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NR 667 Concepts and Clinical Scenarios |
Full Questions and Answers | 2026/2027
Updated | 100% Correc
VISE Encounter Basics
Q: What is the required setup for the live patient encounter during the VISE
examination?
answer : The student must have video/audio capability and a volunteer present who is
older than 12 years of age. No preceptor is present during the faculty evaluation .
Q: What information does faculty provide to begin the VISE patient assessment?
answer : The chief complaint and vital signs only. The student must independently
gather the history, perform a focused exam, develop a diagnosis, and create a
management plan .
Q: Which condition is NOT included on the VISE key diagnosis list?
answer : Acute appendicitis. The list includes hypertension, hyperlipidemia, type 2
diabetes, back pain, anxiety, obesity, allergic rhinitis, reflux esophagitis, URI,
hypothyroidism, osteoarthritis, fibromyalgia, BPH, joint pain, laryngopharyngitis,
sinusitis, bronchitis, asthma, depressive disorder, nail fungus, tinea corporis, eczema, and
UTI .
Q: What competency is weighted most heavily in the VISE faculty assessment?
answer : Correct diagnosis and appropriate management based on independent data
gathering .
Q: What should be included in the Assessment section of a SOAP note?
answer : The differential diagnosis and the most likely diagnosis with clinical reasoning
.
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Cardiovascular
Q: During which phase of the cardiac cycle is the first heart sound (S1) best heard?
answer : Ventricular systole. S1 occurs when the mitral and tricuspid valves close at the
onset of ventricular systole .
Q: answer 60-year-old man with hypertension and diabetes presents with
sudden severe headache, blurred vision, and BP 200/110 mmHg. What should the
FNP do?
answer : Refer the patient immediately to the emergency department. This is a
hypertensive emergency requiring immediate IV antihypertensive therapy .
Q: answer patient in normal sinus rhythm has extra beats every six normal beats,
with an inverted P wave after a narrow QRS. What rhythm is this?
answer : Premature junctional contractions. These originate near the AV node and
produce an inverted P wave with a narrow QRS .
Q: answer 58-year-old male presents with progressive dyspnea, orthopnea, and
bilateral lower extremity edema. Exam reveals JVD, S3 gallop, and crackles to
midscapula. What is the most likely diagnosis?
answer : Congestive heart failure (NYHA Class III/IV). Framingham criteria are met with
major criteria of JVD, S3, and pulmonary crackles .
Q: answer patient has atrial fibrillation with rapid ventricular response. What is
the priority management before rhythm conversion?
answer : Maintain rate control and anticoagulation prior to rhythm conversion.
Cardioversion without adequate anticoagulation increases stroke risk .
Q: answer 32-year-old female reports palpitations and near-syncope. ECG shows
delta wave and short PR interval. What is the diagnosis?
answer : Wolff-Parkinson-White (WPW) syndrome. This involves an accessory pathway
(Kent bundle) with risk of sudden death if AF occurs .
Q: What is the most appropriate non-invasive test to evaluate leg vascular flow
quality in a patient with pale, waxy legs, weak peripheral pulses, and calf pain with
walking?
answer : Ankle Brachial Index (ABI). ABI is the most effective non-invasive way to
evaluate vascular flow .
Q: The inability to fully relax the myocardium during relaxation is a trademark of
which diagnosis?
NR 667 Concepts and Clinical Scenarios |
Full Questions and Answers | 2026/2027
Updated | 100% Correc
VISE Encounter Basics
Q: What is the required setup for the live patient encounter during the VISE
examination?
answer : The student must have video/audio capability and a volunteer present who is
older than 12 years of age. No preceptor is present during the faculty evaluation .
Q: What information does faculty provide to begin the VISE patient assessment?
answer : The chief complaint and vital signs only. The student must independently
gather the history, perform a focused exam, develop a diagnosis, and create a
management plan .
Q: Which condition is NOT included on the VISE key diagnosis list?
answer : Acute appendicitis. The list includes hypertension, hyperlipidemia, type 2
diabetes, back pain, anxiety, obesity, allergic rhinitis, reflux esophagitis, URI,
hypothyroidism, osteoarthritis, fibromyalgia, BPH, joint pain, laryngopharyngitis,
sinusitis, bronchitis, asthma, depressive disorder, nail fungus, tinea corporis, eczema, and
UTI .
Q: What competency is weighted most heavily in the VISE faculty assessment?
answer : Correct diagnosis and appropriate management based on independent data
gathering .
Q: What should be included in the Assessment section of a SOAP note?
answer : The differential diagnosis and the most likely diagnosis with clinical reasoning
.
, 2
Cardiovascular
Q: During which phase of the cardiac cycle is the first heart sound (S1) best heard?
answer : Ventricular systole. S1 occurs when the mitral and tricuspid valves close at the
onset of ventricular systole .
Q: answer 60-year-old man with hypertension and diabetes presents with
sudden severe headache, blurred vision, and BP 200/110 mmHg. What should the
FNP do?
answer : Refer the patient immediately to the emergency department. This is a
hypertensive emergency requiring immediate IV antihypertensive therapy .
Q: answer patient in normal sinus rhythm has extra beats every six normal beats,
with an inverted P wave after a narrow QRS. What rhythm is this?
answer : Premature junctional contractions. These originate near the AV node and
produce an inverted P wave with a narrow QRS .
Q: answer 58-year-old male presents with progressive dyspnea, orthopnea, and
bilateral lower extremity edema. Exam reveals JVD, S3 gallop, and crackles to
midscapula. What is the most likely diagnosis?
answer : Congestive heart failure (NYHA Class III/IV). Framingham criteria are met with
major criteria of JVD, S3, and pulmonary crackles .
Q: answer patient has atrial fibrillation with rapid ventricular response. What is
the priority management before rhythm conversion?
answer : Maintain rate control and anticoagulation prior to rhythm conversion.
Cardioversion without adequate anticoagulation increases stroke risk .
Q: answer 32-year-old female reports palpitations and near-syncope. ECG shows
delta wave and short PR interval. What is the diagnosis?
answer : Wolff-Parkinson-White (WPW) syndrome. This involves an accessory pathway
(Kent bundle) with risk of sudden death if AF occurs .
Q: What is the most appropriate non-invasive test to evaluate leg vascular flow
quality in a patient with pale, waxy legs, weak peripheral pulses, and calf pain with
walking?
answer : Ankle Brachial Index (ABI). ABI is the most effective non-invasive way to
evaluate vascular flow .
Q: The inability to fully relax the myocardium during relaxation is a trademark of
which diagnosis?
