NRNP 6531 Final & Midterm Exam 2025: Advanced
Practice Care of Adults.
1. Which of the following is the most common cancer found on the auricle?
A. Actinic keratosis
B. Basal cell carcinoma
C. Squamous cell carcinoma
D. Acral-lentiginous melanoma
Correct Answer: B. Basal cell carcinoma
2. Which medication class should be avoided in patients with acute or chronic bronchitis
due to risk of ventilation-perfusion mismatch?
A. Beta-agonists
B. Anticholinergics
C. Antihistamines
D. Corticosteroids
Correct Answer: C. Antihistamines
3. A 65-year-old female with LLQ pain, HTN, and PMR is suspected to have acute
diverticulitis. What is the most appropriate initial diagnostic test?
A. CBC/diff
B. ESR
C. Abdominal ultrasound
D. CT scan
Correct Answer: D. CT scan
4. Which of the following is NOT expected if a foreign body is present in the eye?
A. Tearing
B. Photophobia
C. Purulent drainage
D. Positive fluorescein stain
Correct Answer: C. Purulent drainage
5. A 21-year-old presents with copious, purulent discharge from the left eye. What is the
most likely diagnosis?
A. Viral conjunctivitis
B. Common pink eye
C. Gonococcal conjunctivitis
, D. Allergic conjunctivitis
Correct Answer: C. Gonococcal conjunctivitis
6. A 35-year-old man presents with radicular pain and grouped vesicles across 3 thoracic
dermatomes. What is the likely diagnosis?
A. Herpes simplex
B. Herpes zoster
C. Contact dermatitis
D. Impetigo
Correct Answer: B. Herpes zoster
7. Which is NOT a typical symptom of acute cholecystitis?
A. RUQ pain
B. Fever
C. Jaundice
D. Vomiting
Correct Answer: C. Jaundice (may occur, but not typical in uncomplicated cases)
8. A 33-year-old female is admitted with acute pancreatitis. The most common cause of
pancreatitis is:
A. Alcohol
B. Gallstones
C. Medications
D. Pregnancy
Correct Answer: A. Alcohol
9. When a patient presents with symptoms of acute gallbladder disease, what is the most
appropriate initial action?
A. Order an abdominal ultrasound
B. Prescribe antibiotics
C. Refer to surgery immediately
D. Order a CBC
Correct Answer: A. Order an abdominal ultrasound
10. A 70-year-old man complains of pain in his left calf when walking. What is the most
likely diagnosis?
A. DVT
B. Peripheral arterial disease
C. Sciatica
, D. Muscle strain
Correct Answer: B. Peripheral arterial disease
11. Which of the following is a risk factor for osteoporosis?
A. High calcium intake
B. Regular weight-bearing exercise
C. Long-term corticosteroid use
D. Low BMI
Correct Answer: C. Long-term corticosteroid use
12. A patient with chronic emphysema is expected to have which spirometry finding?
A. Decreased residual volume
B. Increased vital capacity
C. Increased FEV-1
D. Increased total lung capacity
Correct Answer: D. Increased total lung capacity
13. An 80-year-old male admits to difficulty swallowing. The differential diagnosis
includes:
A. Esophageal cancer
B. GERD
C. Both A and B
D. None of the above
Correct Answer: C. Both A and B
14. A 40-year-old female with frequent sun exposure presents with a multicolored lesion
with irregular borders on her back. What should you suspect?
A. Basal cell carcinoma
B. Squamous cell carcinoma
C. Malignant melanoma
D. Actinic keratosis
Correct Answer: C. Malignant melanoma
15. Which oral medication might be used to treat chronic cholelithiasis in a poor surgical
candidate?
A. Ursodiol
B. Metronidazole
C. Omeprazole
D. Ranitidine
Correct Answer: A. Ursodiol
Practice Care of Adults.
1. Which of the following is the most common cancer found on the auricle?
A. Actinic keratosis
B. Basal cell carcinoma
C. Squamous cell carcinoma
D. Acral-lentiginous melanoma
Correct Answer: B. Basal cell carcinoma
2. Which medication class should be avoided in patients with acute or chronic bronchitis
due to risk of ventilation-perfusion mismatch?
A. Beta-agonists
B. Anticholinergics
C. Antihistamines
D. Corticosteroids
Correct Answer: C. Antihistamines
3. A 65-year-old female with LLQ pain, HTN, and PMR is suspected to have acute
diverticulitis. What is the most appropriate initial diagnostic test?
A. CBC/diff
B. ESR
C. Abdominal ultrasound
D. CT scan
Correct Answer: D. CT scan
4. Which of the following is NOT expected if a foreign body is present in the eye?
A. Tearing
B. Photophobia
C. Purulent drainage
D. Positive fluorescein stain
Correct Answer: C. Purulent drainage
5. A 21-year-old presents with copious, purulent discharge from the left eye. What is the
most likely diagnosis?
A. Viral conjunctivitis
B. Common pink eye
C. Gonococcal conjunctivitis
, D. Allergic conjunctivitis
Correct Answer: C. Gonococcal conjunctivitis
6. A 35-year-old man presents with radicular pain and grouped vesicles across 3 thoracic
dermatomes. What is the likely diagnosis?
A. Herpes simplex
B. Herpes zoster
C. Contact dermatitis
D. Impetigo
Correct Answer: B. Herpes zoster
7. Which is NOT a typical symptom of acute cholecystitis?
A. RUQ pain
B. Fever
C. Jaundice
D. Vomiting
Correct Answer: C. Jaundice (may occur, but not typical in uncomplicated cases)
8. A 33-year-old female is admitted with acute pancreatitis. The most common cause of
pancreatitis is:
A. Alcohol
B. Gallstones
C. Medications
D. Pregnancy
Correct Answer: A. Alcohol
9. When a patient presents with symptoms of acute gallbladder disease, what is the most
appropriate initial action?
A. Order an abdominal ultrasound
B. Prescribe antibiotics
C. Refer to surgery immediately
D. Order a CBC
Correct Answer: A. Order an abdominal ultrasound
10. A 70-year-old man complains of pain in his left calf when walking. What is the most
likely diagnosis?
A. DVT
B. Peripheral arterial disease
C. Sciatica
, D. Muscle strain
Correct Answer: B. Peripheral arterial disease
11. Which of the following is a risk factor for osteoporosis?
A. High calcium intake
B. Regular weight-bearing exercise
C. Long-term corticosteroid use
D. Low BMI
Correct Answer: C. Long-term corticosteroid use
12. A patient with chronic emphysema is expected to have which spirometry finding?
A. Decreased residual volume
B. Increased vital capacity
C. Increased FEV-1
D. Increased total lung capacity
Correct Answer: D. Increased total lung capacity
13. An 80-year-old male admits to difficulty swallowing. The differential diagnosis
includes:
A. Esophageal cancer
B. GERD
C. Both A and B
D. None of the above
Correct Answer: C. Both A and B
14. A 40-year-old female with frequent sun exposure presents with a multicolored lesion
with irregular borders on her back. What should you suspect?
A. Basal cell carcinoma
B. Squamous cell carcinoma
C. Malignant melanoma
D. Actinic keratosis
Correct Answer: C. Malignant melanoma
15. Which oral medication might be used to treat chronic cholelithiasis in a poor surgical
candidate?
A. Ursodiol
B. Metronidazole
C. Omeprazole
D. Ranitidine
Correct Answer: A. Ursodiol
