NRNP 6531 final ACTUAL EXAM 2025-2026 LATEST 130
QUESTIONS AND CORRECT ANSWERS GRADED A+
A 77-year-old female presents to the office complaining a sudden swelling on her
right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals
a non-tender area of swelling over the extensor surface over the right elbow with
evidence of trauma or irritation. The nurse practitioner suspects: - CORRECT
ANSWER-olecranon bursitis
Establishment of a definitive diagnosis of osteomyelitis requires: - CORRECT
ANSWER-Biopsy of culture of the pathogen from blood or bone aspirate.
The most accurate measure of diabetes control is: - CORRECT ANSWER-HbA1c
has evolved to become the gold standard outcome to measure the efficacy of
glucose-lowering medications.
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of
the following medications may be used to treat generalized anxiety disorder? -
CORRECT ANSWER-
The most common presentation of thyroid cancer is: - CORRECT ANSWER-A
solitary thyroid nodule
Which of the following accounts for half of the bladder tumors among men and
one-third in women? - CORRECT ANSWER-Cigarette smoke, both active and
passive inhalation
You have a new patient that presents with generalized lymphadenopathy. You
know that this is indicative of: - CORRECT ANSWER-Cancer of the liver
Sally, a computer programmer, has just been given a new diagnosis of carpal
tunnel syndrome. Your next step is to - CORRECT ANSWER-try neutral position
wrist splinting and order an oral NSAID
Which drug category contains the drugs that are the first line Gold standard
therapy for COPD? - CORRECT ANSWER-Inhaled beta-2 agonist bronchodilators
, Potential causes of septic arthritis include which of the following? - CORRECT
ANSWER-A and B
A patient has been taking fluoxetine (Prozac) since being diagnosed with major
depression, first episode, 2 months ago. She reports considerable improvement
in her symptoms and her intention to discontinue the medication. What should
be the nurse practitioner's recommendation? - CORRECT ANSWER-Recommend
that the patient continue the antidepressant medication for at least 4 more
months
Your patient has an elevated mean cell volume (MCV). What should you be
considering in terms of diagnosis? - CORRECT ANSWER-Liver disease
Which of the following medications increase the risk for metabolic syndrome? -
CORRECT ANSWER-All of the above
(Antihistamines, PPI, protease inhibitors)
The hallmark of neurofibromatosis (von Recklinghausen's disease) present in
almost 100% of patients is - CORRECT ANSWER-Café au lait spots
The most commonly recommended pharmacological treatment regimen for low
back pain (LBP) is: -
CORRECT ANSWER-acetaminophen, nonsteroidal anti-inflammatory drugs
(NSAIDs)
Legal authority for advanced practice nursing rests with - CORRECT ANSWER-
Certifying bodies (maybe)
Which of the following physical modalities recommended for treatment of
rheumatoid arthritis provides the most effective long term pain relief? -
CORRECT ANSWER-Application of cold
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? - CORRECT ANSWER-Obtain a thorough
history and physical, and check serum cortisol and ACTH levels.
QUESTIONS AND CORRECT ANSWERS GRADED A+
A 77-year-old female presents to the office complaining a sudden swelling on her
right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals
a non-tender area of swelling over the extensor surface over the right elbow with
evidence of trauma or irritation. The nurse practitioner suspects: - CORRECT
ANSWER-olecranon bursitis
Establishment of a definitive diagnosis of osteomyelitis requires: - CORRECT
ANSWER-Biopsy of culture of the pathogen from blood or bone aspirate.
The most accurate measure of diabetes control is: - CORRECT ANSWER-HbA1c
has evolved to become the gold standard outcome to measure the efficacy of
glucose-lowering medications.
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of
the following medications may be used to treat generalized anxiety disorder? -
CORRECT ANSWER-
The most common presentation of thyroid cancer is: - CORRECT ANSWER-A
solitary thyroid nodule
Which of the following accounts for half of the bladder tumors among men and
one-third in women? - CORRECT ANSWER-Cigarette smoke, both active and
passive inhalation
You have a new patient that presents with generalized lymphadenopathy. You
know that this is indicative of: - CORRECT ANSWER-Cancer of the liver
Sally, a computer programmer, has just been given a new diagnosis of carpal
tunnel syndrome. Your next step is to - CORRECT ANSWER-try neutral position
wrist splinting and order an oral NSAID
Which drug category contains the drugs that are the first line Gold standard
therapy for COPD? - CORRECT ANSWER-Inhaled beta-2 agonist bronchodilators
, Potential causes of septic arthritis include which of the following? - CORRECT
ANSWER-A and B
A patient has been taking fluoxetine (Prozac) since being diagnosed with major
depression, first episode, 2 months ago. She reports considerable improvement
in her symptoms and her intention to discontinue the medication. What should
be the nurse practitioner's recommendation? - CORRECT ANSWER-Recommend
that the patient continue the antidepressant medication for at least 4 more
months
Your patient has an elevated mean cell volume (MCV). What should you be
considering in terms of diagnosis? - CORRECT ANSWER-Liver disease
Which of the following medications increase the risk for metabolic syndrome? -
CORRECT ANSWER-All of the above
(Antihistamines, PPI, protease inhibitors)
The hallmark of neurofibromatosis (von Recklinghausen's disease) present in
almost 100% of patients is - CORRECT ANSWER-Café au lait spots
The most commonly recommended pharmacological treatment regimen for low
back pain (LBP) is: -
CORRECT ANSWER-acetaminophen, nonsteroidal anti-inflammatory drugs
(NSAIDs)
Legal authority for advanced practice nursing rests with - CORRECT ANSWER-
Certifying bodies (maybe)
Which of the following physical modalities recommended for treatment of
rheumatoid arthritis provides the most effective long term pain relief? -
CORRECT ANSWER-Application of cold
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? - CORRECT ANSWER-Obtain a thorough
history and physical, and check serum cortisol and ACTH levels.
