NR 667 | FNP CAPSTONE EXAM REVIEW | PRACTICE QUESTIONS & ANSWERS |
COMPREHENSIVE NURSING STUDY GUIDE 2026/2027
a 4 mos. old is suspected of having developmental dysplasia of the hip. what test would best
assess for this? - ANS ✔✔Galeazzi and Klisic: limited abduction and apparent thigh length
discrepancy is a better indicator of DDH than is instability after 3 months of age, Barlow and
Ortolani maneuvers are tests used to test hip instability in newborns until approx. 3 months old.
Trendelenburg pelvic test is to test for walking age children to test for hip weakness and is
characterized by unilateral hip dyspleasia.
which mitral disorder results from redundancy of the mitral valve leaflet? - ANS ✔✔mitral valve
prolapse. Most common . adult murmur. Valves annulus becomes enlarged in conjunction with
elongated chordae tendonae (this is degeneration of the mitral tissue.
serum ferritin - ANS ✔✔demonstrates the amount of iron in storage. helpful in evaluating pts
being treated for iron deficiency anemia.
a patient with aortic stenosis has been asymptomatic for decades and begins c/o some dizziness
c activity w/o chest pain or sob. - ANS ✔✔refer to cardiology; be alert for s/s that precede
syncope. dizziness precedes syncompe, and the patient is now presenting with symptoms of
aortic stenosis.
A patient taking candesartan should avoid - ANS ✔✔K+ supplements. Candesartan can produce
hyperkalemia because the MOA spares K+.
A patient taking long actin basal insulin has elevated blood glucose. What blood sugars are
important to evaluae and base insulin changes on - ANS ✔✔AM fasting. . basal insulin mimics
steady stream of insulin produced by the pancrease throughout day. Should be based off of
fastin AM glucose check. The other blood sugars reflect blood sugar in reflection to meals.
, hyperthyroidism may affect bp by increase SBP and DBP. It is also a common cause of secondary
HTN> other Endocrine disorders that do the same are: - ANS ✔✔Pheochromocytoma, Cushings
syndrome, neuroblastoma. all of these are causes of secondary HTN.
An immune response to Strep A infection of the hear are - ANS ✔✔rheumatic fever. Can also
affect CNS and joints. most common age group affected is 5-15 yo. Residual affects not felt until
decades later.
At what age should hearing screening be performed on older adults according to Assessing Care
in Vulnerable Elders - ANS ✔✔75 yo. completed at initial evaluation, if fails needs referral to
audiology. Correlation with compliance with heawring aids.
An adult has UR sx and cough x 14 days. what should be considered? - ANS ✔✔Pertussis should
be considered any time there is an acute cough for greater than 5 days. incubation period is
about 7-10 days.
Classic paroxysmal sign is a cough that starts in the seond week of illness. The duration of the
cough is about 3 months even after treated with abx.
HIGHLY INFECTIOUS AND A REPORTABLE DISEASE.
What are current tx guidelines for treaing Pneumonia - ANS ✔✔Amoxcillin, 1g tid
Doxy and azithro are conditional first line tx for patient
fluoroquinolones are commonly used in patients with comorbidities and recent abx exposure
OR recent contact with the healthcare system.
WHat side effect does Lisinopril cause in 5-20 % of the population - ANS ✔✔cough. ACE
inhibitors as a whole class can induce a cough. This is because ACE is thought to metabolize
COMPREHENSIVE NURSING STUDY GUIDE 2026/2027
a 4 mos. old is suspected of having developmental dysplasia of the hip. what test would best
assess for this? - ANS ✔✔Galeazzi and Klisic: limited abduction and apparent thigh length
discrepancy is a better indicator of DDH than is instability after 3 months of age, Barlow and
Ortolani maneuvers are tests used to test hip instability in newborns until approx. 3 months old.
Trendelenburg pelvic test is to test for walking age children to test for hip weakness and is
characterized by unilateral hip dyspleasia.
which mitral disorder results from redundancy of the mitral valve leaflet? - ANS ✔✔mitral valve
prolapse. Most common . adult murmur. Valves annulus becomes enlarged in conjunction with
elongated chordae tendonae (this is degeneration of the mitral tissue.
serum ferritin - ANS ✔✔demonstrates the amount of iron in storage. helpful in evaluating pts
being treated for iron deficiency anemia.
a patient with aortic stenosis has been asymptomatic for decades and begins c/o some dizziness
c activity w/o chest pain or sob. - ANS ✔✔refer to cardiology; be alert for s/s that precede
syncope. dizziness precedes syncompe, and the patient is now presenting with symptoms of
aortic stenosis.
A patient taking candesartan should avoid - ANS ✔✔K+ supplements. Candesartan can produce
hyperkalemia because the MOA spares K+.
A patient taking long actin basal insulin has elevated blood glucose. What blood sugars are
important to evaluae and base insulin changes on - ANS ✔✔AM fasting. . basal insulin mimics
steady stream of insulin produced by the pancrease throughout day. Should be based off of
fastin AM glucose check. The other blood sugars reflect blood sugar in reflection to meals.
, hyperthyroidism may affect bp by increase SBP and DBP. It is also a common cause of secondary
HTN> other Endocrine disorders that do the same are: - ANS ✔✔Pheochromocytoma, Cushings
syndrome, neuroblastoma. all of these are causes of secondary HTN.
An immune response to Strep A infection of the hear are - ANS ✔✔rheumatic fever. Can also
affect CNS and joints. most common age group affected is 5-15 yo. Residual affects not felt until
decades later.
At what age should hearing screening be performed on older adults according to Assessing Care
in Vulnerable Elders - ANS ✔✔75 yo. completed at initial evaluation, if fails needs referral to
audiology. Correlation with compliance with heawring aids.
An adult has UR sx and cough x 14 days. what should be considered? - ANS ✔✔Pertussis should
be considered any time there is an acute cough for greater than 5 days. incubation period is
about 7-10 days.
Classic paroxysmal sign is a cough that starts in the seond week of illness. The duration of the
cough is about 3 months even after treated with abx.
HIGHLY INFECTIOUS AND A REPORTABLE DISEASE.
What are current tx guidelines for treaing Pneumonia - ANS ✔✔Amoxcillin, 1g tid
Doxy and azithro are conditional first line tx for patient
fluoroquinolones are commonly used in patients with comorbidities and recent abx exposure
OR recent contact with the healthcare system.
WHat side effect does Lisinopril cause in 5-20 % of the population - ANS ✔✔cough. ACE
inhibitors as a whole class can induce a cough. This is because ACE is thought to metabolize
