NRNP 6531 Final Exam / NRNP6531 Final Exam/ NRNP 6531 Week 11 Final Exam / NRNP6531 Week 11
Final Exam(2 Versions)(Total 200+ Questions and Answers)(Updated, 2024-2025):Walden university
NRNP 6531 Final Exam
(132 Exam Questions & Answers alphabetical)
A,B,C
1.) What is the most commonly abused substance? alcohol is the #1 abused substance in America.
An estimated 135.5 million people drink alcohol, but of those people, 86 million are
considered to be abusers,
2.) Diagnostic confirmation of acute leukemia is based on: Bone marrow aspiration and biopsy
3.) Risk factors for Addison’s disease include which of the following? Tuberculosis, Autoimmune
disease, AIDS (all of the above)
4.) Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be
achieved with: Ritalin and diet
5.) The correct treatment for ankle sprain during the first 48 hours after injury includes: a cold
compress to help reduce swelling (Rest, ice, compression, elevation)
6.) A 15 year-old female patient is 5 feet tall and weighs 85 pounds. You suspect anorexia and know
that the best initial approach is to: Having the client in view of staff for 90 minutes after each
meal Provide the client with a feeling of responsibility and control over her behavior
7.) A 32 year old male patient complains of urinary frequency and burning on urination for 3 days.
Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial
treatment should be: include nitrofurantoin monohydrate/macrocrystals, trimethoprim-
sulfamethoxazole (TMP-SMX), or fosfomycin. trimethoprim and sulfamethoxazole
8.) Dave, age 38, states that he thinks he has an ear infection because he just flew back from a
business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next
action? Prescribe nasal steroids and oral decongestants
9.) A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be
classified as: Overweight
10.)Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? Strong
urinary stream flow.
11.)Which of the following accounts for half of the bladder tumors among men and one third in
women? Cigarette smoke, both active and passive inhalation
12.)Which of the following set of symptoms should raise suspicion of a brain tumor? Holocranial
headaches present in the morning and accompanied by projectile vomiting without nausea
13.)Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome.
Your next step is to: try neutral position wrist splinting and order an oral NSAID
14.)Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
Beta antagonist
15.)Other than smoking cessation, which of the following slows the progression of COPD in
smokers? oxygen
16.)Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
Erythromycin
17.)Central obesity, “moon” face, and dorsocervical fat pad are associated with: Cushings syndrome
18.)What is the most common cause of Cushing’s syndrome? the long-term, high-dose use of
the cortisol-like glucocorticoids
,DIABETES
19.)Diabetes screening recommendations for asymptomatic adults age 45 and over include which of
the following: (HbA1C and 2-hour 75gram oral glucose tolerance test)
20.)A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood
pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How
should the nurse practitioner respond? Answer: Current guidelines recommend lowering BP to <
135/80 mmHg
21.)Which of the following is not a characteristic of type 1 diabetes mellitus? It is generally
controlled by diet and/or oral medication.
22.)The most accurate measure of diabetes control is: hemoglobin A1c considered the most
accurate measurement or Glycosylated hemoglobin level
23.)Which factors are associated with high risk for foot complications in a patient with diabetes
mellitus? Obesity Abnormal nails Abnormal gait Poorly controlled lipids Obesity
2.Abnormal nails 3.Abnormal gait 4.Poorly controlled lipids
24.)An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for
this patient, the nurse practitioner is most concerned with which of the following side effects?
Hypoglycemia
25.)Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On
examining his feet with monofilament, you discover that he has developed decreased sensation
in both feet. There are no open areas or signs of infection on his feet. What health teaching
should Martin receive today regarding the care if his feet? See a podiatrist yearly; wash your
feet daily with warm, soapy water and towel dry between the toes; inspect your feet daily for
any lesions; and apply lotion to any dry areas.
26.)The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:
measure albumin (microalbuminuria
27.)What diabetic complications result from hyperglycemia? Retinopathy 2. Hypertension resistant
to treatment 3. Peripheral neuropathy
28.)An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting
glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider? A
sulfonylurea and/or metformin (Glucophage® -XR)
,D, E, F
29.)The intervention known to be most effective in the treatment of severe depression, with or
without psychosis, is: electroconvulsive therapy (ECT).
30.)A 72 year old female patient reports a 6 month history of gradually progressive swollen and
painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the
erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF)
are all minimally elevated. What is the most likely diagnosis? Osteoarthritis
31.)You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: cruciate ligament
32.)A positive drawer sign supports a diagnosis of: Posterior cruciate ligament injury
33.)The initial clinical sign of Dupuytren’s contracture is: Painless nodule on palmer fascia
34.)A 26 year old female presents with elbow pain that is described as aching and burning. There is
point tenderness along the lateral aspect of the elbow and painful passive flexion and
extension. She reports she has been playing tennis almost daily for the past month. The most
likely diagnosis is: lateral epicondylitis (tennis elbow)
35.)Which is the most common cause of end-stage renal disease in the United States? Diabetes
36.)The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The
drug of choice for treatment of this patient is: Ceftriaxone 250 mg IM in a single dose plus.
Doxycycline 100 mg orally twice a day for 10 days
37.)A 27 year old female patient with epilepsy is well controlled with phenytoin (Dilantin). She
requests information about contraception. The nurse practitioner should instruct her that while
taking phenytoin: the effective of an oral contraceptive may be reduced
38.)Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial
blood flow to his penis. The most common cause of this condition is: diabetes mellitus
39.)A 60 year old male patient with multiple health problems presents with a complaint of
erectile dysfunction (ED). Of the following, which medication is most likely to be causing the
problem? Hypertensive medication such as hydrochlorothiazides, and other DM2 medications
40.)A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the
following symptoms would lead you to look for another diagnosis? high fever (102 to 104
degrees F), irregular pulse, accelerated heartbeat (tachycardia), increased rate of
respiration (tachypnea), muscle rigidity, altered mental status, autonomic nervous system
dysfunction resulting in high or low blood pressure, profuse perspiration, and excessive
sweating. called Malignant Hyperthermia” OR Neuroleptic malignant syndrome
41.)Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome,
which have many similarities. Which of the following is more characteristic of fibromyalgia?
Musculosckeletal pain
, G, H, I
42.)A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following
medications may be used to treat generalized anxiety disorder? benzodiazepines include
Xanax, Librium, Valium, and Ativan
43.)Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to
reduce his lower esophageal sphincter pressure, which substances do you recommend that
he avoid? Food that is very hot or very cold. Fatty or fried foods. Peppermint or spearmint,
including flavoring Coffee, tea, and soft drinks that contain caffeine. Spicy, highly seasoned
foods. Fried food DT caffeine, chocolate and anticholinergics
44.)A 65 year old patient complains of recurrent bilateral temporal headaches, malaise, muscle
aches, and low grade fever. The headache is described as superficial tenderness rather than
deep pain. Giant cell arteritis is suspected. Appropriate treatment is: refer for temporal artery
biopsy and initiation of oral prednisone
45.)Which history is commonly found in a patient with glomerulonephritis? upper respiratory tract
infection or a skin infection that was caused by those bacteria
46.)The most reliable diagnostic indicator of gout is: Elevated serum uric acid levels
47.)After treating a patient for Helicobacter pylori infection, what test do you order to see if it has
been cured? A urea breath test
48.)A 28-year-old female presents to the office requesting testing for diagnosis of hereditary
thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her
risk factors. The nurse practitioner explains that: B and D (does not always require
anticoagulation therapy and genetic and risk management counseling are recommended
49.)A patient has HIV infection and is having a problem with massive diarrhea. You suspect the
cause is: Cryptosporidiosis
50.)A patient with HIV infection has a fever of unknown origin (FUO). Which of the following is a
possible cause of FUO in a patient with HIV? drug fever
51.)The diagnosis of human papilloma virus (HPV) infection in males is usually made by: The
diagnosis of HPV in men is made when external genital warts are seen. The diagnosis of genital
warts is made by examination of the lesions
52.)A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse
practitioner what the treatment for this disorder is. The nurse practitioner explains: Primary
hyperparathyroidism is treated with parathyroidectomy
53.)A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the
patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness,
anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take? Obtain a
thorough history and physical, and check serum cortisol and ACTH levels.
54.)What diabetic complications result from hyperglycemia? Retinopathy 2. Hypertension resistant
to treatment 3. Peripheral neuropathy
55.)Potential causes of hypocalcemia include which of the following? Hypoalbuminemia is the
most common cause of hypocalcemia. Causes include cirrhosis, nephrosis .
hypoparathyroidism, vitamin D deficiency, and renal disease.
56.)Which of the following patients most warrants screening for hypothyroidism? An elderly female
with recent onset of mental dysfunction
Final Exam(2 Versions)(Total 200+ Questions and Answers)(Updated, 2024-2025):Walden university
NRNP 6531 Final Exam
(132 Exam Questions & Answers alphabetical)
A,B,C
1.) What is the most commonly abused substance? alcohol is the #1 abused substance in America.
An estimated 135.5 million people drink alcohol, but of those people, 86 million are
considered to be abusers,
2.) Diagnostic confirmation of acute leukemia is based on: Bone marrow aspiration and biopsy
3.) Risk factors for Addison’s disease include which of the following? Tuberculosis, Autoimmune
disease, AIDS (all of the above)
4.) Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be
achieved with: Ritalin and diet
5.) The correct treatment for ankle sprain during the first 48 hours after injury includes: a cold
compress to help reduce swelling (Rest, ice, compression, elevation)
6.) A 15 year-old female patient is 5 feet tall and weighs 85 pounds. You suspect anorexia and know
that the best initial approach is to: Having the client in view of staff for 90 minutes after each
meal Provide the client with a feeling of responsibility and control over her behavior
7.) A 32 year old male patient complains of urinary frequency and burning on urination for 3 days.
Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial
treatment should be: include nitrofurantoin monohydrate/macrocrystals, trimethoprim-
sulfamethoxazole (TMP-SMX), or fosfomycin. trimethoprim and sulfamethoxazole
8.) Dave, age 38, states that he thinks he has an ear infection because he just flew back from a
business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next
action? Prescribe nasal steroids and oral decongestants
9.) A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be
classified as: Overweight
10.)Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? Strong
urinary stream flow.
11.)Which of the following accounts for half of the bladder tumors among men and one third in
women? Cigarette smoke, both active and passive inhalation
12.)Which of the following set of symptoms should raise suspicion of a brain tumor? Holocranial
headaches present in the morning and accompanied by projectile vomiting without nausea
13.)Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome.
Your next step is to: try neutral position wrist splinting and order an oral NSAID
14.)Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
Beta antagonist
15.)Other than smoking cessation, which of the following slows the progression of COPD in
smokers? oxygen
16.)Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
Erythromycin
17.)Central obesity, “moon” face, and dorsocervical fat pad are associated with: Cushings syndrome
18.)What is the most common cause of Cushing’s syndrome? the long-term, high-dose use of
the cortisol-like glucocorticoids
,DIABETES
19.)Diabetes screening recommendations for asymptomatic adults age 45 and over include which of
the following: (HbA1C and 2-hour 75gram oral glucose tolerance test)
20.)A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood
pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How
should the nurse practitioner respond? Answer: Current guidelines recommend lowering BP to <
135/80 mmHg
21.)Which of the following is not a characteristic of type 1 diabetes mellitus? It is generally
controlled by diet and/or oral medication.
22.)The most accurate measure of diabetes control is: hemoglobin A1c considered the most
accurate measurement or Glycosylated hemoglobin level
23.)Which factors are associated with high risk for foot complications in a patient with diabetes
mellitus? Obesity Abnormal nails Abnormal gait Poorly controlled lipids Obesity
2.Abnormal nails 3.Abnormal gait 4.Poorly controlled lipids
24.)An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for
this patient, the nurse practitioner is most concerned with which of the following side effects?
Hypoglycemia
25.)Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On
examining his feet with monofilament, you discover that he has developed decreased sensation
in both feet. There are no open areas or signs of infection on his feet. What health teaching
should Martin receive today regarding the care if his feet? See a podiatrist yearly; wash your
feet daily with warm, soapy water and towel dry between the toes; inspect your feet daily for
any lesions; and apply lotion to any dry areas.
26.)The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:
measure albumin (microalbuminuria
27.)What diabetic complications result from hyperglycemia? Retinopathy 2. Hypertension resistant
to treatment 3. Peripheral neuropathy
28.)An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting
glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider? A
sulfonylurea and/or metformin (Glucophage® -XR)
,D, E, F
29.)The intervention known to be most effective in the treatment of severe depression, with or
without psychosis, is: electroconvulsive therapy (ECT).
30.)A 72 year old female patient reports a 6 month history of gradually progressive swollen and
painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the
erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF)
are all minimally elevated. What is the most likely diagnosis? Osteoarthritis
31.)You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: cruciate ligament
32.)A positive drawer sign supports a diagnosis of: Posterior cruciate ligament injury
33.)The initial clinical sign of Dupuytren’s contracture is: Painless nodule on palmer fascia
34.)A 26 year old female presents with elbow pain that is described as aching and burning. There is
point tenderness along the lateral aspect of the elbow and painful passive flexion and
extension. She reports she has been playing tennis almost daily for the past month. The most
likely diagnosis is: lateral epicondylitis (tennis elbow)
35.)Which is the most common cause of end-stage renal disease in the United States? Diabetes
36.)The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The
drug of choice for treatment of this patient is: Ceftriaxone 250 mg IM in a single dose plus.
Doxycycline 100 mg orally twice a day for 10 days
37.)A 27 year old female patient with epilepsy is well controlled with phenytoin (Dilantin). She
requests information about contraception. The nurse practitioner should instruct her that while
taking phenytoin: the effective of an oral contraceptive may be reduced
38.)Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial
blood flow to his penis. The most common cause of this condition is: diabetes mellitus
39.)A 60 year old male patient with multiple health problems presents with a complaint of
erectile dysfunction (ED). Of the following, which medication is most likely to be causing the
problem? Hypertensive medication such as hydrochlorothiazides, and other DM2 medications
40.)A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the
following symptoms would lead you to look for another diagnosis? high fever (102 to 104
degrees F), irregular pulse, accelerated heartbeat (tachycardia), increased rate of
respiration (tachypnea), muscle rigidity, altered mental status, autonomic nervous system
dysfunction resulting in high or low blood pressure, profuse perspiration, and excessive
sweating. called Malignant Hyperthermia” OR Neuroleptic malignant syndrome
41.)Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome,
which have many similarities. Which of the following is more characteristic of fibromyalgia?
Musculosckeletal pain
, G, H, I
42.)A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following
medications may be used to treat generalized anxiety disorder? benzodiazepines include
Xanax, Librium, Valium, and Ativan
43.)Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to
reduce his lower esophageal sphincter pressure, which substances do you recommend that
he avoid? Food that is very hot or very cold. Fatty or fried foods. Peppermint or spearmint,
including flavoring Coffee, tea, and soft drinks that contain caffeine. Spicy, highly seasoned
foods. Fried food DT caffeine, chocolate and anticholinergics
44.)A 65 year old patient complains of recurrent bilateral temporal headaches, malaise, muscle
aches, and low grade fever. The headache is described as superficial tenderness rather than
deep pain. Giant cell arteritis is suspected. Appropriate treatment is: refer for temporal artery
biopsy and initiation of oral prednisone
45.)Which history is commonly found in a patient with glomerulonephritis? upper respiratory tract
infection or a skin infection that was caused by those bacteria
46.)The most reliable diagnostic indicator of gout is: Elevated serum uric acid levels
47.)After treating a patient for Helicobacter pylori infection, what test do you order to see if it has
been cured? A urea breath test
48.)A 28-year-old female presents to the office requesting testing for diagnosis of hereditary
thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her
risk factors. The nurse practitioner explains that: B and D (does not always require
anticoagulation therapy and genetic and risk management counseling are recommended
49.)A patient has HIV infection and is having a problem with massive diarrhea. You suspect the
cause is: Cryptosporidiosis
50.)A patient with HIV infection has a fever of unknown origin (FUO). Which of the following is a
possible cause of FUO in a patient with HIV? drug fever
51.)The diagnosis of human papilloma virus (HPV) infection in males is usually made by: The
diagnosis of HPV in men is made when external genital warts are seen. The diagnosis of genital
warts is made by examination of the lesions
52.)A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse
practitioner what the treatment for this disorder is. The nurse practitioner explains: Primary
hyperparathyroidism is treated with parathyroidectomy
53.)A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the
patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness,
anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take? Obtain a
thorough history and physical, and check serum cortisol and ACTH levels.
54.)What diabetic complications result from hyperglycemia? Retinopathy 2. Hypertension resistant
to treatment 3. Peripheral neuropathy
55.)Potential causes of hypocalcemia include which of the following? Hypoalbuminemia is the
most common cause of hypocalcemia. Causes include cirrhosis, nephrosis .
hypoparathyroidism, vitamin D deficiency, and renal disease.
56.)Which of the following patients most warrants screening for hypothyroidism? An elderly female
with recent onset of mental dysfunction
