NRNP 6531 FINAL EXAM ACTUAL PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Phalen's test, 90°wrist flexion for 60 seconds, reproduces
symptoms of: Answer: Carpal tunnel syndrome
◉ Which patient would benefit most from screening for type 2
diabetes? Answer: an obese female with recurrent vaginitis
◉ A 72 year old female patient reports a 6 month history of
gradually progressive swollen and painful distal interphalangeal
(DIP) joints of one hand. She has no systemic symptoms but the
erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA),
and rheumatoid factor (RF) are all minimally elevated. What is the
most likely diagnosis? Answer: ostheoaethritis
◉ A 32 year old male patient complains of urinary frequency and
burning on urination for 3 days. Urinalysis reveals bacteriuria. He
denies any past history of urinary tract infection. The initial
treatment should be: Answer: trimethoprim sulfamethoxazole for 3
dyas
◉ A thymectomy is usually recommended in the early treatment of
which disease? Answer: Myasthenia Gravis
,◉ The diagnosis of human papilloma virus (HPV) infection in males
is usually made by Answer: clinical appearance (examination of the
lesison)
◉ The most effective intervention(s) to prevent stroke is (are):
Answer: smoking cessation and treatment of hypertension
◉ What is the most common cause of Cushing's syndrome? Answer:
Administration of a glucocorticoid or ACTH
◉ Which of the following medications may predispose the patient to
hypoglycemia? Answer: Beta-adrenergic blockers
◉ Diagnostic radiological studies are indicated for low back pain:
Answer: When there is a suspicion of a space-occupying lesion,
fracture, cauda equina, or infection.
◉ After treating a patient for Helicobacter pylori infection, what test
do you order to see if it has been cured? Answer: A urea breath test
◉ Which appropriate test for the initial assessment of Alzheimer's
disease provides the performance ratings on 10 complex, higher
order activities? Answer: FAQ - Functional Activities Questionnaire
, ◉ Major depression occurs most often in which of the following
conditions? Answer: stroke
◉ Which of the following statements about multiple sclerosis (MS) is
correct? Answer: MS is a chronic, treatable illness with unknown
cause and a variable course.
◉ Diagnostic evaluation of hypothyroidism reveals: Answer:
Elevated TSH and decreased T4
◉ Risk factors for prostate cancer include all of the following except:
Answer: Benign prostatic hypertrophy
◉ What information should patients with diabetes and their families
receive about hypoglycemia? Answer: Hypoglycemia is serious,
dangerous, and can be fatal if not treated quickly.
◉ Which history is commonly found in a patient with
glomerulonephritis? Answer: Beta-hemolytic streptococcal infection
(uri or skin infection caused by these bacteria)
◉ Which of the following is characteristic of a manic episode?
Answer: grandiose delusions
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Phalen's test, 90°wrist flexion for 60 seconds, reproduces
symptoms of: Answer: Carpal tunnel syndrome
◉ Which patient would benefit most from screening for type 2
diabetes? Answer: an obese female with recurrent vaginitis
◉ A 72 year old female patient reports a 6 month history of
gradually progressive swollen and painful distal interphalangeal
(DIP) joints of one hand. She has no systemic symptoms but the
erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA),
and rheumatoid factor (RF) are all minimally elevated. What is the
most likely diagnosis? Answer: ostheoaethritis
◉ A 32 year old male patient complains of urinary frequency and
burning on urination for 3 days. Urinalysis reveals bacteriuria. He
denies any past history of urinary tract infection. The initial
treatment should be: Answer: trimethoprim sulfamethoxazole for 3
dyas
◉ A thymectomy is usually recommended in the early treatment of
which disease? Answer: Myasthenia Gravis
,◉ The diagnosis of human papilloma virus (HPV) infection in males
is usually made by Answer: clinical appearance (examination of the
lesison)
◉ The most effective intervention(s) to prevent stroke is (are):
Answer: smoking cessation and treatment of hypertension
◉ What is the most common cause of Cushing's syndrome? Answer:
Administration of a glucocorticoid or ACTH
◉ Which of the following medications may predispose the patient to
hypoglycemia? Answer: Beta-adrenergic blockers
◉ Diagnostic radiological studies are indicated for low back pain:
Answer: When there is a suspicion of a space-occupying lesion,
fracture, cauda equina, or infection.
◉ After treating a patient for Helicobacter pylori infection, what test
do you order to see if it has been cured? Answer: A urea breath test
◉ Which appropriate test for the initial assessment of Alzheimer's
disease provides the performance ratings on 10 complex, higher
order activities? Answer: FAQ - Functional Activities Questionnaire
, ◉ Major depression occurs most often in which of the following
conditions? Answer: stroke
◉ Which of the following statements about multiple sclerosis (MS) is
correct? Answer: MS is a chronic, treatable illness with unknown
cause and a variable course.
◉ Diagnostic evaluation of hypothyroidism reveals: Answer:
Elevated TSH and decreased T4
◉ Risk factors for prostate cancer include all of the following except:
Answer: Benign prostatic hypertrophy
◉ What information should patients with diabetes and their families
receive about hypoglycemia? Answer: Hypoglycemia is serious,
dangerous, and can be fatal if not treated quickly.
◉ Which history is commonly found in a patient with
glomerulonephritis? Answer: Beta-hemolytic streptococcal infection
(uri or skin infection caused by these bacteria)
◉ Which of the following is characteristic of a manic episode?
Answer: grandiose delusions
