NR 667 WEEK 4 ACTUAL EXAM
STYLE V1 | NR 667 FNP
CAPSTONE PRACTICUM AND
INTENSIVE CEA | CHAMBERLAIN
Core Domains
• Cardiovascular Disorders and Hypertension Management
• Respiratory and Pulmonary Conditions
• Endocrine and Metabolic Disorders
• Neurological and Cognitive Disorders
• Dermatological Conditions and Skin Lesions
• Renal and Genitourinary Disorders
• Musculoskeletal Conditions
• Infectious Diseases and Immunizations
• 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 25-year-old athlete presents with shoulder pain and difficulty
with overhead activities. Physical examination suggests shoulder
impingement syndrome. What is the most appropriate initial
treatment?
A. Nonsteroidal anti-inflammatory drugs (NSAIDs) and physical
activity modification
B. Corticosteroid injection
C. Surgical intervention
D. Physical therapy focusing on rotator cuff strengthening
A. Nonsteroidal anti-inflammatory drugs (NSAIDs) and
physical activity modification
RATIONALE: Initial management of impingement syndrome
includes NSAIDs, activity modification, and ice. Physical therapy
,may be added if no improvement. Corticosteroid injection is
second-line. Surgery is reserved for refractory cases.
Question 2
What A1C reading indicates a diagnosis of diabetes according to
ADA criteria?
A. 5.7%
B. 6.5% or greater
C. 6.0%
D. 7.0%
B. 6.5% or greater
RATIONALE: ADA diagnostic criteria include A1C ≥6.5%.
Prediabetes is 5.7–6.4%. Well-controlled diabetes target is
generally ≤7% for many adults.
Question 3
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 4
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.
Question 5
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
STYLE V1 | NR 667 FNP
CAPSTONE PRACTICUM AND
INTENSIVE CEA | CHAMBERLAIN
Core Domains
• Cardiovascular Disorders and Hypertension Management
• Respiratory and Pulmonary Conditions
• Endocrine and Metabolic Disorders
• Neurological and Cognitive Disorders
• Dermatological Conditions and Skin Lesions
• Renal and Genitourinary Disorders
• Musculoskeletal Conditions
• Infectious Diseases and Immunizations
• 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 25-year-old athlete presents with shoulder pain and difficulty
with overhead activities. Physical examination suggests shoulder
impingement syndrome. What is the most appropriate initial
treatment?
A. Nonsteroidal anti-inflammatory drugs (NSAIDs) and physical
activity modification
B. Corticosteroid injection
C. Surgical intervention
D. Physical therapy focusing on rotator cuff strengthening
A. Nonsteroidal anti-inflammatory drugs (NSAIDs) and
physical activity modification
RATIONALE: Initial management of impingement syndrome
includes NSAIDs, activity modification, and ice. Physical therapy
,may be added if no improvement. Corticosteroid injection is
second-line. Surgery is reserved for refractory cases.
Question 2
What A1C reading indicates a diagnosis of diabetes according to
ADA criteria?
A. 5.7%
B. 6.5% or greater
C. 6.0%
D. 7.0%
B. 6.5% or greater
RATIONALE: ADA diagnostic criteria include A1C ≥6.5%.
Prediabetes is 5.7–6.4%. Well-controlled diabetes target is
generally ≤7% for many adults.
Question 3
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 4
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.
Question 5
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
