Chamberlain University | Family Nurse Practitioner (FNP) Capstone Final
200 Verified Questions & Answers | Clinical Competency Assessment
1.
Question: Which diagnostic test is most appropriate to confirm a suspected diagnosis of
pneumonia in an adult patient?
Answer: Chest X-ray (PA and lateral views)
2.
Question: A 45-year-old woman presents with fatigue, pallor, and spoon-shaped nails. What is
the most likely diagnosis?
Answer: Iron-deficiency anemia
3.
Question: Which of the following antihypertensive agents is contraindicated in pregnancy?
Answer: ACE inhibitors (e.g., lisinopril)
4.
Question: What is the most appropriate initial management for a patient with diabetic
ketoacidosis (DKA)?
Answer: IV fluids (normal saline) and insulin infusion
5.
Question: A patient with COPD has increased sputum production and purulence. What
antibiotic class is preferred?
Answer: Macrolides (e.g., azithromycin)
,6.
Question: What is the first-line treatment for generalized anxiety disorder in adults?
Answer: Cognitive behavioral therapy (CBT) and SSRIs
7.
Question: Which vaccine should be administered to all adults aged ≥50 years regardless of
previous shingles history?
Answer: Recombinant zoster vaccine (Shingrix)
8.
Question: A 16-year-old presents with dysmenorrhea unrelieved by NSAIDs. What is the next
management step?
Answer: Start combined oral contraceptives
9.
Question: Which cardiac biomarker rises earliest after myocardial infarction?
Answer: Troponin I
10.
Question: What is the gold standard diagnostic test for pulmonary embolism?
Answer: CT pulmonary angiography
11.
Question: A patient presents with a bull’s-eye rash after a camping trip. What is the likely
diagnosis and treatment?
Answer: Lyme disease — treat with doxycycline
,12.
Question: Which oral hypoglycemic agent causes lactic acidosis as a rare adverse effect?
Answer: Metformin
13.
Question: What is the recommended screening age for colorectal cancer in average-risk
adults?
Answer: Begin at age 45
14.
Question: What is the initial pharmacologic treatment for newly diagnosed hypertension without
comorbidities?
Answer: Thiazide diuretic
15.
Question: A 3-year-old with inspiratory stridor and barking cough likely has what diagnosis?
Answer: Croup (laryngotracheobronchitis)
16.
Question: What is the first-line antibiotic for acute otitis media in children?
Answer: Amoxicillin
17.
Question: In a patient with suspected hypothyroidism, what is the most sensitive diagnostic
test?
Answer: Serum TSH
, 18.
Question: A 65-year-old man with a smoking history presents with painless hematuria. What is
the most likely diagnosis?
Answer: Bladder cancer
19.
Question: Which immunization is contraindicated in immunocompromised patients?
Answer: Live attenuated vaccines (e.g., MMR, varicella)
20.
Question: What is the appropriate treatment for uncomplicated cystitis in women?
Answer: Nitrofurantoin or trimethoprim-sulfamethoxazole
21.
Question: Which medication is first-line for smoking cessation?
Answer: Varenicline (Chantix)
22.
Question: What diagnostic test confirms streptococcal pharyngitis?
Answer: Rapid antigen detection test (RADT)
23.
Question: A patient with type 2 diabetes has A1C of 9%. What is the next best step?
Answer: Initiate basal insulin therapy