NRNP 6531 COMBINED AND FINAL
EXAM 800 QUESTIONS AND
CORRECT VERIFIED ANSWERS
LATEST UPDATE 2025 BEST EXAM
SOLUTION GRADED A+ FOR SUCCESS
Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to
an emergency department with symptoms of acute ST-segment elevation MI
(STEMI). The nearest hospital that can perform percutaneous coronary
intervention (PCI) is 3 hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL. - CORRECT ANSWERS
Patients who meet the criteria for statin therapy to help prevent atherosclerotic
cardiovascular disease are those with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL.
Cauda equina syndrome - CORRECT ANSWERS A 75-year-old patient
reports pain and a feeling of tiredness in both legs that only relieves after sitting
for 30 minutes or more. What the does provider suspect as the cause for these
symptoms?
1
,Buerger's disease
Cauda equina syndrome
Diabetic neuropathy
Peripheral arterial disease
Oral contraceptives
NSAIDS
Sleep apnea - CORRECT ANSWERS Which are causes of secondary
hypertension? (Select all that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
Assessment of gasping breaths or not breathing - CORRECT ANSWERS A
health care provider in a clinic finds a patient in a room, unresponsive and pale.
Which sign should be used to identify the need to initiate cardiopulmonary
resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing
Admit to the hospital for evaluation and treatment - CORRECT ANSWERS
An African-American patient who is being treated with a thiazide diuretic for
chronic hypertension reports blurred vision and shortness of breath. The
provider notes a blood pressure of 185/115. What is the recommended action for
this patient?
2
,Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker
Atrial fibrillation - CORRECT ANSWERS A patient reports sustained,
irregular heart palpitations. What is the most likely cause of these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
Hypertrophic cardiomyopathy - CORRECT ANSWERS A patient has a cardiac
murmur that peaks in midsystole and is best heard along the left sternal border.
The provider determines that the murmur decreases in intensity when the patient
changes from standing to squatting and increases in intensity with the Valsalva
maneuver. Which cause will the provider suspect for this murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse
Consult with cardiology to determine appropriate diagnostic tests - CORRECT
ANSWERS A young female patient has known mitral valve prolapse. During a
routine health maintenance exam, the provider notes an apical systolic murmur
and a midsystolic click on auscultation. The patient denies chest pain, syncope,
or palpitations. What will the provider do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
Admit the patient to the hospital for evaluation and treatment
Consult with cardiology to determine appropriate diagnostic tests
3
, US of the mass to determine size - CORRECT ANSWERS A patient reports
abdominal and back pain with anorexia and nausea. During an exam, the
provider notes a pulsatile abdominal mass. What is the initial action?
Scheduling an MRI to evaluate for aortic disease
Immediate referral to a thoracic surgeon
US of the mass to determine size
Ordering CT angiography
Initiate fibrinolytic treatment - CORRECT ANSWERS 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?
Give the patient an oral beta blocker
Initiate fibrinolytic treatment
Administer heparin
Transfer to the PCI-capable institution
Order urinalysis, CBC, BUN and creatinine - CORRECT ANSWERS 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?
Continue to monitor blood pressure at each health maintenance visit
Assess serum cortisol levels
Order urinalysis, CBC, BUN and creatinine
Refer to specialist for sleep study
Walking to the point of pain each day - CORRECT ANSWERS 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?
Statin therapy with clopidogrel
Walking to the point of pain each day
4
EXAM 800 QUESTIONS AND
CORRECT VERIFIED ANSWERS
LATEST UPDATE 2025 BEST EXAM
SOLUTION GRADED A+ FOR SUCCESS
Initiate fibrinolytic treatment - CORRECT ANSWERS A patient is brought to
an emergency department with symptoms of acute ST-segment elevation MI
(STEMI). The nearest hospital that can perform percutaneous coronary
intervention (PCI) is 3 hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL. - CORRECT ANSWERS
Patients who meet the criteria for statin therapy to help prevent atherosclerotic
cardiovascular disease are those with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL.
Cauda equina syndrome - CORRECT ANSWERS A 75-year-old patient
reports pain and a feeling of tiredness in both legs that only relieves after sitting
for 30 minutes or more. What the does provider suspect as the cause for these
symptoms?
1
,Buerger's disease
Cauda equina syndrome
Diabetic neuropathy
Peripheral arterial disease
Oral contraceptives
NSAIDS
Sleep apnea - CORRECT ANSWERS Which are causes of secondary
hypertension? (Select all that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
Assessment of gasping breaths or not breathing - CORRECT ANSWERS A
health care provider in a clinic finds a patient in a room, unresponsive and pale.
Which sign should be used to identify the need to initiate cardiopulmonary
resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing
Admit to the hospital for evaluation and treatment - CORRECT ANSWERS
An African-American patient who is being treated with a thiazide diuretic for
chronic hypertension reports blurred vision and shortness of breath. The
provider notes a blood pressure of 185/115. What is the recommended action for
this patient?
2
,Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker
Atrial fibrillation - CORRECT ANSWERS A patient reports sustained,
irregular heart palpitations. What is the most likely cause of these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
Hypertrophic cardiomyopathy - CORRECT ANSWERS A patient has a cardiac
murmur that peaks in midsystole and is best heard along the left sternal border.
The provider determines that the murmur decreases in intensity when the patient
changes from standing to squatting and increases in intensity with the Valsalva
maneuver. Which cause will the provider suspect for this murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse
Consult with cardiology to determine appropriate diagnostic tests - CORRECT
ANSWERS A young female patient has known mitral valve prolapse. During a
routine health maintenance exam, the provider notes an apical systolic murmur
and a midsystolic click on auscultation. The patient denies chest pain, syncope,
or palpitations. What will the provider do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
Admit the patient to the hospital for evaluation and treatment
Consult with cardiology to determine appropriate diagnostic tests
3
, US of the mass to determine size - CORRECT ANSWERS A patient reports
abdominal and back pain with anorexia and nausea. During an exam, the
provider notes a pulsatile abdominal mass. What is the initial action?
Scheduling an MRI to evaluate for aortic disease
Immediate referral to a thoracic surgeon
US of the mass to determine size
Ordering CT angiography
Initiate fibrinolytic treatment - CORRECT ANSWERS 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?
Give the patient an oral beta blocker
Initiate fibrinolytic treatment
Administer heparin
Transfer to the PCI-capable institution
Order urinalysis, CBC, BUN and creatinine - CORRECT ANSWERS 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?
Continue to monitor blood pressure at each health maintenance visit
Assess serum cortisol levels
Order urinalysis, CBC, BUN and creatinine
Refer to specialist for sleep study
Walking to the point of pain each day - CORRECT ANSWERS 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?
Statin therapy with clopidogrel
Walking to the point of pain each day
4
