NR 667 FNP CAPSTONE PRACTICUM AND
INTENSIVE FINAL EXAM QUESTIONS AND
ANSWERS 2026 FULL PRACTICE TEST
◉ Pharmacological management: Obesity. Answer: -May be helpful
as adjuvant therapy with lifestyle interventions for patients with
BMI > 30 or 27 with comorbidities
-If one option doesn't work, consider others
-D/c medications in patients who do not respond with weight loss of
at least 5% in 12 weeks
-Avoid in pregnancy
◉ Follow-up: Obesity. Answer: -Long-term, frequent f/u as for most
chronic conditions; this disease has a relapsing nature based on
physiology, so patients require close monitoring
-Surgical patients need long-term f/u with surgeon and primary care
to monitor weight loss and nutrition
-Annual labs as indicated by medication administration,
comorbidities, and annual needs
◉ Expected course: Obesity. Answer: -Chronic condition: rarely
cured but can be controlled
,-Long-term maintenance of weight loss difficult due to metabolic
adaptation
-Dependent on sustained patient motivation and circumstances
◉ Possible complications: Obesity. Answer: -Prediabetes
-Metabolic syndrome
-DM II
-Dyslipidemia
-Cancer
-Hypertension
-CVD
-Non-alcoholic fatty liver disease and steatohepatitis
-PCOS, infertility
-Male hypogonadism
-Respiratory disease, including asthma
-Osteoarthritis
-Urinary stress incontinence
-GERD
-Psychiatric disorders
-Increased mortality
-Cholelithiasis, esp. with rapid weight loss
-Thromboembolism
,-Decreased mobility
-Decreased exercise tolerance
-OSA
◉ Etiology: Allergic rhinitis. Answer: -Any substance or condition
that causes an IgE-mediated response characterized by rupture of
mast cells and release of histamines, leukotrienes, prostaglandins,
and other compounds
-Seasonal allergens: pollens from grass, trees, weeds
-Perennial allergens: mold, animal dander, dust mites, smoke
◉ Risk factors: Allergic rhinitis. Answer: -Family history
-Other topics diseases (asthma, atopic dermatitis, allergic
conjunctivitis, food allergy)
-Repeated exposure to the allergen
-Non-adherence to treatment
◉ Assessment findings: Allergic rhinitis. Answer: -DX is based on
h+p findings consistent with allergy-related cause; presence of one
or more of these symptoms: nasal congestion, rhinorrhea, itchy
nose, sneezing
-Conjunctival injection, watery eyes
-Pale, boggy nasal mucosa with congestion and clear rhinorrhea
, -Transverse crease on tip of nose due to allergic salute-repeated
wiping of nose in an upward direction
-Mouth breathing, dry lips
-Sore throat, dry mouth upon waking
-Palpable lymph nodes
-Enlarged tonsils and adenoids
-Presence of associated conditions: sleep-disordered breathing,
otitis media, rhinosinusitis, conjunctivitis, asthma, atopic dermatitis
◉ Differential diagnosis: Allergic rhinitis. Answer: -Vasomotor
rhinitis
-Rhinitis medicamentosa
-Infection
-Tumors
-Nasal foreign body
-Common cold
-Granulomatous diseases
-CSF rhinorrhea
◉ Final Diagnosis: Allergic rhinitis. Answer: -Usually none
-CBC: eosinophilia if acute reaction
-CT scan is primary imaging study
INTENSIVE FINAL EXAM QUESTIONS AND
ANSWERS 2026 FULL PRACTICE TEST
◉ Pharmacological management: Obesity. Answer: -May be helpful
as adjuvant therapy with lifestyle interventions for patients with
BMI > 30 or 27 with comorbidities
-If one option doesn't work, consider others
-D/c medications in patients who do not respond with weight loss of
at least 5% in 12 weeks
-Avoid in pregnancy
◉ Follow-up: Obesity. Answer: -Long-term, frequent f/u as for most
chronic conditions; this disease has a relapsing nature based on
physiology, so patients require close monitoring
-Surgical patients need long-term f/u with surgeon and primary care
to monitor weight loss and nutrition
-Annual labs as indicated by medication administration,
comorbidities, and annual needs
◉ Expected course: Obesity. Answer: -Chronic condition: rarely
cured but can be controlled
,-Long-term maintenance of weight loss difficult due to metabolic
adaptation
-Dependent on sustained patient motivation and circumstances
◉ Possible complications: Obesity. Answer: -Prediabetes
-Metabolic syndrome
-DM II
-Dyslipidemia
-Cancer
-Hypertension
-CVD
-Non-alcoholic fatty liver disease and steatohepatitis
-PCOS, infertility
-Male hypogonadism
-Respiratory disease, including asthma
-Osteoarthritis
-Urinary stress incontinence
-GERD
-Psychiatric disorders
-Increased mortality
-Cholelithiasis, esp. with rapid weight loss
-Thromboembolism
,-Decreased mobility
-Decreased exercise tolerance
-OSA
◉ Etiology: Allergic rhinitis. Answer: -Any substance or condition
that causes an IgE-mediated response characterized by rupture of
mast cells and release of histamines, leukotrienes, prostaglandins,
and other compounds
-Seasonal allergens: pollens from grass, trees, weeds
-Perennial allergens: mold, animal dander, dust mites, smoke
◉ Risk factors: Allergic rhinitis. Answer: -Family history
-Other topics diseases (asthma, atopic dermatitis, allergic
conjunctivitis, food allergy)
-Repeated exposure to the allergen
-Non-adherence to treatment
◉ Assessment findings: Allergic rhinitis. Answer: -DX is based on
h+p findings consistent with allergy-related cause; presence of one
or more of these symptoms: nasal congestion, rhinorrhea, itchy
nose, sneezing
-Conjunctival injection, watery eyes
-Pale, boggy nasal mucosa with congestion and clear rhinorrhea
, -Transverse crease on tip of nose due to allergic salute-repeated
wiping of nose in an upward direction
-Mouth breathing, dry lips
-Sore throat, dry mouth upon waking
-Palpable lymph nodes
-Enlarged tonsils and adenoids
-Presence of associated conditions: sleep-disordered breathing,
otitis media, rhinosinusitis, conjunctivitis, asthma, atopic dermatitis
◉ Differential diagnosis: Allergic rhinitis. Answer: -Vasomotor
rhinitis
-Rhinitis medicamentosa
-Infection
-Tumors
-Nasal foreign body
-Common cold
-Granulomatous diseases
-CSF rhinorrhea
◉ Final Diagnosis: Allergic rhinitis. Answer: -Usually none
-CBC: eosinophilia if acute reaction
-CT scan is primary imaging study
