NR 667 FNP CAPSTONE
PRACTICUM AND INTENSIVE
QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF
Core Domains
• Cardiovascular Disorders and Hypertension Management
• Endocrine and Metabolic Disorders
• Infectious Diseases and Immunizations
• Pulmonary and Respiratory Conditions
• Neurological and Cognitive Disorders
• Dermatological Conditions and Skin Lesions
• Renal and Genitourinary Disorders
• Musculoskeletal Conditions
• Pharmacology and Medication Management
• Geriatric Assessment and Primary Care Across the Lifespan
Introduction
,This comprehensive examination is designed to assess the
advanced clinical knowledge, diagnostic reasoning, and evidence-
based practice skills required for the Family Nurse Practitioner
(FNP) Capstone Practicum and Intensive course at Chamberlain
University. The exam serves as a culminating assessment to
prepare students for FNP board certification examinations,
covering advanced health assessment, differential diagnosis,
treatment planning, pharmacologic management, and primary
care across the lifespan. Through a combination of multiple-
choice questions and clinical vignettes, candidates are expected
to demonstrate proficiency in managing acute and chronic
conditions, applying clinical guidelines, and making sound clinical
decisions in complex patient scenarios. Emphasis is placed on
integrating evidence-based practice, patient safety, cultural
competence, and interprofessional collaboration in the delivery of
primary care.
SECTION ONE: QUESTIONS 1–100
Question 1
A 72-year-old male with stable angina undergoes a stress test.
Which symptom requires immediate cardiology referral?
A. Mild fatigue
B. Dizziness with activity
C. Occasional palpitations
D. Mild shortness of breath
B. Dizziness with activity
RATIONALE: Dizziness with activity in a patient with angina or
aortic stenosis may precede syncope and indicates hemodynamic
,compromise, warranting urgent cardiology referral. Mild fatigue,
occasional palpitations, and mild shortness of breath are less
concerning in stable angina.
Question 2
A patient with diabetes and chronic kidney disease (CKD) is being
treated for hypertension. Which medication class is recommended
as first-line therapy?
A. Calcium channel blocker (CCB)
B. Beta-blocker
C. ACE inhibitor
D. Thiazide diuretic
C. ACE inhibitor
RATIONALE: ACE inhibitors are recommended as first-line
therapy for hypertension in patients with diabetes and CKD due to
their renoprotective effects. ARBs are an alternative if ACE
inhibitors are not tolerated. CCBs and thiazides may be used as
adjunctive therapy but are not first-line in this population.
Question 3
Which medication is contraindicated in a patient with heart failure
due to its negative inotropic effects?
A. Carvedilol
B. Thiazide diuretic
C. Calcium channel blocker (CCB)
D. ACE inhibitor
C. Calcium channel blocker (CCB)
, RATIONALE: Non-dihydropyridine CCBs (verapamil, diltiazem)
cause cardiac relaxation and negative inotropic effects, which are
detrimental in heart failure. Carvedilol is actually beneficial in
heart failure with reduced ejection fraction. ACE inhibitors and
diuretics are standard therapy for heart failure.
Question 4
A patient taking candesartan should be advised to avoid which
supplement?
A. Calcium
B. Potassium
C. Magnesium
D. Vitamin D
B. Potassium
RATIONALE: Candesartan, an angiotensin receptor blocker
(ARB), can cause hyperkalemia. Patients should avoid potassium
supplements and potassium-sparing diuretics while taking ARBs
or ACE inhibitors.
Question 5
What are the common side effects of ACE inhibitors? (Select all
that apply)
A. Cough
B. Angioedema
C. Peripheral edema
D. Hyperkalemia
E. Constipation
A, B, D
PRACTICUM AND INTENSIVE
QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF
Core Domains
• Cardiovascular Disorders and Hypertension Management
• Endocrine and Metabolic Disorders
• Infectious Diseases and Immunizations
• Pulmonary and Respiratory Conditions
• Neurological and Cognitive Disorders
• Dermatological Conditions and Skin Lesions
• Renal and Genitourinary Disorders
• Musculoskeletal Conditions
• Pharmacology and Medication Management
• Geriatric Assessment and Primary Care Across the Lifespan
Introduction
,This comprehensive examination is designed to assess the
advanced clinical knowledge, diagnostic reasoning, and evidence-
based practice skills required for the Family Nurse Practitioner
(FNP) Capstone Practicum and Intensive course at Chamberlain
University. The exam serves as a culminating assessment to
prepare students for FNP board certification examinations,
covering advanced health assessment, differential diagnosis,
treatment planning, pharmacologic management, and primary
care across the lifespan. Through a combination of multiple-
choice questions and clinical vignettes, candidates are expected
to demonstrate proficiency in managing acute and chronic
conditions, applying clinical guidelines, and making sound clinical
decisions in complex patient scenarios. Emphasis is placed on
integrating evidence-based practice, patient safety, cultural
competence, and interprofessional collaboration in the delivery of
primary care.
SECTION ONE: QUESTIONS 1–100
Question 1
A 72-year-old male with stable angina undergoes a stress test.
Which symptom requires immediate cardiology referral?
A. Mild fatigue
B. Dizziness with activity
C. Occasional palpitations
D. Mild shortness of breath
B. Dizziness with activity
RATIONALE: Dizziness with activity in a patient with angina or
aortic stenosis may precede syncope and indicates hemodynamic
,compromise, warranting urgent cardiology referral. Mild fatigue,
occasional palpitations, and mild shortness of breath are less
concerning in stable angina.
Question 2
A patient with diabetes and chronic kidney disease (CKD) is being
treated for hypertension. Which medication class is recommended
as first-line therapy?
A. Calcium channel blocker (CCB)
B. Beta-blocker
C. ACE inhibitor
D. Thiazide diuretic
C. ACE inhibitor
RATIONALE: ACE inhibitors are recommended as first-line
therapy for hypertension in patients with diabetes and CKD due to
their renoprotective effects. ARBs are an alternative if ACE
inhibitors are not tolerated. CCBs and thiazides may be used as
adjunctive therapy but are not first-line in this population.
Question 3
Which medication is contraindicated in a patient with heart failure
due to its negative inotropic effects?
A. Carvedilol
B. Thiazide diuretic
C. Calcium channel blocker (CCB)
D. ACE inhibitor
C. Calcium channel blocker (CCB)
, RATIONALE: Non-dihydropyridine CCBs (verapamil, diltiazem)
cause cardiac relaxation and negative inotropic effects, which are
detrimental in heart failure. Carvedilol is actually beneficial in
heart failure with reduced ejection fraction. ACE inhibitors and
diuretics are standard therapy for heart failure.
Question 4
A patient taking candesartan should be advised to avoid which
supplement?
A. Calcium
B. Potassium
C. Magnesium
D. Vitamin D
B. Potassium
RATIONALE: Candesartan, an angiotensin receptor blocker
(ARB), can cause hyperkalemia. Patients should avoid potassium
supplements and potassium-sparing diuretics while taking ARBs
or ACE inhibitors.
Question 5
What are the common side effects of ACE inhibitors? (Select all
that apply)
A. Cough
B. Angioedema
C. Peripheral edema
D. Hyperkalemia
E. Constipation
A, B, D
