NRNP 6531 MAIN EXAMINATION SET QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue
syndrome, which have many similarities. Which of the following is more characteristic of
fibromyalgia - ✔✔Musculoskeletal pain
✔✔Differential diagnosis of proteinuria includes which of the following? - ✔✔Orthostatic
proteinuria
✔✔A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient
would be classified as: - ✔✔overweight
✔✔Reed-Sternberg B lymphocytes are associated with which of the following disorders
- ✔✔Hodgkin's lympoma
✔✔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: - ✔✔olecranon bursitis
✔✔Establishment of a definitive diagnosis of osteomyelitis requires: - ✔✔Biopsy of
culture of the pathogen from blood or bone aspirate.
✔✔The most accurate measure of diabetes control is: - ✔✔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? - ✔✔
✔✔The most common presentation of thyroid cancer is: - ✔✔A solitary thyroid nodule
✔✔Which of the following accounts for half of the bladder tumors among men and one-
third in women? - ✔✔Cigarette smoke, both active and passive inhalation
✔✔You have a new patient that presents with generalized lymphadenopathy. You know
that this is indicative of: - ✔✔Cancer of the liver
✔✔Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel
syndrome. Your next step is to - ✔✔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? - ✔✔Inhaled beta-2 agonist bronchodilators
✔✔Potential causes of septic arthritis include which of the following? - ✔✔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? - ✔✔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? - ✔✔Liver disease
✔✔Which of the following medications increase the risk for metabolic syndrome? -
✔✔All of the above
(Antihistamines, PPI, protease inhibitors)
✔✔The hallmark of neurofibromatosis (von Recklinghausen's disease) present in almost
100% of patients is - ✔✔Café au lait spots
✔✔The most commonly recommended pharmacological treatment regimen for low back
pain (LBP) is: - ✔✔acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs)
✔✔Legal authority for advanced practice nursing rests with - ✔✔Certifying bodies
(maybe)
✔✔Which of the following physical modalities recommended for treatment of
rheumatoid arthritis provides the most effective long term pain relief? - ✔✔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? - ✔✔Obtain a thorough history and physical, and check
serum cortisol and ACTH levels.
✔✔Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states
that he did not know if it was ever elevated before. When you retake his blood pressure
at the end of the exam, it remains at 144/98. What should your next action be? -
✔✔stage 2 hypertension (lifestyle change, and medication
SOLUTIONS GRADED A+
✔✔Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue
syndrome, which have many similarities. Which of the following is more characteristic of
fibromyalgia - ✔✔Musculoskeletal pain
✔✔Differential diagnosis of proteinuria includes which of the following? - ✔✔Orthostatic
proteinuria
✔✔A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient
would be classified as: - ✔✔overweight
✔✔Reed-Sternberg B lymphocytes are associated with which of the following disorders
- ✔✔Hodgkin's lympoma
✔✔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: - ✔✔olecranon bursitis
✔✔Establishment of a definitive diagnosis of osteomyelitis requires: - ✔✔Biopsy of
culture of the pathogen from blood or bone aspirate.
✔✔The most accurate measure of diabetes control is: - ✔✔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? - ✔✔
✔✔The most common presentation of thyroid cancer is: - ✔✔A solitary thyroid nodule
✔✔Which of the following accounts for half of the bladder tumors among men and one-
third in women? - ✔✔Cigarette smoke, both active and passive inhalation
✔✔You have a new patient that presents with generalized lymphadenopathy. You know
that this is indicative of: - ✔✔Cancer of the liver
✔✔Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel
syndrome. Your next step is to - ✔✔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? - ✔✔Inhaled beta-2 agonist bronchodilators
✔✔Potential causes of septic arthritis include which of the following? - ✔✔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? - ✔✔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? - ✔✔Liver disease
✔✔Which of the following medications increase the risk for metabolic syndrome? -
✔✔All of the above
(Antihistamines, PPI, protease inhibitors)
✔✔The hallmark of neurofibromatosis (von Recklinghausen's disease) present in almost
100% of patients is - ✔✔Café au lait spots
✔✔The most commonly recommended pharmacological treatment regimen for low back
pain (LBP) is: - ✔✔acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs)
✔✔Legal authority for advanced practice nursing rests with - ✔✔Certifying bodies
(maybe)
✔✔Which of the following physical modalities recommended for treatment of
rheumatoid arthritis provides the most effective long term pain relief? - ✔✔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? - ✔✔Obtain a thorough history and physical, and check
serum cortisol and ACTH levels.
✔✔Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states
that he did not know if it was ever elevated before. When you retake his blood pressure
at the end of the exam, it remains at 144/98. What should your next action be? -
✔✔stage 2 hypertension (lifestyle change, and medication
