NRNP 6531 EVALUATION EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔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? - ✔✔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: - ✔✔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? - ✔✔Osteoarthritis
✔✔The best form of aerobic exercise for a patient with severe rheumatoid arthritis is: -
✔✔Swimming
✔✔The nurse practitioner examines a 4-week-old boy whose mother reports that he has
cried for at least 3 hours a day at the same time of day since birth. What is the main
goal in the clinical evaluation of this infant? - ✔✔Rule out any physiological cause for
the crying spells
✔✔A 22-year-old sexually active woman is complaining of amenorrhea and new-onset
bloody vaginal spotting. On examination, her left adnexa is tender and cervical motion
tenderness is positive. Which test should the nurse practitioner order initially? -
✔✔Urine pregnancy test
✔✔A 44-year-old woman who is undergoing treatment for infertility complains of not
having had a menstrual period for a few months. The night before, she started spotting
and is now having cramp-like pains in her pelvic area. Her blood pressure (BP) is
160/80 mmHg, pulse is 110 beats/min, and she is afebrile. Her labs reveal mild anemia
with mild leukocytosis. On pelvic exam, the uterine fundus is noted to be above the
symphysis pubis. The cervical os is dilated at 3 cm. Which of the following is most
likely? - ✔✔Inevitable abortion
✔✔The Pap smear result for a 22-year-old sexually active college student whose
partner uses condoms inconsistently reveals a large number of white blood cells and
, blood along with inflammatory changes. During the speculum exam, the cervix bled very
easily (friable), and a small amount of purulent discharge was present on the cervical
surface. No cervical motion tenderness was noted during the bimanual vaginal exam.
What is the next step in the management of this patient? - ✔✔Advise the patient be
tested for chlamydia and gonorrhea
✔✔All of the following are infections that affect mostly the labia and vagina except: -
✔✔Chlamydia trachomatis
✔✔Medicare Part B will pay for all of the following services except: - ✔✔Eyeglasses and
routine dental care
✔✔Which of the following individuals is more likely to be affected by alpha thalassemia
anemia? - ✔✔25-year-old Chinese patient
✔✔A nurse practitioner's right to practice is regulated under: - ✔✔The board of nursing
✔✔A 25-year-old woman's last menstrual period was 6 weeks ago. She is complaining
of nausea with vomiting in the morning and fatigue. Her breasts feel bloated. The nurse
practitioner suspects that she is pregnant. Her symptoms would be considered: -
✔✔Presumptive signs of pregnancy
✔✔A new patient who is a 40-year-old female postal worker is being evaluated for
complaints of a new-onset erythematous rash on both cheeks and the bridge of the
nose, accompanied by fatigue. She reports a history of Hashimoto's thyroiditis and is
currently being treated with Synthroid 1.25 mg daily. Which of the following conditions is
most likely? - ✔✔Lupus erythematosus
✔✔A woman at 32 weeks gestation has a positive throat culture for Streptococcus
pyogenes (strep throat). She denies allergies but becomes very nauseated with
erythromycin. Which of the following is the best choice for this pregnant patient? -
✔✔Penicillin (Pen VK)
✔✔The treatment plan of patients with AIDS who have CD4 counts of less than 200
cells/mm3 should emphasize: - ✔✔Preventive therapy for PCP
✔✔What type of testing is recommended before starting a patient on a prescription of
hydroxychloroquine (Plaquenil)? - ✔✔Comprehensive eye exam
✔✔Pulsus paradoxus is best described as: - ✔✔A decrease in systolic blood pressure
on inspiration
SOLUTIONS GRADED A+
✔✔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? - ✔✔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: - ✔✔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? - ✔✔Osteoarthritis
✔✔The best form of aerobic exercise for a patient with severe rheumatoid arthritis is: -
✔✔Swimming
✔✔The nurse practitioner examines a 4-week-old boy whose mother reports that he has
cried for at least 3 hours a day at the same time of day since birth. What is the main
goal in the clinical evaluation of this infant? - ✔✔Rule out any physiological cause for
the crying spells
✔✔A 22-year-old sexually active woman is complaining of amenorrhea and new-onset
bloody vaginal spotting. On examination, her left adnexa is tender and cervical motion
tenderness is positive. Which test should the nurse practitioner order initially? -
✔✔Urine pregnancy test
✔✔A 44-year-old woman who is undergoing treatment for infertility complains of not
having had a menstrual period for a few months. The night before, she started spotting
and is now having cramp-like pains in her pelvic area. Her blood pressure (BP) is
160/80 mmHg, pulse is 110 beats/min, and she is afebrile. Her labs reveal mild anemia
with mild leukocytosis. On pelvic exam, the uterine fundus is noted to be above the
symphysis pubis. The cervical os is dilated at 3 cm. Which of the following is most
likely? - ✔✔Inevitable abortion
✔✔The Pap smear result for a 22-year-old sexually active college student whose
partner uses condoms inconsistently reveals a large number of white blood cells and
, blood along with inflammatory changes. During the speculum exam, the cervix bled very
easily (friable), and a small amount of purulent discharge was present on the cervical
surface. No cervical motion tenderness was noted during the bimanual vaginal exam.
What is the next step in the management of this patient? - ✔✔Advise the patient be
tested for chlamydia and gonorrhea
✔✔All of the following are infections that affect mostly the labia and vagina except: -
✔✔Chlamydia trachomatis
✔✔Medicare Part B will pay for all of the following services except: - ✔✔Eyeglasses and
routine dental care
✔✔Which of the following individuals is more likely to be affected by alpha thalassemia
anemia? - ✔✔25-year-old Chinese patient
✔✔A nurse practitioner's right to practice is regulated under: - ✔✔The board of nursing
✔✔A 25-year-old woman's last menstrual period was 6 weeks ago. She is complaining
of nausea with vomiting in the morning and fatigue. Her breasts feel bloated. The nurse
practitioner suspects that she is pregnant. Her symptoms would be considered: -
✔✔Presumptive signs of pregnancy
✔✔A new patient who is a 40-year-old female postal worker is being evaluated for
complaints of a new-onset erythematous rash on both cheeks and the bridge of the
nose, accompanied by fatigue. She reports a history of Hashimoto's thyroiditis and is
currently being treated with Synthroid 1.25 mg daily. Which of the following conditions is
most likely? - ✔✔Lupus erythematosus
✔✔A woman at 32 weeks gestation has a positive throat culture for Streptococcus
pyogenes (strep throat). She denies allergies but becomes very nauseated with
erythromycin. Which of the following is the best choice for this pregnant patient? -
✔✔Penicillin (Pen VK)
✔✔The treatment plan of patients with AIDS who have CD4 counts of less than 200
cells/mm3 should emphasize: - ✔✔Preventive therapy for PCP
✔✔What type of testing is recommended before starting a patient on a prescription of
hydroxychloroquine (Plaquenil)? - ✔✔Comprehensive eye exam
✔✔Pulsus paradoxus is best described as: - ✔✔A decrease in systolic blood pressure
on inspiration
