NRNP 6531 ACTUAL 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS GRADED A+
✔✔The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male
patient. The drug of choice for treatment of this patient is: - ✔✔Oral doxycycline
(Virbamycin) and IM Ceftriaxone
✔✔John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be
screened for hypercholesterolemia? - ✔✔Every 5 years
✔✔Marvin has sudden eye redness that occurred after a strenuous coughing episode.
You diagnose a subconjunctival hemorrhage. Your next step is to - ✔✔Do nothing but
provide reassurance
✔✔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? - ✔✔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
✔✔Which of the following is a predisposing condition for furunculosis? - ✔✔DM
✔✔Which of the following statements about malignant melanomas is true? - ✔✔The
prognosis is directly related to the thickness of the lesion
✔✔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? - ✔✔Any recent trauma
✔✔Your well-nourished 75-year-old patient has come into the office for a physical exam
and states that she recently had two nosebleeds. She does not take any anticoagulants,
and you have ruled out any coagulopathies. The most likely cause of these nosebleeds
is: - ✔✔Trauma or inflammation
✔✔Harvey has had Meniere's disease for several years. He has some hearing loss but
now has persistent vertigo. What treatment might be instituted to relieve the vertigo? -
✔✔A vestibular neurectomy
✔✔Carl, age 78, is brought to the office by his son, who states that his father has been
unable to see clearly since last night. Carl reports that his vision is "like looking through
a veil." He also sees floaters and flashing lights but is not having any pain. What do you
suspect? - ✔✔Retinal detachment
, ✔✔What conditions must be met for you to bill "incident to" the physician, receiving
100% reimbursement from Medicare? - ✔✔The physician must be onsite and engaged
in patient care
✔✔Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months
post-MI. To prevent reinfarction, the most important behavior change that he can make
is to: - ✔✔Quit smoking
✔✔Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you
when she can go back to work. What do you tell her? - ✔✔Once all the vesicles are
crusted over
✔✔Sarah has allergic rhinitis and is currently being bothered by nasal congestion.
Which of the following meds ordered for allergic rhinitis would be most appropriate? -
✔✔A decongestant nasal spray
✔✔Medicare is a federal program administered by the Centers for Medicare and
Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and
Management coding, which all providers are expected to follow when coding patient
visits for reimbursement. Which of the following is an important consideration regarding
billing practices? - ✔✔Failing to bill for billable services will lead to unnecessary low
revenues
✔✔Stacy, age 27, states that she has painless, white, slightly raised patches in her
mouth. They are probably caused by: - ✔✔Candidiasis
✔✔A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner
correctly tells him: - ✔✔It can be cured with surgical excision or radiation therapy
✔✔If a patient presents with a deep aching, red eye and there is no discharge, you
should suspect: - ✔✔Iritis
✔✔Janine, age 29, has numerous transient lesions that come and go, and she is
diagnosed with urticaria. What do you order? - ✔✔Antihistamines
✔✔The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes
which of the following? - ✔✔Fever history and tender, swollen anterior cervical lymph
nodes
✔✔Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead.
This morning she noticed a rash with erythematous papules in that site. What do you
suspect? - ✔✔Herpes zoster
SOLUTIONS GRADED A+
✔✔The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male
patient. The drug of choice for treatment of this patient is: - ✔✔Oral doxycycline
(Virbamycin) and IM Ceftriaxone
✔✔John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be
screened for hypercholesterolemia? - ✔✔Every 5 years
✔✔Marvin has sudden eye redness that occurred after a strenuous coughing episode.
You diagnose a subconjunctival hemorrhage. Your next step is to - ✔✔Do nothing but
provide reassurance
✔✔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? - ✔✔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
✔✔Which of the following is a predisposing condition for furunculosis? - ✔✔DM
✔✔Which of the following statements about malignant melanomas is true? - ✔✔The
prognosis is directly related to the thickness of the lesion
✔✔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? - ✔✔Any recent trauma
✔✔Your well-nourished 75-year-old patient has come into the office for a physical exam
and states that she recently had two nosebleeds. She does not take any anticoagulants,
and you have ruled out any coagulopathies. The most likely cause of these nosebleeds
is: - ✔✔Trauma or inflammation
✔✔Harvey has had Meniere's disease for several years. He has some hearing loss but
now has persistent vertigo. What treatment might be instituted to relieve the vertigo? -
✔✔A vestibular neurectomy
✔✔Carl, age 78, is brought to the office by his son, who states that his father has been
unable to see clearly since last night. Carl reports that his vision is "like looking through
a veil." He also sees floaters and flashing lights but is not having any pain. What do you
suspect? - ✔✔Retinal detachment
, ✔✔What conditions must be met for you to bill "incident to" the physician, receiving
100% reimbursement from Medicare? - ✔✔The physician must be onsite and engaged
in patient care
✔✔Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months
post-MI. To prevent reinfarction, the most important behavior change that he can make
is to: - ✔✔Quit smoking
✔✔Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you
when she can go back to work. What do you tell her? - ✔✔Once all the vesicles are
crusted over
✔✔Sarah has allergic rhinitis and is currently being bothered by nasal congestion.
Which of the following meds ordered for allergic rhinitis would be most appropriate? -
✔✔A decongestant nasal spray
✔✔Medicare is a federal program administered by the Centers for Medicare and
Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and
Management coding, which all providers are expected to follow when coding patient
visits for reimbursement. Which of the following is an important consideration regarding
billing practices? - ✔✔Failing to bill for billable services will lead to unnecessary low
revenues
✔✔Stacy, age 27, states that she has painless, white, slightly raised patches in her
mouth. They are probably caused by: - ✔✔Candidiasis
✔✔A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner
correctly tells him: - ✔✔It can be cured with surgical excision or radiation therapy
✔✔If a patient presents with a deep aching, red eye and there is no discharge, you
should suspect: - ✔✔Iritis
✔✔Janine, age 29, has numerous transient lesions that come and go, and she is
diagnosed with urticaria. What do you order? - ✔✔Antihistamines
✔✔The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes
which of the following? - ✔✔Fever history and tender, swollen anterior cervical lymph
nodes
✔✔Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead.
This morning she noticed a rash with erythematous papules in that site. What do you
suspect? - ✔✔Herpes zoster
