Final NP Assessment | Chamberlain College
Nursing | 2025/2026 Edition | Real Exam
Questions & 100% Correct Verified Answers (Final
Assessment, Already Passed Content)
Chamberlain College of Nursing – Final NP Assessment Exam | Advanced Clinical Scenarios,
Diagnostics, and Health Management | Expert-Verified Questions & Answers | 100% Pass-Level
Accuracy
Introduction
This complete Q&A set includes all questions from the Final NP Assessment Exam administered
at Chamberlain College of Nursing in the 2025/2026 academic cycle. The exam typically
consists of approximately 160–200 multiple‐choice and alternate‐format items that assess
clinical reasoning, diagnostic decision‐making, and patient management. Each question in this
bank features a 100% verified correct answer—perfect for review or post-assessment
consolidation.
Answer Format
Correct responses are clearly marked in bold and green, with structured explanations where
needed to clarify reasoning and reinforce understanding.
Question 1
A 55-year-old male presents with chest pain for 2 hours. What is the initial diagnostic step?
A) Echocardiogram
B) 12-lead electrocardiogram (ECG)
C) Stress test
D) Cardiac catheterization
B) 12-lead electrocardiogram (ECG)
Rationale: A 12-lead ECG is the initial test to identify ST-elevation myocardial infarction
(STEMI) or other acute changes.
Question 2
A 30-year-old female reports a lump in her breast. What is the next step in evaluation?
A) Mammogram
B) Ultrasound
C) Biopsy
D) Clinical breast exam
B) Ultrasound
,Rationale: Ultrasound is the initial imaging for a palpable lump in a woman under 40 to
assess its nature.
Question 3
A 65-year-old male with diabetes presents with a foot ulcer. What is the first-line treatment?
A) Oral antibiotics
B) Debridement
C) Hyperbaric oxygen therapy
D) Amputation
B) Debridement
Rationale: Debridement removes necrotic tissue and promotes healing in diabetic foot ulcers.
Question 4
A 45-year-old female has a TSH of 0.2 mIU/L. What is the likely diagnosis?
A) Hypothyroidism
B) Hyperthyroidism
C) Normal thyroid function
D) Thyroid cancer
B) Hyperthyroidism
Rationale: A low TSH suggests hyperthyroidism; further testing (e.g., T4) is needed to
confirm.
Question 5
A 70-year-old male has a BP of 160/90 mmHg. What is the initial pharmacologic treatment?
A) Lisinopril
B) Amlodipine
C) Hydrochlorothiazide
D) Metoprolol
A) Lisinopril
Rationale: An ACE inhibitor like lisinopril is first-line for hypertension in older adults.
Question 6
A 25-year-old female presents with a rash and joint pain. What initial lab test is indicated?
A) Rheumatoid factor (RF)
B) Antinuclear antibody (ANA)
C) C-reactive protein (CRP)
D) Complete blood count (CBC)
B) Antinuclear antibody (ANA)
Rationale: ANA screening is initial for suspected autoimmune conditions like lupus.
Question 7
A 50-year-old male with COPD exacerbation has a respiratory rate of 28. What is the priority?
A) Administer oxygen
B) Start albuterol
C) Order a chest X-ray
D) Initiate noninvasive ventilation
,A) Administer oxygen
Rationale: Oxygen therapy corrects hypoxemia, the priority in acute COPD exacerbation.
Question 8
A 60-year-old female has an eGFR of 45 mL/min. What is the stage of chronic kidney disease?
A) Stage 1
B) Stage 2
C) Stage 3a
D) Stage 4
C) Stage 3a
Rationale: eGFR 45-59 mL/min indicates Stage 3a CKD.
Question 9
A 35-year-old male reports sudden hearing loss. What is the initial management?
A) Audiometry
B) Oral steroids
C) MRI
D) Referral to ENT
B) Oral steroids
Rationale: Oral steroids are initiated within 72 hours for sudden sensorineural hearing loss.
Question 10
A 40-year-old female has a positive pregnancy test and BP of 150/95 mmHg. What is the next
step?
A) Start methyldopa
B) Order urinalysis
C) Perform an ultrasound
D) Admit for observation
B) Order urinalysis
Rationale: Urinalysis checks for proteinuria to assess for preeclampsia.
Question 11
A 75-year-old male has a pulse of 40 bpm. What is the initial evaluation?
A) Echocardiogram
B) Electrocardiogram (ECG)
C) Stress test
D) Holter monitor
B) Electrocardiogram (ECG)
Rationale: An ECG identifies bradycardia causes like heart block or sinus arrest.
Question 12
A 20-year-old female reports amenorrhea for 6 months. What is the initial test?
A) Pregnancy test
B) Progesterone challenge
C) FSH and LH levels
D) Pelvic ultrasound
, A) Pregnancy test
Rationale: Pregnancy is the most common cause of secondary amenorrhea.
Question 13
A 55-year-old male with atrial fibrillation has a CHADS2 score of 3. What is recommended?
A) Aspirin
B) Warfarin
C) Apixaban
D) No anticoagulation
C) Apixaban
Rationale: A CHADS2 score ≥2 warrants anticoagulation; apixaban is preferred over
warfarin.
Question 14
A 30-year-old male has a positive TB skin test. What is the next step?
A) Chest X-ray
B) Start isoniazid
C) Sputum culture
D) Repeat skin test
A) Chest X-ray
Rationale: Chest X-ray assesses for active TB before considering treatment.
Question 15
A 65-year-old female has a hip fracture. What is the initial management?
A) Pain management
B) Surgical fixation
C) Physical therapy
D) Anticoagulation
A) Pain management
Rationale: Pain control is the first step, followed by surgical planning.
Question 16
A 45-year-old male has a PSA of 6 ng/mL. What is the next step?
A) Prostate biopsy
B) Digital rectal exam (DRE)
C) Repeat PSA in 6 months
D) MRI prostate
B) Digital rectal exam (DRE)
Rationale: DRE assesses for nodules before deciding on biopsy.
Question 17
A 50-year-old female with rheumatoid arthritis has joint swelling. What is the initial treatment?
A) Methotrexate
B) Prednisone
C) NSAIDs
D) Hydroxychloroquine
Nursing | 2025/2026 Edition | Real Exam
Questions & 100% Correct Verified Answers (Final
Assessment, Already Passed Content)
Chamberlain College of Nursing – Final NP Assessment Exam | Advanced Clinical Scenarios,
Diagnostics, and Health Management | Expert-Verified Questions & Answers | 100% Pass-Level
Accuracy
Introduction
This complete Q&A set includes all questions from the Final NP Assessment Exam administered
at Chamberlain College of Nursing in the 2025/2026 academic cycle. The exam typically
consists of approximately 160–200 multiple‐choice and alternate‐format items that assess
clinical reasoning, diagnostic decision‐making, and patient management. Each question in this
bank features a 100% verified correct answer—perfect for review or post-assessment
consolidation.
Answer Format
Correct responses are clearly marked in bold and green, with structured explanations where
needed to clarify reasoning and reinforce understanding.
Question 1
A 55-year-old male presents with chest pain for 2 hours. What is the initial diagnostic step?
A) Echocardiogram
B) 12-lead electrocardiogram (ECG)
C) Stress test
D) Cardiac catheterization
B) 12-lead electrocardiogram (ECG)
Rationale: A 12-lead ECG is the initial test to identify ST-elevation myocardial infarction
(STEMI) or other acute changes.
Question 2
A 30-year-old female reports a lump in her breast. What is the next step in evaluation?
A) Mammogram
B) Ultrasound
C) Biopsy
D) Clinical breast exam
B) Ultrasound
,Rationale: Ultrasound is the initial imaging for a palpable lump in a woman under 40 to
assess its nature.
Question 3
A 65-year-old male with diabetes presents with a foot ulcer. What is the first-line treatment?
A) Oral antibiotics
B) Debridement
C) Hyperbaric oxygen therapy
D) Amputation
B) Debridement
Rationale: Debridement removes necrotic tissue and promotes healing in diabetic foot ulcers.
Question 4
A 45-year-old female has a TSH of 0.2 mIU/L. What is the likely diagnosis?
A) Hypothyroidism
B) Hyperthyroidism
C) Normal thyroid function
D) Thyroid cancer
B) Hyperthyroidism
Rationale: A low TSH suggests hyperthyroidism; further testing (e.g., T4) is needed to
confirm.
Question 5
A 70-year-old male has a BP of 160/90 mmHg. What is the initial pharmacologic treatment?
A) Lisinopril
B) Amlodipine
C) Hydrochlorothiazide
D) Metoprolol
A) Lisinopril
Rationale: An ACE inhibitor like lisinopril is first-line for hypertension in older adults.
Question 6
A 25-year-old female presents with a rash and joint pain. What initial lab test is indicated?
A) Rheumatoid factor (RF)
B) Antinuclear antibody (ANA)
C) C-reactive protein (CRP)
D) Complete blood count (CBC)
B) Antinuclear antibody (ANA)
Rationale: ANA screening is initial for suspected autoimmune conditions like lupus.
Question 7
A 50-year-old male with COPD exacerbation has a respiratory rate of 28. What is the priority?
A) Administer oxygen
B) Start albuterol
C) Order a chest X-ray
D) Initiate noninvasive ventilation
,A) Administer oxygen
Rationale: Oxygen therapy corrects hypoxemia, the priority in acute COPD exacerbation.
Question 8
A 60-year-old female has an eGFR of 45 mL/min. What is the stage of chronic kidney disease?
A) Stage 1
B) Stage 2
C) Stage 3a
D) Stage 4
C) Stage 3a
Rationale: eGFR 45-59 mL/min indicates Stage 3a CKD.
Question 9
A 35-year-old male reports sudden hearing loss. What is the initial management?
A) Audiometry
B) Oral steroids
C) MRI
D) Referral to ENT
B) Oral steroids
Rationale: Oral steroids are initiated within 72 hours for sudden sensorineural hearing loss.
Question 10
A 40-year-old female has a positive pregnancy test and BP of 150/95 mmHg. What is the next
step?
A) Start methyldopa
B) Order urinalysis
C) Perform an ultrasound
D) Admit for observation
B) Order urinalysis
Rationale: Urinalysis checks for proteinuria to assess for preeclampsia.
Question 11
A 75-year-old male has a pulse of 40 bpm. What is the initial evaluation?
A) Echocardiogram
B) Electrocardiogram (ECG)
C) Stress test
D) Holter monitor
B) Electrocardiogram (ECG)
Rationale: An ECG identifies bradycardia causes like heart block or sinus arrest.
Question 12
A 20-year-old female reports amenorrhea for 6 months. What is the initial test?
A) Pregnancy test
B) Progesterone challenge
C) FSH and LH levels
D) Pelvic ultrasound
, A) Pregnancy test
Rationale: Pregnancy is the most common cause of secondary amenorrhea.
Question 13
A 55-year-old male with atrial fibrillation has a CHADS2 score of 3. What is recommended?
A) Aspirin
B) Warfarin
C) Apixaban
D) No anticoagulation
C) Apixaban
Rationale: A CHADS2 score ≥2 warrants anticoagulation; apixaban is preferred over
warfarin.
Question 14
A 30-year-old male has a positive TB skin test. What is the next step?
A) Chest X-ray
B) Start isoniazid
C) Sputum culture
D) Repeat skin test
A) Chest X-ray
Rationale: Chest X-ray assesses for active TB before considering treatment.
Question 15
A 65-year-old female has a hip fracture. What is the initial management?
A) Pain management
B) Surgical fixation
C) Physical therapy
D) Anticoagulation
A) Pain management
Rationale: Pain control is the first step, followed by surgical planning.
Question 16
A 45-year-old male has a PSA of 6 ng/mL. What is the next step?
A) Prostate biopsy
B) Digital rectal exam (DRE)
C) Repeat PSA in 6 months
D) MRI prostate
B) Digital rectal exam (DRE)
Rationale: DRE assesses for nodules before deciding on biopsy.
Question 17
A 50-year-old female with rheumatoid arthritis has joint swelling. What is the initial treatment?
A) Methotrexate
B) Prednisone
C) NSAIDs
D) Hydroxychloroquine
