NR-667 FAMILY NURSE PRACTITIONER CAPSTONE PRACTICUM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Advanced Health Assessment and Diagnostic Reasoning
Primary Care Management Across the Lifespan
Pharmacotherapeutics and Prescribing Safety
Health Promotion, Screening, and Disease Prevention
Chronic Disease Management and Care Coordination
Ethics, Policy, and Professional Practice
Evidence-Based Practice and Quality Improvement
Interprofessional Collaboration and Capstone Clinical Judgment
Introduction
This comprehensive assessment evaluates the knowledge and
clinical judgment required of the family nurse practitioner in
capstone practicum. It covers advanced assessment, differential
diagnosis, pharmacotherapeutics, health promotion, chronic disease
management, ethics, policy, and evidence-based practice. Questions
are multiple-choice and scenario-based, emphasizing real-world
application, prioritization, and safe decision-making across the
lifespan. The examination is designed to reflect graduate-level FNP
practicum expectations and to strengthen readiness for
independent, evidence-informed family practice.
SECTION ONE: QUESTIONS 1-100
1. A 56-year-old male with no diabetes has a blood pressure of
156/98 mm Hg on two separate visits. What is the most
appropriate initial management?
,A. Recommend lifestyle modification only and recheck in 6
months
B. 🟢 Initiate lifestyle modification plus a thiazide-type diuretic
C. Start an ACE inhibitor only if proteinuria is present
D. Admit for IV antihypertensive therapy
🔴 RATIONALE: Stage 2 hypertension in a patient without
diabetes or cardiovascular disease should be treated with lifestyle
modification plus two antihypertensive agents, often including a
thiazide diuretic, ACE inhibitor, ARB, or calcium channel blocker.
2. A 62-year-old patient with type 2 diabetes has an A1c of 6.9%
and no hypoglycemia. What is the most appropriate A1c
target?
A. 🟢 Less than 7%
B. Less than 6%
C. Less than 8%
D. Less than 9%
🔴 RATIONALE: For most nonpregnant adults with type 2
diabetes, an A1c target of less than 7% is recommended to reduce
microvascular complications without excessive hypoglycemia risk.
3. A 10-year-old presents with fever, tonsillar exudate, tender
anterior cervical nodes, and no cough. Rapid strep test is
positive. What is the first-line treatment?
A. Azithromycin
B. Amoxicillin-clavulanate
C. 🟢 Penicillin V
D. Doxycycline
🔴 RATIONALE: Penicillin V or amoxicillin is first-line for group A
streptococcal pharyngitis. Penicillin V is preferred when adherence
,and palatability are not concerns.
4. An 8-year-old with asthma has symptoms more than 2 days per
week but not daily, and nighttime awakenings 3 times per
month. What is the most appropriate daily controller therapy?
A. No controller needed
B. Montelukast only
C. Medium-dose inhaled corticosteroid
D. 🟢 Low-dose inhaled corticosteroid
🔴 RATIONALE: Mild persistent asthma is treated with daily low-
dose inhaled corticosteroids as the preferred long-term controller.
5. A 45-year-old adult is due for routine immunizations. Which
vaccine is recommended every 10 years?
A. Influenza
B. 🟢 Tdap or Td booster
C. Pneumococcal conjugate
D. Hepatitis B
🔴 RATIONALE: Tdap is given once, then Td or Tdap boosters are
recommended every 10 years. Influenza is annual, and
pneumococcal and hepatitis B are based on risk or age.
6. A 52-year-old average-risk adult asks about colorectal cancer
screening. What is the recommended starting age for
screening?
A. 🟢 45 years
B. 50 years
C. 55 years
D. 60 years
, 🔴 RATIONALE: Colorectal cancer screening is now recommended
to begin at age 45 for average-risk adults, continuing through age
75.
7. A 28-year-old female with migraine with aura requests
combined oral contraceptives. What is the most appropriate
response?
A. Prescribe combined oral contraceptives as requested
B. Prescribe progestin-only pills only after age 35
C. Recommend no contraception
D. 🟢 Avoid combined oral contraceptives due to stroke risk
🔴 RATIONALE: Migraine with aura is a contraindication to
combined hormonal contraceptives because of increased ischemic
stroke risk. Progestin-only or nonhormonal methods are safer.
8. A 24-year-old female has dysuria, frequency, and urgency
without fever or flank pain. What is the first-line treatment for
uncomplicated cystitis?
A. Ciprofloxacin for 7 days
B. Amoxicillin for 10 days
C. 🟢 Nitrofurantoin for 5 days
D. Azithromycin single dose
🔴 RATIONALE: Nitrofurantoin for 5 days is first-line for
uncomplicated cystitis. Fluoroquinolones are reserved due to
resistance and adverse effects.
9. A 6-week-old infant has a rectal temperature of 38.3°C (101°F).
What is the priority action?
A. 🟢 Refer for urgent medical evaluation and possible sepsis
workup
B. Recommend acetaminophen and recheck in 24 hours
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Advanced Health Assessment and Diagnostic Reasoning
Primary Care Management Across the Lifespan
Pharmacotherapeutics and Prescribing Safety
Health Promotion, Screening, and Disease Prevention
Chronic Disease Management and Care Coordination
Ethics, Policy, and Professional Practice
Evidence-Based Practice and Quality Improvement
Interprofessional Collaboration and Capstone Clinical Judgment
Introduction
This comprehensive assessment evaluates the knowledge and
clinical judgment required of the family nurse practitioner in
capstone practicum. It covers advanced assessment, differential
diagnosis, pharmacotherapeutics, health promotion, chronic disease
management, ethics, policy, and evidence-based practice. Questions
are multiple-choice and scenario-based, emphasizing real-world
application, prioritization, and safe decision-making across the
lifespan. The examination is designed to reflect graduate-level FNP
practicum expectations and to strengthen readiness for
independent, evidence-informed family practice.
SECTION ONE: QUESTIONS 1-100
1. A 56-year-old male with no diabetes has a blood pressure of
156/98 mm Hg on two separate visits. What is the most
appropriate initial management?
,A. Recommend lifestyle modification only and recheck in 6
months
B. 🟢 Initiate lifestyle modification plus a thiazide-type diuretic
C. Start an ACE inhibitor only if proteinuria is present
D. Admit for IV antihypertensive therapy
🔴 RATIONALE: Stage 2 hypertension in a patient without
diabetes or cardiovascular disease should be treated with lifestyle
modification plus two antihypertensive agents, often including a
thiazide diuretic, ACE inhibitor, ARB, or calcium channel blocker.
2. A 62-year-old patient with type 2 diabetes has an A1c of 6.9%
and no hypoglycemia. What is the most appropriate A1c
target?
A. 🟢 Less than 7%
B. Less than 6%
C. Less than 8%
D. Less than 9%
🔴 RATIONALE: For most nonpregnant adults with type 2
diabetes, an A1c target of less than 7% is recommended to reduce
microvascular complications without excessive hypoglycemia risk.
3. A 10-year-old presents with fever, tonsillar exudate, tender
anterior cervical nodes, and no cough. Rapid strep test is
positive. What is the first-line treatment?
A. Azithromycin
B. Amoxicillin-clavulanate
C. 🟢 Penicillin V
D. Doxycycline
🔴 RATIONALE: Penicillin V or amoxicillin is first-line for group A
streptococcal pharyngitis. Penicillin V is preferred when adherence
,and palatability are not concerns.
4. An 8-year-old with asthma has symptoms more than 2 days per
week but not daily, and nighttime awakenings 3 times per
month. What is the most appropriate daily controller therapy?
A. No controller needed
B. Montelukast only
C. Medium-dose inhaled corticosteroid
D. 🟢 Low-dose inhaled corticosteroid
🔴 RATIONALE: Mild persistent asthma is treated with daily low-
dose inhaled corticosteroids as the preferred long-term controller.
5. A 45-year-old adult is due for routine immunizations. Which
vaccine is recommended every 10 years?
A. Influenza
B. 🟢 Tdap or Td booster
C. Pneumococcal conjugate
D. Hepatitis B
🔴 RATIONALE: Tdap is given once, then Td or Tdap boosters are
recommended every 10 years. Influenza is annual, and
pneumococcal and hepatitis B are based on risk or age.
6. A 52-year-old average-risk adult asks about colorectal cancer
screening. What is the recommended starting age for
screening?
A. 🟢 45 years
B. 50 years
C. 55 years
D. 60 years
, 🔴 RATIONALE: Colorectal cancer screening is now recommended
to begin at age 45 for average-risk adults, continuing through age
75.
7. A 28-year-old female with migraine with aura requests
combined oral contraceptives. What is the most appropriate
response?
A. Prescribe combined oral contraceptives as requested
B. Prescribe progestin-only pills only after age 35
C. Recommend no contraception
D. 🟢 Avoid combined oral contraceptives due to stroke risk
🔴 RATIONALE: Migraine with aura is a contraindication to
combined hormonal contraceptives because of increased ischemic
stroke risk. Progestin-only or nonhormonal methods are safer.
8. A 24-year-old female has dysuria, frequency, and urgency
without fever or flank pain. What is the first-line treatment for
uncomplicated cystitis?
A. Ciprofloxacin for 7 days
B. Amoxicillin for 10 days
C. 🟢 Nitrofurantoin for 5 days
D. Azithromycin single dose
🔴 RATIONALE: Nitrofurantoin for 5 days is first-line for
uncomplicated cystitis. Fluoroquinolones are reserved due to
resistance and adverse effects.
9. A 6-week-old infant has a rectal temperature of 38.3°C (101°F).
What is the priority action?
A. 🟢 Refer for urgent medical evaluation and possible sepsis
workup
B. Recommend acetaminophen and recheck in 24 hours
