NR 667 Practice Exam
NR 667 PRACTICE EXAM LATEST 2025/2026 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT ANSWERS GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
An older adult with diabetes mellitus presents with leg cramps. She states that the
cramps were worst when walking to the supermarket. If she stops to rest, the pain
subsides. The nurse practitioner knows that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication - Correct Answer-Intermittent claudication
What is the key long-term benefit of using carvedilol for patients with coronary
artery disease and heart failure with reduced ejection fraction (HFrEF)?
Baseline reduction of blood pressure
Increase in libido
Potential increase in ejection fraction
Reduce in cardiac output - Correct Answer-Potential increase in ejection fraction
An otherwise healthy patient reports episodes of palpitations lasting less than 5
minutes and occurring 3-5 times daily. The patient describes a substernal flip-flop
sensation with a sudden rapid heart rate, ending with a forceful beat. Holter
monitoring would most likely document:
Premature ventricular contraction (extrasystole)
1|Page
, NR 667 Practice Exam
Paroxysmal supraventricular tachycardia
Sinus tachycardia
Atrial flutter - Correct Answer-Paroxysmal supraventricular tachycardia
Which of the following people groups represent the least risk of cardiac disease?
Native Hawaiians
American Indians
Caucasians
African Americans - Correct Answer-Caucasians
An adult female presents with a chief complaint of fatigue and weight gain. She
states that she doesn't feel like herself. A diagnosis of hypothyroidism is
suspected. Which of the following physical findings would support this diagnosis?
Dry skin, bradycardia, and hypoactive deep tendon reflexes
Tachycardia, exophthalmos, brittle hair
Diarrhea, tachycardia, and hypoactive deep tendon reflexes
Palpitation, bradycardia, and constipation - Correct Answer-Dry skin, bradycardia,
and hypoactive deep tendon reflexes
An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's
request to discuss medication management. Current medications include
metformin (Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily,
and insulin detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal =
less than 7.0%], fasting blood glucose = 180-190 mg/dL range [normal = less than
99 mg/dL]. Which of the following regimens should the nurse practitioner
recommend?
2|Page
, NR 667 Practice Exam
Basal insulin only, continuing oral medications
Switching to glargine (Lantus)
Basal and rapid-acting insulin
Rapid-acting insulin only, continuing oral medications - Correct Answer-Basal and
rapid-acting insulin
Patients on levothyroxine should be monitored for signs of which one of the
following:
Angina pectoris and dysrhythmias
Increased constipation and cramping
Focal deficits and hyperreflexia
Pedal edema and discomfort - Correct Answer-Angina pectoris and dysrhythmias
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 - Correct Answer-Plasma sodium, 24-hour urine
osmolality and volume
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
3|Page
, NR 667 Practice Exam
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 - Correct Answer-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 - Correct Answer-He should avoid
dietary iron supplements
As the nurse practitioner working in a primary care clinic, you have been notified
from a hospitalist that your long-term patient with a history of HFrEF (heart failure
with reduced ejection fraction) with an ejection fraction of 40% two years ago
who is also not on optimal medical therapy has been diagnosed with a myocardial
infarction this admission and received emergent placement of a drug-eluting stent
to the left anterior descending artery. As the patient's medical home who will
manage this patient after discharge, which of the following would you expect to
be a priority in the patient's care for their heart failure after an acute MI?
4|Page
NR 667 PRACTICE EXAM LATEST 2025/2026 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT ANSWERS GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
An older adult with diabetes mellitus presents with leg cramps. She states that the
cramps were worst when walking to the supermarket. If she stops to rest, the pain
subsides. The nurse practitioner knows that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication - Correct Answer-Intermittent claudication
What is the key long-term benefit of using carvedilol for patients with coronary
artery disease and heart failure with reduced ejection fraction (HFrEF)?
Baseline reduction of blood pressure
Increase in libido
Potential increase in ejection fraction
Reduce in cardiac output - Correct Answer-Potential increase in ejection fraction
An otherwise healthy patient reports episodes of palpitations lasting less than 5
minutes and occurring 3-5 times daily. The patient describes a substernal flip-flop
sensation with a sudden rapid heart rate, ending with a forceful beat. Holter
monitoring would most likely document:
Premature ventricular contraction (extrasystole)
1|Page
, NR 667 Practice Exam
Paroxysmal supraventricular tachycardia
Sinus tachycardia
Atrial flutter - Correct Answer-Paroxysmal supraventricular tachycardia
Which of the following people groups represent the least risk of cardiac disease?
Native Hawaiians
American Indians
Caucasians
African Americans - Correct Answer-Caucasians
An adult female presents with a chief complaint of fatigue and weight gain. She
states that she doesn't feel like herself. A diagnosis of hypothyroidism is
suspected. Which of the following physical findings would support this diagnosis?
Dry skin, bradycardia, and hypoactive deep tendon reflexes
Tachycardia, exophthalmos, brittle hair
Diarrhea, tachycardia, and hypoactive deep tendon reflexes
Palpitation, bradycardia, and constipation - Correct Answer-Dry skin, bradycardia,
and hypoactive deep tendon reflexes
An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's
request to discuss medication management. Current medications include
metformin (Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily,
and insulin detemir (Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal =
less than 7.0%], fasting blood glucose = 180-190 mg/dL range [normal = less than
99 mg/dL]. Which of the following regimens should the nurse practitioner
recommend?
2|Page
, NR 667 Practice Exam
Basal insulin only, continuing oral medications
Switching to glargine (Lantus)
Basal and rapid-acting insulin
Rapid-acting insulin only, continuing oral medications - Correct Answer-Basal and
rapid-acting insulin
Patients on levothyroxine should be monitored for signs of which one of the
following:
Angina pectoris and dysrhythmias
Increased constipation and cramping
Focal deficits and hyperreflexia
Pedal edema and discomfort - Correct Answer-Angina pectoris and dysrhythmias
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 - Correct Answer-Plasma sodium, 24-hour urine
osmolality and volume
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
3|Page
, NR 667 Practice Exam
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 - Correct Answer-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 - Correct Answer-He should avoid
dietary iron supplements
As the nurse practitioner working in a primary care clinic, you have been notified
from a hospitalist that your long-term patient with a history of HFrEF (heart failure
with reduced ejection fraction) with an ejection fraction of 40% two years ago
who is also not on optimal medical therapy has been diagnosed with a myocardial
infarction this admission and received emergent placement of a drug-eluting stent
to the left anterior descending artery. As the patient's medical home who will
manage this patient after discharge, which of the following would you expect to
be a priority in the patient's care for their heart failure after an acute MI?
4|Page
