NRNP 6531 FINAL EXAM
WALDEN UNIVERSITY 2026 NRNP 6531 FINAL
EXAM LATEST SPRING SUMMER ACTUAL
EXAM SOLVED Test Bank with 200+ Practice
Questions and Correct Verified Answers
An adolescent presents with fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked edema and
erythema of the peritonsillar tissue. What will the primary care provider do?
a. Evaluate for possible epiglottitis.
b. Perform a rapid strep and throat culture.
c. Prescribe empirical oral antibiotics.
d. Refer the patient to an otolaryngologist. –
A+ TEST BANK 1
, NRNP 6531 FINAL EXAM
Correct Answer :ANS: D
This patient has clinical signs of peritonsillar abscess, which may be diagnosed
on clinical signs alone. Patients with peritonsillar abscess should be referred to
an otolaryngologist for possible I&D of the abscess and hospitalization for IV
antibiotics. A rapid strep and culture are not indicated. Oral antibiotics generally
do not work.
A patient is diagnoses with peritonsillar abscess and will be hospitalized for
intravenous antibiotics. What additional treatment will be required?
a. Intubation to protect the airway
b. Needle aspiration of the abscess
c. Systemic corticosteroid administration
d. Tonsillectomy and adenoidectomy –
Correct Answer :ANS: B
Needle aspiration, antibiotics, pain medication, and hydration can effectively
treat peritonsillar abscess. Intubation is not performed unless the airway is
compromised. Systemic corticosteroid administration is useful, but not required
in all cases. Tonsillectomy alone is sometimes performed if recurrent tonsillitis or
peritonsillar abscess is present
A patient reports a sudden onset of sore throat, fever, malaise, and cough. The
provider notes mild erythema of the pharynx and clear rhinorrhea without
cervical lymphadenopathy. What is the most likely cause of these symptoms?
a. Allergic pharyngitis
b. Group A streptococcus
A+ TEST BANK 2
, NRNP 6531 FINAL EXAM
c. Infectious mononucleosis
d. Viral pharyngitis –
Correct Answer :ANS: D
Viral pharyngitis will cause sore throat, fever, and malaise and is often
accompanied by URI symptoms of cough and runny nose. Allergic pharyngitis
usually also causes dryness. GAS causes high fever, cervical adenopathy, and
marked erythema with exudate. Infectious mononucleosis will cause an exudate
along with cervical adenopathy.
A patient presents with sore throat, a temperature of 38.5°C, tonsillar exudates,
and cervical lymphadenopathy. What will the provider do next to manage this
patient's symptoms?
a. Order an anti-streptolysin O (ASO) titer.
b. Perform a rapid antigen detection test (RADT).
c. Prescribe empirical penicillin.
d. Refer to an otolaryngologist. –
Correct Answer :ANS: B
The RADT is performed initially to determine whether Group A -hemolytic
Streptococcus
(GAS) is present. The ASO titer is not used during initial diagnostic screening.
Penicillin
should not be given empirically. A referral to a specialist is not required for GAS
infection.
A+ TEST BANK 3
, NRNP 6531 FINAL EXAM
A school-age child has had 5 episodes of tonsillitis in the past year and 2
episodes the previous year. The child's parent asks the provider if the child
needs a tonsillectomy. What will the provider tell this parent?
a. Current recommendations do not support tonsillectomy for this child.
b. If there is one more episode in the next 6 months, a tonsillectomy is
necessary.
c. The child should have radiographic studies to evaluate the need for
tonsillectomy.
d. Tonsillectomy is recommended based on this child's history. –
Correct Answer :ANS: A
Management of chronic pharyngitis or tonsillitis with GAS infection may require
tonsillectomy. Tonsillectomy is not performed as often as in the past due to
retrospective studies that suggest there is little benefit and a chance of
significant postsurgical complications. Radiographic studies are not indicated.
A patient prescribed a beta blocker medication is in the emergency department
with reports of syncope, shortness of breath, and hypotension. A cardiac
monitor reveals a heart rate of 35
beats per minute. Which medication may be used to stabilize this patient?
a. Adenosine
b. Amiodarone
c. Atropine
d. Epinephrine –
Correct Answer :ANS: D
A+ TEST BANK 4
WALDEN UNIVERSITY 2026 NRNP 6531 FINAL
EXAM LATEST SPRING SUMMER ACTUAL
EXAM SOLVED Test Bank with 200+ Practice
Questions and Correct Verified Answers
An adolescent presents with fever, chills, and a severe sore throat. On exam, the
provider notes foul-smelling breath and a muffled voice with marked edema and
erythema of the peritonsillar tissue. What will the primary care provider do?
a. Evaluate for possible epiglottitis.
b. Perform a rapid strep and throat culture.
c. Prescribe empirical oral antibiotics.
d. Refer the patient to an otolaryngologist. –
A+ TEST BANK 1
, NRNP 6531 FINAL EXAM
Correct Answer :ANS: D
This patient has clinical signs of peritonsillar abscess, which may be diagnosed
on clinical signs alone. Patients with peritonsillar abscess should be referred to
an otolaryngologist for possible I&D of the abscess and hospitalization for IV
antibiotics. A rapid strep and culture are not indicated. Oral antibiotics generally
do not work.
A patient is diagnoses with peritonsillar abscess and will be hospitalized for
intravenous antibiotics. What additional treatment will be required?
a. Intubation to protect the airway
b. Needle aspiration of the abscess
c. Systemic corticosteroid administration
d. Tonsillectomy and adenoidectomy –
Correct Answer :ANS: B
Needle aspiration, antibiotics, pain medication, and hydration can effectively
treat peritonsillar abscess. Intubation is not performed unless the airway is
compromised. Systemic corticosteroid administration is useful, but not required
in all cases. Tonsillectomy alone is sometimes performed if recurrent tonsillitis or
peritonsillar abscess is present
A patient reports a sudden onset of sore throat, fever, malaise, and cough. The
provider notes mild erythema of the pharynx and clear rhinorrhea without
cervical lymphadenopathy. What is the most likely cause of these symptoms?
a. Allergic pharyngitis
b. Group A streptococcus
A+ TEST BANK 2
, NRNP 6531 FINAL EXAM
c. Infectious mononucleosis
d. Viral pharyngitis –
Correct Answer :ANS: D
Viral pharyngitis will cause sore throat, fever, and malaise and is often
accompanied by URI symptoms of cough and runny nose. Allergic pharyngitis
usually also causes dryness. GAS causes high fever, cervical adenopathy, and
marked erythema with exudate. Infectious mononucleosis will cause an exudate
along with cervical adenopathy.
A patient presents with sore throat, a temperature of 38.5°C, tonsillar exudates,
and cervical lymphadenopathy. What will the provider do next to manage this
patient's symptoms?
a. Order an anti-streptolysin O (ASO) titer.
b. Perform a rapid antigen detection test (RADT).
c. Prescribe empirical penicillin.
d. Refer to an otolaryngologist. –
Correct Answer :ANS: B
The RADT is performed initially to determine whether Group A -hemolytic
Streptococcus
(GAS) is present. The ASO titer is not used during initial diagnostic screening.
Penicillin
should not be given empirically. A referral to a specialist is not required for GAS
infection.
A+ TEST BANK 3
, NRNP 6531 FINAL EXAM
A school-age child has had 5 episodes of tonsillitis in the past year and 2
episodes the previous year. The child's parent asks the provider if the child
needs a tonsillectomy. What will the provider tell this parent?
a. Current recommendations do not support tonsillectomy for this child.
b. If there is one more episode in the next 6 months, a tonsillectomy is
necessary.
c. The child should have radiographic studies to evaluate the need for
tonsillectomy.
d. Tonsillectomy is recommended based on this child's history. –
Correct Answer :ANS: A
Management of chronic pharyngitis or tonsillitis with GAS infection may require
tonsillectomy. Tonsillectomy is not performed as often as in the past due to
retrospective studies that suggest there is little benefit and a chance of
significant postsurgical complications. Radiographic studies are not indicated.
A patient prescribed a beta blocker medication is in the emergency department
with reports of syncope, shortness of breath, and hypotension. A cardiac
monitor reveals a heart rate of 35
beats per minute. Which medication may be used to stabilize this patient?
a. Adenosine
b. Amiodarone
c. Atropine
d. Epinephrine –
Correct Answer :ANS: D
A+ TEST BANK 4
