NR 667 FNP Capstone Practicum & Intensive
NR 667 WEEK 1 LATEST 2025 PRACTICE EXAM
VERSION 1 COMPLETE QUESTION AND
ANSWER 100% ACCURATE FALL-SPRING
SOLVED GRADED A
An older adult female presents with a 2-month history of incontinence. She specifically complains of
an inability to make it to the bathroom without the loss of some urine most of the time, and denies
incontinence due to laughing, coughing, or sneezing; she denies dysuria. Her medications include an
angiotensin-converting enzyme (ACE) inhibitor. The initial plan of action for this patient would be:
Teaching Kegels exercise and bladder training exercise
Referring to a urologist for urodynamic testing
Changing her hypertensive medication
Obtaining a urinalysis for pyuria, hematuria, and glucosuria
Obtaining a urinalysis for pyuria, hematuria, and glucosuria
Recommend lifestyle modifications including diet and exercise
Increase the dose of atorvastatin
Increase the dose of metformin
Increase the dose of lisinopril
Recommend lifestyle modifications including diet and exercise
An adult patient presents with acute onset of right eye pain, redness and decreased vision. Suspecting
open-angle glaucoma, the nurse practitioner should:
Prescribe antibiotic ointment and pilocarpine
Advise applying warm compresses and returning in the morning
Refer to ophthalmology and prescribe pilocarpine
Refer to ophthalmology and prescribe topical steroid
Refer to ophthalmology and prescribe pilocarpine
,NR 667 FNP Capstone Practicum & Intensive
The patient with epiglottitis presents to your care with worsening shortness of breath and stridor.
Which intervention should you prepare for next?
Prepare for emergent transfer to the emergency department for intubation by an experienced
anesthesiologist with surgical airway support available
Auscultating lung sounds for stridor
Prepare for intubation with a laryngeal mask airway
Assess the airway swelling with direct laryngoscopy
Prepare for emergent transfer to the emergency department for intubation by an experienced
anesthesiologist with surgical airway support available
A young adult presents with a sore throat, nasal congestion, postnasal drip, no temperature elevation,
and no lower respiratory involvement. The most appropriate initial intervention is to:
Recommend gargling with warm salt water
Prescribe a prophylactic course of oral penicillin
Obtain a Monospot test
Obtain a nasopharyngeal culture and sensitivity
Recommend gargling with warm salt water
Your patient is on rivaroxaban, a potent novel oral anticoagulant, and presents to the urgent care in
no apparent distress with a right nare that is bleeding through the current self-packed gauze. This has
been persistent for the past 30 minutes without any evidence of stopping. Which is the most
appropriate next action?
Apply direct manual compression to the bridge of the nose and consult ENT
Consult anesthesia for intubation
Attempt blind cautery with silver nitrate sticks around the packing
Remove the current nasal packing to evaluate further
Apply direct manual compression to the bridge of the nose and consult ENT
The medical term for nosebleed is which of the following?
Hemostasis
Ataxia
Epistaxis
Nataxis
Epistaxis
,NR 667 FNP Capstone Practicum & Intensive
In which of the following patients is PRBC transfusion recommended?
26 y.o. F s/p ORIF, Hgb 10.1
64 y.o. M with anemia of unknown origin, SOB, fatigue, and Hgb 9.2
52 y.o. F with chronic lower GI bleed, asymptomatic, and Hgb 8.9
73 y.o. M with acute GI bleed and Hgb 6.2
73 y.o. M with acute GI bleed and Hgb 6.2
A 50-year-old woman with a history of hypertension presents with dyspnea on exertion and
orthopnea. On examination, she has jugular venous distention and bilateral crackles on lung
auscultation. What is the most likely diagnosis?
Pulmonary embolism
Chronic obstructive pulmonary disease
Congestive heart failure
Acute myocardial infarction
Congestive heart failure
A 60-year-old man with a history of hypertension and diabetes presents with a new-onset headache
and visual disturbances. His blood pressure is 200/110 mmHg. What is the most appropriate
management?
Prescribe antihypertensive medication and follow up in a week
Advise dietary changes
Refer to the emergency department
Start insulin therapy
Refer to the emergency department
A 45-year-old man presents with chest pain radiating to the left arm, diaphoresis, and shortness of
breath. His ECG shows ST-segment elevation. What is the initial management response?
Start intravenous heparin
Administer nitroglycerin sublingually
Perform immediate coronary angiography
Administer aspirin and call for emergency medical services
Administer aspirin and call for emergency medical services
, NR 667 FNP Capstone Practicum & Intensive
A 70-year-old man with a history of atrial fibrillation presents with sudden-onset left-sided weakness
and slurred speech. What is the most likely diagnosis?
Seizure
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Stroke
Stroke
Patients on levothyroxine should be monitored for signs of:
Memory deficits and hyperreflexia
Increased nausea and constipation
Ankle edema and discomfort
Angina pectoris and dysrhythmia
Angina pectoris and dysrhythmia
A patient has a 3 cm pituitary mass noted on CT. What is your next step in evaluating the patient?
Screen for hormone deficiencies
Repeat MRI in 3 months
Start Cabergoline
Refer to surgery
Screen for hormone deficiencies
Which of the following is the most common cause of Cushing's Syndrome?
Long term excessive glucocorticoid use
Adrenal adenoma
ACTH-producing pituitary adenoma
Ectopic ACTH secretion
ACTH-producing pituitary adenoma
A 33-year-old woman presents with intermittent palpitations, anxiety, and heat intolerance. Her
thyroid function tests reveal low TSH and high free T4. What is the most likely diagnosis?
Hypothyroidism
Graves' disease
Hyperthyroidism
Thyroiditis
NR 667 WEEK 1 LATEST 2025 PRACTICE EXAM
VERSION 1 COMPLETE QUESTION AND
ANSWER 100% ACCURATE FALL-SPRING
SOLVED GRADED A
An older adult female presents with a 2-month history of incontinence. She specifically complains of
an inability to make it to the bathroom without the loss of some urine most of the time, and denies
incontinence due to laughing, coughing, or sneezing; she denies dysuria. Her medications include an
angiotensin-converting enzyme (ACE) inhibitor. The initial plan of action for this patient would be:
Teaching Kegels exercise and bladder training exercise
Referring to a urologist for urodynamic testing
Changing her hypertensive medication
Obtaining a urinalysis for pyuria, hematuria, and glucosuria
Obtaining a urinalysis for pyuria, hematuria, and glucosuria
Recommend lifestyle modifications including diet and exercise
Increase the dose of atorvastatin
Increase the dose of metformin
Increase the dose of lisinopril
Recommend lifestyle modifications including diet and exercise
An adult patient presents with acute onset of right eye pain, redness and decreased vision. Suspecting
open-angle glaucoma, the nurse practitioner should:
Prescribe antibiotic ointment and pilocarpine
Advise applying warm compresses and returning in the morning
Refer to ophthalmology and prescribe pilocarpine
Refer to ophthalmology and prescribe topical steroid
Refer to ophthalmology and prescribe pilocarpine
,NR 667 FNP Capstone Practicum & Intensive
The patient with epiglottitis presents to your care with worsening shortness of breath and stridor.
Which intervention should you prepare for next?
Prepare for emergent transfer to the emergency department for intubation by an experienced
anesthesiologist with surgical airway support available
Auscultating lung sounds for stridor
Prepare for intubation with a laryngeal mask airway
Assess the airway swelling with direct laryngoscopy
Prepare for emergent transfer to the emergency department for intubation by an experienced
anesthesiologist with surgical airway support available
A young adult presents with a sore throat, nasal congestion, postnasal drip, no temperature elevation,
and no lower respiratory involvement. The most appropriate initial intervention is to:
Recommend gargling with warm salt water
Prescribe a prophylactic course of oral penicillin
Obtain a Monospot test
Obtain a nasopharyngeal culture and sensitivity
Recommend gargling with warm salt water
Your patient is on rivaroxaban, a potent novel oral anticoagulant, and presents to the urgent care in
no apparent distress with a right nare that is bleeding through the current self-packed gauze. This has
been persistent for the past 30 minutes without any evidence of stopping. Which is the most
appropriate next action?
Apply direct manual compression to the bridge of the nose and consult ENT
Consult anesthesia for intubation
Attempt blind cautery with silver nitrate sticks around the packing
Remove the current nasal packing to evaluate further
Apply direct manual compression to the bridge of the nose and consult ENT
The medical term for nosebleed is which of the following?
Hemostasis
Ataxia
Epistaxis
Nataxis
Epistaxis
,NR 667 FNP Capstone Practicum & Intensive
In which of the following patients is PRBC transfusion recommended?
26 y.o. F s/p ORIF, Hgb 10.1
64 y.o. M with anemia of unknown origin, SOB, fatigue, and Hgb 9.2
52 y.o. F with chronic lower GI bleed, asymptomatic, and Hgb 8.9
73 y.o. M with acute GI bleed and Hgb 6.2
73 y.o. M with acute GI bleed and Hgb 6.2
A 50-year-old woman with a history of hypertension presents with dyspnea on exertion and
orthopnea. On examination, she has jugular venous distention and bilateral crackles on lung
auscultation. What is the most likely diagnosis?
Pulmonary embolism
Chronic obstructive pulmonary disease
Congestive heart failure
Acute myocardial infarction
Congestive heart failure
A 60-year-old man with a history of hypertension and diabetes presents with a new-onset headache
and visual disturbances. His blood pressure is 200/110 mmHg. What is the most appropriate
management?
Prescribe antihypertensive medication and follow up in a week
Advise dietary changes
Refer to the emergency department
Start insulin therapy
Refer to the emergency department
A 45-year-old man presents with chest pain radiating to the left arm, diaphoresis, and shortness of
breath. His ECG shows ST-segment elevation. What is the initial management response?
Start intravenous heparin
Administer nitroglycerin sublingually
Perform immediate coronary angiography
Administer aspirin and call for emergency medical services
Administer aspirin and call for emergency medical services
, NR 667 FNP Capstone Practicum & Intensive
A 70-year-old man with a history of atrial fibrillation presents with sudden-onset left-sided weakness
and slurred speech. What is the most likely diagnosis?
Seizure
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Stroke
Stroke
Patients on levothyroxine should be monitored for signs of:
Memory deficits and hyperreflexia
Increased nausea and constipation
Ankle edema and discomfort
Angina pectoris and dysrhythmia
Angina pectoris and dysrhythmia
A patient has a 3 cm pituitary mass noted on CT. What is your next step in evaluating the patient?
Screen for hormone deficiencies
Repeat MRI in 3 months
Start Cabergoline
Refer to surgery
Screen for hormone deficiencies
Which of the following is the most common cause of Cushing's Syndrome?
Long term excessive glucocorticoid use
Adrenal adenoma
ACTH-producing pituitary adenoma
Ectopic ACTH secretion
ACTH-producing pituitary adenoma
A 33-year-old woman presents with intermittent palpitations, anxiety, and heat intolerance. Her
thyroid function tests reveal low TSH and high free T4. What is the most likely diagnosis?
Hypothyroidism
Graves' disease
Hyperthyroidism
Thyroiditis
