1|Page
NURS 6531 COMBINED MIDTERM AND FINAL
REVIEW (WALDEN) NEWEST 2026 TEST BANK|
NURS6531 ADVANCED PRACTICE CARE OF ADULTS
ACROSS THE LIFESPAN EXAM PREP WITH
COMPLETE 650 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ GRADED A+
A patient is brought to an emergency department with symptoms of
acute ST-segment elevations MI (STEMI). The nearest hospital that can
perform percutaneous coronary intervention (PCI) is 3 hours away. What
is the initial treatment for this patient?
A. Give the patient an oral beta blocker
B. Initiate fibrinolytic treatment
C. Administer heparin
D. Transfer to the PCI-capable institution - Correct Answer - Initiate
fibrinolytic treatment
A 55-year-old patient has a blood pressure of 138/85 on three occasions.
The patient denies headaches, palpitations, snoring, muscle weakness,
and nocturia and does not take any medications. What will the provider
do next to evaluate this patient?
A. Continue to monitor blood pressure at each health maintenance visit
B. Assess serum cortisol levels
C. Order urinalysis, CBC, BUN and creatinine
D. Refer to specialist for sleep study - Correct Answer - Order
urinalysis, CBC, BUN and creatinine
pg. 1
,2|Page
A patient is diagnosed with PAD and elects to not have angioplasty after
an angiogram reveals partial obstruction in lower extremity arteries.
What will the provider recommend to help with relief of symptoms in
this patient?
A. Statin therapy with clopidogrel
B. Walking to the point of pain each day
C. Daily aspirin therapy to prevent clotting
D. Walking slowly for 15 to 20 minutes twice daily - Correct Answer -
Walking to the point of pain each day
The AHA recommends early CPR and AED use for adult victims of
cardiac arrest outside of a hospital setting because most victims have
which arrhythmia?
A. Atrial flutter
B. Ventricular fibrillation
C. Atrial fibrillation
D. Ventricular tachycardia - Correct Answer - Ventricular fibrillation
A child with a history of asthma is brought to the clinic with a rapid
heart rate. A cardiac monitor shows a heart rate of 225 beats per minute.
The provider notifies transport to take the child to the child emergency
department. What initial intervention may be attempted in the clinic?
A. Administration of intravenous adenosine
B. Using a vagal maneuver or carotid massage
C. Providing a loading dose of digoxin
D. Giving a beta blocker - Correct Answer - Using a vagal maneuver or
carotid massage
pg. 2
,3|Page
A patient reports recurrent chest pain that occurs regardless of activity
and is not relieved by rest. The provider administers a nitroglycerin
tablet which does not relieve the discomfort. What is the next action?
A. Prescribe a calcium channel blocker medication
B. Start aspirin therapy and refer the patient to a cardiologist
C. Give the patient a beta blocker medication
D. Administer a second nitroglycerin tablet - Correct Answer - Give the
patient a beta blocker medication
A 70-year-old male patient has an aortic aneurysm measuring 5.0 cm.
The patient has poorly-controlled hypertension, and decompensated
heart failure. What is the recommendation for treatment for this patient?
A. No intervention is necessary for this patient
B. Immediate open surgical repair of the aneurysm
C. Endovascular stent grafting of the aneurysm
D. Serial ultrasonographic surveillance of the aneurysm - Correct
Answer - Serial ultrasonographic surveillance of the aneurysm
Which laboratory values representing parathyroid hormone (PTH) and
serum calcium are consistent with a diagnosis of primary
hyperparathyroidism?
A. Appropriately increased PTH and low or normal serum calcium
B. Inappropriate secretion of PTH along with hypercalcemia
C. Appropriately high PTH along with hypocalcemia
D. Prolonged inappropriate secretion of PTH with subsequent
hypercalcemia - Correct Answer - Inappropriate secretion of PTH along
with hypercalcemia
pg. 3
, 4|Page
A patient who is obese has recurrent urinary tract infections and reports
feeling tired most of the time. What initial diagnostic test will the
provider order in the clinic at this visit?
A. Hemoglobin A1C
B. Random serum glucose
C. C-peptide level
D. Thyroid studies - Correct Answer - Hemoglobin A1C
Which thyroid stimulating hormone (TSH) level indicates
hyperthyroidism? (normal TSH is 0.3-4)
A. 0.2 uIU/L
B. 4.2 uIU/L
C. 0.4 uIU/L
D. 2.4 uIU/L - Correct Answer - 0.2 uIU/L
A 20-year-old female patient with tachycardia and weight loss but no
optic symptoms has the following laboratory values: decreased TSH,
increased T3, and increased T4 and free T4. A pregnancy test is negative.
What is the initial treatment for this patient?
A. Radioiodine therapy
B. Surgical resection of the thyroid gland
C. Beta blocker medications
D. Thioamide therapy - Correct Answer - Beta blocker medications
A 40-year-old patient with primary hyperparathyroidism has increased
serum calcium 0.5 mg/dL above normal without signs of nephrolithiasis.
What is the recommended treatment for this patient?
pg. 4
NURS 6531 COMBINED MIDTERM AND FINAL
REVIEW (WALDEN) NEWEST 2026 TEST BANK|
NURS6531 ADVANCED PRACTICE CARE OF ADULTS
ACROSS THE LIFESPAN EXAM PREP WITH
COMPLETE 650 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ GRADED A+
A patient is brought to an emergency department with symptoms of
acute ST-segment elevations MI (STEMI). The nearest hospital that can
perform percutaneous coronary intervention (PCI) is 3 hours away. What
is the initial treatment for this patient?
A. Give the patient an oral beta blocker
B. Initiate fibrinolytic treatment
C. Administer heparin
D. Transfer to the PCI-capable institution - Correct Answer - Initiate
fibrinolytic treatment
A 55-year-old patient has a blood pressure of 138/85 on three occasions.
The patient denies headaches, palpitations, snoring, muscle weakness,
and nocturia and does not take any medications. What will the provider
do next to evaluate this patient?
A. Continue to monitor blood pressure at each health maintenance visit
B. Assess serum cortisol levels
C. Order urinalysis, CBC, BUN and creatinine
D. Refer to specialist for sleep study - Correct Answer - Order
urinalysis, CBC, BUN and creatinine
pg. 1
,2|Page
A patient is diagnosed with PAD and elects to not have angioplasty after
an angiogram reveals partial obstruction in lower extremity arteries.
What will the provider recommend to help with relief of symptoms in
this patient?
A. Statin therapy with clopidogrel
B. Walking to the point of pain each day
C. Daily aspirin therapy to prevent clotting
D. Walking slowly for 15 to 20 minutes twice daily - Correct Answer -
Walking to the point of pain each day
The AHA recommends early CPR and AED use for adult victims of
cardiac arrest outside of a hospital setting because most victims have
which arrhythmia?
A. Atrial flutter
B. Ventricular fibrillation
C. Atrial fibrillation
D. Ventricular tachycardia - Correct Answer - Ventricular fibrillation
A child with a history of asthma is brought to the clinic with a rapid
heart rate. A cardiac monitor shows a heart rate of 225 beats per minute.
The provider notifies transport to take the child to the child emergency
department. What initial intervention may be attempted in the clinic?
A. Administration of intravenous adenosine
B. Using a vagal maneuver or carotid massage
C. Providing a loading dose of digoxin
D. Giving a beta blocker - Correct Answer - Using a vagal maneuver or
carotid massage
pg. 2
,3|Page
A patient reports recurrent chest pain that occurs regardless of activity
and is not relieved by rest. The provider administers a nitroglycerin
tablet which does not relieve the discomfort. What is the next action?
A. Prescribe a calcium channel blocker medication
B. Start aspirin therapy and refer the patient to a cardiologist
C. Give the patient a beta blocker medication
D. Administer a second nitroglycerin tablet - Correct Answer - Give the
patient a beta blocker medication
A 70-year-old male patient has an aortic aneurysm measuring 5.0 cm.
The patient has poorly-controlled hypertension, and decompensated
heart failure. What is the recommendation for treatment for this patient?
A. No intervention is necessary for this patient
B. Immediate open surgical repair of the aneurysm
C. Endovascular stent grafting of the aneurysm
D. Serial ultrasonographic surveillance of the aneurysm - Correct
Answer - Serial ultrasonographic surveillance of the aneurysm
Which laboratory values representing parathyroid hormone (PTH) and
serum calcium are consistent with a diagnosis of primary
hyperparathyroidism?
A. Appropriately increased PTH and low or normal serum calcium
B. Inappropriate secretion of PTH along with hypercalcemia
C. Appropriately high PTH along with hypocalcemia
D. Prolonged inappropriate secretion of PTH with subsequent
hypercalcemia - Correct Answer - Inappropriate secretion of PTH along
with hypercalcemia
pg. 3
, 4|Page
A patient who is obese has recurrent urinary tract infections and reports
feeling tired most of the time. What initial diagnostic test will the
provider order in the clinic at this visit?
A. Hemoglobin A1C
B. Random serum glucose
C. C-peptide level
D. Thyroid studies - Correct Answer - Hemoglobin A1C
Which thyroid stimulating hormone (TSH) level indicates
hyperthyroidism? (normal TSH is 0.3-4)
A. 0.2 uIU/L
B. 4.2 uIU/L
C. 0.4 uIU/L
D. 2.4 uIU/L - Correct Answer - 0.2 uIU/L
A 20-year-old female patient with tachycardia and weight loss but no
optic symptoms has the following laboratory values: decreased TSH,
increased T3, and increased T4 and free T4. A pregnancy test is negative.
What is the initial treatment for this patient?
A. Radioiodine therapy
B. Surgical resection of the thyroid gland
C. Beta blocker medications
D. Thioamide therapy - Correct Answer - Beta blocker medications
A 40-year-old patient with primary hyperparathyroidism has increased
serum calcium 0.5 mg/dL above normal without signs of nephrolithiasis.
What is the recommended treatment for this patient?
pg. 4
