NR 667 - FNP Capstone CEA Week 5 Full Length Practice
Exam|Explore New 150 Questions and Answers|2025 Update
|100% Correct.
NR 667 - FNP Capstone CEA Week 5 Full Length Practice Exam
Table of Contents
Section Topic Questions
I Advanced Health Assessment & Clinical Reasoning 1–15
II Cardiovascular Disorders 16–30
III Respiratory & Pulmonary 31–45
IV Endocrine & Metabolic 46–60
V Hematology & Oncology 61–75
VI Dermatology & Musculoskeletal 76–90
VII Renal & Genitourinary 91–105
VIII Professional Practice, Ethics & Billing 106–125
IX Clinical Decision-Making & Prioritization 126–150
— Complete Answer Key —
— High-Yield Review —
,Section I: Advanced Health Assessment & Clinical Reasoning
Questions 1–15
Question 1
During which phase of the cardiac cycle is the first heart sound (S1) best heard on auscultation?
A) Diastole
B) Atrial filling phase
C) Ventricular systole
D) Isovolumetric relaxation
Correct Answer: C) Ventricular systole
Rationale: S1 ("lub") occurs when the mitral and tricuspid valves close at the beginning
of ventricular systole. It signals the start of ejection. Diastole and isovolumetric relaxation are
associated with S2 and S3/S4 .
Question 2
The point of maximum impulse (PMI) is most often palpable in healthy adults when positioned
in the supine or left lateral decubitus position. Which location is most commonly described as
the PMI?
A) Left 2nd intercostal space, midaxillary line
B) Left 5th intercostal space, midclavicular line
C) Right 4th intercostal space, midaxillary line
D) Right 2nd intercostal space, midclavicular line
Correct Answer: B) Left 5th intercostal space, midclavicular line
Rationale: The PMI is the location where the apical impulse is most palpable, typically at
the left 5th intercostal space at the midclavicular line in healthy adults .
Question 3
While examining a 53-year-old female patient, you auscultate abnormal breath sounds over all
fields, and now assess transmission of voice sounds by having the patient say "ee" while
auscultating the chest with the diaphragm of your stethoscope. Normally, you should auscultate
a muffled "e" sound; however, you hear a nasally "a" sound. Which one of the following will you
document is present?
,A) Positive stereognosis
B) Positive for egophony
C) Negative for bronchophony
D) Positive for tactile fremitus
Correct Answer: B) Positive for egophony
Rationale: Egophony is present when the patient says "ee" and you hear a nasal "a"
sound. This indicates increased transmission of voice sounds, often due to consolidation (e.g.,
pneumonia) .
Question 4
The nursing process is a five-step decision-making approach that includes all of the following
steps, EXCEPT:
A) Assessment
B) Patient problem
C) Planning
D) Right drug
Correct Answer: D) Right drug
Rationale: The nursing process consists of five steps: assessment, patient problem
(diagnosis), planning, implementation, and evaluation. "Right drug" is one of the "Six Rights" of
medication administration, not a step in the nursing process .
Question 5
All of the following would be considered subjective data, EXCEPT:
A) Patient-reported health history
B) Patient-reported signs and symptoms of their illness
C) Financial barriers reported by the patient's caregiver
D) Vital signs obtained from the medical record
Correct Answer: D) Vital signs obtained from the medical record
Rationale: Subjective data is based on what patients or family members communicate.
Vital signs obtained from the medical record are objective data .
, Question 6
A patient is receiving a drug that is known to be highly protein-bound. Which finding would the
nurse expect if the patient has low serum albumin levels?
A) Reduced drug effect
B) Increased risk of drug toxicity
C) Decreased drug absorption
D) Faster drug excretion
Correct Answer: B) Increased risk of drug toxicity
Rationale: Low serum albumin means fewer protein-binding sites. This results in more
unbound (free) drug circulating, leading to increased pharmacologic effect and risk of toxicity .
Question 7
A patient is prescribed a medication that undergoes extensive first-pass metabolism. The nurse
anticipates that the prescriber will:
A) Increase the oral dose
B) Administer the drug via the IV route
C) Decrease the oral dose
D) Administer the drug with food
Correct Answer: B) Administer the drug via the IV route
Rationale: First-pass metabolism refers to extensive metabolism by the liver before
reaching systemic circulation. IV administration bypasses first-pass metabolism, allowing more
drug to reach systemic circulation .
Question 8
The nurse is preparing to administer a medication and reviews the patient's chart for drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse's actions are
reflective of which step of the Clinical Judgment Measurement Model?
A) Recognize Cues (Assessment)
B) Analyze Cues & Prioritize Hypotheses (Analysis)
C) Generate Solutions (Planning)
D) Take Action (Implementation)
Correct Answer: A) Recognize Cues (Assessment)
Exam|Explore New 150 Questions and Answers|2025 Update
|100% Correct.
NR 667 - FNP Capstone CEA Week 5 Full Length Practice Exam
Table of Contents
Section Topic Questions
I Advanced Health Assessment & Clinical Reasoning 1–15
II Cardiovascular Disorders 16–30
III Respiratory & Pulmonary 31–45
IV Endocrine & Metabolic 46–60
V Hematology & Oncology 61–75
VI Dermatology & Musculoskeletal 76–90
VII Renal & Genitourinary 91–105
VIII Professional Practice, Ethics & Billing 106–125
IX Clinical Decision-Making & Prioritization 126–150
— Complete Answer Key —
— High-Yield Review —
,Section I: Advanced Health Assessment & Clinical Reasoning
Questions 1–15
Question 1
During which phase of the cardiac cycle is the first heart sound (S1) best heard on auscultation?
A) Diastole
B) Atrial filling phase
C) Ventricular systole
D) Isovolumetric relaxation
Correct Answer: C) Ventricular systole
Rationale: S1 ("lub") occurs when the mitral and tricuspid valves close at the beginning
of ventricular systole. It signals the start of ejection. Diastole and isovolumetric relaxation are
associated with S2 and S3/S4 .
Question 2
The point of maximum impulse (PMI) is most often palpable in healthy adults when positioned
in the supine or left lateral decubitus position. Which location is most commonly described as
the PMI?
A) Left 2nd intercostal space, midaxillary line
B) Left 5th intercostal space, midclavicular line
C) Right 4th intercostal space, midaxillary line
D) Right 2nd intercostal space, midclavicular line
Correct Answer: B) Left 5th intercostal space, midclavicular line
Rationale: The PMI is the location where the apical impulse is most palpable, typically at
the left 5th intercostal space at the midclavicular line in healthy adults .
Question 3
While examining a 53-year-old female patient, you auscultate abnormal breath sounds over all
fields, and now assess transmission of voice sounds by having the patient say "ee" while
auscultating the chest with the diaphragm of your stethoscope. Normally, you should auscultate
a muffled "e" sound; however, you hear a nasally "a" sound. Which one of the following will you
document is present?
,A) Positive stereognosis
B) Positive for egophony
C) Negative for bronchophony
D) Positive for tactile fremitus
Correct Answer: B) Positive for egophony
Rationale: Egophony is present when the patient says "ee" and you hear a nasal "a"
sound. This indicates increased transmission of voice sounds, often due to consolidation (e.g.,
pneumonia) .
Question 4
The nursing process is a five-step decision-making approach that includes all of the following
steps, EXCEPT:
A) Assessment
B) Patient problem
C) Planning
D) Right drug
Correct Answer: D) Right drug
Rationale: The nursing process consists of five steps: assessment, patient problem
(diagnosis), planning, implementation, and evaluation. "Right drug" is one of the "Six Rights" of
medication administration, not a step in the nursing process .
Question 5
All of the following would be considered subjective data, EXCEPT:
A) Patient-reported health history
B) Patient-reported signs and symptoms of their illness
C) Financial barriers reported by the patient's caregiver
D) Vital signs obtained from the medical record
Correct Answer: D) Vital signs obtained from the medical record
Rationale: Subjective data is based on what patients or family members communicate.
Vital signs obtained from the medical record are objective data .
, Question 6
A patient is receiving a drug that is known to be highly protein-bound. Which finding would the
nurse expect if the patient has low serum albumin levels?
A) Reduced drug effect
B) Increased risk of drug toxicity
C) Decreased drug absorption
D) Faster drug excretion
Correct Answer: B) Increased risk of drug toxicity
Rationale: Low serum albumin means fewer protein-binding sites. This results in more
unbound (free) drug circulating, leading to increased pharmacologic effect and risk of toxicity .
Question 7
A patient is prescribed a medication that undergoes extensive first-pass metabolism. The nurse
anticipates that the prescriber will:
A) Increase the oral dose
B) Administer the drug via the IV route
C) Decrease the oral dose
D) Administer the drug with food
Correct Answer: B) Administer the drug via the IV route
Rationale: First-pass metabolism refers to extensive metabolism by the liver before
reaching systemic circulation. IV administration bypasses first-pass metabolism, allowing more
drug to reach systemic circulation .
Question 8
The nurse is preparing to administer a medication and reviews the patient's chart for drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse's actions are
reflective of which step of the Clinical Judgment Measurement Model?
A) Recognize Cues (Assessment)
B) Analyze Cues & Prioritize Hypotheses (Analysis)
C) Generate Solutions (Planning)
D) Take Action (Implementation)
Correct Answer: A) Recognize Cues (Assessment)
