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Chamberlain
This NR 667 CEA (Clinical Evaluation Assessment) Final Exam, often titled "KNOW
THIS AND FINISH ALREADY" in this study materials, is a 150 Q&A comprehensive
exit exam for Chamberlain University's FNP Capstone Practicum and Intensive
course. It is designed to evaluate a Family Nurse Practitioner (FNP) student's
readiness for clinical practice through clinical scenarios, diagnosis, and treatment
planning.
Key Exam Characteristics
Purpose: Comprehensive assessment of clinical knowledge (cardiology, respiratory,
endocrinology, hematology, etc.).
Focus: Clinical diagnosis, pharmacology, and management of acute and chronic
conditions in primary care.
Content Type: Scenario-based multiple-choice questions.
Core Content Areas and Sample Topics
Cardiovascular: Managing hypertension, reviewing stress test results (e.g., ST-
segment depression in leads V3-V4), and identifying murmurs.
Endocrinology: Treatment protocols for Type 2 Diabetes (e.g., metformin as first-
line, management of hyperglycemia).
Respiratory: Interpreting respiratory assessments, such as Egophony tests.
Hematology/Immune: Managing anemia, neutropenia, and conditions like Acute
Post-Streptococcal Glomerulonephritis.
Diagnostic Skills: Selecting appropriate tests, interpreting EKGs, and
understanding diagnostic sensitivity and specificity.
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, Patient Education/Management: Educating on lifestyle modifications (diet,
exercise) and pharmacology.
Quiz_________________?
During a post-hospital discharge visit, you notice your 71-year-old female patient
has been diagnosed with a "new murmur" found by the hospitalist during their
recent hospitalization for CHF exacerbation. In evaluating the patient, during
which phase of the cardiac cycle would you anticipate auscultation of a S3 or S4
heart sound? -
Answer
Diastole
Quiz_________________?
The point of maximum impulse (PMI) is most often palpable in healthy adults
when positioned in the supine or left lateral decubitus position. Which one of the
following locations is most commonly described as the PMI in a healthy adult? -
Answer
left 5th ICS, MCL
Quiz_________________?
The nurse practitioner assessing the patient with a rapid cardiac rhythm may
assess for a pulse deficit by auscultating the patient's heart while watching the
EKG rhythm. Where would the S1 heart sound correlate with the
electrocardiographic waves? -
Answer
Peak of the R wave
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, Quiz_________________?
Michael, a 72 year old male patient who previously presented with stable cardiac-
type chest pain has underwent a stress test. He presents today to review the
stress test results, which show EKG findings of ST segment depression during the
exam in leads V3 and V4 as well as some concurrent chest discomfort. Based on
these findings, which of the following are NOT priority medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction -
Answer
Check for thyroid dysfunction
Quiz_________________?
Your newly established patient states in the past year, they have progressively
developed a noticeable bump on their neck and when asked about symptoms,
they report feeling very anxious, have developed a tremor, and are commonly
feeling palpitations in their chest.On examination, you identify an enlarged thyroid
gland suspicious for a goiter. Of the following diagnoses, which is most likely for
the patient to develop based on these findings above? -
Answer
thyrotoxicosis
Quiz_________________?
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, Your patient has a diagnosis of Addison's disease. Which of the following might
you expect to find during examination? -
Answer
low body temperature
Quiz_________________?
Your patient with a diagnosis of autoimmune hepatitis is beingseen in your clinic
for routine liver serology and follow-up examination. Which of the following
correctly identifies the normal liver span when percussing the liver of a HEALTHY
adult? -
Answer
6-12 cm in the right midclavicular line.
Quiz_________________?
The 19 year old male patient presents with acute symptomsof abdominal pain and
a history of intermittent heartburn and spicy foodintolerance, as well as anxiety
due to his college athletic performance. You have a concern the patient may have
a perforated gastric ulcer and is experiencing peritonitis. Which of the following
exam findings is NOT supportive of this diagnosis? -
Answer
Absence of pain with withdrawal of palpation.
Quiz_________________?
Your new patient intake history of an elderly man includes a history of Ehlers-
Danlos with complications of retinal detachment treated with gas pneumopexy. In
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