NRNP 6540 EXAM
(WALDEN UNI)
QNS & ANS
VERSION 1
2023/2024
, 1. A 32-year-old Caucasian female comes to the physician because of a one-week history of fatigue,
progressive worsening of shortness of breath and swelling of feet. She denies any chest pain She has
no other medical problems except a recent cold two weeks ago. She is not taking any medication
Her temperature is 36 7 C (98 F), blood pressure is 110/65 mmHg, pulse is g0/min, and respirations
are 20/min Bilateral basal crackles, elevated jugular venous pressure, and 2+ bilateral pitting edema
of the ankles are noted Complete blood count is unremarkable. Transthoracic echocardiogram of her
heat will most likely show? Dilated ventricles with diffuse hypokinesia
2. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated.
Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis
and complete blood count (CBC). The total assessment is necessary because: All body systems
interact, and symptoms could indicate a variety of diagnose
3. A PMHNP is caring for a 21-year-old woman who is suffering from anxiety and is having difficulty
managing stress. Which of the following would be an appropriate step by the PMHNP? A.Asking
the patient what she does to relieve anxiety B. Giving the patient basic stress management activities
C. Developing a plan together that is not overwhelming
4. When would the influenza vaccine be absolutely contraindicated? A previous severe allergic
reaction to influenza vaccine
5. Your 78-year-old patient has never had a flu vaccine, and states “I have heard that the flu shot gives
you the flu. I don’t want one.” What education would you provide for this patient? Vaccination
causes an immune response in order to provide provide some protection from the virus
6. The PMHNP is working with an adult patient who has somatic complaints caused by a history of
(WALDEN UNI)
QNS & ANS
VERSION 1
2023/2024
, 1. A 32-year-old Caucasian female comes to the physician because of a one-week history of fatigue,
progressive worsening of shortness of breath and swelling of feet. She denies any chest pain She has
no other medical problems except a recent cold two weeks ago. She is not taking any medication
Her temperature is 36 7 C (98 F), blood pressure is 110/65 mmHg, pulse is g0/min, and respirations
are 20/min Bilateral basal crackles, elevated jugular venous pressure, and 2+ bilateral pitting edema
of the ankles are noted Complete blood count is unremarkable. Transthoracic echocardiogram of her
heat will most likely show? Dilated ventricles with diffuse hypokinesia
2. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated.
Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis
and complete blood count (CBC). The total assessment is necessary because: All body systems
interact, and symptoms could indicate a variety of diagnose
3. A PMHNP is caring for a 21-year-old woman who is suffering from anxiety and is having difficulty
managing stress. Which of the following would be an appropriate step by the PMHNP? A.Asking
the patient what she does to relieve anxiety B. Giving the patient basic stress management activities
C. Developing a plan together that is not overwhelming
4. When would the influenza vaccine be absolutely contraindicated? A previous severe allergic
reaction to influenza vaccine
5. Your 78-year-old patient has never had a flu vaccine, and states “I have heard that the flu shot gives
you the flu. I don’t want one.” What education would you provide for this patient? Vaccination
causes an immune response in order to provide provide some protection from the virus
6. The PMHNP is working with an adult patient who has somatic complaints caused by a history of
