NEWEST NR 667 CHAMBERLAIN CEA FINAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES GRADED A+ LATEST UPDATE THIS
YEAR.pdf
Below are original practice questions modeled on the Chamberlain University NR 667
CEA (FNP Capstone Practicum and Intensive) Final Exam. The questions cover essential
FNP competencies, including advanced health assessment, differential diagnosis, and
evidence-based management, with detailed rationales to reinforce clinical reasoning.
Exam Overview
Feature Detail
Course NR 667 CEA FNP Capstone Practicum and Intensive
Format Multiple-choice, SATA, clinical vignettes
Content Cardiovascular, Respiratory, Endocrine, Hematology, GI, Renal,
Areas Neurologic, Dermatology, Infectious Disease
Key Focus Clinical decision-making, diagnostic reasoning, pharmacologic
management
Section 1: Cardiovascular Pathophysiology & Management (Questions 1–25)
1. The nurse practitioner assessing a patient with a rapid cardiac rhythm may assess
for a pulse deficit by auscultating the patient's heart while watching the EKG rhythm.
Where would the S1 heart sound correlate with the electrocardiographic waves?
A) At the end of the T wave
B) At the start of the T wave
C) Peak of the R wave
D) At the start of the P wave
Answer: C) Peak of the R wave
, The S1 heart sound corresponds with ventricular contraction and correlates with the peak
of the R wave on EKG .
2. A patient with HFrEF (ejection fraction <40%) should be on which of the following
medications?
A) Carvedilol and loop diuretics
B) Diltiazem and hydralazine
C) Metoprolol tartrate only
D) Amlodipine and furosemide
Answer: A) Carvedilol and loop diuretics
HFrEF requires beta-blocker therapy (carvedilol is preferred) and loop diuretics for volume
management. CCBs should be avoided in heart failure .
3. Which of the following is NOT a priority medical decision for a patient with stress
test findings of ST depression in leads V3 and V4 with concurrent chest discomfort?
A) Prescribe metoprolol 12.5 mg PO BID
B) Prescribe aspirin 81 mg PO daily
C) Refer to cardiology for angiography
D) Check for thyroid dysfunction
Answer: D) Check for thyroid dysfunction
The ST depression with chest discomfort indicates ischemia. Beta-blockers, aspirin, and
cardiology referral are priorities. Thyroid evaluation is not the immediate priority .
4. Aortic stenosis is characterized by which physical exam finding?
A) Diastolic murmur at the apex
B) Harsh, systolic ejection murmur best heard at the neck
C) Holosystolic murmur at the left lower sternal border
D) Continuous murmur at the left upper sternal border
Answer: B) Harsh, systolic ejection murmur best heard at the neck
,Aortic stenosis produces a harsh, systolic ejection murmur that radiates to the carotids.
Syncope/near-syncope are classic symptoms .
5. A 72-year-old male with stable cardiac chest pain had a stress test showing ST
depression in leads V3 and V4. Based on these findings, which of the following are
NOT priority medical decisions?
A) Prescribe metoprolol (Lopressor) 12.5 mg PO BID
B) Prescribe aspirin 81 mg PO daily
C) Refer to cardiology for angiography
D) Check for thyroid dysfunction
Answer: D) Check for thyroid dysfunction
The ST depression with chest discomfort indicates ischemia. Beta-blockers, aspirin, and
cardiology referral are priorities. Thyroid evaluation is not the immediate priority .
6. A patient with aortic regurgitation would most likely present with which murmur?
A) Systolic ejection murmur at the right upper sternal border
B) Diastolic murmur at the left lower sternal border
C) Holosystolic murmur at the apex
D) Continuous murmur at the left upper sternal border
Answer: B) Diastolic murmur at the left lower sternal border
Aortic regurgitation produces a decrescendo diastolic murmur best heard at the left lower
sternal border. It is associated with bounding pulses and widened pulse pressure .
7. Which of the following is a classic symptom of aortic stenosis?
A) Syncope and near-syncope
B) Palpitations
C) Peripheral edema
D) Cough
Answer: A) Syncope and near-syncope
, Syncope is a classic symptom of aortic stenosis, often occurring with exertion due to
reduced cerebral perfusion .
8. A patient with mitral stenosis would most likely present with which murmur?
A) Systolic ejection murmur at the right upper sternal border
B) Diastolic murmur at the apex
C) Holosystolic murmur at the left lower sternal border
D) Continuous murmur at the left upper sternal border
Answer: B) Diastolic murmur at the apex
Mitral stenosis produces a low-pitched diastolic rumble best heard at the apex with the
patient in the left lateral decubitus position .
9. A patient with mitral regurgitation would most likely present with which murmur?
A) Systolic ejection murmur at the right upper sternal border
B) Diastolic murmur at the apex
C) Holosystolic murmur at the apex radiating to the axilla
D) Continuous murmur at the left upper sternal border
Answer: C) Holosystolic murmur at the apex radiating to the axilla
Mitral regurgitation produces a holosystolic murmur best heard at the apex with radiation to
the left axilla .
10. Which of the following is the most common cause of aortic stenosis?
A) Rheumatic fever
B) Bicuspid aortic valve
C) Calcific degeneration of a trileaflet valve
D) Infective endocarditis
Answer: C) Calcific degeneration of a trileaflet valve
Aortic stenosis is most commonly caused by age-related calcific degeneration of a trileaflet
valve in older adults .
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES GRADED A+ LATEST UPDATE THIS
YEAR.pdf
Below are original practice questions modeled on the Chamberlain University NR 667
CEA (FNP Capstone Practicum and Intensive) Final Exam. The questions cover essential
FNP competencies, including advanced health assessment, differential diagnosis, and
evidence-based management, with detailed rationales to reinforce clinical reasoning.
Exam Overview
Feature Detail
Course NR 667 CEA FNP Capstone Practicum and Intensive
Format Multiple-choice, SATA, clinical vignettes
Content Cardiovascular, Respiratory, Endocrine, Hematology, GI, Renal,
Areas Neurologic, Dermatology, Infectious Disease
Key Focus Clinical decision-making, diagnostic reasoning, pharmacologic
management
Section 1: Cardiovascular Pathophysiology & Management (Questions 1–25)
1. The nurse practitioner assessing a patient with a rapid cardiac rhythm may assess
for a pulse deficit by auscultating the patient's heart while watching the EKG rhythm.
Where would the S1 heart sound correlate with the electrocardiographic waves?
A) At the end of the T wave
B) At the start of the T wave
C) Peak of the R wave
D) At the start of the P wave
Answer: C) Peak of the R wave
, The S1 heart sound corresponds with ventricular contraction and correlates with the peak
of the R wave on EKG .
2. A patient with HFrEF (ejection fraction <40%) should be on which of the following
medications?
A) Carvedilol and loop diuretics
B) Diltiazem and hydralazine
C) Metoprolol tartrate only
D) Amlodipine and furosemide
Answer: A) Carvedilol and loop diuretics
HFrEF requires beta-blocker therapy (carvedilol is preferred) and loop diuretics for volume
management. CCBs should be avoided in heart failure .
3. Which of the following is NOT a priority medical decision for a patient with stress
test findings of ST depression in leads V3 and V4 with concurrent chest discomfort?
A) Prescribe metoprolol 12.5 mg PO BID
B) Prescribe aspirin 81 mg PO daily
C) Refer to cardiology for angiography
D) Check for thyroid dysfunction
Answer: D) Check for thyroid dysfunction
The ST depression with chest discomfort indicates ischemia. Beta-blockers, aspirin, and
cardiology referral are priorities. Thyroid evaluation is not the immediate priority .
4. Aortic stenosis is characterized by which physical exam finding?
A) Diastolic murmur at the apex
B) Harsh, systolic ejection murmur best heard at the neck
C) Holosystolic murmur at the left lower sternal border
D) Continuous murmur at the left upper sternal border
Answer: B) Harsh, systolic ejection murmur best heard at the neck
,Aortic stenosis produces a harsh, systolic ejection murmur that radiates to the carotids.
Syncope/near-syncope are classic symptoms .
5. A 72-year-old male with stable cardiac chest pain had a stress test showing ST
depression in leads V3 and V4. Based on these findings, which of the following are
NOT priority medical decisions?
A) Prescribe metoprolol (Lopressor) 12.5 mg PO BID
B) Prescribe aspirin 81 mg PO daily
C) Refer to cardiology for angiography
D) Check for thyroid dysfunction
Answer: D) Check for thyroid dysfunction
The ST depression with chest discomfort indicates ischemia. Beta-blockers, aspirin, and
cardiology referral are priorities. Thyroid evaluation is not the immediate priority .
6. A patient with aortic regurgitation would most likely present with which murmur?
A) Systolic ejection murmur at the right upper sternal border
B) Diastolic murmur at the left lower sternal border
C) Holosystolic murmur at the apex
D) Continuous murmur at the left upper sternal border
Answer: B) Diastolic murmur at the left lower sternal border
Aortic regurgitation produces a decrescendo diastolic murmur best heard at the left lower
sternal border. It is associated with bounding pulses and widened pulse pressure .
7. Which of the following is a classic symptom of aortic stenosis?
A) Syncope and near-syncope
B) Palpitations
C) Peripheral edema
D) Cough
Answer: A) Syncope and near-syncope
, Syncope is a classic symptom of aortic stenosis, often occurring with exertion due to
reduced cerebral perfusion .
8. A patient with mitral stenosis would most likely present with which murmur?
A) Systolic ejection murmur at the right upper sternal border
B) Diastolic murmur at the apex
C) Holosystolic murmur at the left lower sternal border
D) Continuous murmur at the left upper sternal border
Answer: B) Diastolic murmur at the apex
Mitral stenosis produces a low-pitched diastolic rumble best heard at the apex with the
patient in the left lateral decubitus position .
9. A patient with mitral regurgitation would most likely present with which murmur?
A) Systolic ejection murmur at the right upper sternal border
B) Diastolic murmur at the apex
C) Holosystolic murmur at the apex radiating to the axilla
D) Continuous murmur at the left upper sternal border
Answer: C) Holosystolic murmur at the apex radiating to the axilla
Mitral regurgitation produces a holosystolic murmur best heard at the apex with radiation to
the left axilla .
10. Which of the following is the most common cause of aortic stenosis?
A) Rheumatic fever
B) Bicuspid aortic valve
C) Calcific degeneration of a trileaflet valve
D) Infective endocarditis
Answer: C) Calcific degeneration of a trileaflet valve
Aortic stenosis is most commonly caused by age-related calcific degeneration of a trileaflet
valve in older adults .
