6531 NRNP Combined midterm and
final review 2026 Questions and
Answers (100% Correct Answers)
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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
© 2026 Assignment
(CPR)?
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Evaluation of peripheral perfusion and level of
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consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing Ans:
Assessment of gasping breaths or not breathing
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?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
, 2
Prescribe a calcium channel blocker Ans: Admit to the
hospital for evaluation and treatment
A patient reports sustained, irregular heart palpitations.
What is the most likely cause of these symptoms?
Atrial fibrillation
Anemia
© 2026 Assignment
Extrasystole
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Paroxysmal attacks Ans: Atrial fibrillation
Expert
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 Ans: Hypertrophic cardiomyopathy
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
, 3
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 Ans: Initiate fibrinolytic
© 2026 Assignment
treatment
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Patients who meet the criteria for statin therapy to help
Expert
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. Ans:
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.
, 4
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?
Buerger's disease
Cauda equina syndrome
Diabetic neuropathy
© 2026 Assignment
Peripheral arterial disease Ans: Cauda equina syndrome
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Expert
Which are causes of secondary hypertension? (Select all
that apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake Ans: Oral contraceptives
NSAIDS
Sleep apnea
A young female patient has known mitral valve prolapse.
During a routine health maintenance exam, the provider