NR667 FNP CAPSTONE WEEK 1 PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ A patient who has active herpes zoster is at risk of shedding which
contagious virus?Herpes simplex virus -1ShinglesVaricella zosterHerpes
simplex virus -2.
Answer: Varicella zoster
◍ An older adult female presents with a 2-month history of incontinence. She
specifically complains of an inability to make it to the bathroom without the
loss of some urine most of the time, and denies incontinence due to
laughing, coughing, or sneezing; she denies dysuria. Her medications
include an angiotensin-converting enzyme (ACE) inhibitor. The initial plan
of action for this patient would be:Teaching Kegels exercise and bladder
training exerciseReferring to a urologist for urodynamic testingChanging
her hypertensive medicationObtaining a urinalysis for pyuria, hematuria,
and glucosuria.
Answer: Obtaining a urinalysis for pyuria, hematuria, and glucosuria
◍ A patient with a solitary nodule in the right upper lobe with no brain or body
lesions and a PET scan showing no evidence of other lesions in the body
would be ruled out of which of the following stages of lung cancer?Stage
IStage IVStage IIStage III.
Answer: Stage IV
◍ Which nationality is four times as likely as Caucasians to be diagnosed with
kidney disease?African AmericansNative AlaskansPacific IslandersEastern
Europeans.
Answer: African Americans
,◍ BPH Labs.
Answer: U/APSAHigh PSA and free PSA (cancerous is high PSA and
normal to low free PSA)Renal panel post void residual
◍ Which is the most common reason for hallucinating?HypoxiaUse of
methamphetamineSchizophreniaAntisocial personality disorder.
Answer: Schizophrenia
◍ Sinusitis labs.
Answer: CBC, Sinus X-ray/CT if chronicDiagnosis based on history and PE
unless complications
◍ The patient is exhibiting a productive cough and a low-grade fever. Chest
X-ray on PA view shows a left lower chest area of consolidation adjacent to
the left border of the heart approximately 2 rib spaces above the
costophrenic angle. The lateral x-ray view shows this lesion absent of the
window posterior to the cardiac silhouette. Which is the most likely location
of this area of focal consolidation?Right middle lobeLeft upper lobe
apexLeft upper lobe lingulaLeft lower lobe.
Answer: Left upper lobe lingula
◍ BPH Differentials.
Answer: Prostatitis Prostate cancerUTIBladder cancer
◍ 1. BPH AUA Questions "Over the past month have you...".
Answer: 1. Sensation of incomplete emptying2. Urinate less than 2 hours
after you finished (Frequency)3. How often have you found that you start
and stop several times when urinating4. found it difficult to postpose
urination5. Weak urinary stream 6. push or strain when urinating7. how
many times do you typically get up to urinateMild= 0-7moderate=
8-19Severe 20-35
◍ HTN non pharm.
Answer: Lifestyle modification: weight loss, smoking/alcohol cessation,
healthy diet, and sodium reductionMaintain BP log 2x/ daily and bring to
next f/u
,◍ Oral clindamycin is contraindicated in which of the following
conditions?HypothyroidismIrritable bowel diseaseRheumatoid arthritisLatex
allergy.
Answer: Irritable bowel disease
◍ Low back pain non pharm.
Answer: PTcore strenghteninggradually resume activitiesRICE
◍ 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?SeizureTransient ischemic attack (TIA)Myocardial
infarction (MI)Stroke.
Answer: Stroke
◍ The patient undergoing a cardiac arrest after a recent fracture should be
considered for which of the following potential causes of pulseless electrical
activity?HyponatremiaHyperglycemiaFat embolismPericarditis.
Answer: Fat embolism
◍ 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 mellitusCushing's
syndromeSyndrome of inappropriate Anti Diuretic Hormone
(SIADH)Diabetes insipidus.
Answer: Type 1 diabetes mellitus
◍ The treatment of Shigeliosis is:DoryxFlagylErythromycinCipro.
Answer: Cipro
◍ HTN Findings for organ damage.
Answer: rule out organ damage:MicrovascularEyes- AV nicking, flame
shaped hemorrhage, silver/copper wire arterioles. Kidneys- microalbumin
and proteinuria, elevated serum cr, abnormal eGFR, peripheral/generalized
edemaMacrovascularHeart- S3 (CHF), S4 (LVH), carotid bruits, CAD,
acute MI, decreased/absent pedal pulseBrain- TIAs, hemorrhagic stroke
, ◍ An 18-month-old child presents with a bulging, immobile tympanic
membrane; T = 103°F (39.4°C). Assessment also reveals a grade II/VI
systolic murmur at the left sternal border. After initiation of treatment for
otitis media, the most appropriate intervention is to:obtain an
echocardiogram.reevaluate the patient in 10 days.obtain an EKG.refer the
patient to a cardiologist..
Answer: reevaluate the patient in 10 days.
◍ A 30-year-old pregnant woman in her second trimester presents with
painless vaginal bleeding. What is the most likely diagnosis?Preterm
laborPlacenta previaEctopic pregnancyPlacental abruption.
Answer: Placenta previa
◍ Which of the following is the most valuable in differentiating between
actinic keratosis (AK) and squamous cell carcinoma (SCC)?Response to
fluorouracilResponse to cryotherapytelangiectasiaA surgical pathology
specimen.
Answer: A surgical pathology specimen
◍ A 65-year-old man presents for follow-up of his well-controlled
hypertension and expresses concerns about maintaining bone health. He is a
smoker and has a sedentary lifestyle. What is the most appropriate initial
recommendation to reduce his risk of osteoporosis?Calcium and vitamin D
supplementationWeight-bearing exercise and smoking cessationStart
bisphosphonatesHormone replacement therapy.
Answer: Weight-bearing exercise and smoking cessation
◍ A patient diagnosed with iron deficiency anemia requires iron
supplementation. Which of the following treatments would likely be
ineffective?Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F
at 34 weeks of pregnancyFerrous sulfate 325 mg PO BID for a 63 y.o. M
with ulcerative colitisFerrous sulfate 325 mg PO BID for a 43 y.o. F s/p
gastric bypass 2 years agoFerrous sulfate 325 mg PO TID for a 25 y.o. F
with menorrhagia.
Answer: Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ A patient who has active herpes zoster is at risk of shedding which
contagious virus?Herpes simplex virus -1ShinglesVaricella zosterHerpes
simplex virus -2.
Answer: Varicella zoster
◍ An older adult female presents with a 2-month history of incontinence. She
specifically complains of an inability to make it to the bathroom without the
loss of some urine most of the time, and denies incontinence due to
laughing, coughing, or sneezing; she denies dysuria. Her medications
include an angiotensin-converting enzyme (ACE) inhibitor. The initial plan
of action for this patient would be:Teaching Kegels exercise and bladder
training exerciseReferring to a urologist for urodynamic testingChanging
her hypertensive medicationObtaining a urinalysis for pyuria, hematuria,
and glucosuria.
Answer: Obtaining a urinalysis for pyuria, hematuria, and glucosuria
◍ A patient with a solitary nodule in the right upper lobe with no brain or body
lesions and a PET scan showing no evidence of other lesions in the body
would be ruled out of which of the following stages of lung cancer?Stage
IStage IVStage IIStage III.
Answer: Stage IV
◍ Which nationality is four times as likely as Caucasians to be diagnosed with
kidney disease?African AmericansNative AlaskansPacific IslandersEastern
Europeans.
Answer: African Americans
,◍ BPH Labs.
Answer: U/APSAHigh PSA and free PSA (cancerous is high PSA and
normal to low free PSA)Renal panel post void residual
◍ Which is the most common reason for hallucinating?HypoxiaUse of
methamphetamineSchizophreniaAntisocial personality disorder.
Answer: Schizophrenia
◍ Sinusitis labs.
Answer: CBC, Sinus X-ray/CT if chronicDiagnosis based on history and PE
unless complications
◍ The patient is exhibiting a productive cough and a low-grade fever. Chest
X-ray on PA view shows a left lower chest area of consolidation adjacent to
the left border of the heart approximately 2 rib spaces above the
costophrenic angle. The lateral x-ray view shows this lesion absent of the
window posterior to the cardiac silhouette. Which is the most likely location
of this area of focal consolidation?Right middle lobeLeft upper lobe
apexLeft upper lobe lingulaLeft lower lobe.
Answer: Left upper lobe lingula
◍ BPH Differentials.
Answer: Prostatitis Prostate cancerUTIBladder cancer
◍ 1. BPH AUA Questions "Over the past month have you...".
Answer: 1. Sensation of incomplete emptying2. Urinate less than 2 hours
after you finished (Frequency)3. How often have you found that you start
and stop several times when urinating4. found it difficult to postpose
urination5. Weak urinary stream 6. push or strain when urinating7. how
many times do you typically get up to urinateMild= 0-7moderate=
8-19Severe 20-35
◍ HTN non pharm.
Answer: Lifestyle modification: weight loss, smoking/alcohol cessation,
healthy diet, and sodium reductionMaintain BP log 2x/ daily and bring to
next f/u
,◍ Oral clindamycin is contraindicated in which of the following
conditions?HypothyroidismIrritable bowel diseaseRheumatoid arthritisLatex
allergy.
Answer: Irritable bowel disease
◍ Low back pain non pharm.
Answer: PTcore strenghteninggradually resume activitiesRICE
◍ 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?SeizureTransient ischemic attack (TIA)Myocardial
infarction (MI)Stroke.
Answer: Stroke
◍ The patient undergoing a cardiac arrest after a recent fracture should be
considered for which of the following potential causes of pulseless electrical
activity?HyponatremiaHyperglycemiaFat embolismPericarditis.
Answer: Fat embolism
◍ 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 mellitusCushing's
syndromeSyndrome of inappropriate Anti Diuretic Hormone
(SIADH)Diabetes insipidus.
Answer: Type 1 diabetes mellitus
◍ The treatment of Shigeliosis is:DoryxFlagylErythromycinCipro.
Answer: Cipro
◍ HTN Findings for organ damage.
Answer: rule out organ damage:MicrovascularEyes- AV nicking, flame
shaped hemorrhage, silver/copper wire arterioles. Kidneys- microalbumin
and proteinuria, elevated serum cr, abnormal eGFR, peripheral/generalized
edemaMacrovascularHeart- S3 (CHF), S4 (LVH), carotid bruits, CAD,
acute MI, decreased/absent pedal pulseBrain- TIAs, hemorrhagic stroke
, ◍ An 18-month-old child presents with a bulging, immobile tympanic
membrane; T = 103°F (39.4°C). Assessment also reveals a grade II/VI
systolic murmur at the left sternal border. After initiation of treatment for
otitis media, the most appropriate intervention is to:obtain an
echocardiogram.reevaluate the patient in 10 days.obtain an EKG.refer the
patient to a cardiologist..
Answer: reevaluate the patient in 10 days.
◍ A 30-year-old pregnant woman in her second trimester presents with
painless vaginal bleeding. What is the most likely diagnosis?Preterm
laborPlacenta previaEctopic pregnancyPlacental abruption.
Answer: Placenta previa
◍ Which of the following is the most valuable in differentiating between
actinic keratosis (AK) and squamous cell carcinoma (SCC)?Response to
fluorouracilResponse to cryotherapytelangiectasiaA surgical pathology
specimen.
Answer: A surgical pathology specimen
◍ A 65-year-old man presents for follow-up of his well-controlled
hypertension and expresses concerns about maintaining bone health. He is a
smoker and has a sedentary lifestyle. What is the most appropriate initial
recommendation to reduce his risk of osteoporosis?Calcium and vitamin D
supplementationWeight-bearing exercise and smoking cessationStart
bisphosphonatesHormone replacement therapy.
Answer: Weight-bearing exercise and smoking cessation
◍ A patient diagnosed with iron deficiency anemia requires iron
supplementation. Which of the following treatments would likely be
ineffective?Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F
at 34 weeks of pregnancyFerrous sulfate 325 mg PO BID for a 63 y.o. M
with ulcerative colitisFerrous sulfate 325 mg PO BID for a 43 y.o. F s/p
gastric bypass 2 years agoFerrous sulfate 325 mg PO TID for a 25 y.o. F
with menorrhagia.
Answer: Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2
