1|Page
NRNP 6531 – PRACTICE EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ UPDATED 2026
1. A 52-year-old woman presents with fatigue, cold intolerance, and weight gain. Which lab
confirms the diagnosis?
A. Low TSH, high T4
B. High TSH, low T4
C. Low TSH, low T3
D. Normal TSH
Answer: B
2. Which symptom most suggests hyperthyroidism?
A. Weight gain
B. Bradycardia
C. Heat intolerance
D. Dry skin
Answer: C
3. First-line treatment for uncomplicated hypertension?
A. Beta blockers
B. ACE inhibitors
C. Alpha blockers
D. Loop diuretics
Answer: B
2026 2027 GRADED A+
,2|Page
4. Which finding indicates acute bacterial sinusitis?
A. Symptoms <5 days
B. Facial pain >10 days
C. Clear nasal drainage
D. Sneezing
Answer: B
5. A fasting glucose of 132 mg/dL on two occasions indicates:
A. Prediabetes
B. Normal glucose
C. Diabetes mellitus
D. Hypoglycemia
Answer: C
6. Which medication is first-line for GERD?
A. Antacids
B. H2 blockers
C. Proton pump inhibitors
D. Antibiotics
Answer: C
7. Most common cause of iron-deficiency anemia?
A. Poor absorption
B. Chronic blood loss
C. Genetic disorder
D. Vitamin deficiency
Answer: B
2026 2027 GRADED A+
,3|Page
8. Which lung sound is most consistent with pneumonia?
A. Wheezing
B. Crackles
C. Stridor
D. Pleural rub
Answer: B
9. Which vaccine is contraindicated during pregnancy?
A. Tdap
B. Influenza (inactivated)
C. Hepatitis B
D. MMR
Answer: D
10. A painless genital ulcer suggests:
A. HSV
B. Chlamydia
C. Syphilis
D. Gonorrhea
Answer: C
11. Most appropriate screening at age 50?
A. PSA annually
B. Colon cancer screening
C. DEXA scan
D. Mammogram every 6 months
Answer: B
2026 2027 GRADED A+
, 4|Page
12. Which finding suggests heart failure?
A. Weight loss
B. JVD
C. Tachypnea only
D. Dry cough
Answer: B
13. A patient with wheezing and prolonged expiration likely has:
A. Asthma
B. Pneumonia
C. PE
D. Pleural effusion
Answer: A
14. First-line therapy for mild persistent asthma?
A. LABA
B. Short-acting beta agonist
C. Inhaled corticosteroid
D. Oral steroids
Answer: C
15. Which symptom suggests major depressive disorder?
A. Elevated mood
B. Anhedonia
C. Increased energy
D. Decreased sleep need
Answer: B
2026 2027 GRADED A+
NRNP 6531 – PRACTICE EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ UPDATED 2026
1. A 52-year-old woman presents with fatigue, cold intolerance, and weight gain. Which lab
confirms the diagnosis?
A. Low TSH, high T4
B. High TSH, low T4
C. Low TSH, low T3
D. Normal TSH
Answer: B
2. Which symptom most suggests hyperthyroidism?
A. Weight gain
B. Bradycardia
C. Heat intolerance
D. Dry skin
Answer: C
3. First-line treatment for uncomplicated hypertension?
A. Beta blockers
B. ACE inhibitors
C. Alpha blockers
D. Loop diuretics
Answer: B
2026 2027 GRADED A+
,2|Page
4. Which finding indicates acute bacterial sinusitis?
A. Symptoms <5 days
B. Facial pain >10 days
C. Clear nasal drainage
D. Sneezing
Answer: B
5. A fasting glucose of 132 mg/dL on two occasions indicates:
A. Prediabetes
B. Normal glucose
C. Diabetes mellitus
D. Hypoglycemia
Answer: C
6. Which medication is first-line for GERD?
A. Antacids
B. H2 blockers
C. Proton pump inhibitors
D. Antibiotics
Answer: C
7. Most common cause of iron-deficiency anemia?
A. Poor absorption
B. Chronic blood loss
C. Genetic disorder
D. Vitamin deficiency
Answer: B
2026 2027 GRADED A+
,3|Page
8. Which lung sound is most consistent with pneumonia?
A. Wheezing
B. Crackles
C. Stridor
D. Pleural rub
Answer: B
9. Which vaccine is contraindicated during pregnancy?
A. Tdap
B. Influenza (inactivated)
C. Hepatitis B
D. MMR
Answer: D
10. A painless genital ulcer suggests:
A. HSV
B. Chlamydia
C. Syphilis
D. Gonorrhea
Answer: C
11. Most appropriate screening at age 50?
A. PSA annually
B. Colon cancer screening
C. DEXA scan
D. Mammogram every 6 months
Answer: B
2026 2027 GRADED A+
, 4|Page
12. Which finding suggests heart failure?
A. Weight loss
B. JVD
C. Tachypnea only
D. Dry cough
Answer: B
13. A patient with wheezing and prolonged expiration likely has:
A. Asthma
B. Pneumonia
C. PE
D. Pleural effusion
Answer: A
14. First-line therapy for mild persistent asthma?
A. LABA
B. Short-acting beta agonist
C. Inhaled corticosteroid
D. Oral steroids
Answer: C
15. Which symptom suggests major depressive disorder?
A. Elevated mood
B. Anhedonia
C. Increased energy
D. Decreased sleep need
Answer: B
2026 2027 GRADED A+
