NRNP 6531 Final
Exam Compilation
For 2022/2023
NRNP 6531 Final exam compilation
• Question 1
0 out of 0 points
When completing this quiz, did you
... [Show More] comply with Walden University’s Code
of Conduct including the expectations for academic integrity?
Selected Answer:
Ye
s
Answers:
Ye
s
No
• Question 2
The most common cancer found on the auricle is:
Selected
Answer: Basal cell carcinoma
Answers: Actinic keratosis
Basal cell carcinoma
Squamous cell
carcinoma
Acral-lentiginous
melanoma
• Question 3
1 out of 1 points
0 out of 1 points
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient?
Selected
Answer: Anticholinerg
ics
Answers: Xanthines
Antihistimine
s
Steroids
Anticholinerg
ics
• Question 4
0 out of 1 points
A 47 year old male patient presents to the clinic with a single episode of a moderate
amount of bright red rectal bleeding. On examination, external hemorrhoids are noted.
How should the nurse practitioner proceed?
Selected
Answer: Instruct the patient on measures to prevent hemorrhoids such as
bowel habits and diet.
Answers: Instruct the patient on measures to prevent hemorrhoids such as
bowel habits and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy.
• Question 5
0 out of 1 points
Which of the following patient characteristics are associated with chronic bronchitis?
Selected
Answer: Underweight, pink skin, and increased respiratory rate
Answers:
Overweight, cyanosis, and normal or slightly increased
respiratory rate
Underweight, pink skin, and increased respiratory rate
2
Overweight, pink skin, and normal or slightly increased
respiratory rate
Normal weight, cyanosis, and greatly increased
respiratory rate
• Question 6
1 out of 1 points
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain.
Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po
daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The
most appropriate diagnostic test for this patient at this time is:
Selected
Answer: CT scan
Answers: CBC/diff
Erythrocyte
sedimentation rate
Abdominal ultrasound
CT scan
• Question 7
1 out of 1 points
A patient reports “something flew in my eye” about an hour ago while he was splitting
logs. If there were a foreign body in his eye, the nurse practitioner would expect to find
all except:
Selected
Answer: Purulent drainage
Answers:
Purulent drainage
Tearing
Photophobia
A positive fluorescein
stain
3
Final Exam compliation
• Question 8
1 out of 1 points
A 21 year old college student presents to the student health center with copious,
markedly purulent discharge from her left eye. The nurse practitioner student should
suspect:
Selected
Answer: Gonococcal
conjunctivitis
Answers: Viral conjunctivitis
Common pink eye
Gonococcal
conjunctivitis
Allergic
conjunctivitis
• Question 9
0 out of 1 points
A 35 year old man presents with radicular pain followed by the appearance of grouped
vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect:
Selected
Answer: A complicated case of shingles and prescribe acyclovir, an analgesic,
and a topical cortisone cream
Answers: A common case of shingles and prescribe an analgesic and an antiviral
agent
A complicated case of shingles and prescribe acyclovir, an analgesic,
and a topical cortisone cream
Herpes zoster and consider that this patient may be
immunocompromised
A recurrence of chickenpox and treat the patient’s symptoms
• Question 10
0 out of 1 points
4
Final Exam compliation
Which type of lung cancer has the poorest prognosis?
Selected
Answer: Adenocarcinoma
Answers: Adenocarcinoma
Epidermoid
carcinoma
Small cell
carcinoma
Large cell
carcinoma
• Question 11
1 out of 1 points
An 83-year-old female presents to the office complaining of diarrhea for several days.
She explains she has even had fecal incontinence one time. She describes loose stools 3–
4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The
history suggests that the patient has:
Selected
Answer: Chronic diarrhea
Answers: Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel
disease
• Question 12
1 out of 1 points
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a
butterfly distribution on her face. The rash has red papules and plaques with a fine scale.
What do you suspect?
Selected
Answer: Systemic lupus
5
Final Exam compliation
Answers: An allergic reaction
Relapsing
polychondritis
Lymphocytoma cutis
Systemic lupus
erythematosus
• Question 13
1 out of 1 points
Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes?
Selected
Answer: Acute bronchitis
Answers: Chronic sinusitis
Acute bronchitis
Bacterial pneumonia
Acute exacerbation of chronic
bronchitis
• Question 14
0 out of 1 points
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2
agonist daily. Her exacerbations affect her activities and they occur at least twice weekly
and may last for days. She is affected more than once weekly during the night with an
exacerbation. Which category of asthma severity is Lisa in?
Selected
Answer: Mild persistent
Answers: Mild
intermittent
Mild persistent
6
Final Exam compliation
Moderate
persistent
• Question 15
0 out of 1 points
Which of the following is the most appropriate therapeutic regimen for an adult patient
with no known allergies diagnosed with group A B-hemolytic strep?
Selected
Answer: None of the above
Answers:
Penicillin V 500 milligrams PO every 8 hours
for 10 days
Ampicillin 250 milligrams PO twice a day for
10 days
Clarithromycin 500 milligrams po daily for 7
days
None of the above
• Question 16
0 out of 1 points
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by
leg elevation. She occasionally has edema in her lower legs at the end of the day. What is
the most likely cause of these problems?
Selected
Answer: Arterial
insufficiency
Answers: Congestive heart
failure [Show Less]