Chamberlain NR667 FNP Capstone VISE Study Guide |
Latest Update 2026/2027 | 200 Practice Questions &
Detailed Answers | Verified Q&A with Rationales | A+
Graded
1. A Chamberlain NR667 student is preparing for the VISE examination. Which of the following best
describes the required setup for the live patient encounter?
A) The student must use a prerecorded video of a standardized patient encounter.
B) The student must have video/audio capability and a volunteer present who is older than 12 years of
age.
C) The student may conduct the encounter via telephone only if the volunteer is unavailable.
D) The student must have a licensed preceptor physically present during the video conference with
faculty.
Answer: B) The student must have video/audio capability and a volunteer present who is older than 12
years of age.
Explanation: The NR667 VISE is a live video conference with faculty requiring the student to
independently conduct a patient encounter with a volunteer over 12 years old. Video/audio capability is
mandatory, and no preceptor is present during the faculty evaluation.
2. During the VISE encounter, faculty provides the student with which of the following pieces of
information to begin the patient assessment?
A) A complete past medical history and current medication list for the volunteer.
B) The chief complaint and vital signs only.
C) The differential diagnosis and proposed management plan for the volunteer.
D) A full SOAP note completed by a previous student for reference.
Answer: B) The chief complaint and vital signs only.
,Explanation: Faculty initiates the VISE by providing the chief complaint and vital signs; the student must
independently gather the history, perform a focused exam, develop a diagnosis, and create a
management plan to demonstrate practice readiness.
3. Which of the following conditions is NOT included on the list of key diagnoses that NR667 students
must be prepared to manage during the VISE encounter?
A) Type 2 diabetes mellitus
B) Gastroesophageal reflux disease (reflux esophagitis)
C) Acute appendicitis
D) Allergic rhinitis
Answer: C) Acute appendicitis
Explanation: The NR667 VISE key diagnosis list includes hypertension, hyperlipidemia, type 2 diabetes,
back pain, anxiety, obesity, allergic rhinitis, reflux esophagitis, URI, hypothyroidism, osteoarthritis,
fibromyalgia, BPH, knee/shoulder/hip pain, acute laryngopharyngitis, sinusitis, acute bronchitis, asthma,
depressive disorder, nail fungus, tinea corporis, eczema, and UTI—but not acute appendicitis.
4. The NR667 VISE evaluation emphasizes independent practice readiness. Which competency is
weighted most heavily in the faculty assessment?
A) The student's ability to verbatim recite clinical practice guidelines from memory.
B) Correct diagnosis and appropriate management based on independent data gathering.
C) The speed at which the student completes the entire encounter in under 10 minutes.
D) The student's use of advanced technological tools during the video conference.
Answer: B) Correct diagnosis and appropriate management based on independent data gathering.
Explanation: The VISE evaluation framework prioritizes independent data gathering, accurate diagnosis
formulation, and evidencebased management planning as core indicators of practice readiness for the
advanced practice nursing student.
,5. A student is documenting the VISE encounter using the SOAP format. In the Assessment section, the
student should include which of the following?
A) A verbatim transcript of everything the patient said during the encounter.
B) The patient's chief complaint and vital signs.
C) The differential diagnosis and the most likely diagnosis with clinical reasoning.
D) The complete plan for pharmacologic and nonpharmacologic management.
Answer: C) The differential diagnosis and the most likely diagnosis with clinical reasoning.
Explanation: The Assessment section of a SOAP note includes the differential diagnosis and the most
likely diagnosis, supported by clinical reasoning and evidence. The Subjective section contains the
patient's history and chief complaint; the Objective section contains vital signs and exam findings; the
Plan section contains management strategies.
6. A 58yearold male presents with progressive dyspnea, orthopnea, and bilateral lower extremity
edema. Exam reveals JVD to the earlobe, S3 gallop, and crackles to midscapula. What is the most likely
diagnosis?
A) COPD exacerbation
B) Congestive heart failure (NYHA Class IIIIV)
C) Pneumonia
D) Pulmonary fibrosis
Answer: B) Congestive heart failure (NYHA Class IIIIV)
Explanation: Framingham criteria met (major: JVD, S3, pulmonary crackles; minor: dyspnea, edema);
BNP >400 pg/mL expected. Guideline: ACC/AHA 2025 HF Staging Stage C symptomatic. Safety: Avoid
NSAIDs, monitor for digoxin toxicity.
, 7. A 32yearold female reports palpitations and nearsyncope. ECG shows delta wave and short PR
interval. What is the diagnosis?
A) Atrial fibrillation
B) WolffParkinsonWhite (WPW) syndrome
C) Sinus tachycardia
D) LGL syndrome
Answer: B) WolffParkinsonWhite (WPW) syndrome
Explanation: Accessory pathway (Kent bundle); risk of sudden death if AF occurs. Guideline: AHA/ACC
2025 EP study indicated. Safety: Avoid AV nodal blockers in preexcited AF.
8. A 45yearold male with epigastric pain radiating to the back, nausea, and elevated lipase 3.5x ULN. CT
shows pancreatic edema. Diagnosis?
A) Acute cholecystitis
B) Acute pancreatitis (mild, BISAP 0)
C) Perforated peptic ulcer
D) Mesenteric ischemia
Answer: B) Acute pancreatitis (mild, BISAP 0)
Explanation: Atlanta classification interstitial edema, no organ failure. Guideline: AGA 2025 NPO, IV
fluids (LR 250500 mL/hr), pain control. Safety: Early enteral nutrition within 2448h.
9. A 72yearold female with confusion, fever, and flank pain. Urinalysis: pyuria, bacteriuria, nitrites+.
Diagnosis?
A) Asymptomatic bacteriuria
Latest Update 2026/2027 | 200 Practice Questions &
Detailed Answers | Verified Q&A with Rationales | A+
Graded
1. A Chamberlain NR667 student is preparing for the VISE examination. Which of the following best
describes the required setup for the live patient encounter?
A) The student must use a prerecorded video of a standardized patient encounter.
B) The student must have video/audio capability and a volunteer present who is older than 12 years of
age.
C) The student may conduct the encounter via telephone only if the volunteer is unavailable.
D) The student must have a licensed preceptor physically present during the video conference with
faculty.
Answer: B) The student must have video/audio capability and a volunteer present who is older than 12
years of age.
Explanation: The NR667 VISE is a live video conference with faculty requiring the student to
independently conduct a patient encounter with a volunteer over 12 years old. Video/audio capability is
mandatory, and no preceptor is present during the faculty evaluation.
2. During the VISE encounter, faculty provides the student with which of the following pieces of
information to begin the patient assessment?
A) A complete past medical history and current medication list for the volunteer.
B) The chief complaint and vital signs only.
C) The differential diagnosis and proposed management plan for the volunteer.
D) A full SOAP note completed by a previous student for reference.
Answer: B) The chief complaint and vital signs only.
,Explanation: Faculty initiates the VISE by providing the chief complaint and vital signs; the student must
independently gather the history, perform a focused exam, develop a diagnosis, and create a
management plan to demonstrate practice readiness.
3. Which of the following conditions is NOT included on the list of key diagnoses that NR667 students
must be prepared to manage during the VISE encounter?
A) Type 2 diabetes mellitus
B) Gastroesophageal reflux disease (reflux esophagitis)
C) Acute appendicitis
D) Allergic rhinitis
Answer: C) Acute appendicitis
Explanation: The NR667 VISE key diagnosis list includes hypertension, hyperlipidemia, type 2 diabetes,
back pain, anxiety, obesity, allergic rhinitis, reflux esophagitis, URI, hypothyroidism, osteoarthritis,
fibromyalgia, BPH, knee/shoulder/hip pain, acute laryngopharyngitis, sinusitis, acute bronchitis, asthma,
depressive disorder, nail fungus, tinea corporis, eczema, and UTI—but not acute appendicitis.
4. The NR667 VISE evaluation emphasizes independent practice readiness. Which competency is
weighted most heavily in the faculty assessment?
A) The student's ability to verbatim recite clinical practice guidelines from memory.
B) Correct diagnosis and appropriate management based on independent data gathering.
C) The speed at which the student completes the entire encounter in under 10 minutes.
D) The student's use of advanced technological tools during the video conference.
Answer: B) Correct diagnosis and appropriate management based on independent data gathering.
Explanation: The VISE evaluation framework prioritizes independent data gathering, accurate diagnosis
formulation, and evidencebased management planning as core indicators of practice readiness for the
advanced practice nursing student.
,5. A student is documenting the VISE encounter using the SOAP format. In the Assessment section, the
student should include which of the following?
A) A verbatim transcript of everything the patient said during the encounter.
B) The patient's chief complaint and vital signs.
C) The differential diagnosis and the most likely diagnosis with clinical reasoning.
D) The complete plan for pharmacologic and nonpharmacologic management.
Answer: C) The differential diagnosis and the most likely diagnosis with clinical reasoning.
Explanation: The Assessment section of a SOAP note includes the differential diagnosis and the most
likely diagnosis, supported by clinical reasoning and evidence. The Subjective section contains the
patient's history and chief complaint; the Objective section contains vital signs and exam findings; the
Plan section contains management strategies.
6. A 58yearold male presents with progressive dyspnea, orthopnea, and bilateral lower extremity
edema. Exam reveals JVD to the earlobe, S3 gallop, and crackles to midscapula. What is the most likely
diagnosis?
A) COPD exacerbation
B) Congestive heart failure (NYHA Class IIIIV)
C) Pneumonia
D) Pulmonary fibrosis
Answer: B) Congestive heart failure (NYHA Class IIIIV)
Explanation: Framingham criteria met (major: JVD, S3, pulmonary crackles; minor: dyspnea, edema);
BNP >400 pg/mL expected. Guideline: ACC/AHA 2025 HF Staging Stage C symptomatic. Safety: Avoid
NSAIDs, monitor for digoxin toxicity.
, 7. A 32yearold female reports palpitations and nearsyncope. ECG shows delta wave and short PR
interval. What is the diagnosis?
A) Atrial fibrillation
B) WolffParkinsonWhite (WPW) syndrome
C) Sinus tachycardia
D) LGL syndrome
Answer: B) WolffParkinsonWhite (WPW) syndrome
Explanation: Accessory pathway (Kent bundle); risk of sudden death if AF occurs. Guideline: AHA/ACC
2025 EP study indicated. Safety: Avoid AV nodal blockers in preexcited AF.
8. A 45yearold male with epigastric pain radiating to the back, nausea, and elevated lipase 3.5x ULN. CT
shows pancreatic edema. Diagnosis?
A) Acute cholecystitis
B) Acute pancreatitis (mild, BISAP 0)
C) Perforated peptic ulcer
D) Mesenteric ischemia
Answer: B) Acute pancreatitis (mild, BISAP 0)
Explanation: Atlanta classification interstitial edema, no organ failure. Guideline: AGA 2025 NPO, IV
fluids (LR 250500 mL/hr), pain control. Safety: Early enteral nutrition within 2448h.
9. A 72yearold female with confusion, fever, and flank pain. Urinalysis: pyuria, bacteriuria, nitrites+.
Diagnosis?
A) Asymptomatic bacteriuria
