MN551 TEST REVIEW DOCUMENT 2026
QUIZ SOLUTION SET A+
◉ A pediatric unit will be receiving from a rural medical outpost a
patient transfer of an 8-day-old infant with a suspected congenital
renal disorder. Which of the following possibilities is the care team
most likely to be able to rule out early?
Answer: Renal cell carcinoma may be present.
May have upper and lower poles of the two kidneys may be fused,
kidneys may be misshapen and have cysts, one of the infant's
kidneys may have failed to develop to a normal size.
◉ Which of the following substances is most likely to be reabsorbed
in the tubular segments of the nephron using passive transport
mechanisms?
Answer: Water
◉ A nurse practitioner is teaching a student NP about the
physiologic basis for damage to the circulatory and neurological
systems that can accompany hypotension. Which of the following
responses by the student would warrant correction by the nurse
practitioner?
Answer: "Tension and vessel thickness increase proportionately."
,◉ A 66-year-old female patient has presented to the emergency
department because of several months of intermittently bloody
stools that has recently become worse. The woman has since been
diagnosed with a gastrointestinal bleed secondary to overuse of
nonsteroidal anti-inflammatory drugs that she takes for her
arthritis. The health care team would realize that which of the
following situations is most likely?
Answer: She will have iron-deficiency anemia due to depletion of
iron stores.
◉ Which of the following patients of a primary care nurse
practitioner would not require extra screening for cancer?
Answer: A 38-year-old female with Down syndrome and congenital
scoliosis
◉ A 62-year-old female smoker is distraught at her recent diagnosis
of small cell lung cancer (SCLC). How can her nurse practitioner
most appropriately respond to her?
Answer: "This is very difficult to hear, I'm sure, and we have to
observe to see if it spreads because that often happens."
◉ A 60-year-old man has been diagnosed with renal calculi after
repeated episodes of excruciating flank pain in recent weeks. The
man states, "I don't know how this could happen to me, since I'm so
careful about eating a healthy diet." What is the most appropriate
response to the man's statement?
,Answer: What you eat can influence your risk of stone formation,
but many other factors like hormones and your metabolism are
involved.
◉ A nurse practitioner is doing the admission assessment on a
patient who has been transferred to the floor after being diagnosed
by the emergency room physician with bilateral pleural effusion.
Which of the following findings from the nurse practitioner's initial
assessment of the patient is incongruent with the patient's
diagnosis, and would require further investigation?
Answer: The patient complains of sharp pain exacerbated by deep
inspiration.
◉ An autopsy is being performed on a 44-year-old female who died
unexpectedly of heart failure. Which of the following components of
the pathologist's report is most suggestive of a possible history of
poorly controlled blood pressure?
Answer: "Arterial sclerosis of subcortical brain regions noted."
◉ A tourist presented to a primary care health clinic complaining of
malaise, fever, and headache. She has subsequently been diagnosed
with Rocky Mountain spotted fever, a pathology caused by
Rickettsiaceae. Which of the followed statements best captures a
characteristic trait of Rickettsiaceae?
Answer: They have both RNA and DNA.
, ◉ A 7-year-old boy is admitted to the hospital with a suspected
diagnosis of lead toxicity. Which of the following assessment
findings is most congruent with the patient's diagnosis? hi
Answer: Hemoglobin 9.9 g/dL
◉ A 16-year-old female has been brought to her primary care nurse
practitioner by her mother due to the girl's persistent sore throat
and malaise. Which of the following facts revealed in the girl's
history and examination would lead the nurse practitioner to rule
out infectious mononucleosis?
Answer: Chest auscultation reveals crackles in her lower lung fields
bilaterally.
◉ The NP is providing care for a 21-year-old female patient with gas
gangrene of a compound fracture in her arm. Which of the following
assessment findings would the nurse most reasonably expect to find
when caring for a patient with a diagnosis of gas gangrene?
Answer: Spreading edema
◉ A patient with poorly controlled diabetes mellitus presents to the
emergency department with suspected ketoacidosis. Which of the
following diagnostic results would be most likely to confirm this
diagnosis?
Answer: Increased CO2, increased anion gap, base deficit
QUIZ SOLUTION SET A+
◉ A pediatric unit will be receiving from a rural medical outpost a
patient transfer of an 8-day-old infant with a suspected congenital
renal disorder. Which of the following possibilities is the care team
most likely to be able to rule out early?
Answer: Renal cell carcinoma may be present.
May have upper and lower poles of the two kidneys may be fused,
kidneys may be misshapen and have cysts, one of the infant's
kidneys may have failed to develop to a normal size.
◉ Which of the following substances is most likely to be reabsorbed
in the tubular segments of the nephron using passive transport
mechanisms?
Answer: Water
◉ A nurse practitioner is teaching a student NP about the
physiologic basis for damage to the circulatory and neurological
systems that can accompany hypotension. Which of the following
responses by the student would warrant correction by the nurse
practitioner?
Answer: "Tension and vessel thickness increase proportionately."
,◉ A 66-year-old female patient has presented to the emergency
department because of several months of intermittently bloody
stools that has recently become worse. The woman has since been
diagnosed with a gastrointestinal bleed secondary to overuse of
nonsteroidal anti-inflammatory drugs that she takes for her
arthritis. The health care team would realize that which of the
following situations is most likely?
Answer: She will have iron-deficiency anemia due to depletion of
iron stores.
◉ Which of the following patients of a primary care nurse
practitioner would not require extra screening for cancer?
Answer: A 38-year-old female with Down syndrome and congenital
scoliosis
◉ A 62-year-old female smoker is distraught at her recent diagnosis
of small cell lung cancer (SCLC). How can her nurse practitioner
most appropriately respond to her?
Answer: "This is very difficult to hear, I'm sure, and we have to
observe to see if it spreads because that often happens."
◉ A 60-year-old man has been diagnosed with renal calculi after
repeated episodes of excruciating flank pain in recent weeks. The
man states, "I don't know how this could happen to me, since I'm so
careful about eating a healthy diet." What is the most appropriate
response to the man's statement?
,Answer: What you eat can influence your risk of stone formation,
but many other factors like hormones and your metabolism are
involved.
◉ A nurse practitioner is doing the admission assessment on a
patient who has been transferred to the floor after being diagnosed
by the emergency room physician with bilateral pleural effusion.
Which of the following findings from the nurse practitioner's initial
assessment of the patient is incongruent with the patient's
diagnosis, and would require further investigation?
Answer: The patient complains of sharp pain exacerbated by deep
inspiration.
◉ An autopsy is being performed on a 44-year-old female who died
unexpectedly of heart failure. Which of the following components of
the pathologist's report is most suggestive of a possible history of
poorly controlled blood pressure?
Answer: "Arterial sclerosis of subcortical brain regions noted."
◉ A tourist presented to a primary care health clinic complaining of
malaise, fever, and headache. She has subsequently been diagnosed
with Rocky Mountain spotted fever, a pathology caused by
Rickettsiaceae. Which of the followed statements best captures a
characteristic trait of Rickettsiaceae?
Answer: They have both RNA and DNA.
, ◉ A 7-year-old boy is admitted to the hospital with a suspected
diagnosis of lead toxicity. Which of the following assessment
findings is most congruent with the patient's diagnosis? hi
Answer: Hemoglobin 9.9 g/dL
◉ A 16-year-old female has been brought to her primary care nurse
practitioner by her mother due to the girl's persistent sore throat
and malaise. Which of the following facts revealed in the girl's
history and examination would lead the nurse practitioner to rule
out infectious mononucleosis?
Answer: Chest auscultation reveals crackles in her lower lung fields
bilaterally.
◉ The NP is providing care for a 21-year-old female patient with gas
gangrene of a compound fracture in her arm. Which of the following
assessment findings would the nurse most reasonably expect to find
when caring for a patient with a diagnosis of gas gangrene?
Answer: Spreading edema
◉ A patient with poorly controlled diabetes mellitus presents to the
emergency department with suspected ketoacidosis. Which of the
following diagnostic results would be most likely to confirm this
diagnosis?
Answer: Increased CO2, increased anion gap, base deficit
