NR 667 FNP CAPSTONE PRACTICUM AND
INTENSIVE FINAL EXAM LEARNING
WORKBOOK 2026 PRIMARY CARE CLINICAL
DECISION MAKING AND PATIENT
MANAGEMENT
◉ 2. As a prudent nurse practitioner, the diabetic, hypertensive
patients you are seeing should be evaluated for early evidence of
renal damage from both diabetes and hypertension. Which of the
following assessment tools should the nurse practitioner order first
for evaluation of early renal dysfunction secondary to diabetes or
hypertension?
Answer: urinalysis with micro and micro albumin
◉ 3. Your patient presents with a new onset rapid heart rate that is
irregularly irregular, heart rate 100, BP 120/74, respiration 16 non-
labored and an SpO2 is 99%. They state this has been going on for a
week or so intermittently, but for the past four days straight it hasn't
stopped. Your first priority intervention for this patient is to do
which of the following?
Answer: maintain rate control and anticoagulation prior to rhythm
conversion
,◉ 4. As a prudent nurse practitioner, you know that a 28-year-old
male patient with HIV would be considered well managed when they
have which of the following in addition to having undetectable or
very low viral copies?
Answer: CD4 count of 500
◉ 5. Your patient has expressed concern about a skin lesion which
you identify as a darkened, round, and raised lesion. This benign
lesion that appears like "stuck on" to the skin. Which of the following
lesions best fits this description?
Answer: Seborrheic keratosis
◉ 6. You are treating a patient who has stopped taking their diuretic
regimen against medical advice while they were on vacation since it
made them urinate too frequently for their plans. Now they are 21
pounds heavier than their baseline weight, have respiratory crackles
in bilateral bases, and have severe generalized lower extremity and
truncal edema extending to the sacrum and abdomen. On your
documentation, this is referred to as which of the following
conditions?
Answer: Anasarca
◉ 7. While evaluating a patient in your clinic for a routine health
visit, you auscultate crackles in the posterior left lower lobe, have
the patient cough, with follow-up auscultation revealing clear breath
sounds. Which one of the following would you suspect?
, Answer: Atelectasis
◉ 8. Gladys is a 72-year-old patient with a history of anemia of
chronic disease from kidney failure, diabetes mellitus, and
hypothyroidism, presents today with concerns her thyroid
medication is not working well enough. Her most recent labs reflect
her TSH is 5.9 (normal range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL
(normal range 0.8-2.8 ng/dL). Which one of the following clinical
signs and/or symptoms would you expect a patient with these
findings to present with?
Answer: cold intolerance
◉ 9. You are examining the mouth of a patient and ask the patient to
stick out their tongue and notice that the tongue deviates by
pointing to the left. Which one of the following is the correct
diagnosis of this finding?
Answer: cranial nerve XII (hypoglossal nerve) lesion on the left
◉ 10. Your 31-year-old female patient states they are experiencing
lateral lower back pain and urinalysis reveals bacteria in the urine,
culture reveals gram negative rods after 24 hours of growth. Which
of the following is least likely agent to cause her urinary tract
infection?
Answer: Enterococcus
INTENSIVE FINAL EXAM LEARNING
WORKBOOK 2026 PRIMARY CARE CLINICAL
DECISION MAKING AND PATIENT
MANAGEMENT
◉ 2. As a prudent nurse practitioner, the diabetic, hypertensive
patients you are seeing should be evaluated for early evidence of
renal damage from both diabetes and hypertension. Which of the
following assessment tools should the nurse practitioner order first
for evaluation of early renal dysfunction secondary to diabetes or
hypertension?
Answer: urinalysis with micro and micro albumin
◉ 3. Your patient presents with a new onset rapid heart rate that is
irregularly irregular, heart rate 100, BP 120/74, respiration 16 non-
labored and an SpO2 is 99%. They state this has been going on for a
week or so intermittently, but for the past four days straight it hasn't
stopped. Your first priority intervention for this patient is to do
which of the following?
Answer: maintain rate control and anticoagulation prior to rhythm
conversion
,◉ 4. As a prudent nurse practitioner, you know that a 28-year-old
male patient with HIV would be considered well managed when they
have which of the following in addition to having undetectable or
very low viral copies?
Answer: CD4 count of 500
◉ 5. Your patient has expressed concern about a skin lesion which
you identify as a darkened, round, and raised lesion. This benign
lesion that appears like "stuck on" to the skin. Which of the following
lesions best fits this description?
Answer: Seborrheic keratosis
◉ 6. You are treating a patient who has stopped taking their diuretic
regimen against medical advice while they were on vacation since it
made them urinate too frequently for their plans. Now they are 21
pounds heavier than their baseline weight, have respiratory crackles
in bilateral bases, and have severe generalized lower extremity and
truncal edema extending to the sacrum and abdomen. On your
documentation, this is referred to as which of the following
conditions?
Answer: Anasarca
◉ 7. While evaluating a patient in your clinic for a routine health
visit, you auscultate crackles in the posterior left lower lobe, have
the patient cough, with follow-up auscultation revealing clear breath
sounds. Which one of the following would you suspect?
, Answer: Atelectasis
◉ 8. Gladys is a 72-year-old patient with a history of anemia of
chronic disease from kidney failure, diabetes mellitus, and
hypothyroidism, presents today with concerns her thyroid
medication is not working well enough. Her most recent labs reflect
her TSH is 5.9 (normal range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL
(normal range 0.8-2.8 ng/dL). Which one of the following clinical
signs and/or symptoms would you expect a patient with these
findings to present with?
Answer: cold intolerance
◉ 9. You are examining the mouth of a patient and ask the patient to
stick out their tongue and notice that the tongue deviates by
pointing to the left. Which one of the following is the correct
diagnosis of this finding?
Answer: cranial nerve XII (hypoglossal nerve) lesion on the left
◉ 10. Your 31-year-old female patient states they are experiencing
lateral lower back pain and urinalysis reveals bacteria in the urine,
culture reveals gram negative rods after 24 hours of growth. Which
of the following is least likely agent to cause her urinary tract
infection?
Answer: Enterococcus
