NR 667 CEA Week 1 Exam and Final
Exam –FNP Program Capstone
Practicum and Intensive – complete
exam material
🩺 NR 667 CEA PRACTICE EXAM
1. A 62-year-old male with HTN and CKD (eGFR 48) presents with BP 152/94
on lisinopril 20 mg daily. What is the best next step?
A. Add amlodipine
B. Increase lisinopril
C. Add hydrochlorothiazide
D. Stop lisinopril
Answer: A
Rationale: In CKD, ACE inhibitor is first-line. Add CCB if uncontrolled.
2. A 45-year-old female with BMI 32 presents for weight management. What
is first-line?
A. Bariatric surgery
B. Lifestyle modification
C. Metformin
D. GLP-1 agonist
Answer: B
Rationale: Always start with diet + exercise + behavior change.
3. A patient with type 2 diabetes has A1C 9.2% on metformin. Next step?
,A. Stop metformin
B. Add second agent
C. Lifestyle only
D. Insulin immediately
Answer: B
Rationale: A1C >9% → dual therapy (unless symptomatic).
4. A 50-year-old smoker presents for screening. What is recommended?
A. Chest X-ray
B. Low-dose CT
C. MRI
D. No screening
Answer: B
Rationale: Lung cancer screening → low-dose CT for high-risk smokers.
5. A patient with acute asthma exacerbation presents with wheezing and
SOB. First treatment?
A. Oral steroids
B. Short-acting bronchodilator
C. Antibiotics
D. Long-acting beta agonist
Answer: B
6. A patient presents with chest pain and ST elevation. What is priority?
A. Morphine
B. Oxygen
C. Aspirin
D. ECG
Answer: C
Rationale: MONA — aspirin first.
, 7. A 30-year-old female presents with dysuria and frequency. Best initial
treatment?
A. Amoxicillin
B. Nitrofurantoin
C. Ciprofloxacin
D. No treatment
Answer: B
8. A patient has LDL 190 mg/dL. What is treatment?
A. Lifestyle only
B. Moderate statin
C. High-intensity statin
D. No therapy
Answer: C
9. A patient with depression reports suicidal ideation. What is priority?
A. Start SSRI
B. Refer outpatient
C. Ensure safety
D. Counseling
Answer: C
10. A 65-year-old with AFib. What prevents stroke?
A. Aspirin
B. Warfarin or DOAC
C. Beta-blocker
D. Calcium channel blocker
Answer: B
Exam –FNP Program Capstone
Practicum and Intensive – complete
exam material
🩺 NR 667 CEA PRACTICE EXAM
1. A 62-year-old male with HTN and CKD (eGFR 48) presents with BP 152/94
on lisinopril 20 mg daily. What is the best next step?
A. Add amlodipine
B. Increase lisinopril
C. Add hydrochlorothiazide
D. Stop lisinopril
Answer: A
Rationale: In CKD, ACE inhibitor is first-line. Add CCB if uncontrolled.
2. A 45-year-old female with BMI 32 presents for weight management. What
is first-line?
A. Bariatric surgery
B. Lifestyle modification
C. Metformin
D. GLP-1 agonist
Answer: B
Rationale: Always start with diet + exercise + behavior change.
3. A patient with type 2 diabetes has A1C 9.2% on metformin. Next step?
,A. Stop metformin
B. Add second agent
C. Lifestyle only
D. Insulin immediately
Answer: B
Rationale: A1C >9% → dual therapy (unless symptomatic).
4. A 50-year-old smoker presents for screening. What is recommended?
A. Chest X-ray
B. Low-dose CT
C. MRI
D. No screening
Answer: B
Rationale: Lung cancer screening → low-dose CT for high-risk smokers.
5. A patient with acute asthma exacerbation presents with wheezing and
SOB. First treatment?
A. Oral steroids
B. Short-acting bronchodilator
C. Antibiotics
D. Long-acting beta agonist
Answer: B
6. A patient presents with chest pain and ST elevation. What is priority?
A. Morphine
B. Oxygen
C. Aspirin
D. ECG
Answer: C
Rationale: MONA — aspirin first.
, 7. A 30-year-old female presents with dysuria and frequency. Best initial
treatment?
A. Amoxicillin
B. Nitrofurantoin
C. Ciprofloxacin
D. No treatment
Answer: B
8. A patient has LDL 190 mg/dL. What is treatment?
A. Lifestyle only
B. Moderate statin
C. High-intensity statin
D. No therapy
Answer: C
9. A patient with depression reports suicidal ideation. What is priority?
A. Start SSRI
B. Refer outpatient
C. Ensure safety
D. Counseling
Answer: C
10. A 65-year-old with AFib. What prevents stroke?
A. Aspirin
B. Warfarin or DOAC
C. Beta-blocker
D. Calcium channel blocker
Answer: B
