NRNP 6531 FINAL EXAM 2025/2026 QUESTIONS AND CORRECT ANSWERS
An 80-year-old man with hypertension and hyperlipidemia presents with complaints of
the rapid onset of severe low-back pain accompanied by abdominal pain that is
gradually worsening. The patient appears pale and complains that he does not feel well.
During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just
above the umbilicus as she palpates this area with her hand. Which of the following
conditions is most likely? - ANSWER-Abdominal aortic aneurysm
Which of the following laboratory test is sensitive for evaluating the renal function -
ANSWER-Estimated glomerular filtration rate (eGFR)
Which of the following groups has been recommended to be screened for thyroid
disease? - ANSWER-Women aged 50 years or older
All of the following patients should be screened for diabetes mellitus except: -
ANSWER-A 30-year-old White man with hypertension
A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky
pain in the right upper quadrant of her abdomen that gets worse if she eats fried food.
During the physical exam, the nurse practitioner presses deeply on the left lower
quadrant of the abdomen and the patient complains of pain on the right side of the lower
abdomen. What is the name of this finding? - ANSWER-Rovsing's sign
Which of the following symptoms characterize this disorder? - ANSWER-1.Ritualistic
behaviors that the patient feels compelled to repeat.
2. increased axiety when attempting to ignore or suppress the repetitive behaviors.
3.frequent intrusive and repetive thoughts and impluses
All the above
Which of the following medications is indicated for the treatment of obsessive-
compulsive disorder? - ANSWER-Paroxetine (paxil CR)
Which of the following conditions is most likely? - ANSWER-Injury to the meniscus of
the right knee
Which of the following actions is the best course for patient? - ANSWER-Refer him to
an orthopedic specialist
The patient's symptoms are highly suggestive of what condition? - ANSWER-
A 55-year-old male patient describes an episode of chest tightness in his substernal
area that radiated to his back while he was jogging. It was relieved immediately when
he stopped. - ANSWER-Angina pectoris
, A 55-year-old male patient describes an episode of chest tightness in his substernal
area that radiated to his back while he was jogging. It was relieved immediately when
he stopped.
Which of the following would you recommend to this 55-year-old patient? - ANSWER-
Consult ith a cardiologist for further evaluation
A faun tail nevus is a sign of which of the following? - ANSWER-Spina bifida
A new mother is planning to breastfeed her newborn infant for at least 6 months. She
wants to know whether she should give the infant vitamins. Which of the following
vitamin supplements is recommended by the American Academy of Pediatrics (APA)
during the first few days of life? - ANSWER-Vit D drops
An asthmatic exacerbation is characterized by all of the following symptoms except: -
ANSWER-Chronic coughing
A 76-year-old woman reports that for the previous 4 months, she has noticed severe
stiffness and aching in her neck and both shoulders and hips that is worsened by
movement. She reports having a difficult time getting out of bed because of the severe
stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra.
Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite,
and weight loss. Starting yesterday, the vision in her right eye has progressively
worsened. She has annual eye exams and denies that she has glaucoma. Which of the
following conditions is most likely? - ANSWER-Polymyalogia rheumatic (PMR)
A 28-year-old woman with a history of hypothyroidism presents to an urgent care clinic
complaining of numbness and tingling in the fingertips of both her hands for several
hours. On examination, both radial pulses are at +2 and equal bilaterally. The patient
reports that over the past few months she has had identical episodes, each lasting
several hours. During these episodes, the skin changes color from blue to white, and
then to dark red. Eventually, it returns to normal and the tingling and numbness
disappear. Which of the following conditions is best described? - ANSWER-Raynaud's
phenomenon
A fracture on the navicular area of the wrist is usually caused by falling forward and
landing on the hands. The affected wrist is hyperextended to break the fall. The nurse
practitioner is aware that all of the following statements are true regarding a fracture of
the scaphoid bone of the wrist except: - ANSWER-These fractures always require
surgical intervention to stabilize the joint
Glucosamine sulfate is a natural supplement that is used for which of the following
conditions? - ANSWER-Osteoarthritis
The best form of aerobic exercise for a patient with severe rheumatoid arthritis is: -
ANSWER-Swimming
An 80-year-old man with hypertension and hyperlipidemia presents with complaints of
the rapid onset of severe low-back pain accompanied by abdominal pain that is
gradually worsening. The patient appears pale and complains that he does not feel well.
During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just
above the umbilicus as she palpates this area with her hand. Which of the following
conditions is most likely? - ANSWER-Abdominal aortic aneurysm
Which of the following laboratory test is sensitive for evaluating the renal function -
ANSWER-Estimated glomerular filtration rate (eGFR)
Which of the following groups has been recommended to be screened for thyroid
disease? - ANSWER-Women aged 50 years or older
All of the following patients should be screened for diabetes mellitus except: -
ANSWER-A 30-year-old White man with hypertension
A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky
pain in the right upper quadrant of her abdomen that gets worse if she eats fried food.
During the physical exam, the nurse practitioner presses deeply on the left lower
quadrant of the abdomen and the patient complains of pain on the right side of the lower
abdomen. What is the name of this finding? - ANSWER-Rovsing's sign
Which of the following symptoms characterize this disorder? - ANSWER-1.Ritualistic
behaviors that the patient feels compelled to repeat.
2. increased axiety when attempting to ignore or suppress the repetitive behaviors.
3.frequent intrusive and repetive thoughts and impluses
All the above
Which of the following medications is indicated for the treatment of obsessive-
compulsive disorder? - ANSWER-Paroxetine (paxil CR)
Which of the following conditions is most likely? - ANSWER-Injury to the meniscus of
the right knee
Which of the following actions is the best course for patient? - ANSWER-Refer him to
an orthopedic specialist
The patient's symptoms are highly suggestive of what condition? - ANSWER-
A 55-year-old male patient describes an episode of chest tightness in his substernal
area that radiated to his back while he was jogging. It was relieved immediately when
he stopped. - ANSWER-Angina pectoris
, A 55-year-old male patient describes an episode of chest tightness in his substernal
area that radiated to his back while he was jogging. It was relieved immediately when
he stopped.
Which of the following would you recommend to this 55-year-old patient? - ANSWER-
Consult ith a cardiologist for further evaluation
A faun tail nevus is a sign of which of the following? - ANSWER-Spina bifida
A new mother is planning to breastfeed her newborn infant for at least 6 months. She
wants to know whether she should give the infant vitamins. Which of the following
vitamin supplements is recommended by the American Academy of Pediatrics (APA)
during the first few days of life? - ANSWER-Vit D drops
An asthmatic exacerbation is characterized by all of the following symptoms except: -
ANSWER-Chronic coughing
A 76-year-old woman reports that for the previous 4 months, she has noticed severe
stiffness and aching in her neck and both shoulders and hips that is worsened by
movement. She reports having a difficult time getting out of bed because of the severe
stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra.
Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite,
and weight loss. Starting yesterday, the vision in her right eye has progressively
worsened. She has annual eye exams and denies that she has glaucoma. Which of the
following conditions is most likely? - ANSWER-Polymyalogia rheumatic (PMR)
A 28-year-old woman with a history of hypothyroidism presents to an urgent care clinic
complaining of numbness and tingling in the fingertips of both her hands for several
hours. On examination, both radial pulses are at +2 and equal bilaterally. The patient
reports that over the past few months she has had identical episodes, each lasting
several hours. During these episodes, the skin changes color from blue to white, and
then to dark red. Eventually, it returns to normal and the tingling and numbness
disappear. Which of the following conditions is best described? - ANSWER-Raynaud's
phenomenon
A fracture on the navicular area of the wrist is usually caused by falling forward and
landing on the hands. The affected wrist is hyperextended to break the fall. The nurse
practitioner is aware that all of the following statements are true regarding a fracture of
the scaphoid bone of the wrist except: - ANSWER-These fractures always require
surgical intervention to stabilize the joint
Glucosamine sulfate is a natural supplement that is used for which of the following
conditions? - ANSWER-Osteoarthritis
The best form of aerobic exercise for a patient with severe rheumatoid arthritis is: -
ANSWER-Swimming
