Chamberlain University
Practicum Capstone Intensive
NR668 Practicum Capstone Intensive Final Examination
Pages Total Marks Section Questions
Section 1 Multiple Choice 20 questions 40 total marks
Section 2 Short Answer 10 questions 30 total marks
Section 3 Long Answer 5 questions 30 total marks
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers
with detailed explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu
AI to create targeted study materials like quizzes, summaries, and study guides.
06.2026
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,Section 40 total marks
Multiple Choice
Select the single best answer for each question. Each question is worth 2 marks.
Question 1 40 total marks
A 55-year-old female presents with symptoms of poor hygiene, erratic behavior, and the belief that
her company is spying on her. She has a history of hypertension for which she takes lisinopril. During
the physical examination, the provider assesses her neurological and physical status, including heart
sounds and abdominal reflexes. Laboratory work is ordered to rule out metabolic causes for her
psychiatric presentation.
A During the physical examination of the patient, the Psychiatric-Mental Health Nurse
Practitioner (PMHNP) auscultates the heart. The heart sound is produced by which of the
following physiological events?
A Opening of the atrioventricular valves
B Closure of the semilunar valves
C Opening of the semilunar valves
D Closure of the atrioventricular valves
B The PMHNP observes the patient's gait and coordination. Which part of the brain is primarily
responsible for balance, posture, and coordination of voluntary movements?
A Cerebrum
B Hippocampus
C Cerebellum
D Amygdala
C The patient reports recent chest tightness that occurs during her morning exercise class but
subsides during the cool-down period. Which condition is most likely based on this presenta-
tion?
A Hiatal Hernia
B Pericarditis
C Angina Pectoris
D Acute Myocardial Infarction
D The PMHNP checks for physical signs of systemic illness. Which maneuver involves palpating the
right upper abdominal quadrant while the patient breathes in, where a positive result is indicated
by sharp pain stopping the inspiratory effort?
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, A Psoas sign
B Rovsing's sign
C Murphy's sign
D Obturator sign
E The patient describes having difficulty recognizing the faces of her coworkers. This specific
deficit, known as prosopagnosia, is often associated with damage to which cerebral lobe?
A Occipital Lobe
B Parietal Lobe
C Frontal Lobe
D Temporal Lobe
F The patient mentions she has been 'feeling down' for the past 4 years. She reports low energy
and hopelessness but does not meet the full 5-symptom criteria for Major Depressive Disorder.
According to the DSM-5, which diagnosis is most appropriate?
A Persistent Depressive Disorder (Dysthymia)
B Cyclothymic Disorder
C Major Depressive Disorder, Moderate
D Premenstrual Dysphoric Disorder
G A patient with schizophrenia has been stable on Olanzapine. However, recent labs show a Total
Cholesterol of 240 and LDL of 200. What is the most appropriate initial recommendation?
A Statin therapy
B Transthoracic echocardiogram
C Serial EKGs
D Lifestyle modification
generated on 15.06.2026
Downloaded by Great Mind ()
Practicum Capstone Intensive
NR668 Practicum Capstone Intensive Final Examination
Pages Total Marks Section Questions
Section 1 Multiple Choice 20 questions 40 total marks
Section 2 Short Answer 10 questions 30 total marks
Section 3 Long Answer 5 questions 30 total marks
Name Student ID
Date Signature
How to use this exam
1 Set a timer. Practice under real exam conditions! No notes, no AI assistance.
2 When finished, scan the QR code on the last page to submit and see the correct answers
with detailed explanations.
3 Review your mistakes carefully and note down areas that need improvement. Use Studocu
AI to create targeted study materials like quizzes, summaries, and study guides.
06.2026
Downloaded by Great Mind ()
,Section 40 total marks
Multiple Choice
Select the single best answer for each question. Each question is worth 2 marks.
Question 1 40 total marks
A 55-year-old female presents with symptoms of poor hygiene, erratic behavior, and the belief that
her company is spying on her. She has a history of hypertension for which she takes lisinopril. During
the physical examination, the provider assesses her neurological and physical status, including heart
sounds and abdominal reflexes. Laboratory work is ordered to rule out metabolic causes for her
psychiatric presentation.
A During the physical examination of the patient, the Psychiatric-Mental Health Nurse
Practitioner (PMHNP) auscultates the heart. The heart sound is produced by which of the
following physiological events?
A Opening of the atrioventricular valves
B Closure of the semilunar valves
C Opening of the semilunar valves
D Closure of the atrioventricular valves
B The PMHNP observes the patient's gait and coordination. Which part of the brain is primarily
responsible for balance, posture, and coordination of voluntary movements?
A Cerebrum
B Hippocampus
C Cerebellum
D Amygdala
C The patient reports recent chest tightness that occurs during her morning exercise class but
subsides during the cool-down period. Which condition is most likely based on this presenta-
tion?
A Hiatal Hernia
B Pericarditis
C Angina Pectoris
D Acute Myocardial Infarction
D The PMHNP checks for physical signs of systemic illness. Which maneuver involves palpating the
right upper abdominal quadrant while the patient breathes in, where a positive result is indicated
by sharp pain stopping the inspiratory effort?
Downloaded by Great Mind ()
, A Psoas sign
B Rovsing's sign
C Murphy's sign
D Obturator sign
E The patient describes having difficulty recognizing the faces of her coworkers. This specific
deficit, known as prosopagnosia, is often associated with damage to which cerebral lobe?
A Occipital Lobe
B Parietal Lobe
C Frontal Lobe
D Temporal Lobe
F The patient mentions she has been 'feeling down' for the past 4 years. She reports low energy
and hopelessness but does not meet the full 5-symptom criteria for Major Depressive Disorder.
According to the DSM-5, which diagnosis is most appropriate?
A Persistent Depressive Disorder (Dysthymia)
B Cyclothymic Disorder
C Major Depressive Disorder, Moderate
D Premenstrual Dysphoric Disorder
G A patient with schizophrenia has been stable on Olanzapine. However, recent labs show a Total
Cholesterol of 240 and LDL of 200. What is the most appropriate initial recommendation?
A Statin therapy
B Transthoracic echocardiogram
C Serial EKGs
D Lifestyle modification
generated on 15.06.2026
Downloaded by Great Mind ()
