CEA FNP Review: NR 667/ NR667 (New 2025/ 2026 Update)
FNP Capstone Practicum and Intensive | Questions &
Answers| Grade A| 100% Correct (Verified Solutions)-
Chamberlain
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic
squamous cell carcinoma is admitted to the rehab unit you oversee for management of
intractable nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT
45, ANC 0.8. Which of the following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
D
Your patient who has undergone right upper lobectomy for stage II adenocarcinoma does not
have any nodes positive for metastasis on pathology. Which of the following stages is ruled
out by the absence of positive lymph nodes?
A. Stage III
B. Stage I
C. Stage II
D. Stage IV
A
The following are side effects of albuterol use except which of the following?
A. Diarrhea
B. Tachycardia
,C. Decreased GI motility
D. Tremors after prolonged nebulized administration
A
What is the chamber which directly pumps blood into the ascending aorta?
A. Left Atrium
B. Left Ventricle
C. Right Atrium
D. Right Ventricle
B
Which of the following is the most common cause of Cushing's Syndrome?
A. Long term excessive glucocorticoid use
B. Ectopic ACTH secretion
C. ACTH-producing pituitary adenoma
D. Adrenal adenoma
C
A 60-year-old woman presents for a routine check-up. She has a history of hypertension, type
2 diabetes mellitus, and hyperlipidemia. She is currently on lisinopril, metformin, and
atorvastatin. She has no new complaints. On examination, her blood pressure is 135/80
mmHg, heart rate is 72 beats per minute, and BMI is 32 kg/m². Recent laboratory tests reveal
HbA1c of 7.5%, LDL cholesterol of 110 mg/dL, and creatinine of 1.1 mg/dL. What is the most
appropriate management plan to optimize her care?
A. Increase the dose of metformin
B. Increase the dose of lisinopril
C. Increase the dose of atorvastatin
D. Recommend lifestyle modifications including diet and exercise
D
A 43-year-old male with past medical history significant for GERD, smoking, and obesity
presents to your clinic for worsening GERD symptoms, he has been taking Protonix 40mg daily
with no improvement. He had an EGD done with biopsy. Which findings would diagnose the
patient with Barret's esophagus?
,A. Intestinal metaplasia with goblet cells
B. Erosion of esophagus, and inflammatory findings on biopsy
C. Smooth muscularis mucosae
D. Intestinal dysplasia with goblet cells
A
An adult male presents with a 1-week history of headache and nasal congestion; assessment
reveals T=103 degrees F (39.4 degrees C), periorbital swelling, and proptosis. Which is the
most appropriate action?
A. Obtain an X-ray of the sinuses
B. Prescribe beciomethasone (Beconase)
C. Prescribe oral broad-spectrum antibiotic therapy
D. Refer for hospital admission
D
A patient presents to the urgent care with SOB, fatigue, headache, and chest pain. Cardiac
work-up is negative but CBC reveals a hemoglobin of 6.5. Which of the following indices
would indicate a potential iron deficiency anemia?
A. MCV 72, MCHC 38
B. MCV 95, MCHC 34
C. MCV 67, MCHC 29
D. MCV 112, MCHC 40
C
A patient with rheumatoid arthritis is admitted to the rehab unit you oversee for
management of pain due to pelvic fracture after motor vehicle collision. Admission labs show
ANC of 1.4. The patient is asymptomatic and denies history of repeated infection. What is the
most appropriate level of intervention for his patient?
A. Observation until patient becomes symptomatic
B. Prophylactic Ciprofloxacin 500 mg PO three times weekly
C. Additional work-up/prep for allogenic stem cell transplant consideration
D. Neupogen 5mg/kg/day SQ
A
, A 35-year-old woman presents with a new, darkly pigmented lesion on her back that she
noticed a few months ago. The lesion is asymmetrical, has irregular borders, and varies in
color. What is the most appropriate next step in management?
A. Reassure the patient and advise regular monitoring
B. Perform a punch biopsy
C. Perform a shave biopsy
D. Perform an excisional biopsy
D
What is the etiology of actinic keratosis?
A. Group B Strep infection in the skin
B. Human Papilloma Virus infection in the skin
C. Chronic UV-B exposure to the skin
D. Chronic UV-A exposure to the skin
C
our patient presents with a red, well-differentiated, raised circular lesion on their nose which
has a bloody-appearing central appearance. Which type of lesion does this likely represent?
A. Basal cell carcinoma
B. Squamous cell carcinoma
C. Actinic keratosis
D. Cherry hemangioma
A
Patients with uncontrolled hypertension should be started on antihypertensive agents in
addition to diet and exercise. Which medication should not be considered for a hospitalized
hypertensive patient with acute kidney injury with a creatinine of 3.1?
A. Amlodipine
B. Isosorbide mononitrate
C. Hydralazine
D. Lisinopril
D
FNP Capstone Practicum and Intensive | Questions &
Answers| Grade A| 100% Correct (Verified Solutions)-
Chamberlain
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic
squamous cell carcinoma is admitted to the rehab unit you oversee for management of
intractable nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT
45, ANC 0.8. Which of the following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
D
Your patient who has undergone right upper lobectomy for stage II adenocarcinoma does not
have any nodes positive for metastasis on pathology. Which of the following stages is ruled
out by the absence of positive lymph nodes?
A. Stage III
B. Stage I
C. Stage II
D. Stage IV
A
The following are side effects of albuterol use except which of the following?
A. Diarrhea
B. Tachycardia
,C. Decreased GI motility
D. Tremors after prolonged nebulized administration
A
What is the chamber which directly pumps blood into the ascending aorta?
A. Left Atrium
B. Left Ventricle
C. Right Atrium
D. Right Ventricle
B
Which of the following is the most common cause of Cushing's Syndrome?
A. Long term excessive glucocorticoid use
B. Ectopic ACTH secretion
C. ACTH-producing pituitary adenoma
D. Adrenal adenoma
C
A 60-year-old woman presents for a routine check-up. She has a history of hypertension, type
2 diabetes mellitus, and hyperlipidemia. She is currently on lisinopril, metformin, and
atorvastatin. She has no new complaints. On examination, her blood pressure is 135/80
mmHg, heart rate is 72 beats per minute, and BMI is 32 kg/m². Recent laboratory tests reveal
HbA1c of 7.5%, LDL cholesterol of 110 mg/dL, and creatinine of 1.1 mg/dL. What is the most
appropriate management plan to optimize her care?
A. Increase the dose of metformin
B. Increase the dose of lisinopril
C. Increase the dose of atorvastatin
D. Recommend lifestyle modifications including diet and exercise
D
A 43-year-old male with past medical history significant for GERD, smoking, and obesity
presents to your clinic for worsening GERD symptoms, he has been taking Protonix 40mg daily
with no improvement. He had an EGD done with biopsy. Which findings would diagnose the
patient with Barret's esophagus?
,A. Intestinal metaplasia with goblet cells
B. Erosion of esophagus, and inflammatory findings on biopsy
C. Smooth muscularis mucosae
D. Intestinal dysplasia with goblet cells
A
An adult male presents with a 1-week history of headache and nasal congestion; assessment
reveals T=103 degrees F (39.4 degrees C), periorbital swelling, and proptosis. Which is the
most appropriate action?
A. Obtain an X-ray of the sinuses
B. Prescribe beciomethasone (Beconase)
C. Prescribe oral broad-spectrum antibiotic therapy
D. Refer for hospital admission
D
A patient presents to the urgent care with SOB, fatigue, headache, and chest pain. Cardiac
work-up is negative but CBC reveals a hemoglobin of 6.5. Which of the following indices
would indicate a potential iron deficiency anemia?
A. MCV 72, MCHC 38
B. MCV 95, MCHC 34
C. MCV 67, MCHC 29
D. MCV 112, MCHC 40
C
A patient with rheumatoid arthritis is admitted to the rehab unit you oversee for
management of pain due to pelvic fracture after motor vehicle collision. Admission labs show
ANC of 1.4. The patient is asymptomatic and denies history of repeated infection. What is the
most appropriate level of intervention for his patient?
A. Observation until patient becomes symptomatic
B. Prophylactic Ciprofloxacin 500 mg PO three times weekly
C. Additional work-up/prep for allogenic stem cell transplant consideration
D. Neupogen 5mg/kg/day SQ
A
, A 35-year-old woman presents with a new, darkly pigmented lesion on her back that she
noticed a few months ago. The lesion is asymmetrical, has irregular borders, and varies in
color. What is the most appropriate next step in management?
A. Reassure the patient and advise regular monitoring
B. Perform a punch biopsy
C. Perform a shave biopsy
D. Perform an excisional biopsy
D
What is the etiology of actinic keratosis?
A. Group B Strep infection in the skin
B. Human Papilloma Virus infection in the skin
C. Chronic UV-B exposure to the skin
D. Chronic UV-A exposure to the skin
C
our patient presents with a red, well-differentiated, raised circular lesion on their nose which
has a bloody-appearing central appearance. Which type of lesion does this likely represent?
A. Basal cell carcinoma
B. Squamous cell carcinoma
C. Actinic keratosis
D. Cherry hemangioma
A
Patients with uncontrolled hypertension should be started on antihypertensive agents in
addition to diet and exercise. Which medication should not be considered for a hospitalized
hypertensive patient with acute kidney injury with a creatinine of 3.1?
A. Amlodipine
B. Isosorbide mononitrate
C. Hydralazine
D. Lisinopril
D
