NR 667 FNP CAPSTONE PRACTICUM
AND INTENSIVE FINAL EXAM STUDY
GUIDE QUESTIONS AND ANSWERS
2026/2027 UPDATE. 100% VERIFIED
1. A 55-year-old male with a history of Type 2 Diabetes and Hypertension presents for follow-
up. His A1C is 8.5% despite being on Metformin 1000mg BID. He has a history of ASCVD.
Which medication class is the most appropriate next step in his management?
A. GLP-1 Receptor Agonist
B. Sulfonylurea
C. DPP-4 Inhibitor
D. Thiazolidinedione
Answer: A
Conceptual Explanation: ADA guidelines recommend GLP-1 receptor agonists or SGLT2
inhibitors for patients with established ASCVD regardless of A1C levels to reduce
cardiovascular events.
2. According to JNC-8 guidelines, what is the initial recommended antihypertensive
medication for an African American patient without chronic kidney disease?
A. ACE Inhibitor
,B. Calcium Channel Blocker
C. Beta-blocker
D. Angiotensin II Receptor Blocker
Answer: B
Conceptual Explanation: JNC-8 recommends that in the general African American
population, including those with diabetes, initial antihypertensive treatment should include
a thiazide-type diuretic or calcium channel blocker.
3. A 45-year-old female presents with symptoms of hypothyroidism. Laboratory results show
a high TSH and a low Free T4. You diagnose Hashimoto’s thyroiditis. What is the standard
starting dose of Levothyroxine for a healthy adult?
A. 25 mcg/day
B. 50 mcg/day
C. 1.6 mcg/kg/day
D. 2.0 mcg/kg/day
Answer: C
Conceptual Explanation: The full replacement dose of levothyroxine is approximately 1.6
mcg/kg/day for young, healthy adults with overt hypothyroidism.
, 4. A patient presents with a CURB-65 score of 2. What is the recommended setting for their
care?
A. Outpatient treatment
B. Immediate ICU admission
C. Short-stay inpatient or intensive outpatient observation
D. Home care with hospice
Answer: C
Conceptual Explanation: A CURB-65 score of 2 suggests a moderate risk of mortality, and
the recommendation is to consider short-stay inpatient treatment or close observation.
5. When managing a patient with GINA Step 2 asthma, which of the following is the preferred
controller therapy?
A. Low-dose ICS taken whenever SABA is taken
B. Leukotriene receptor antagonist
C. Daily medium-dose ICS
D. Daily low-dose ICS plus PRN SABA
Answer: D
Conceptual Explanation: GINA guidelines recommend daily low-dose ICS with PRN SABA
or low-dose ICS-formoterol as needed for Step 2 asthma management.
AND INTENSIVE FINAL EXAM STUDY
GUIDE QUESTIONS AND ANSWERS
2026/2027 UPDATE. 100% VERIFIED
1. A 55-year-old male with a history of Type 2 Diabetes and Hypertension presents for follow-
up. His A1C is 8.5% despite being on Metformin 1000mg BID. He has a history of ASCVD.
Which medication class is the most appropriate next step in his management?
A. GLP-1 Receptor Agonist
B. Sulfonylurea
C. DPP-4 Inhibitor
D. Thiazolidinedione
Answer: A
Conceptual Explanation: ADA guidelines recommend GLP-1 receptor agonists or SGLT2
inhibitors for patients with established ASCVD regardless of A1C levels to reduce
cardiovascular events.
2. According to JNC-8 guidelines, what is the initial recommended antihypertensive
medication for an African American patient without chronic kidney disease?
A. ACE Inhibitor
,B. Calcium Channel Blocker
C. Beta-blocker
D. Angiotensin II Receptor Blocker
Answer: B
Conceptual Explanation: JNC-8 recommends that in the general African American
population, including those with diabetes, initial antihypertensive treatment should include
a thiazide-type diuretic or calcium channel blocker.
3. A 45-year-old female presents with symptoms of hypothyroidism. Laboratory results show
a high TSH and a low Free T4. You diagnose Hashimoto’s thyroiditis. What is the standard
starting dose of Levothyroxine for a healthy adult?
A. 25 mcg/day
B. 50 mcg/day
C. 1.6 mcg/kg/day
D. 2.0 mcg/kg/day
Answer: C
Conceptual Explanation: The full replacement dose of levothyroxine is approximately 1.6
mcg/kg/day for young, healthy adults with overt hypothyroidism.
, 4. A patient presents with a CURB-65 score of 2. What is the recommended setting for their
care?
A. Outpatient treatment
B. Immediate ICU admission
C. Short-stay inpatient or intensive outpatient observation
D. Home care with hospice
Answer: C
Conceptual Explanation: A CURB-65 score of 2 suggests a moderate risk of mortality, and
the recommendation is to consider short-stay inpatient treatment or close observation.
5. When managing a patient with GINA Step 2 asthma, which of the following is the preferred
controller therapy?
A. Low-dose ICS taken whenever SABA is taken
B. Leukotriene receptor antagonist
C. Daily medium-dose ICS
D. Daily low-dose ICS plus PRN SABA
Answer: D
Conceptual Explanation: GINA guidelines recommend daily low-dose ICS with PRN SABA
or low-dose ICS-formoterol as needed for Step 2 asthma management.
