NR 667 FNP Capstone Practicum & Intensive
NR 667 WEEK 2 LATEST 2025 PRACTICE EXAM
COMPLETE QUESTION AND ANSWER 100%
ACCURATE FALL-SPRING GRADED A
Your 50 year-old male African American (AA) patient was found to have a blood pressure of
160/96 upon arrival to your clinic. He does not have any other medical conditions. For the
following 24 hours of self-reported vital signs, it remained between 160-170 systolic and 90-
100 diastolic without treatment. After finding all basic metabolic panel (BMP) lab values to be
within normal limits, your first choice of antihypertensive is most likely which of the
following agents?
carvedilol
metoprolol
amlodipine
lisinopril
amlodipine
A patient is being followed for type 2 diabetes mellitus and hypertension. He also has a
diagnosis of polycythemia vera and has regular phlebotomies for management. Which of the
following statements about this patient is correct?
The phlebotomies will improve his glycosylated hemoglobin levels
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements
He should avoid dietary iron supplements
A patient is having increased thirst and urination. You have ruled out diabetes mellitus. After
a compete history and physical you suspect diabetes insipidus. Your initial lab tests should
include?
Renal US and 24-hour urine for volume
Plasma sodium, 24-hour urine osmolality and volume
Plasma sodium and renal US
Recording Intake and output
Plasma sodium, 24-hour urine osmolality and volume
,NR 667 FNP Capstone Practicum & Intensive
An adult patient presents with tachycardia and nervousness. The patient is currently taking
levothyroxine (Synthroid), 75 mcg daily. The nurse practitioner orders a thyroid-stimulating
hormone (TSH) and anticipates having to:
add atenolol, 50 mg daily.
raise the dose to 100 mcg daily.
continue the same daily dose.
lower the dose to 50 mcg daily.
lower the dose to 50 mcg daily.
All the following are symptoms of hypocalcemia except:
Abdominal pain
Visual field deficits
Tetany
Paresthesia in fingers and toes
Visual field deficits
An adult male is seen for an initial visit. He denies tobacco, drug, or alcohol use. He has a
sedentary lifestyle and no family history of diabetes. BP = 120/80, P = 76, and BMI = 31.
Which of the following diabetes screening tests should the nurse practitioner order?
No screening is indicated until age 45
Urine for glycosuria
Basic metabolic panel
Fasting plasma glucose
Fasting plasma glucose
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
Hyperthyroidism
Thyroiditis
Graves' disease
Hyperthyroidism
,NR 667 FNP Capstone Practicum & Intensive
A 40-year-old female presents with abnormal thyroid labs. Her labs show: TSH 0.25 (0.4-5.69),
Free T4 1.5 (0.5-1.1), TSI antibody positive. You counsel her that:
She likely has autoimmune hypothyroidism and will need thyroid hormone replacement
She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be
helpful
She likely has a multinodular toxic goiter
Plan to monitor her for S&S and repeat labs in 6-8 weeks
She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be helpful
A 39-year-old male with type 1 DM is seen in the urgent care after a recent hospitalization for
DKA. Treated with IV fluids, IV insulin, and potassium correction, His BS decreases to 120
mg/dL and is transitioned from IV insulin to Sub Q. After 6 hours he begins vomiting and ABG
is done: pH 7.19, CO2 13, K+ 5.5, glucose 180. Which of the following is the most likely reason
for persistent acidosis?
Failure to give bicarbonate
Premature discontinuation of insulin drip
Failure to correct hyperkalemia
Lack of absorption of Sub Q insulin
Premature discontinuation of insulin drip
The management of COPD in the elderly is best guided by:
symptomatology.
radiologic imaging.
spirometry.
arterial blood gases.
symptomatology.
A 92-year-old presents with a decline in personal care and increasing forgetfulness. They had
a CVA a three years ago with mild cognitive changes then which has slowly progressed. The
more likely diagnosis in this case is?
Alzheimer's dementia
Lewy-body dementia
Progressive vascular dementia
Mini-strokes
Progressive vascular dementia
, NR 667 FNP Capstone Practicum & Intensive
A frail elderly patient presents with constipation. Which of the following normal physiologic
changes seen with aging is the most likely cause?
Increased bile secretion
Decreased bowel muscle tone
Decreased pancreatic secretions
Increased absorption of calcium
Decreased bowel muscle tone
Which is best performed to assess the risk for fall in an 88-year old adult?
Global screening assessment
Get up and go test
PHQ-2 questionnaire
Clock-drawing test
Get up and go test
Which of the following gastrointestinal changes is associated with normal aging?
Increased esophageal emptying
Decreased production of gastric acid
Increased salivation
Decreased incidence of gallstones
Decreased production of gastric acid
Your patient is suspected to have colon cancer. Which labs/marker are important to be
performed on this patient?
CEA
CA-125
AFP
BRCA 1 and 2
CEA
Which of the following findings is typically a sign of acute appendicitis?
Positive Prehn's sign
A negative psoas sign
Positive Murphy's sign
A positive Rovsing's sign
A positive Rovsing's sign
NR 667 WEEK 2 LATEST 2025 PRACTICE EXAM
COMPLETE QUESTION AND ANSWER 100%
ACCURATE FALL-SPRING GRADED A
Your 50 year-old male African American (AA) patient was found to have a blood pressure of
160/96 upon arrival to your clinic. He does not have any other medical conditions. For the
following 24 hours of self-reported vital signs, it remained between 160-170 systolic and 90-
100 diastolic without treatment. After finding all basic metabolic panel (BMP) lab values to be
within normal limits, your first choice of antihypertensive is most likely which of the
following agents?
carvedilol
metoprolol
amlodipine
lisinopril
amlodipine
A patient is being followed for type 2 diabetes mellitus and hypertension. He also has a
diagnosis of polycythemia vera and has regular phlebotomies for management. Which of the
following statements about this patient is correct?
The phlebotomies will improve his glycosylated hemoglobin levels
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements
He should avoid dietary iron supplements
A patient is having increased thirst and urination. You have ruled out diabetes mellitus. After
a compete history and physical you suspect diabetes insipidus. Your initial lab tests should
include?
Renal US and 24-hour urine for volume
Plasma sodium, 24-hour urine osmolality and volume
Plasma sodium and renal US
Recording Intake and output
Plasma sodium, 24-hour urine osmolality and volume
,NR 667 FNP Capstone Practicum & Intensive
An adult patient presents with tachycardia and nervousness. The patient is currently taking
levothyroxine (Synthroid), 75 mcg daily. The nurse practitioner orders a thyroid-stimulating
hormone (TSH) and anticipates having to:
add atenolol, 50 mg daily.
raise the dose to 100 mcg daily.
continue the same daily dose.
lower the dose to 50 mcg daily.
lower the dose to 50 mcg daily.
All the following are symptoms of hypocalcemia except:
Abdominal pain
Visual field deficits
Tetany
Paresthesia in fingers and toes
Visual field deficits
An adult male is seen for an initial visit. He denies tobacco, drug, or alcohol use. He has a
sedentary lifestyle and no family history of diabetes. BP = 120/80, P = 76, and BMI = 31.
Which of the following diabetes screening tests should the nurse practitioner order?
No screening is indicated until age 45
Urine for glycosuria
Basic metabolic panel
Fasting plasma glucose
Fasting plasma glucose
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
Hyperthyroidism
Thyroiditis
Graves' disease
Hyperthyroidism
,NR 667 FNP Capstone Practicum & Intensive
A 40-year-old female presents with abnormal thyroid labs. Her labs show: TSH 0.25 (0.4-5.69),
Free T4 1.5 (0.5-1.1), TSI antibody positive. You counsel her that:
She likely has autoimmune hypothyroidism and will need thyroid hormone replacement
She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be
helpful
She likely has a multinodular toxic goiter
Plan to monitor her for S&S and repeat labs in 6-8 weeks
She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be helpful
A 39-year-old male with type 1 DM is seen in the urgent care after a recent hospitalization for
DKA. Treated with IV fluids, IV insulin, and potassium correction, His BS decreases to 120
mg/dL and is transitioned from IV insulin to Sub Q. After 6 hours he begins vomiting and ABG
is done: pH 7.19, CO2 13, K+ 5.5, glucose 180. Which of the following is the most likely reason
for persistent acidosis?
Failure to give bicarbonate
Premature discontinuation of insulin drip
Failure to correct hyperkalemia
Lack of absorption of Sub Q insulin
Premature discontinuation of insulin drip
The management of COPD in the elderly is best guided by:
symptomatology.
radiologic imaging.
spirometry.
arterial blood gases.
symptomatology.
A 92-year-old presents with a decline in personal care and increasing forgetfulness. They had
a CVA a three years ago with mild cognitive changes then which has slowly progressed. The
more likely diagnosis in this case is?
Alzheimer's dementia
Lewy-body dementia
Progressive vascular dementia
Mini-strokes
Progressive vascular dementia
, NR 667 FNP Capstone Practicum & Intensive
A frail elderly patient presents with constipation. Which of the following normal physiologic
changes seen with aging is the most likely cause?
Increased bile secretion
Decreased bowel muscle tone
Decreased pancreatic secretions
Increased absorption of calcium
Decreased bowel muscle tone
Which is best performed to assess the risk for fall in an 88-year old adult?
Global screening assessment
Get up and go test
PHQ-2 questionnaire
Clock-drawing test
Get up and go test
Which of the following gastrointestinal changes is associated with normal aging?
Increased esophageal emptying
Decreased production of gastric acid
Increased salivation
Decreased incidence of gallstones
Decreased production of gastric acid
Your patient is suspected to have colon cancer. Which labs/marker are important to be
performed on this patient?
CEA
CA-125
AFP
BRCA 1 and 2
CEA
Which of the following findings is typically a sign of acute appendicitis?
Positive Prehn's sign
A negative psoas sign
Positive Murphy's sign
A positive Rovsing's sign
A positive Rovsing's sign
