Nr667 Fnp Capstone Practicum & Intensive
With Questions And Well Verified
Answers!!! 2026
A 56-year-old patient has newly diagnosed type 2 diabetes with an A1C of 8.2%. Which
additional assessment is most important before establishing the treatment plan?
A. Hair texture
B. Renal function
C. Hearing acuity only
D. Visual color discrimination
Correct Answer: B. Renal function
Rationale: Renal function helps guide diabetes medication selection and dosing and provides
information about diabetic kidney disease.
A patient with diabetes reports a burning sensation in both feet that is worse at night. Which
assessment is most appropriate?
A. Monofilament and foot examination
B. Visual acuity only
C. Abdominal palpation
D. Hearing examination
Correct Answer: A. Monofilament and foot examination
Rationale: A foot examination with sensory assessment can identify peripheral neuropathy and
areas at increased risk for injury.
A patient with type 2 diabetes has an A1C of 10.5% and reports polyuria and polydipsia.
What is the priority?
A. Ignore symptoms until the next annual visit
B. Assess for significant hyperglycemia and appropriate treatment escalation
C. Recommend only increased water intake
D. Discontinue all diabetes medications
Correct Answer: B. Assess for significant hyperglycemia and appropriate treatment
escalation
Rationale: Marked hyperglycemia with osmotic symptoms requires prompt evaluation and
intensification of diabetes management.
A patient with hypertension asks how home blood pressure should be measured. Which
instruction is appropriate?
,A. Measure immediately after vigorous exercise
B. Sit quietly before measurement with the arm supported
C. Measure only when experiencing a headache
D. Take one measurement every six months
Correct Answer: B. Sit quietly before measurement with the arm supported
Rationale: Proper positioning and resting before measurement improve the accuracy of home
blood-pressure readings.
A patient has consistently elevated office blood pressure but normal readings at home. What
phenomenon should be considered?
A. White-coat hypertension
B. Hypoglycemia
C. Orthostatic hypotension
D. Pulmonary hypertension
Correct Answer: A. White-coat hypertension
Rationale: Blood pressure that is elevated in the clinical setting but lower outside the office
may represent white-coat hypertension.
A patient reports dizziness whenever standing after prolonged sitting. Which assessment is
appropriate?
A. Orthostatic blood pressure and pulse measurements
B. Hearing test only
C. Skin biopsy
D. Visual-field testing only
Correct Answer: A. Orthostatic blood pressure and pulse measurements
Rationale: Orthostatic vital signs can help evaluate blood-pressure and heart-rate changes
associated with position.
A patient taking hydrochlorothiazide develops muscle weakness. Which electrolyte
abnormality should be considered?
A. Hypokalemia
B. Hypercalcemia only
C. Hypermagnesemia
D. Hypernatremia only
Correct Answer: A. Hypokalemia
Rationale: Thiazide diuretics can increase urinary potassium loss, potentially causing
hypokalemia.
, A patient taking spironolactone has an elevated potassium level. What is the major concern?
A. Hyperkalemia
B. Hypoglycemia
C. Iron deficiency
D. Hyperthyroidism
Correct Answer: A. Hyperkalemia
Rationale: Spironolactone is potassium-sparing and can increase serum potassium, particularly
in patients with impaired renal function.
A patient taking an ACE inhibitor develops persistent dry cough but no signs of infection.
What medication-related cause should be considered?
A. ACE-inhibitor-associated cough
B. Insulin toxicity
C. Statin deficiency
D. Antacid reaction
Correct Answer: A. ACE-inhibitor-associated cough
Rationale: A persistent dry cough is a recognized adverse effect of ACE inhibitors.
A patient with hypertension has a blood pressure of 190/120 mmHg but no symptoms or
evidence of acute organ injury. What is the most appropriate principle?
A. Immediately assume hypertensive emergency
B. Confirm the measurement and assess carefully for target-organ injury
C. Ignore the reading
D. Recommend strenuous exercise immediately
Correct Answer: B. Confirm the measurement and assess carefully for target-organ injury
Rationale: Severe hypertension must be distinguished from hypertensive emergency by
determining whether acute target-organ injury is present.
A patient reports crushing substernal chest pain radiating to the jaw with diaphoresis. What
is the priority?
A. Routine follow-up next month
B. Emergency evaluation
C. Recommend an antacid and discharge
D. Encourage exercise
Correct Answer: B. Emergency evaluation
Rationale: This presentation is concerning for acute coronary syndrome and requires
immediate evaluation.
With Questions And Well Verified
Answers!!! 2026
A 56-year-old patient has newly diagnosed type 2 diabetes with an A1C of 8.2%. Which
additional assessment is most important before establishing the treatment plan?
A. Hair texture
B. Renal function
C. Hearing acuity only
D. Visual color discrimination
Correct Answer: B. Renal function
Rationale: Renal function helps guide diabetes medication selection and dosing and provides
information about diabetic kidney disease.
A patient with diabetes reports a burning sensation in both feet that is worse at night. Which
assessment is most appropriate?
A. Monofilament and foot examination
B. Visual acuity only
C. Abdominal palpation
D. Hearing examination
Correct Answer: A. Monofilament and foot examination
Rationale: A foot examination with sensory assessment can identify peripheral neuropathy and
areas at increased risk for injury.
A patient with type 2 diabetes has an A1C of 10.5% and reports polyuria and polydipsia.
What is the priority?
A. Ignore symptoms until the next annual visit
B. Assess for significant hyperglycemia and appropriate treatment escalation
C. Recommend only increased water intake
D. Discontinue all diabetes medications
Correct Answer: B. Assess for significant hyperglycemia and appropriate treatment
escalation
Rationale: Marked hyperglycemia with osmotic symptoms requires prompt evaluation and
intensification of diabetes management.
A patient with hypertension asks how home blood pressure should be measured. Which
instruction is appropriate?
,A. Measure immediately after vigorous exercise
B. Sit quietly before measurement with the arm supported
C. Measure only when experiencing a headache
D. Take one measurement every six months
Correct Answer: B. Sit quietly before measurement with the arm supported
Rationale: Proper positioning and resting before measurement improve the accuracy of home
blood-pressure readings.
A patient has consistently elevated office blood pressure but normal readings at home. What
phenomenon should be considered?
A. White-coat hypertension
B. Hypoglycemia
C. Orthostatic hypotension
D. Pulmonary hypertension
Correct Answer: A. White-coat hypertension
Rationale: Blood pressure that is elevated in the clinical setting but lower outside the office
may represent white-coat hypertension.
A patient reports dizziness whenever standing after prolonged sitting. Which assessment is
appropriate?
A. Orthostatic blood pressure and pulse measurements
B. Hearing test only
C. Skin biopsy
D. Visual-field testing only
Correct Answer: A. Orthostatic blood pressure and pulse measurements
Rationale: Orthostatic vital signs can help evaluate blood-pressure and heart-rate changes
associated with position.
A patient taking hydrochlorothiazide develops muscle weakness. Which electrolyte
abnormality should be considered?
A. Hypokalemia
B. Hypercalcemia only
C. Hypermagnesemia
D. Hypernatremia only
Correct Answer: A. Hypokalemia
Rationale: Thiazide diuretics can increase urinary potassium loss, potentially causing
hypokalemia.
, A patient taking spironolactone has an elevated potassium level. What is the major concern?
A. Hyperkalemia
B. Hypoglycemia
C. Iron deficiency
D. Hyperthyroidism
Correct Answer: A. Hyperkalemia
Rationale: Spironolactone is potassium-sparing and can increase serum potassium, particularly
in patients with impaired renal function.
A patient taking an ACE inhibitor develops persistent dry cough but no signs of infection.
What medication-related cause should be considered?
A. ACE-inhibitor-associated cough
B. Insulin toxicity
C. Statin deficiency
D. Antacid reaction
Correct Answer: A. ACE-inhibitor-associated cough
Rationale: A persistent dry cough is a recognized adverse effect of ACE inhibitors.
A patient with hypertension has a blood pressure of 190/120 mmHg but no symptoms or
evidence of acute organ injury. What is the most appropriate principle?
A. Immediately assume hypertensive emergency
B. Confirm the measurement and assess carefully for target-organ injury
C. Ignore the reading
D. Recommend strenuous exercise immediately
Correct Answer: B. Confirm the measurement and assess carefully for target-organ injury
Rationale: Severe hypertension must be distinguished from hypertensive emergency by
determining whether acute target-organ injury is present.
A patient reports crushing substernal chest pain radiating to the jaw with diaphoresis. What
is the priority?
A. Routine follow-up next month
B. Emergency evaluation
C. Recommend an antacid and discharge
D. Encourage exercise
Correct Answer: B. Emergency evaluation
Rationale: This presentation is concerning for acute coronary syndrome and requires
immediate evaluation.
