College of Nursing | FNP Program
NR667 / NR 667
VISE STUDY GUIDE
Virtual Intensive Simulation Experience
COMPREHENSIVE EXAMINATION
Academic Year:
Total Questions: 100 Multiple Choice (A-D)
Format: 70% Scenario-Based, 20% Recall, 10% Clinical Judgment
Cognitive Levels: 25% Recall, 55% Application, 20% Analysis
Sections: 7 Comprehensive Sections
Focus Areas: Top 25 Diagnoses, Differential Diagnosis,
Evidence-Based Management, Telehealth, VISE Grading
Grading: 80-Point Minimum | PIP After 14 Days if Below 80
Equipment: Ophthalmoscope, Otoscope, Reflex Hammer,
Snellen Chart, Stethoscope (Diaphragm + Bell)
Aligned with 2026-2027 Chamberlain University FNP Capstone Practicum Standards
Virtual Intensive Simulation Experience (VISE) Competency Assessment
,NR667 VISE Study Guide | Chamberlain University | FNP Capstone 2026/2027 100-Question Comprehensive Exam
TABLE OF CONTENTS
Section 1 VISE Format, Equipment, and Top 25 Diagnoses Preparation Q1 - Q15
Section 2 Patient Interview and Health History Collection Q16 - Q25
Section 3 Focused Physical Examination Techniques Q26 - Q35
Section 4 Differential Diagnosis and Clinical Reasoning Q36 - Q50
Section 5 Evidence-Based Management Plan Development Q51 - Q65
Section 6 Top 25 Diagnoses Deep Dive Q66 - Q90
Section 7 Professional Communication, Telehealth, and Grading Q91 - Q100
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,NR667 VISE Study Guide | Chamberlain University | FNP Capstone 2026/2027 100-Question Comprehensive Exam
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, NR667 VISE Study Guide | Chamberlain University | FNP Capstone 2026/2027 100-Question Comprehensive Exam
Section 1: VISE Format, Equipment, and Top 25 Diagnoses Preparation
(Q1-Q15)
Q1: An FNP student is preparing for the NR667 VISE capstone call. The student gathers an ophthalmoscope,
otoscope, reflex hammer, pocket Snellen chart, and a stethoscope with both diaphragm and bell. The student
also ensures a volunteer older than 12 years is available with video and audio capability. Which additional
item should the student have ready before the call begins?
A. A sphygmomanometer and blood pressure cuff for vital sign measurement
B. Pencil and paper for notes plus a clinical pharmacology reference to verify dosages [CORRECT]
C. A digital rectal exam kit for prostate assessment
D. A comprehensive metabolic panel point-of-care testing device
Correct Answer: B
Rationale: Per the Chamberlain University NR667 VISE Study Guide, students must have pencil and paper for notes and a
clinical pharmacology reference available to check dosages when formulating the treatment plan. A sphygmomanometer is useful
but not listed as a required equipment item for the VISE call specifically (A). A digital rectal exam kit (C) and point-of-care
metabolic testing (D) are beyond the VISE scope, which focuses on history, focused physical exam, diagnosis, and management
planning. The pharmacology reference is critical because the VISE evaluates the student's ability to prescribe accurately.
Q2: During the VISE call, the faculty member selects a diagnosis from the Top 25 list and presents a clinical
scenario. The student is expected to independently gather data, formulate the diagnosis, and develop a
management plan. Which of the following is included in the Top 25 diagnoses that the student must be
prepared to assess, diagnose, and treat?
A. Acute appendicitis, community-acquired pneumonia, and cellulitis
B. Hypertension, Type 2 Diabetes, Back Pain, Anxiety, and Urinary Tract Infection [CORRECT]
C. Congestive heart failure, chronic kidney disease, and atrial fibrillation
D. Pelvic inflammatory disease, ectopic pregnancy, and endometriosis
Correct Answer: B
Rationale: The NR667 VISE Top 25 diagnoses include Hypertension, Hyperlipidemia, Type 2 Diabetes, Back Pain, Anxiety,
Obesity, Allergic Rhinitis, Reflux Esophagitis, Upper Respiratory Infection, Hypothyroidism, Osteoarthritis,
Fibromyalgia/Myositis, Benign Prostatic Hyperplasia, Knee Pain, Shoulder Pain, Hip Pain, Acute Laryngopharyngitis, Acute
Maxillary Sinusitis, Acute Bronchitis, Asthma, Depressive Disorder, Nail Fungus, Tinea Corporis, Eczema, and Urinary Tract
Infection. Options A and C contain diagnoses not on the VISE Top 25 list. Option D contains OB/GYN emergencies beyond
VISE scope. Students must master all 25 diagnoses for the independent practice assessment.
Q3: An FNP student scores 76 points on the first VISE attempt. According to the NR667 grading criteria,
what is the correct consequence and next step for this student?
A. The student passes since 76 is above the 70-point minimum threshold.
B. The student is placed on a Performance Improvement Plan (PIP) and must wait 14 days before a
second attempt. [CORRECT]
C. The student receives a zero and must repeat the entire capstone course.
D. The student must complete 40 additional clinical hours before retesting.
Correct Answer: B
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