NR667 FNP CAPSTONE PRACTICUM
BUNDLED EXAMS PACKAGE 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉ Basic metabolic profile Answer: The initial test for a patient with new
palpitations, including electrolytes and an ECG.
◉ Aortic valve location Answer: Best identified at the 2nd intercostal
space, right sternal border.
◉ Dual antiplatelet therapy (DAPT) duration Answer: Recommended
for at least 12 months after drug-eluting stent placement in cases of
elevated troponin.
◉ Localized egophony Answer: Most likely implies lung consolidation,
such as pneumonia.
◉ Percussion of the thorax Answer: Helps identify if underlying tissues
are air-filled, fluid-filled, or consolidated.
◉ Forced Vital Capacity (FVC) Answer: Expected to be less-than-
expected in patients with severe interstitial lung disease.
◉ Forced Expiratory Volume in 1 second (FEV₁) Answer: A decreased
level is most suggestive of obstructive lung disease.
,◉ Graves' Disease Answer: Most likely diagnosis for a patient with
goiter and symptoms of anxiety, palpitations, and tremor.
◉ Exophthalmos Answer: A typical sign associated with Graves'
hyperthyroidism.
◉ Cushing's disease findings Answer: Common findings include moon
facies, abdominal striae, and central obesity; low body temperature is
not typical.
◉ Diabetes Mellitus Type 2 evaluation Answer: Should include annual
renal function tests, urinalysis, and a dilated eye exam.
◉ Model for End-Stage Liver Disease (MELD) Score Answer: The
MELD score is specifically used to prioritize and assess transplant need
in cirrhosis.
◉ Deep palpitation Answer: An enlarged spleen is at risk of rupture, so
avoid deep palpation if mononucleosis is suspected.
◉ Gram negative rods Answer: Perforated ulcers and resultant
peritonitis often involve gram-negative enteric organisms (e.g., E. coli).
◉ Hydrocele Answer: A fluid-filled scrotal enlargement that can
transilluminate is most consistent with a hydrocele.
,◉ Leaning forward Answer: Sinus pressure typically worsens when
bending or leaning forward.
◉ Lymphoma Answer: 'B symptoms' (night sweats, weight loss) plus
hilar lymphadenopathy strongly suggests lymphoma.
◉ Ehlers-Danlos Answer: Ehlers-Danlos syndrome, a connective tissue
disorder, can be linked to vitreous abnormalities.
◉ Homonymous hemianopia Answer: Loss of the right visual field in
both eyes is a right homonymous hemianopia (post-chiasmal lesion).
◉ TIBC and ferritin Answer: Iron studies (especially serum ferritin,
TIBC) confirm iron deficiency (the most common cause of microcytosis
with high RDW).
◉ Thalassemia trait Answer: Thalassemia typically shows microcytosis
with normal RBC distribution width, as opposed to iron deficiency
(which raises RDW).
◉ Vitamin B12 Answer: Macrocytosis suggests checking B12 or folate
to differentiate causes.
, ◉ Normal MCH, hemoglobin 9.6 Answer: ESRD often causes a
normocytic, normochromic anemia (low hemoglobin, but normal
indices).
◉ Aspirin use Answer: Reye syndrome in children has been associated
with aspirin administration during viral illnesses.
◉ IgM Answer: IgM anti-HAV rises early in acute hepatitis A
infections.
◉ Hepatitis Core antibody Answer: After about a year, the IgG core
antibody (anti-HBc) typically remains positive in ongoing or past HBV
infection.
◉ Antinuclear antibody Answer: ANA testing is the primary screening
test for SLE.
◉ Apocrine Answer: Apocrine sweat gland obstruction (e.g., in
hidradenitis suppurativa) often leads to abscess formation.
◉ Irregular border Answer: An irregular or poorly demarcated border is
a classic red flag for melanoma.
◉ Actinic keratosis Answer: Actinic (solar) keratoses are considered
premalignant lesions from sun (UV-B) damage.
BUNDLED EXAMS PACKAGE 2026
COMPLETE QUESTIONS AND SOLUTIONS
GRADED A+
◉ Basic metabolic profile Answer: The initial test for a patient with new
palpitations, including electrolytes and an ECG.
◉ Aortic valve location Answer: Best identified at the 2nd intercostal
space, right sternal border.
◉ Dual antiplatelet therapy (DAPT) duration Answer: Recommended
for at least 12 months after drug-eluting stent placement in cases of
elevated troponin.
◉ Localized egophony Answer: Most likely implies lung consolidation,
such as pneumonia.
◉ Percussion of the thorax Answer: Helps identify if underlying tissues
are air-filled, fluid-filled, or consolidated.
◉ Forced Vital Capacity (FVC) Answer: Expected to be less-than-
expected in patients with severe interstitial lung disease.
◉ Forced Expiratory Volume in 1 second (FEV₁) Answer: A decreased
level is most suggestive of obstructive lung disease.
,◉ Graves' Disease Answer: Most likely diagnosis for a patient with
goiter and symptoms of anxiety, palpitations, and tremor.
◉ Exophthalmos Answer: A typical sign associated with Graves'
hyperthyroidism.
◉ Cushing's disease findings Answer: Common findings include moon
facies, abdominal striae, and central obesity; low body temperature is
not typical.
◉ Diabetes Mellitus Type 2 evaluation Answer: Should include annual
renal function tests, urinalysis, and a dilated eye exam.
◉ Model for End-Stage Liver Disease (MELD) Score Answer: The
MELD score is specifically used to prioritize and assess transplant need
in cirrhosis.
◉ Deep palpitation Answer: An enlarged spleen is at risk of rupture, so
avoid deep palpation if mononucleosis is suspected.
◉ Gram negative rods Answer: Perforated ulcers and resultant
peritonitis often involve gram-negative enteric organisms (e.g., E. coli).
◉ Hydrocele Answer: A fluid-filled scrotal enlargement that can
transilluminate is most consistent with a hydrocele.
,◉ Leaning forward Answer: Sinus pressure typically worsens when
bending or leaning forward.
◉ Lymphoma Answer: 'B symptoms' (night sweats, weight loss) plus
hilar lymphadenopathy strongly suggests lymphoma.
◉ Ehlers-Danlos Answer: Ehlers-Danlos syndrome, a connective tissue
disorder, can be linked to vitreous abnormalities.
◉ Homonymous hemianopia Answer: Loss of the right visual field in
both eyes is a right homonymous hemianopia (post-chiasmal lesion).
◉ TIBC and ferritin Answer: Iron studies (especially serum ferritin,
TIBC) confirm iron deficiency (the most common cause of microcytosis
with high RDW).
◉ Thalassemia trait Answer: Thalassemia typically shows microcytosis
with normal RBC distribution width, as opposed to iron deficiency
(which raises RDW).
◉ Vitamin B12 Answer: Macrocytosis suggests checking B12 or folate
to differentiate causes.
, ◉ Normal MCH, hemoglobin 9.6 Answer: ESRD often causes a
normocytic, normochromic anemia (low hemoglobin, but normal
indices).
◉ Aspirin use Answer: Reye syndrome in children has been associated
with aspirin administration during viral illnesses.
◉ IgM Answer: IgM anti-HAV rises early in acute hepatitis A
infections.
◉ Hepatitis Core antibody Answer: After about a year, the IgG core
antibody (anti-HBc) typically remains positive in ongoing or past HBV
infection.
◉ Antinuclear antibody Answer: ANA testing is the primary screening
test for SLE.
◉ Apocrine Answer: Apocrine sweat gland obstruction (e.g., in
hidradenitis suppurativa) often leads to abscess formation.
◉ Irregular border Answer: An irregular or poorly demarcated border is
a classic red flag for melanoma.
◉ Actinic keratosis Answer: Actinic (solar) keratoses are considered
premalignant lesions from sun (UV-B) damage.
