1 | Page
NR667 FNP CAPSTONE PRACTICUM FINAL EXAM 2026 | 180
VERIFIED QUESTIONS & ANSWERS (100% CORRECT)ALREADY
GRADED A+, GUARANTEE PASS
1. Which screening tool is most appropriate for evaluating depression in the
primary care setting?
A) Mini-Mental State Exam (MMSE)
B) Geriatric Depression Scale (GDS)
C) PHQ-9
D) CAGE questionnaire
Correct Answer: C) PHQ-9
Rationale:
The Patient Health Questionnaire-9 (PHQ-9) is the most widely used and
validated tool in primary care to assess for depression severity and monitor
treatment progress. The GDS is specific for older adults, while the CAGE is for
alcohol misuse.
2. An adult presents with new-onset hypertension. What is the first-line
recommended pharmacologic therapy?
A) Beta-blockers
B) Thiazide diuretics
C) Loop diuretics
D) Digoxin
Correct Answer: B) Thiazide diuretics
Rationale:
According to ACC/AHA guidelines, first-line therapy for uncomplicated
,2 | Page
hypertension includes thiazide diuretics, ACE inhibitors, ARBs, or calcium
channel blockers. Beta-blockers are no longer first-line unless specific
comorbidities exist.
3. A 65-year-old patient presents with fatigue, pallor, and glossitis. Which lab
finding is most consistent with pernicious anemia?
A) Low MCV, low ferritin
B) High MCV, low B12
C) Low platelets, elevated bilirubin
D) High WBC, low hemoglobin
Correct Answer: B) High MCV, low B12
Rationale:
Pernicious anemia is a macrocytic anemia caused by B12 deficiency due to lack
of intrinsic factor. Symptoms include glossitis, neuropathy, and fatigue.
4. Which immunization is recommended for adults ≥50 to prevent shingles?
A) Zostavax (live vaccine)
B) Shingrix (recombinant zoster vaccine)
C) Varivax
D) PPSV23
Correct Answer: B) Shingrix (recombinant zoster vaccine)
Rationale:
Shingrix is the CDC-recommended vaccine for shingles prevention in adults ≥50,
given as a 2-dose series. Zostavax is no longer preferred.
5. In evaluating a patient with COPD, which spirometry result confirms the
diagnosis?
A) FEV1/FVC > 0.80
B) FEV1/FVC < 0.70 post-bronchodilator
,3 | Page
C) Decreased TLC
D) Increased DLCO
Correct Answer: B) FEV1/FVC < 0.70 post-bronchodilator
Rationale:
The hallmark of COPD diagnosis is a post-bronchodilator FEV1/FVC < 0.70.
This demonstrates irreversible airway obstruction.
6. A 25-year-old female with dysuria, urgency, and frequency presents. Which
finding confirms acute cystitis?
A) Positive urine nitrites and leukocyte esterase
B) Proteinuria
C) Microscopic hematuria only
D) Hyaline casts
Correct Answer: A) Positive urine nitrites and leukocyte esterase
Rationale:
Acute cystitis is confirmed with pyuria (WBCs) and bacteriuria on urinalysis.
Nitrites suggest gram-negative bacteria such as E. coli.
7. Which medication is first-line for generalized anxiety disorder (GAD)?
A) Benzodiazepines
B) SSRIs
C) Antipsychotics
D) Beta-blockers
Correct Answer: B) SSRIs
Rationale:
SSRIs (e.g., sertraline, escitalopram) are first-line for GAD. Benzodiazepines are
short-term only due to dependency risks.
, 4 | Page
8. Which cardiac murmur is best described as a systolic ejection murmur
radiating to the carotids?
A) Mitral regurgitation
B) Mitral stenosis
C) Aortic stenosis
D) Aortic regurgitation
Correct Answer: C) Aortic stenosis
Rationale:
Aortic stenosis produces a crescendo-decrescendo systolic murmur best heard at
the 2nd intercostal space, radiating to the carotids.
9. Which diagnostic test is most appropriate for suspected deep vein
thrombosis (DVT)?
A) D-dimer only
B) Duplex ultrasonography
C) MRI of lower extremities
D) CT angiogram
Correct Answer: B) Duplex ultrasonography
Rationale:
Venous duplex ultrasound is the diagnostic test of choice for DVT due to its high
sensitivity and non-invasiveness.
10. A 32-year-old with asthma presents with worsening wheezing and dyspnea.
Which medication provides immediate relief?
A) Salmeterol
B) Fluticasone
C) Albuterol
D) Montelukast
Correct Answer: C) Albuterol
NR667 FNP CAPSTONE PRACTICUM FINAL EXAM 2026 | 180
VERIFIED QUESTIONS & ANSWERS (100% CORRECT)ALREADY
GRADED A+, GUARANTEE PASS
1. Which screening tool is most appropriate for evaluating depression in the
primary care setting?
A) Mini-Mental State Exam (MMSE)
B) Geriatric Depression Scale (GDS)
C) PHQ-9
D) CAGE questionnaire
Correct Answer: C) PHQ-9
Rationale:
The Patient Health Questionnaire-9 (PHQ-9) is the most widely used and
validated tool in primary care to assess for depression severity and monitor
treatment progress. The GDS is specific for older adults, while the CAGE is for
alcohol misuse.
2. An adult presents with new-onset hypertension. What is the first-line
recommended pharmacologic therapy?
A) Beta-blockers
B) Thiazide diuretics
C) Loop diuretics
D) Digoxin
Correct Answer: B) Thiazide diuretics
Rationale:
According to ACC/AHA guidelines, first-line therapy for uncomplicated
,2 | Page
hypertension includes thiazide diuretics, ACE inhibitors, ARBs, or calcium
channel blockers. Beta-blockers are no longer first-line unless specific
comorbidities exist.
3. A 65-year-old patient presents with fatigue, pallor, and glossitis. Which lab
finding is most consistent with pernicious anemia?
A) Low MCV, low ferritin
B) High MCV, low B12
C) Low platelets, elevated bilirubin
D) High WBC, low hemoglobin
Correct Answer: B) High MCV, low B12
Rationale:
Pernicious anemia is a macrocytic anemia caused by B12 deficiency due to lack
of intrinsic factor. Symptoms include glossitis, neuropathy, and fatigue.
4. Which immunization is recommended for adults ≥50 to prevent shingles?
A) Zostavax (live vaccine)
B) Shingrix (recombinant zoster vaccine)
C) Varivax
D) PPSV23
Correct Answer: B) Shingrix (recombinant zoster vaccine)
Rationale:
Shingrix is the CDC-recommended vaccine for shingles prevention in adults ≥50,
given as a 2-dose series. Zostavax is no longer preferred.
5. In evaluating a patient with COPD, which spirometry result confirms the
diagnosis?
A) FEV1/FVC > 0.80
B) FEV1/FVC < 0.70 post-bronchodilator
,3 | Page
C) Decreased TLC
D) Increased DLCO
Correct Answer: B) FEV1/FVC < 0.70 post-bronchodilator
Rationale:
The hallmark of COPD diagnosis is a post-bronchodilator FEV1/FVC < 0.70.
This demonstrates irreversible airway obstruction.
6. A 25-year-old female with dysuria, urgency, and frequency presents. Which
finding confirms acute cystitis?
A) Positive urine nitrites and leukocyte esterase
B) Proteinuria
C) Microscopic hematuria only
D) Hyaline casts
Correct Answer: A) Positive urine nitrites and leukocyte esterase
Rationale:
Acute cystitis is confirmed with pyuria (WBCs) and bacteriuria on urinalysis.
Nitrites suggest gram-negative bacteria such as E. coli.
7. Which medication is first-line for generalized anxiety disorder (GAD)?
A) Benzodiazepines
B) SSRIs
C) Antipsychotics
D) Beta-blockers
Correct Answer: B) SSRIs
Rationale:
SSRIs (e.g., sertraline, escitalopram) are first-line for GAD. Benzodiazepines are
short-term only due to dependency risks.
, 4 | Page
8. Which cardiac murmur is best described as a systolic ejection murmur
radiating to the carotids?
A) Mitral regurgitation
B) Mitral stenosis
C) Aortic stenosis
D) Aortic regurgitation
Correct Answer: C) Aortic stenosis
Rationale:
Aortic stenosis produces a crescendo-decrescendo systolic murmur best heard at
the 2nd intercostal space, radiating to the carotids.
9. Which diagnostic test is most appropriate for suspected deep vein
thrombosis (DVT)?
A) D-dimer only
B) Duplex ultrasonography
C) MRI of lower extremities
D) CT angiogram
Correct Answer: B) Duplex ultrasonography
Rationale:
Venous duplex ultrasound is the diagnostic test of choice for DVT due to its high
sensitivity and non-invasiveness.
10. A 32-year-old with asthma presents with worsening wheezing and dyspnea.
Which medication provides immediate relief?
A) Salmeterol
B) Fluticasone
C) Albuterol
D) Montelukast
Correct Answer: C) Albuterol
