
Phalen's test, 90°wrist flexion for 60 seconds, reproduces
symptoms of: - ANSWER-Carpal tunnel syndrome
Who is at a higher risk for developing nephrolithiasis? - ANSWER-
Caucasian males
,2|Page
A patient complains of
generalized joint pain and stiffness associated
with activity and
relieved with rest. This patient history is consistent with which of
the
following disorders? - ANSWER-Osteoarthritis
Which of the following is NOT true about Carpal Tunnel
Syndrome?
A. Symptoms present in the first 3 fingers of the affected hand.
B. Symptoms are absent in the 5th finger.
C. Median nerve compression can result in decreased strength
and impaired fine motor coordination.
D. Phalen's and Tinel's signs are negative. - ANSWER-D.
Positive Tinel's sign over median nerve. Positive phalen's test
Weakness with manual muscle test of abductor pollicis brevis is
Carpel Tunnel syndrome.
,3|Page
What diabetic complications result
from hyperglycemia? - ANSWER-A.Retinopathy
B.Hypertension resistant to
treatment
C. Peripheral neuropathy
D. Accelerated atherogenesis
A patient presents with dehydration, hypotension, and fever.
Laboratory testing reveals hyponatremia, hyperkalemia, and
hypoglycemia. These imbalances are corrected, but the patient
returns 6 weeks later with the same symptoms of
hyperpigmentation, weakness, anorexia, fatigue, and weight loss.
What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum
cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
, 4|Page
C. Provide nutritional guidance and have the patient return in one
month.
D. Consult home health for intravenous administration -
ANSWER-A. Obtain a thorough history and physical, and check
serum cortisol and ACTH levels.
An elderly man is started on lisinopril and hydrochlorhiazide for
hypertension. Three days later, he returns to the office
complaining of left great toe pain. On exam, the nurse practitioner
notes an edematous, erythematous tender left great toe. The
likely precipitant of this patient's pain is: - ANSWER-
hydrochlorhiazide
Maria, age 17, was raped when she was 13 year old. She is now
experiencing sleeping problems, flashbacks, and depression.
What is your initial diagnosis? - ANSWER-PTSD
Martin is complaining of erectile dysfunction. He also has a
condition that has reduced arterial blood flow to his penis. The
most common cause of this condition is:
NURS 6531 FINAL EXAM VERSION 2 NEWEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| WALDEN UNIVERSITY
A 72-year-old female patient reports a 6-month history of
gradually progressive swollen and painful distal interphalangeal
(DIP) joints of one hand. She has no systemic symptoms but the
erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA),
and
rheumatoid factor (RF) are all minimally elevated. What is the
most likely diagnosis?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Infection
D. Lupus - ANSWER-B. Osteoarthritis
Phalen's test, 90°wrist flexion for 60 seconds, reproduces
symptoms of: - ANSWER-Carpal tunnel syndrome
Who is at a higher risk for developing nephrolithiasis? - ANSWER-
Caucasian males
,2|Page
A patient complains of
generalized joint pain and stiffness associated
with activity and
relieved with rest. This patient history is consistent with which of
the
following disorders? - ANSWER-Osteoarthritis
Which of the following is NOT true about Carpal Tunnel
Syndrome?
A. Symptoms present in the first 3 fingers of the affected hand.
B. Symptoms are absent in the 5th finger.
C. Median nerve compression can result in decreased strength
and impaired fine motor coordination.
D. Phalen's and Tinel's signs are negative. - ANSWER-D.
Positive Tinel's sign over median nerve. Positive phalen's test
Weakness with manual muscle test of abductor pollicis brevis is
Carpel Tunnel syndrome.
,3|Page
What diabetic complications result
from hyperglycemia? - ANSWER-A.Retinopathy
B.Hypertension resistant to
treatment
C. Peripheral neuropathy
D. Accelerated atherogenesis
A patient presents with dehydration, hypotension, and fever.
Laboratory testing reveals hyponatremia, hyperkalemia, and
hypoglycemia. These imbalances are corrected, but the patient
returns 6 weeks later with the same symptoms of
hyperpigmentation, weakness, anorexia, fatigue, and weight loss.
What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum
cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
, 4|Page
C. Provide nutritional guidance and have the patient return in one
month.
D. Consult home health for intravenous administration -
ANSWER-A. Obtain a thorough history and physical, and check
serum cortisol and ACTH levels.
An elderly man is started on lisinopril and hydrochlorhiazide for
hypertension. Three days later, he returns to the office
complaining of left great toe pain. On exam, the nurse practitioner
notes an edematous, erythematous tender left great toe. The
likely precipitant of this patient's pain is: - ANSWER-
hydrochlorhiazide
Maria, age 17, was raped when she was 13 year old. She is now
experiencing sleeping problems, flashbacks, and depression.
What is your initial diagnosis? - ANSWER-PTSD
Martin is complaining of erectile dysfunction. He also has a
condition that has reduced arterial blood flow to his penis. The
most common cause of this condition is:
