CEA FNP Full Exam Practice Test: NR667 /
NR 667 (Latest ) FNP Capstone
Practicum and Intensive | Questions with
Verified Answers & Rationale| 100% Correct
Chamberlain.
Question:
A 50-year-old woman with a history of hypertension presents with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
dyspnea on exertion and orthopnea. On examination, she has jugular
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
venous distention and bilateral crackles on lung auscultation. What is the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
most likely diagnosis?? i,- i,-
Answer:
Congestive heart failure i,- i,-
Rationale: Of the available options, the most accurate response is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
congestive heart failure as it is signifying both a right ventricular back up
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with jugular venous extension and crackles on lung assault, which are
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
suggestive of left ventricular back up. it is possible the patient may have
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
an acute myocardial infarction that precipitated this, however, a patient
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
has not described that, rather is only describing dyspnea on exertion and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
orthopnea, which both speak to a state of fluid overload. The only
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
appropriate response of these available is congestive heart failure.
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
,Your patient with a history of HFrEF (heart failure with reduced ejection
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
fraction) with an ejection fraction of 40% who is also not on optimal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medical therapy has been diagnosed with a myocardial infarction this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
admission and received emergent placement of a drug-eluting stent to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the left anterior descending artery. As the medical home who will manage
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
this patient after discharge, which medication strategy would you expect
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to be a priority in the patient's care??
i,- i,- i,- i,- i,- i,- i,-
Answer:
Ordering a transthoracic echocardiogram and order a Lifevest if EF is less
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
than 35% i,-
Rationale: The patient should have a protective mechanism such as an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
implantable automated cardioverter defibrillator (AICD) or a Lifevest if the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
EF is less than 35% due to the increased risk of sudden cardiac death with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
low EF states. Since most patients are not eligible for 90 days for an AICD
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in this state, optimizing their medication regimen and repeating an echo
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in 2-3 months to re-evaluate for improvement in their EF is required by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
most insurance companies. A baseline echo is needed at discharge to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
provide a baseline for improvement vs their repeat echo in 2-3 months.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Dual anti-platelet therapy is required for 12 months minimum post-MI.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A Holter monitor does not provide any conceivable benefit for this patient
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
as presented.
i,-
Question:
Which of the following people groups represent the least risk of cardiac
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
disease??
Answer:
,Caucasians
Rationale: Statistically African Americans, Native Hawaiians, and American
i,- i,- i,- i,- i,- i,- i,- i,-
Indians are at at increased risk of cardiac disease due to higher rates of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypertension, diabetes, and obesity than Caucasians. i,- i,- i,- i,- i,-
Question:
A 65-year-old woman presents for a follow-up examination. She is a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
smoker, and her hypertension is now adequately controlled with
i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication. Her mother died at age 40 from a heart attack. The fasting
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
addition to starting therapeutic lifestyle changes, the nurse practitioner
i,- i,- i,- i,- i,- i,- i,- i,- i,-
should start the patient on:?
i,- i,- i,- i,-
Answer:
a statin drug.
i,- i,-
Rationale: Bile acid sequestrants and cholesterol absorption inhibitors may
i,- i,- i,- i,- i,- i,- i,- i,- i,-
be useful in reducing ASVD risk, but for a patient who is an active smoker
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with premature coronary disease history (less than age 65 for women), has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypertension and is far from an LDL goal, this patient is most certainly a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
candidate for statin therapy, which represents the most aggressive
i,- i,- i,- i,- i,- i,- i,- i,- i,-
therapy option of these four listed.
i,- i,- i,- i,- i,-
Question:
Which of the following end-organ sequelae is not directly caused by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
uncontrolled hypertension?? i,-
Answer:
, Peripheral neuropathy i,-
Ratioanle: Although patients with hypertension frequently have peripheral
i,- i,- i,- i,- i,- i,- i,- i,-
neuropathy, it is only directly attributed to patients who are also diabetic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and is commonly found in non-hypertensive diabetic patients. Proteinuria,
i,- i,- i,- i,- i,- i,- i,- i,- i,-
AV nicking, and hemorrhagic stroke are all caused by uncontrolled
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypertension.
Question:
Preventive cardiac care should focus primarily on addressing all the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
following except?? i,-
Answer:
Genetic predisposition i,-
Rationale: Smoking cessation, exercise, and medication compliance all
i,- i,- i,- i,- i,- i,- i,- i,-
represent modifiable risk factors and should be the focus of preventive
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
care. Non-modifiable risk factors such as age, gender, genetic/family
i,- i,- i,- i,- i,- i,- i,- i,- i,-
history should not be the primary focus of prevention.
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
A 33-year-old woman presents with irregular menstrual cycles, hirsutism,
i,- i,- i,- i,- i,- i,- i,- i,- i,-
and obesity. Laboratory tests reveal elevated serum testosterone and LH
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ratio > 2:1. What is the most appropriate initial treatment??
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
Oral contraceptives
i,-
NR 667 (Latest ) FNP Capstone
Practicum and Intensive | Questions with
Verified Answers & Rationale| 100% Correct
Chamberlain.
Question:
A 50-year-old woman with a history of hypertension presents with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
dyspnea on exertion and orthopnea. On examination, she has jugular
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
venous distention and bilateral crackles on lung auscultation. What is the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
most likely diagnosis?? i,- i,-
Answer:
Congestive heart failure i,- i,-
Rationale: Of the available options, the most accurate response is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
congestive heart failure as it is signifying both a right ventricular back up
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with jugular venous extension and crackles on lung assault, which are
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
suggestive of left ventricular back up. it is possible the patient may have
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
an acute myocardial infarction that precipitated this, however, a patient
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
has not described that, rather is only describing dyspnea on exertion and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
orthopnea, which both speak to a state of fluid overload. The only
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
appropriate response of these available is congestive heart failure.
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
,Your patient with a history of HFrEF (heart failure with reduced ejection
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
fraction) with an ejection fraction of 40% who is also not on optimal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medical therapy has been diagnosed with a myocardial infarction this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
admission and received emergent placement of a drug-eluting stent to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the left anterior descending artery. As the medical home who will manage
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
this patient after discharge, which medication strategy would you expect
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to be a priority in the patient's care??
i,- i,- i,- i,- i,- i,- i,-
Answer:
Ordering a transthoracic echocardiogram and order a Lifevest if EF is less
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
than 35% i,-
Rationale: The patient should have a protective mechanism such as an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
implantable automated cardioverter defibrillator (AICD) or a Lifevest if the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
EF is less than 35% due to the increased risk of sudden cardiac death with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
low EF states. Since most patients are not eligible for 90 days for an AICD
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in this state, optimizing their medication regimen and repeating an echo
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in 2-3 months to re-evaluate for improvement in their EF is required by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
most insurance companies. A baseline echo is needed at discharge to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
provide a baseline for improvement vs their repeat echo in 2-3 months.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Dual anti-platelet therapy is required for 12 months minimum post-MI.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A Holter monitor does not provide any conceivable benefit for this patient
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
as presented.
i,-
Question:
Which of the following people groups represent the least risk of cardiac
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
disease??
Answer:
,Caucasians
Rationale: Statistically African Americans, Native Hawaiians, and American
i,- i,- i,- i,- i,- i,- i,- i,-
Indians are at at increased risk of cardiac disease due to higher rates of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypertension, diabetes, and obesity than Caucasians. i,- i,- i,- i,- i,-
Question:
A 65-year-old woman presents for a follow-up examination. She is a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
smoker, and her hypertension is now adequately controlled with
i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication. Her mother died at age 40 from a heart attack. The fasting
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
addition to starting therapeutic lifestyle changes, the nurse practitioner
i,- i,- i,- i,- i,- i,- i,- i,- i,-
should start the patient on:?
i,- i,- i,- i,-
Answer:
a statin drug.
i,- i,-
Rationale: Bile acid sequestrants and cholesterol absorption inhibitors may
i,- i,- i,- i,- i,- i,- i,- i,- i,-
be useful in reducing ASVD risk, but for a patient who is an active smoker
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with premature coronary disease history (less than age 65 for women), has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypertension and is far from an LDL goal, this patient is most certainly a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
candidate for statin therapy, which represents the most aggressive
i,- i,- i,- i,- i,- i,- i,- i,- i,-
therapy option of these four listed.
i,- i,- i,- i,- i,-
Question:
Which of the following end-organ sequelae is not directly caused by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
uncontrolled hypertension?? i,-
Answer:
, Peripheral neuropathy i,-
Ratioanle: Although patients with hypertension frequently have peripheral
i,- i,- i,- i,- i,- i,- i,- i,-
neuropathy, it is only directly attributed to patients who are also diabetic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and is commonly found in non-hypertensive diabetic patients. Proteinuria,
i,- i,- i,- i,- i,- i,- i,- i,- i,-
AV nicking, and hemorrhagic stroke are all caused by uncontrolled
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypertension.
Question:
Preventive cardiac care should focus primarily on addressing all the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
following except?? i,-
Answer:
Genetic predisposition i,-
Rationale: Smoking cessation, exercise, and medication compliance all
i,- i,- i,- i,- i,- i,- i,- i,-
represent modifiable risk factors and should be the focus of preventive
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
care. Non-modifiable risk factors such as age, gender, genetic/family
i,- i,- i,- i,- i,- i,- i,- i,- i,-
history should not be the primary focus of prevention.
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
A 33-year-old woman presents with irregular menstrual cycles, hirsutism,
i,- i,- i,- i,- i,- i,- i,- i,- i,-
and obesity. Laboratory tests reveal elevated serum testosterone and LH
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ratio > 2:1. What is the most appropriate initial treatment??
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
Oral contraceptives
i,-
