1|Page
NRNP 6540 MIDTERM EXAM LATEST/NRNP6540
MIDTERM EXAM PREPARATION/ NRNP 6540 MIDTERM
EXAM PRACTICE QUESTIONS AND ANSWERS (VERIFIED
ANSWERS)|WALDEN UNIVERSITY
Question 1
A 52-year-old client presents with crushing substernal chest pain
radiating to the left arm and jaw. Which diagnosis should the nurse
practitioner suspect first?
A. Gastroesophageal reflux disease
B. Myocardial infarction
C. Panic attack
D. Pneumonia
Answer: B
Rationale: Crushing chest pain radiating to the arm and jaw is classic
for myocardial infarction.
Question 2
A client with type 2 diabetes has an HbA1c of 9.2%. What does this
result indicate?
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A. Excellent glucose control
B. Hypoglycemia
C. Poor long-term glucose control
D. Acute infection only
Answer: C
Rationale: Elevated HbA1c reflects poor glucose control over the
previous 2–3 months.
Question 3
Which medication class is commonly prescribed first-line for
hypertension?
A. ACE inhibitors
B. Antifungals
C. Antivirals
D. Opioids
Answer: A
Rationale: ACE inhibitors are commonly used to treat hypertension.
Question 4
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A client presents with fever, productive cough, and crackles. Which
condition is most likely?
A. Pneumonia
B. Migraine
C. Appendicitis
D. Osteoarthritis
Answer: A
Rationale: Fever, cough, and crackles are common findings in
pneumonia.
Question 5
Which laboratory value is most concerning in a client with chronic
kidney disease?
A. Potassium 6.0 mEq/L
B. Sodium 140 mEq/L
C. Hemoglobin 13 g/dL
D. Glucose 98 mg/dL
Answer: A
Rationale: Hyperkalemia can cause life-threatening dysrhythmias.
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Question 6
A client with COPD should be taught which breathing technique?
A. Pursed-lip breathing
B. Hyperventilation
C. Rapid shallow breathing
D. Breath holding
Answer: A
Rationale: Pursed-lip breathing improves oxygenation and decreases
air trapping.
Question 7
Which symptom is commonly associated with hypothyroidism?
A. Weight gain
B. Tachycardia
C. Heat intolerance
D. Hyperactivity
Answer: A
pg. 4
NRNP 6540 MIDTERM EXAM LATEST/NRNP6540
MIDTERM EXAM PREPARATION/ NRNP 6540 MIDTERM
EXAM PRACTICE QUESTIONS AND ANSWERS (VERIFIED
ANSWERS)|WALDEN UNIVERSITY
Question 1
A 52-year-old client presents with crushing substernal chest pain
radiating to the left arm and jaw. Which diagnosis should the nurse
practitioner suspect first?
A. Gastroesophageal reflux disease
B. Myocardial infarction
C. Panic attack
D. Pneumonia
Answer: B
Rationale: Crushing chest pain radiating to the arm and jaw is classic
for myocardial infarction.
Question 2
A client with type 2 diabetes has an HbA1c of 9.2%. What does this
result indicate?
pg. 1
,2|Page
A. Excellent glucose control
B. Hypoglycemia
C. Poor long-term glucose control
D. Acute infection only
Answer: C
Rationale: Elevated HbA1c reflects poor glucose control over the
previous 2–3 months.
Question 3
Which medication class is commonly prescribed first-line for
hypertension?
A. ACE inhibitors
B. Antifungals
C. Antivirals
D. Opioids
Answer: A
Rationale: ACE inhibitors are commonly used to treat hypertension.
Question 4
pg. 2
,3|Page
A client presents with fever, productive cough, and crackles. Which
condition is most likely?
A. Pneumonia
B. Migraine
C. Appendicitis
D. Osteoarthritis
Answer: A
Rationale: Fever, cough, and crackles are common findings in
pneumonia.
Question 5
Which laboratory value is most concerning in a client with chronic
kidney disease?
A. Potassium 6.0 mEq/L
B. Sodium 140 mEq/L
C. Hemoglobin 13 g/dL
D. Glucose 98 mg/dL
Answer: A
Rationale: Hyperkalemia can cause life-threatening dysrhythmias.
pg. 3
, 4|Page
Question 6
A client with COPD should be taught which breathing technique?
A. Pursed-lip breathing
B. Hyperventilation
C. Rapid shallow breathing
D. Breath holding
Answer: A
Rationale: Pursed-lip breathing improves oxygenation and decreases
air trapping.
Question 7
Which symptom is commonly associated with hypothyroidism?
A. Weight gain
B. Tachycardia
C. Heat intolerance
D. Hyperactivity
Answer: A
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