NR 661 WEEK 5 APN CAPSTONE PORTFOLIO
PART 1 2026 EXAM-STYLE QUESTIONS AND
MODEL RESPONSES
◉ Quality of Life Focus. Answer: Palliative care prioritizes quality
over curative treatment.
◉ COPD Management. Answer: Guided by symptomatology, not
solely spirometry.
◉ Spirometry Use. Answer: Diagnoses COPD but does not dictate
therapy.
◉ Arterial Blood Gases. Answer: Assesses severity during COPD
exacerbations.
◉ Radiologic Imaging. Answer: Shows stable chronic findings in
COPD.
◉ Decline in Personal Care. Answer: Indicates potential cognitive
decline in elderly.
,◉ CVA History. Answer: Previous strokes can lead to progressive
dementia.
◉ Lewy-Body Dementia. Answer: Characterized by fluctuating
cognition and visual hallucinations.
◉ Progressive Vascular Dementia. Answer: Caused by multiple mini-
strokes affecting cognition.
◉ End-Stage Lung Cancer. Answer: Patients may refuse food,
preferring ice cream.
◉ Loss of Appetite. Answer: Common at end of life; normalizes
patient experience.
◉ Methylphenidate. Answer: Used to stimulate appetite, not
typically for terminal patients.
◉ U/A and CBC. Answer: Not relevant for assessing terminal
patient's condition.
◉ Diarrhea Workup. Answer: Helpful labs include ESR, fecal occult,
stool culture.
,◉ Acute Appendicitis Sign. Answer: Positive Rovsing's sign indicates
appendicitis.
◉ Murphy's Sign. Answer: Indicates gallbladder inflammation, not
appendicitis.
◉ Prehn's Sign. Answer: Differentiates testicular torsion from
epididymitis.
◉ Psoas Sign. Answer: Negative sign does not indicate appendicitis.
◉ Fecal Calprotectin. Answer: Useful for assessing intestinal
inflammation.
◉ Cognitive Changes. Answer: May progress from mild to severe in
elderly.
◉ Terminal State Communication. Answer: Discussing death
requires tact and sensitivity.
◉ Murphy's sign. Answer: Indicates acute cholecystitis via deep
breath palpation.
, ◉ Occult bleeding. Answer: Hidden blood in stool, requires further
evaluation.
◉ Colonoscopy. Answer: Diagnostic test to investigate
gastrointestinal bleeding.
◉ 5-ASA. Answer: First line treatment for Crohn's disease.
◉ CRP. Answer: C-reactive protein, indicates inflammation in the
body.
◉ Cholangitis. Answer: Biliary infection presenting with fever and
jaundice.
◉ Choledocholithiasis. Answer: Bile duct obstruction due to
gallstones.
◉ Statin therapy. Answer: Cholesterol-lowering medication,
monitors liver function.
◉ Liver transaminases. Answer: AST and ALT levels indicate liver
health.
PART 1 2026 EXAM-STYLE QUESTIONS AND
MODEL RESPONSES
◉ Quality of Life Focus. Answer: Palliative care prioritizes quality
over curative treatment.
◉ COPD Management. Answer: Guided by symptomatology, not
solely spirometry.
◉ Spirometry Use. Answer: Diagnoses COPD but does not dictate
therapy.
◉ Arterial Blood Gases. Answer: Assesses severity during COPD
exacerbations.
◉ Radiologic Imaging. Answer: Shows stable chronic findings in
COPD.
◉ Decline in Personal Care. Answer: Indicates potential cognitive
decline in elderly.
,◉ CVA History. Answer: Previous strokes can lead to progressive
dementia.
◉ Lewy-Body Dementia. Answer: Characterized by fluctuating
cognition and visual hallucinations.
◉ Progressive Vascular Dementia. Answer: Caused by multiple mini-
strokes affecting cognition.
◉ End-Stage Lung Cancer. Answer: Patients may refuse food,
preferring ice cream.
◉ Loss of Appetite. Answer: Common at end of life; normalizes
patient experience.
◉ Methylphenidate. Answer: Used to stimulate appetite, not
typically for terminal patients.
◉ U/A and CBC. Answer: Not relevant for assessing terminal
patient's condition.
◉ Diarrhea Workup. Answer: Helpful labs include ESR, fecal occult,
stool culture.
,◉ Acute Appendicitis Sign. Answer: Positive Rovsing's sign indicates
appendicitis.
◉ Murphy's Sign. Answer: Indicates gallbladder inflammation, not
appendicitis.
◉ Prehn's Sign. Answer: Differentiates testicular torsion from
epididymitis.
◉ Psoas Sign. Answer: Negative sign does not indicate appendicitis.
◉ Fecal Calprotectin. Answer: Useful for assessing intestinal
inflammation.
◉ Cognitive Changes. Answer: May progress from mild to severe in
elderly.
◉ Terminal State Communication. Answer: Discussing death
requires tact and sensitivity.
◉ Murphy's sign. Answer: Indicates acute cholecystitis via deep
breath palpation.
, ◉ Occult bleeding. Answer: Hidden blood in stool, requires further
evaluation.
◉ Colonoscopy. Answer: Diagnostic test to investigate
gastrointestinal bleeding.
◉ 5-ASA. Answer: First line treatment for Crohn's disease.
◉ CRP. Answer: C-reactive protein, indicates inflammation in the
body.
◉ Cholangitis. Answer: Biliary infection presenting with fever and
jaundice.
◉ Choledocholithiasis. Answer: Bile duct obstruction due to
gallstones.
◉ Statin therapy. Answer: Cholesterol-lowering medication,
monitors liver function.
◉ Liver transaminases. Answer: AST and ALT levels indicate liver
health.
