NR667 Chamberlain FNP Capstone Week 8 Clinical
Evaluation Assessment (CEA) Exit Exam 2026/2027 –
Comprehensive Practice Review for A+ Mastery and
Graded Excellence
This comprehensive practice exam for the NR667 Chamberlain FNP Capstone Week 8 CEA (2026/2027, A+ graded)
thoroughly covers all core family nurse practitioner competencies, including advanced health assessment,
pathophysiology, pharmacology, diagnostic testing, evidence-based management, patient-centered care, acute and
chronic disease management across the lifespan, and clinical decision-making. It also integrates case-based scenarios,
preventive care guidelines, health promotion strategies, and ethical/legal considerations to fully prepare students for
top performance on the capstone evaluation
Blood Flow
Lungs ® Pulmonary Veins ® Left Atrium ® Aorta ® Body Tissues ® Vena
Cava ® Right Atrium ® Right Ventricle ® Pulmonary Arteries ® Lungs
Symptoms with right vs left side heart blockage
· Blockage on the left side of the heart backs up and causes lung symptoms
· Blockage on the right side of the heart backs up and causes body
symptoms (peripheral edema)
HNC8 HTN Guidelines
Defined as 140/90
Treatment algorithm:
Less than 60 years old - 140/90
> 60 years old - Defined as 150/90 (more leniency b/c we do not want to
drop their BP too low)
,What hypertension medication should someone with DM and/or CKD
be on?
ACE or ARB (protects kidneys)
What HTN medication should an African American pt be on?
CCB
What HTN medications should be used in patients with heart failure?
Carvediolol and Thiazide diuretics
Common side effects from ACE inhibitors
cough, angioedema
What HTN medication is contraindicated if an ACE inhibitor caused
angioedema?
ARB
What HTN medication should a heart failure pt NEVER be on?
CCB
(These cause the heart to "relax" which is not good in HF pts)
2 types of CCBs
Dihydropyridines & Non-dihydropyridines
What are dihydropyridine CCBs used for?
BP control
Example of a dihydropyridine CCB and side effects
Amlodipine
Bradycardic side effects, peripheral edema, constipation
What are non-dihydropyridine CCBs used for?
arrhythmias
,Example of a non-dihydropyridine CCB and side effects
cardizem
Tachycardic side effects/palpitations - these meds were peripherally and
have a rebound tachycardia
The atria (top chambers of the heart) work on which electrolytes?
K+ (potassium) and Ca (calcium)
The ventricles (bottom chambers of the heart) work on which
electrolytes?
Na (sodium) and K+ (potassium)
Conditions in the atria needs medications that work on K+ or Ca such
as ..
Cardizem (CCB) or Amiodarone (potassium channel blocker)
Conditions in the ventricles needs medications that work on K+ or Na
such as ..
Amiodarone (potassium channel blocker)
What class of medications could be used for atrial and ventricular
conditions?
Beta-blockers or potassium channel blocker (Amiodarone)
What is the percentage of EF for someone with HF with reduced EF?
< 40%
What is the percentage of EF for someone with HF with preserved EF?
40 or greater
HF patients with reduced EF need to be on what medications?
Carvedilol, loop diuretic, ACE, or ARB
What type of diuretics are more potent?
, Loop diuretics
Which hypertensive medications are "cardio-protective"?
ACEs and ARBs
Functional classes of HF (NYHA):
I: No sx
II: Sx w/ moderate exertion
III: Sx w ADLs
IV: Sx at rest
What is the ASCVD risk score?
measurement of a pt's 10 yr risk of an adverse cardiac event
What are the high-intensity statins?
Atorvastatin 40-80 mg
Rosuvastatin 20-40 mg
What happens during S1 heart sounds?
mitral valve closes and aortic valve opens
Which structural heart condition can cause syncope or near-syncope?
Aortic stenosis
Which structural heart condition cause a harsh, high-pitches sound
that can be heard in the neck or on the right side of the chest near the
2nd intercostal space?
Aortic regurgitation/insufficiency
Which structural heart condition is very loud and can be heard on the
lower left side of the chest?
Mitral regurgitation/insufficiency
What are the 2 most common places for a AAA?
Evaluation Assessment (CEA) Exit Exam 2026/2027 –
Comprehensive Practice Review for A+ Mastery and
Graded Excellence
This comprehensive practice exam for the NR667 Chamberlain FNP Capstone Week 8 CEA (2026/2027, A+ graded)
thoroughly covers all core family nurse practitioner competencies, including advanced health assessment,
pathophysiology, pharmacology, diagnostic testing, evidence-based management, patient-centered care, acute and
chronic disease management across the lifespan, and clinical decision-making. It also integrates case-based scenarios,
preventive care guidelines, health promotion strategies, and ethical/legal considerations to fully prepare students for
top performance on the capstone evaluation
Blood Flow
Lungs ® Pulmonary Veins ® Left Atrium ® Aorta ® Body Tissues ® Vena
Cava ® Right Atrium ® Right Ventricle ® Pulmonary Arteries ® Lungs
Symptoms with right vs left side heart blockage
· Blockage on the left side of the heart backs up and causes lung symptoms
· Blockage on the right side of the heart backs up and causes body
symptoms (peripheral edema)
HNC8 HTN Guidelines
Defined as 140/90
Treatment algorithm:
Less than 60 years old - 140/90
> 60 years old - Defined as 150/90 (more leniency b/c we do not want to
drop their BP too low)
,What hypertension medication should someone with DM and/or CKD
be on?
ACE or ARB (protects kidneys)
What HTN medication should an African American pt be on?
CCB
What HTN medications should be used in patients with heart failure?
Carvediolol and Thiazide diuretics
Common side effects from ACE inhibitors
cough, angioedema
What HTN medication is contraindicated if an ACE inhibitor caused
angioedema?
ARB
What HTN medication should a heart failure pt NEVER be on?
CCB
(These cause the heart to "relax" which is not good in HF pts)
2 types of CCBs
Dihydropyridines & Non-dihydropyridines
What are dihydropyridine CCBs used for?
BP control
Example of a dihydropyridine CCB and side effects
Amlodipine
Bradycardic side effects, peripheral edema, constipation
What are non-dihydropyridine CCBs used for?
arrhythmias
,Example of a non-dihydropyridine CCB and side effects
cardizem
Tachycardic side effects/palpitations - these meds were peripherally and
have a rebound tachycardia
The atria (top chambers of the heart) work on which electrolytes?
K+ (potassium) and Ca (calcium)
The ventricles (bottom chambers of the heart) work on which
electrolytes?
Na (sodium) and K+ (potassium)
Conditions in the atria needs medications that work on K+ or Ca such
as ..
Cardizem (CCB) or Amiodarone (potassium channel blocker)
Conditions in the ventricles needs medications that work on K+ or Na
such as ..
Amiodarone (potassium channel blocker)
What class of medications could be used for atrial and ventricular
conditions?
Beta-blockers or potassium channel blocker (Amiodarone)
What is the percentage of EF for someone with HF with reduced EF?
< 40%
What is the percentage of EF for someone with HF with preserved EF?
40 or greater
HF patients with reduced EF need to be on what medications?
Carvedilol, loop diuretic, ACE, or ARB
What type of diuretics are more potent?
, Loop diuretics
Which hypertensive medications are "cardio-protective"?
ACEs and ARBs
Functional classes of HF (NYHA):
I: No sx
II: Sx w/ moderate exertion
III: Sx w ADLs
IV: Sx at rest
What is the ASCVD risk score?
measurement of a pt's 10 yr risk of an adverse cardiac event
What are the high-intensity statins?
Atorvastatin 40-80 mg
Rosuvastatin 20-40 mg
What happens during S1 heart sounds?
mitral valve closes and aortic valve opens
Which structural heart condition can cause syncope or near-syncope?
Aortic stenosis
Which structural heart condition cause a harsh, high-pitches sound
that can be heard in the neck or on the right side of the chest near the
2nd intercostal space?
Aortic regurgitation/insufficiency
Which structural heart condition is very loud and can be heard on the
lower left side of the chest?
Mitral regurgitation/insufficiency
What are the 2 most common places for a AAA?
