NR667 Week 6 Actual Exam Style V2 | NR
667 FNP Capstone Practicum and
Intensive CEA | Chamberlain
1. A 55-year-old male presents for a routine check-up. His blood pressure is 155/94 mmHg on
two separate occasions. He has a history of Type 2 Diabetes. According to current guidelines,
which of the following is the most appropriate first-line antihypertensive treatment?
A. Hydrochlorothiazide
B. Amlodipine
C. Lisinopril
D. Metoprolol
Answer: C
Rationale: ACE inhibitors like Lisinopril are preferred first-line agents for patients with
diabetes and hypertension. They provide renal protection by reducing intraglomerular
pressure. Other options like beta-blockers are generally not first-line unless there is a
specific cardiac indication.
2. A 45-year-old female presents with complaints of fatigue, cold intolerance, and weight
gain. Her TSH is 12.5 mIU/L and her Free T4 is low. What is the most likely diagnosis?
A. Grave’s Disease
B. Subacute Thyroiditis
,C. Hashimoto’s Thyroiditis
D. Secondary Hypothyroidism
Answer: C
Rationale: Hashimoto’s Thyroiditis is the most common cause of primary hypothyroidism
in the United States. An elevated TSH combined with a low Free T4 confirms the diagnosis
of primary hypothyroidism. The clinical symptoms of cold intolerance and weight gain are
classic manifestations of a slowed metabolism.
3. During a well-child visit, a 4-year-old child’s parent asks which immunizations are required
before starting kindergarten. Which set of vaccines is typically administered at this age?
A. HepB, Rotavirus, Hib
B. PCV13, PPSV23, Influenza
C. Tdap, MenACWY, HPV
D. DTaP, IPV, MMR, Varicella
Answer: D
Rationale: Children aged 4 to 6 years require booster doses of DTaP, IPV, MMR, and
Varicella before entering school. These boosters ensure long-term immunity as the
protection from earlier doses begins to wane. Staying on the CDC immunization schedule is
critical for public health and school compliance.
, 4. An 18-year-old female presents for her first pelvic exam. She is sexually active and has not
had any previous screening. According to ASCCP guidelines, when should cervical cancer
screening with Pap tests begin?
A. At age 21
B. Within 3 years of first sexual intercourse
C. At age 18
D. At age 25
Answer: A
Rationale: Current guidelines recommend starting cervical cancer screening at age 21,
regardless of the age of sexual debut. Routine screening for women younger than 21 is not
recommended because the risk of invasive cancer is extremely low in this age group. Early
screening often leads to unnecessary procedures for transient HPV infections.
5. A 68-year-old patient presents with sudden onset of severe eye pain, blurred vision, and
seeing halos around lights. Physical exam reveals a mid-dilated pupil and a cloudy cornea.
What is the most likely diagnosis?
A. Cataracts
B. Acute Angle-Closure Glaucoma
C. Macular Degeneration
D. Retinal Detachment
667 FNP Capstone Practicum and
Intensive CEA | Chamberlain
1. A 55-year-old male presents for a routine check-up. His blood pressure is 155/94 mmHg on
two separate occasions. He has a history of Type 2 Diabetes. According to current guidelines,
which of the following is the most appropriate first-line antihypertensive treatment?
A. Hydrochlorothiazide
B. Amlodipine
C. Lisinopril
D. Metoprolol
Answer: C
Rationale: ACE inhibitors like Lisinopril are preferred first-line agents for patients with
diabetes and hypertension. They provide renal protection by reducing intraglomerular
pressure. Other options like beta-blockers are generally not first-line unless there is a
specific cardiac indication.
2. A 45-year-old female presents with complaints of fatigue, cold intolerance, and weight
gain. Her TSH is 12.5 mIU/L and her Free T4 is low. What is the most likely diagnosis?
A. Grave’s Disease
B. Subacute Thyroiditis
,C. Hashimoto’s Thyroiditis
D. Secondary Hypothyroidism
Answer: C
Rationale: Hashimoto’s Thyroiditis is the most common cause of primary hypothyroidism
in the United States. An elevated TSH combined with a low Free T4 confirms the diagnosis
of primary hypothyroidism. The clinical symptoms of cold intolerance and weight gain are
classic manifestations of a slowed metabolism.
3. During a well-child visit, a 4-year-old child’s parent asks which immunizations are required
before starting kindergarten. Which set of vaccines is typically administered at this age?
A. HepB, Rotavirus, Hib
B. PCV13, PPSV23, Influenza
C. Tdap, MenACWY, HPV
D. DTaP, IPV, MMR, Varicella
Answer: D
Rationale: Children aged 4 to 6 years require booster doses of DTaP, IPV, MMR, and
Varicella before entering school. These boosters ensure long-term immunity as the
protection from earlier doses begins to wane. Staying on the CDC immunization schedule is
critical for public health and school compliance.
, 4. An 18-year-old female presents for her first pelvic exam. She is sexually active and has not
had any previous screening. According to ASCCP guidelines, when should cervical cancer
screening with Pap tests begin?
A. At age 21
B. Within 3 years of first sexual intercourse
C. At age 18
D. At age 25
Answer: A
Rationale: Current guidelines recommend starting cervical cancer screening at age 21,
regardless of the age of sexual debut. Routine screening for women younger than 21 is not
recommended because the risk of invasive cancer is extremely low in this age group. Early
screening often leads to unnecessary procedures for transient HPV infections.
5. A 68-year-old patient presents with sudden onset of severe eye pain, blurred vision, and
seeing halos around lights. Physical exam reveals a mid-dilated pupil and a cloudy cornea.
What is the most likely diagnosis?
A. Cataracts
B. Acute Angle-Closure Glaucoma
C. Macular Degeneration
D. Retinal Detachment
