NR 667 WEEK 1 FULL LENGTH PRACTICE EXAM.FINAL TEST 2026\2027.
Nonpharmacologic therapy for Raynaud's disease include:
Avoidance of cold
Use of hot soaks
Ginkgo biloba
Isometric exercise
Avoidance of cold
Which of the following people groups represent the least risk of cardiac disease?
African Americans
American Indians
Native Hawaiians
Caucasians
Caucasians
as a f/u from a hospitalization an adult patent presents with ankle edema. Which of the following
medications is the most likely cause of the edema?
Nebivolol
HCTZ
Metformin
Norvasc
Norvasc
While working in a fast-track clinic as a NP in an emergency department, your patient complains
of shortness of breath with activity and near syncope with changing position from seated to
standing on multiple recent episodes. You examine them and notice a harsh systolic murmur
heard best at the right sternal border at the 2nd intercostal space rated 3/6, which has a bruit
radiating to the right carotid artery. Of the following examinations, which is most appropriate or
you to order next to evaluate this murmur?
12 Lead EKG
Carotid ultrasound
Transthoracic echocardiogram
CT non-contrast of chest, abdomen, pelvis
Transthoracic echocardiogram
The inability to fully relax the myocardium during relaxation is a trademark of which of the
following diagnoses?
Systolic heart failure
Diastolic dysfunction
,NR 667 WEEK 1 FULL LENGTH PRACTICE EXAM.FINAL TEST 2026\2027.
Grade 2 systolic dysfunction
Grade 3 systolic dysfunction
Diastolic dysfunction
Your patient with a diagnosis of peripheral arterial disease asks you what is considered a non-
modifiable risk factor. Which of the following represent the best answer for his question?
Smoking less cigarettes
Medication compliance
Family history of PAD
Tight glycemic control
Family history of PAD
A 50-year-old woman with a history of hypertension presents with dyspnea on exertion and
orthopnea. On examination, she has jugular venous distention and bilateral crackles on lung
auscultation. What is the most likely diagnosis?
Pulmonary embolism
Chronic obstructive pulmonary disease
Congestive heart failure
Acute myocardial infarction
Congestive heart failure
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
Advise dietary changes
Refer to the emergency department
Start insulin therapy
Refer to the emergency department
A 45-year-old man presents with chest pain radiating to the left arm, diaphoresis, and shortness
of breath. His ECG shows ST-segment elevation. What is the initial management response?
Start intravenous heparin
Administer nitroglycerin sublingually
Perform immediate coronary angiography
Administer aspirin and call for emergency medical services
Administer aspirin and call for emergency medical services
A 70-year-old man with a history of atrial fibrillation presents with sudden-onset left-sided
weakness and slurred speech. What is the most likely diagnosis?
Seizure
,NR 667 WEEK 1 FULL LENGTH PRACTICE EXAM.FINAL TEST 2026\2027.
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Stroke
Stroke
A 60-year-old woman presents for a routine check-up. She has a history of hypertension, type 2
diabetes mellitus, and hyperlipidemia. She is currently on lisinopril, metformin, and atorvastatin.
She has no new complaints. On examination, her blood pressure is 135/80 mmHg, heart rate is 72
beats per minute, and BMI is 32 kg/m². Recent laboratory tests reveal HbA1c of 7.5%, LDL
cholesterol of 110 mg/dL, and creatinine of 1.1 mg/dL. What is the most appropriate management
plan to optimize her care?
Recommend lifestyle modifications including diet and exercise
Increase the dose of atorvastatin
Increase the dose of metformin
Increase the dose of lisinopril
Recommend lifestyle modifications including diet and exercise
Patients on levothyroxine should be monitored for signs of:
Memory deficits and hyperreflexia
Increased nausea and constipation
Ankle edema and discomfort
Angina pectoris and dysrhythmia
Angina pectoris and dysrhythmia
A patient has a 3 cm pituitary mass noted on CT. What is your next step in evaluating the patient?
Screen for hormone deficiencies
Repeat MRI in 3 months
Start Cabergoline
Refer to surgery
Screen for hormone deficiencies
Which of the following is the most common cause of Cushing's Syndrome?
Long term excessive glucocorticoid use
Adrenal adenoma
ACTH-producing pituitary adenoma
Ectopic ACTH secretion
ACTH-producing pituitary adenoma
A 33-year-old woman presents with intermittent palpitations, anxiety, and heat intolerance. Her
thyroid function tests reveal low TSH and high free T4. What is the most likely diagnosis?
Hypothyroidism
, NR 667 WEEK 1 FULL LENGTH PRACTICE EXAM.FINAL TEST 2026\2027.
Graves' disease
Hyperthyroidism
Thyroiditis
Hyperthyroidism
An adult female who recently returned from a business trip to Japan presents for a recheck
appointment. The only remarkable laboratory result is for thyroid-stimulating hormone (TSH), at
0.3 microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that her neck hurts;
examination reveals thyroid tenderness. Which of the following laboratory tests should the nurse
practitioner order now?
Triiodothyronine (T3) only
Triiodothyronine (T3) and free triiodothyronine (FT3)
Triiodothyronine (T3) and free thyroxine (FT4)
Triiodothyronine (T3) resin uptake assay
Triiodothyronine (T3) and free thyroxine (FT4)
Pheochromocytoma is best diagnosed by which of the following tests:
Blood pressure values and adrenal CT/MRI
24-hour urine for catecholamines/metanephrines and plasma metanephrines
Adrenal CT/MRI
Plasma metanephrines with blood pressure values
24-hour urine for catecholamines/metanephrines and plasma metanephrines
A 50-year-old man presents with fatigue, muscle weakness, and hyperpigmentation of the skin.
Laboratory tests show low sodium, high potassium, and low cortisol levels. What is the most likely
diagnosis?
Pheochromocytoma
Primary hyperaldosteronism
Addison's disease
Cushing's syndrome
Addison's disease
A 18-year-old woman presents with increased thirst, frequent urination, and unexplained weight
loss. Her fasting plasma glucose level is 200 mg/dL. What is the most likely diagnosis?
Type 1 diabetes mellitus
Cushing's syndrome
Syndrome of inappropriate Anti Diuretic Hormone (SIADH)
Diabetes insipidus
Type 1 diabetes mellitus
Nonpharmacologic therapy for Raynaud's disease include:
Avoidance of cold
Use of hot soaks
Ginkgo biloba
Isometric exercise
Avoidance of cold
Which of the following people groups represent the least risk of cardiac disease?
African Americans
American Indians
Native Hawaiians
Caucasians
Caucasians
as a f/u from a hospitalization an adult patent presents with ankle edema. Which of the following
medications is the most likely cause of the edema?
Nebivolol
HCTZ
Metformin
Norvasc
Norvasc
While working in a fast-track clinic as a NP in an emergency department, your patient complains
of shortness of breath with activity and near syncope with changing position from seated to
standing on multiple recent episodes. You examine them and notice a harsh systolic murmur
heard best at the right sternal border at the 2nd intercostal space rated 3/6, which has a bruit
radiating to the right carotid artery. Of the following examinations, which is most appropriate or
you to order next to evaluate this murmur?
12 Lead EKG
Carotid ultrasound
Transthoracic echocardiogram
CT non-contrast of chest, abdomen, pelvis
Transthoracic echocardiogram
The inability to fully relax the myocardium during relaxation is a trademark of which of the
following diagnoses?
Systolic heart failure
Diastolic dysfunction
,NR 667 WEEK 1 FULL LENGTH PRACTICE EXAM.FINAL TEST 2026\2027.
Grade 2 systolic dysfunction
Grade 3 systolic dysfunction
Diastolic dysfunction
Your patient with a diagnosis of peripheral arterial disease asks you what is considered a non-
modifiable risk factor. Which of the following represent the best answer for his question?
Smoking less cigarettes
Medication compliance
Family history of PAD
Tight glycemic control
Family history of PAD
A 50-year-old woman with a history of hypertension presents with dyspnea on exertion and
orthopnea. On examination, she has jugular venous distention and bilateral crackles on lung
auscultation. What is the most likely diagnosis?
Pulmonary embolism
Chronic obstructive pulmonary disease
Congestive heart failure
Acute myocardial infarction
Congestive heart failure
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
Advise dietary changes
Refer to the emergency department
Start insulin therapy
Refer to the emergency department
A 45-year-old man presents with chest pain radiating to the left arm, diaphoresis, and shortness
of breath. His ECG shows ST-segment elevation. What is the initial management response?
Start intravenous heparin
Administer nitroglycerin sublingually
Perform immediate coronary angiography
Administer aspirin and call for emergency medical services
Administer aspirin and call for emergency medical services
A 70-year-old man with a history of atrial fibrillation presents with sudden-onset left-sided
weakness and slurred speech. What is the most likely diagnosis?
Seizure
,NR 667 WEEK 1 FULL LENGTH PRACTICE EXAM.FINAL TEST 2026\2027.
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Stroke
Stroke
A 60-year-old woman presents for a routine check-up. She has a history of hypertension, type 2
diabetes mellitus, and hyperlipidemia. She is currently on lisinopril, metformin, and atorvastatin.
She has no new complaints. On examination, her blood pressure is 135/80 mmHg, heart rate is 72
beats per minute, and BMI is 32 kg/m². Recent laboratory tests reveal HbA1c of 7.5%, LDL
cholesterol of 110 mg/dL, and creatinine of 1.1 mg/dL. What is the most appropriate management
plan to optimize her care?
Recommend lifestyle modifications including diet and exercise
Increase the dose of atorvastatin
Increase the dose of metformin
Increase the dose of lisinopril
Recommend lifestyle modifications including diet and exercise
Patients on levothyroxine should be monitored for signs of:
Memory deficits and hyperreflexia
Increased nausea and constipation
Ankle edema and discomfort
Angina pectoris and dysrhythmia
Angina pectoris and dysrhythmia
A patient has a 3 cm pituitary mass noted on CT. What is your next step in evaluating the patient?
Screen for hormone deficiencies
Repeat MRI in 3 months
Start Cabergoline
Refer to surgery
Screen for hormone deficiencies
Which of the following is the most common cause of Cushing's Syndrome?
Long term excessive glucocorticoid use
Adrenal adenoma
ACTH-producing pituitary adenoma
Ectopic ACTH secretion
ACTH-producing pituitary adenoma
A 33-year-old woman presents with intermittent palpitations, anxiety, and heat intolerance. Her
thyroid function tests reveal low TSH and high free T4. What is the most likely diagnosis?
Hypothyroidism
, NR 667 WEEK 1 FULL LENGTH PRACTICE EXAM.FINAL TEST 2026\2027.
Graves' disease
Hyperthyroidism
Thyroiditis
Hyperthyroidism
An adult female who recently returned from a business trip to Japan presents for a recheck
appointment. The only remarkable laboratory result is for thyroid-stimulating hormone (TSH), at
0.3 microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that her neck hurts;
examination reveals thyroid tenderness. Which of the following laboratory tests should the nurse
practitioner order now?
Triiodothyronine (T3) only
Triiodothyronine (T3) and free triiodothyronine (FT3)
Triiodothyronine (T3) and free thyroxine (FT4)
Triiodothyronine (T3) resin uptake assay
Triiodothyronine (T3) and free thyroxine (FT4)
Pheochromocytoma is best diagnosed by which of the following tests:
Blood pressure values and adrenal CT/MRI
24-hour urine for catecholamines/metanephrines and plasma metanephrines
Adrenal CT/MRI
Plasma metanephrines with blood pressure values
24-hour urine for catecholamines/metanephrines and plasma metanephrines
A 50-year-old man presents with fatigue, muscle weakness, and hyperpigmentation of the skin.
Laboratory tests show low sodium, high potassium, and low cortisol levels. What is the most likely
diagnosis?
Pheochromocytoma
Primary hyperaldosteronism
Addison's disease
Cushing's syndrome
Addison's disease
A 18-year-old woman presents with increased thirst, frequent urination, and unexplained weight
loss. Her fasting plasma glucose level is 200 mg/dL. What is the most likely diagnosis?
Type 1 diabetes mellitus
Cushing's syndrome
Syndrome of inappropriate Anti Diuretic Hormone (SIADH)
Diabetes insipidus
Type 1 diabetes mellitus
