FNP Capstone Practicum and Intensive
Questions and Answers Already Graded A+
Latest Version 2025
A 43-year-old male with past medical history significant for GERD, smoking, and obesity presents to
your clinic for worsening GERD symptoms, he has been taking Protonix 40mg daily with no
improvement. He had an EGD done with biopsy. Which findings would diagnose the patient with
Barret's esophagus?
*Intestinal dysplasia with goblet cells
*Erosion of esophagus, and inflammatory findings on biopsy
*Smooth muscularis mucosae
*Intestinal metaplasia with goblet cells –
ANS :Intestinal metaplasia with goblet cells
Rationale: Histologic examination of biopsy specimens from that columnar epithelium must reveal
intestinal metaplasia characterized with goblet cells. This would be significant of change to diagnose
a patient with Barrett's esophagus
A 34-year-old male presents with choledocholithiasis, which is suspected after an MRCP shows a
potential stone is the cystic duct. Which procedure would provide diagnostic and intervention
potential for this patient?
*EUS
*ERCP
A GRADE 1
,*EGD
*Colonoscopy –
ANS :ERCP
Rationale: An ERCP allows for direct visualization with contrast and imagining of potential stones, it
also allows for direct intervention of dilation and removal of stones.
Your irate patient on involuntary hold due to risk of harm to themself or others says they are going
to "kill you when you leave work after they get discharged". This statement is an example of which
of the following?
*None of these options
*Emotional battery
*Verbal battery
*Verbal assault –
ANS :Verbal assault
Rationale: Assault refers to the risk of a harm to others, whereas battery refers to the actual act of
that harm.
Patients presenting with globe rupture should be sent to immediate surgery due to which of the
following reasons?
*Loss of vision is worse if surgery is immediate
*Delay in surgery can increase incidence of choroidal hemorrhage
*Pain associated to the traumatic event is less when surgery is performed immediately
*Rapid surgery can increase incidence of endophthalmitis
A GRADE 2
,- ANS :Delay in surgery can increase incidence of choroidal hemorrhage
Rationale: Delay in surgery can increase incidence of both choroidal hemorrhage as well as
endophthalmitis. Loss of vision is likely less if surgical intervention is immediate for the same reasons
as above and pain due to the trauma itself has no bearing on surgical timing.
A 60-year-old man presents with persistent hoarseness for the past 3 months. He has a history of
smoking. What is the most appropriate next step in management?
*Prescribe voice rest and hydration
*Referral to an otolaryngologist for laryngoscopy
*Advise gargling with warm salt water
*Start a course of oral corticosteroids –
ANS :Referral to an otolaryngologist for laryngoscopy
Rationale: Suspicion of malignancy should be considered in individuals with risk factors such as
smoking presenting with unexplained hoarseness lasting more than two weeks.
Your patient presents with unilateral eye pain after a workplace exposure to a caustic substance.
Which of the following techniques is useful to assist in removal of the agent?
*Flushing with a Morgan lens
*Slit lap evaluation
*Fluorescein staining
*Topical anesthesia with lidocaine gel
- ANS :Flushing with a Morgan lens
Rationale: The Morgan lens is a very useful tool for hands-free flushing of the affected eye.
Fluorescein staining and slit lamp evaluation are for corneal abrasion. Topical anesthesia would not
be applied until the substance is removed, and tetracaine, not lidocaine would be used for this.
A GRADE 3
, A 19-year-old presents with a sore throat and anterior cervical adenopathy. Which causative agent
would be suspected?
*Epstein-Barr virus
*Adenovirus
*Haemophilus influenzae
*Group A beta-hemolytic Streptococcus –
ANS :Group A beta-hemolytic Streptococcus
Rationale: While this patient could easily represent strep or EBV, the differentiating factor is the
location of the affected lymphadenopathy. As a generalization, posterior cervical lymphadenopathy
is common of Epstein-Barr virus (EBV) and anterior cervical lymphadenopathy is more common with
Group A beta-hemolytic streptococcus.
An elderly patient has throbbing pain in the left eye, blurred vision, marked photophobia, and
redness around the iris. What is the nurse practitioner's initial diagnosis?
*Iritis
*Glaucoma
*Sjogren's syndrome
*Conjunctivitis
- ANS :Iritis
Rationale: Redness around the iris is a classic descriptor of iritis, whereas conjunctival erythema and
injection is suggestive of conjunctivitis. Sjogren syndrome is characterized by dry eyes, and glaucoma
typically shares the symptoms noted above but does not have circular redness around the iris.
A GRADE 4
Questions and Answers Already Graded A+
Latest Version 2025
A 43-year-old male with past medical history significant for GERD, smoking, and obesity presents to
your clinic for worsening GERD symptoms, he has been taking Protonix 40mg daily with no
improvement. He had an EGD done with biopsy. Which findings would diagnose the patient with
Barret's esophagus?
*Intestinal dysplasia with goblet cells
*Erosion of esophagus, and inflammatory findings on biopsy
*Smooth muscularis mucosae
*Intestinal metaplasia with goblet cells –
ANS :Intestinal metaplasia with goblet cells
Rationale: Histologic examination of biopsy specimens from that columnar epithelium must reveal
intestinal metaplasia characterized with goblet cells. This would be significant of change to diagnose
a patient with Barrett's esophagus
A 34-year-old male presents with choledocholithiasis, which is suspected after an MRCP shows a
potential stone is the cystic duct. Which procedure would provide diagnostic and intervention
potential for this patient?
*EUS
*ERCP
A GRADE 1
,*EGD
*Colonoscopy –
ANS :ERCP
Rationale: An ERCP allows for direct visualization with contrast and imagining of potential stones, it
also allows for direct intervention of dilation and removal of stones.
Your irate patient on involuntary hold due to risk of harm to themself or others says they are going
to "kill you when you leave work after they get discharged". This statement is an example of which
of the following?
*None of these options
*Emotional battery
*Verbal battery
*Verbal assault –
ANS :Verbal assault
Rationale: Assault refers to the risk of a harm to others, whereas battery refers to the actual act of
that harm.
Patients presenting with globe rupture should be sent to immediate surgery due to which of the
following reasons?
*Loss of vision is worse if surgery is immediate
*Delay in surgery can increase incidence of choroidal hemorrhage
*Pain associated to the traumatic event is less when surgery is performed immediately
*Rapid surgery can increase incidence of endophthalmitis
A GRADE 2
,- ANS :Delay in surgery can increase incidence of choroidal hemorrhage
Rationale: Delay in surgery can increase incidence of both choroidal hemorrhage as well as
endophthalmitis. Loss of vision is likely less if surgical intervention is immediate for the same reasons
as above and pain due to the trauma itself has no bearing on surgical timing.
A 60-year-old man presents with persistent hoarseness for the past 3 months. He has a history of
smoking. What is the most appropriate next step in management?
*Prescribe voice rest and hydration
*Referral to an otolaryngologist for laryngoscopy
*Advise gargling with warm salt water
*Start a course of oral corticosteroids –
ANS :Referral to an otolaryngologist for laryngoscopy
Rationale: Suspicion of malignancy should be considered in individuals with risk factors such as
smoking presenting with unexplained hoarseness lasting more than two weeks.
Your patient presents with unilateral eye pain after a workplace exposure to a caustic substance.
Which of the following techniques is useful to assist in removal of the agent?
*Flushing with a Morgan lens
*Slit lap evaluation
*Fluorescein staining
*Topical anesthesia with lidocaine gel
- ANS :Flushing with a Morgan lens
Rationale: The Morgan lens is a very useful tool for hands-free flushing of the affected eye.
Fluorescein staining and slit lamp evaluation are for corneal abrasion. Topical anesthesia would not
be applied until the substance is removed, and tetracaine, not lidocaine would be used for this.
A GRADE 3
, A 19-year-old presents with a sore throat and anterior cervical adenopathy. Which causative agent
would be suspected?
*Epstein-Barr virus
*Adenovirus
*Haemophilus influenzae
*Group A beta-hemolytic Streptococcus –
ANS :Group A beta-hemolytic Streptococcus
Rationale: While this patient could easily represent strep or EBV, the differentiating factor is the
location of the affected lymphadenopathy. As a generalization, posterior cervical lymphadenopathy
is common of Epstein-Barr virus (EBV) and anterior cervical lymphadenopathy is more common with
Group A beta-hemolytic streptococcus.
An elderly patient has throbbing pain in the left eye, blurred vision, marked photophobia, and
redness around the iris. What is the nurse practitioner's initial diagnosis?
*Iritis
*Glaucoma
*Sjogren's syndrome
*Conjunctivitis
- ANS :Iritis
Rationale: Redness around the iris is a classic descriptor of iritis, whereas conjunctival erythema and
injection is suggestive of conjunctivitis. Sjogren syndrome is characterized by dry eyes, and glaucoma
typically shares the symptoms noted above but does not have circular redness around the iris.
A GRADE 4
