NR 667 - FNP Capstone Week 5 Full Length Practice Exam|Explore New 150
Questions and Answers|2025 Update |100% Correct.
• Due Feb 9 at 11:59pm
• Points 150
• Questions 150
• Available Feb 3 at 12am - Feb 9 at 11:59pm
• Time Limit 180 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 110 minutes 142 out of 150
Score for this quiz: 142 out of 150
Submitted Feb 9 at 1:17pm
This attempt took 110 minutes.
Question 1
pts
As the nurse practitioner on call on at a long term care facility, a nurse calls
you to notify you that your patient who was in normal sinus rhythm has
started to have extra premature beats noted on bedside telemetry. The nurse
states these extra beats occur approximately every 6 normal beats and has
an inverted p wave located after the narrow QRS complex which appears
otherwise identical to the normal sinus rhythm QRS complex. What is this
nurse likely describing?
Correct!
,Premature Junctional Contractions
Sinus exit block does have a pause, but no change in P wave morphology.
PACs will maintain an early but otherwise normal P wave/QRS. PJCs will have
absent, inverted or retrograde P waves(after the QRS) and be otherwise
narrow complex QRS. PVCs will be absent of any P wave and have a wide
complex QRS.
Premature Ventricular Contractions
Premature Atrial Contractions
Sinus Exit Block
Question 2
pts
A 60-year-old man with a history of hypertension and diabetes presents with
a new-onset headache and visual disturbances. His blood pressure is
200/110 mmHg. What is the most appropriate management?
Prescribe antihypertensive medication and follow up in a week
Correct!
Refer to the emergency department
,Start insulin therapy
Advise dietary changes
Question 3
pts
You are the nurse practitioner caring for the patient with a diagnosis of
premature atrial contractions. Initial treatment should include which priority
intervention?
Performing a comprehensive physical examination
Correct Answer
Ordering 2L NC oxygen if symptomatic
You Answered
Ordering a 12-lead EKG
Premature atrial contractions are both common and typically not harmful to
the patient other than causing mild symptoms such as SOB, palpitations, and
anxiety. This question is asking for an intervention. Although all these are
reasonable choices in managing this patient’s care, none of the options
above other than applying oxygen are interventions; rather, they are
evaluations.
, Palpating a radial pulse while auscultating heart tones for pulse deficits
Question 4
pts
Your patient has been diagnosed with a 4.5cm ascending aortic aneurysm.
Which medical imaging is considered standard of care for serial surveillance?
Plain film chest X-ray (CXR)
Transesophageal Echocardiogram
Correct!
CT angiography of the chest
CT angiography is considered the standard of care for measuring vascular
luminal dimensions with contrast. CT PE protocol is not timed properly for the
aorta (it’s timed for the pulmonary artery). Although a plain film is able to
catch large aneurysms at times, they are not able to provide multi-axis
reconstruction needed to accurately measure the size. Transesophageal echo
is not needed to accurately measure the aorta and requires the patient to
undergo sedation which is unnecessary.
CT PE rule-out protocol
Questions and Answers|2025 Update |100% Correct.
• Due Feb 9 at 11:59pm
• Points 150
• Questions 150
• Available Feb 3 at 12am - Feb 9 at 11:59pm
• Time Limit 180 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 110 minutes 142 out of 150
Score for this quiz: 142 out of 150
Submitted Feb 9 at 1:17pm
This attempt took 110 minutes.
Question 1
pts
As the nurse practitioner on call on at a long term care facility, a nurse calls
you to notify you that your patient who was in normal sinus rhythm has
started to have extra premature beats noted on bedside telemetry. The nurse
states these extra beats occur approximately every 6 normal beats and has
an inverted p wave located after the narrow QRS complex which appears
otherwise identical to the normal sinus rhythm QRS complex. What is this
nurse likely describing?
Correct!
,Premature Junctional Contractions
Sinus exit block does have a pause, but no change in P wave morphology.
PACs will maintain an early but otherwise normal P wave/QRS. PJCs will have
absent, inverted or retrograde P waves(after the QRS) and be otherwise
narrow complex QRS. PVCs will be absent of any P wave and have a wide
complex QRS.
Premature Ventricular Contractions
Premature Atrial Contractions
Sinus Exit Block
Question 2
pts
A 60-year-old man with a history of hypertension and diabetes presents with
a new-onset headache and visual disturbances. His blood pressure is
200/110 mmHg. What is the most appropriate management?
Prescribe antihypertensive medication and follow up in a week
Correct!
Refer to the emergency department
,Start insulin therapy
Advise dietary changes
Question 3
pts
You are the nurse practitioner caring for the patient with a diagnosis of
premature atrial contractions. Initial treatment should include which priority
intervention?
Performing a comprehensive physical examination
Correct Answer
Ordering 2L NC oxygen if symptomatic
You Answered
Ordering a 12-lead EKG
Premature atrial contractions are both common and typically not harmful to
the patient other than causing mild symptoms such as SOB, palpitations, and
anxiety. This question is asking for an intervention. Although all these are
reasonable choices in managing this patient’s care, none of the options
above other than applying oxygen are interventions; rather, they are
evaluations.
, Palpating a radial pulse while auscultating heart tones for pulse deficits
Question 4
pts
Your patient has been diagnosed with a 4.5cm ascending aortic aneurysm.
Which medical imaging is considered standard of care for serial surveillance?
Plain film chest X-ray (CXR)
Transesophageal Echocardiogram
Correct!
CT angiography of the chest
CT angiography is considered the standard of care for measuring vascular
luminal dimensions with contrast. CT PE protocol is not timed properly for the
aorta (it’s timed for the pulmonary artery). Although a plain film is able to
catch large aneurysms at times, they are not able to provide multi-axis
reconstruction needed to accurately measure the size. Transesophageal echo
is not needed to accurately measure the aorta and requires the patient to
undergo sedation which is unnecessary.
CT PE rule-out protocol
