NRNP 6531 Final Exam – 100%
CorrectCompilation of Questions and
Verified Answers ( 2025/2026)
NRNP 6531 – Original Practice Exam
(Questions
1. Which cranial nerve is primarily responsible for facial
expression?
A. Cranial nerve V (Trigeminal)
B. Cranial nerve VII (Facial)
C. Cranial nerve IX (Glossopharyngeal)
D. Cranial nerve XII (Hypoglossal)
Answer: B
Explanation: Cranial nerve VII controls muscles of facial expression.
2. During auscultation of the lungs, a fine, high-pitched
sound heard at the end of inspiration is most likely:
A. Wheezing
B. Stridor
C. Crackles
D. Rhonchi
,Answer: C
Explanation: Fine crackles indicate fluid in the alveoli, often seen in pneumonia or early heart
failure.
3. A patient presents with 2+ pitting edema in both lower
extremities. Which is the most appropriate initial
assessment?
A. Check for jugular venous distention
B. Obtain echocardiogram immediately
C. Recommend bed rest only
D. Start IV diuretics without assessment
Answer: A
Explanation: Assessing for JVD helps determine if the edema is cardiac-related.
4. Which heart sound is associated with heart failure and
volume overload?
A. S1
B. S2
C. S3
D. S4
Answer: C
Explanation: An S3 gallop indicates increased ventricular filling pressure and is commonly
associated with heart failure.
5. The best technique to assess for hepatomegaly is:
A. Percussion of the abdomen
B. Palpation of the liver edge at the right costal margin
C. Auscultation of bowel sounds
D. Inspection only
Answer: B
, 6. Which lab value is most specific for myocardial injury?
A. CK-MB
B. Troponin I
C. BNP
D. LDH
Answer: B
Explanation: Troponin I is highly specific and sensitive for myocardial injury.
7. When assessing a patient’s gait, which abnormality is
characterized by a wide-based, unsteady walk?
A. Ataxic gait
B. Spastic gait
C. Trendelenburg gait
D. Parkinsonian gait
Answer: A
8. Which symptom is most suggestive of a pulmonary
embolism?
A. Fever and chills
B. Sudden-onset dyspnea and pleuritic chest pain
C. Gradual leg swelling
D. Chronic cough with sputum
Answer: B
9. Which test is most appropriate to evaluate deep vein
thrombosis?
CorrectCompilation of Questions and
Verified Answers ( 2025/2026)
NRNP 6531 – Original Practice Exam
(Questions
1. Which cranial nerve is primarily responsible for facial
expression?
A. Cranial nerve V (Trigeminal)
B. Cranial nerve VII (Facial)
C. Cranial nerve IX (Glossopharyngeal)
D. Cranial nerve XII (Hypoglossal)
Answer: B
Explanation: Cranial nerve VII controls muscles of facial expression.
2. During auscultation of the lungs, a fine, high-pitched
sound heard at the end of inspiration is most likely:
A. Wheezing
B. Stridor
C. Crackles
D. Rhonchi
,Answer: C
Explanation: Fine crackles indicate fluid in the alveoli, often seen in pneumonia or early heart
failure.
3. A patient presents with 2+ pitting edema in both lower
extremities. Which is the most appropriate initial
assessment?
A. Check for jugular venous distention
B. Obtain echocardiogram immediately
C. Recommend bed rest only
D. Start IV diuretics without assessment
Answer: A
Explanation: Assessing for JVD helps determine if the edema is cardiac-related.
4. Which heart sound is associated with heart failure and
volume overload?
A. S1
B. S2
C. S3
D. S4
Answer: C
Explanation: An S3 gallop indicates increased ventricular filling pressure and is commonly
associated with heart failure.
5. The best technique to assess for hepatomegaly is:
A. Percussion of the abdomen
B. Palpation of the liver edge at the right costal margin
C. Auscultation of bowel sounds
D. Inspection only
Answer: B
, 6. Which lab value is most specific for myocardial injury?
A. CK-MB
B. Troponin I
C. BNP
D. LDH
Answer: B
Explanation: Troponin I is highly specific and sensitive for myocardial injury.
7. When assessing a patient’s gait, which abnormality is
characterized by a wide-based, unsteady walk?
A. Ataxic gait
B. Spastic gait
C. Trendelenburg gait
D. Parkinsonian gait
Answer: A
8. Which symptom is most suggestive of a pulmonary
embolism?
A. Fever and chills
B. Sudden-onset dyspnea and pleuritic chest pain
C. Gradual leg swelling
D. Chronic cough with sputum
Answer: B
9. Which test is most appropriate to evaluate deep vein
thrombosis?
