9/8/24, 9:24 PM Week 1 Full Length Practice Exam: NR667 - FNP Capstone
NR667 - FNP Capstone Week 1 Full Length Practice
Exam/150 Questions and Answers 100% Correct
Week 1 Full Length Practice Exam
Due Sep 8 at 11:59pm
Points 150
Questions 150
Available Sep 2 at 12am - Sep 8 at 11:59pm
Time Limit 180 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 171 minutes 144 out of 150
Score for this quiz: 144 out of 150
Submitted Sep 8 at 8:23pm
This attempt took 171 minutes.
Question 1
pts
Effective long-term treatment of systolic heart failure with reduced ejection fraction should include which
of the following?
Correct!
Prescribing valsartan/sacubitril (Entresto) unless contraindicated on discharge
Angiotensin Receptor and Neprilysin Inhibition is considered goal-directed therapy for patients with
reduced systolic heart function as evidence by the PARAGON-HF Trial. Auscultation is an assessment
item, not a treatment. Midazolam does not have any long term benefit for heart failure. Fluid bolus in a
patient with likely fluid overload from systolic heart failure only worsen their presenting symptoms.
Prescribing 500 ml fluid bolus for hypotension
1/65
,9/8/24, 9:24 PM Week 1 Full Length Practice Exam: NR667 - FNP Capstone
Auscultating lung sounds for rhonchi
Prescribing midazolam to aid with air hunger
Question 2
pts
A 45-year-old man presents with chest pain radiating to the left arm, diaphoresis, and shortness of
breath. His ECG shows ST-segment elevation. What is the initial management response?
Administer nitroglycerin sublingually
Start intravenous heparin
2/65
,9/8/24, jk9:24 Week jk1 jkFull jkLength jkPractice jkExam: jkNR667 jk- jkFNP
PM Capstone
Perform immediate coronary angiography
Correct!
Administer aspirin and call for emergency medical services
Question 3
pts
An 80-year-old man with a history of atrial fibrillation presents with sudden-onset unilateral leg pain and
pallor. What is the most likely diagnosis?
You Answered
Deep vein thrombosis
Correct Answer
Acute arterial occlusion
Cellulitis
Peripheral artery disease
Question 4
pts
An older adult female presents for her annual examination. She has been on antihypertensive
medications for over 20 years, with good control. Laboratory values are within normal ranges. The nurse
practitioner is concerned about the patient’s cardiac health risks, due her to weight and her waist
circumference. According to the AHA guidelines, which of the following goals is expected for this patient?
Physical activity for 60 minutes daily, 7 days a week
Correct!
Physical activity for 30 minutes daily, for a minimum of 5 days a week
Physical activity for 30 minutes daily, 7 days a week
Physical activity for 60 minutes daily, for a minimum of 6 days a week
Question 5
pts
Recommendation for lipid check in adolescent with type 1 DM?
10 years
5 years
2 years
Correct!
1 year
3/65
, 9/8/24, jk9:24 Week jk1 jkFull jkLength jkPractice jkExam: jkNR667 jk- jkFNP
PM Capstone
Remember than with pediatric patients with diabetes, the easiest way to remember the evaluation
jk jk jk jk jk jk jk jk jk jk jk jk jk
schedule is to perform lipid checks is with annual physicals.
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Question 6 jk
pts jk jk
An adult patient must maintain an International Normalized Ratio (INR) between 2.0 and 3.0. The patient
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goes to a clinic for INR determination, and the result is 1.4. Which of the following would be likely to
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decrease the effects of warfarin (Coumadin)?
jk jk jk jk jk jk
j k Red Wine jk
j k Red meat jk
Correct!
j k Broccoli
j k Grapefruit
It’s important to remember with warfarin (Coumadin) therapy that it is a vitamin K antagonist, and
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
therefore it can be counteracted by a patient who is eating a dietary intake of vitamin K. Leafy green
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
vegetables such as broccoli and spinach are notorious for increasing vitamin K levels, and therefore
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
inhibiting the anticoagulation effect of warfarin. It’s also important to remember that with the direct
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
oral anticoagulants category, vitamin K is not affected, and therefore no dietary restrictions are
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
required for this class of medications such as apixaban, rivaroxaban, and edoxaban, which is a
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
distinct benefit over warfarin as noted above. Also, with warfarin it is important to remember that the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
effects are based on the free drug, not the protein bound drug level, so patients who have
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
considerable protein stores will require more warfarin than those who are emaciated or have low
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
protein levels chronically.
jk jk jk
With respect to this particular question, red wine and grapefruit do not have an effect of lowering the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
INR, in fact, they will raise it by their unique mechanisms. Grapefruit specifically causes warfarin
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
levels to rise through the CYP 450 system, and red wine causes the INR to increase by thinning the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
blood and and red meat is not likely to have a considerable impact, although it might have some
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
impact if the protein stores are otherwise low prior to initiating the red meat in the diet. Broccoli is the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
only option that has vitamin K and should be an obvious choice for this question.
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
Question 7 jk
pts jk jk
A patient has been complaining of palpitations for the past week and presents to you at an urgent care
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
clinic for evaluation. You perform a 12 lead EKG and identify atrial fibrillation with a hear rate of 122
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
beats per minute. What is your next order?
jk jk jk jk jk jk jk jk
4/65
NR667 - FNP Capstone Week 1 Full Length Practice
Exam/150 Questions and Answers 100% Correct
Week 1 Full Length Practice Exam
Due Sep 8 at 11:59pm
Points 150
Questions 150
Available Sep 2 at 12am - Sep 8 at 11:59pm
Time Limit 180 Minutes
Attempt History
Attempt Time Score
LATEST Attempt 1 171 minutes 144 out of 150
Score for this quiz: 144 out of 150
Submitted Sep 8 at 8:23pm
This attempt took 171 minutes.
Question 1
pts
Effective long-term treatment of systolic heart failure with reduced ejection fraction should include which
of the following?
Correct!
Prescribing valsartan/sacubitril (Entresto) unless contraindicated on discharge
Angiotensin Receptor and Neprilysin Inhibition is considered goal-directed therapy for patients with
reduced systolic heart function as evidence by the PARAGON-HF Trial. Auscultation is an assessment
item, not a treatment. Midazolam does not have any long term benefit for heart failure. Fluid bolus in a
patient with likely fluid overload from systolic heart failure only worsen their presenting symptoms.
Prescribing 500 ml fluid bolus for hypotension
1/65
,9/8/24, 9:24 PM Week 1 Full Length Practice Exam: NR667 - FNP Capstone
Auscultating lung sounds for rhonchi
Prescribing midazolam to aid with air hunger
Question 2
pts
A 45-year-old man presents with chest pain radiating to the left arm, diaphoresis, and shortness of
breath. His ECG shows ST-segment elevation. What is the initial management response?
Administer nitroglycerin sublingually
Start intravenous heparin
2/65
,9/8/24, jk9:24 Week jk1 jkFull jkLength jkPractice jkExam: jkNR667 jk- jkFNP
PM Capstone
Perform immediate coronary angiography
Correct!
Administer aspirin and call for emergency medical services
Question 3
pts
An 80-year-old man with a history of atrial fibrillation presents with sudden-onset unilateral leg pain and
pallor. What is the most likely diagnosis?
You Answered
Deep vein thrombosis
Correct Answer
Acute arterial occlusion
Cellulitis
Peripheral artery disease
Question 4
pts
An older adult female presents for her annual examination. She has been on antihypertensive
medications for over 20 years, with good control. Laboratory values are within normal ranges. The nurse
practitioner is concerned about the patient’s cardiac health risks, due her to weight and her waist
circumference. According to the AHA guidelines, which of the following goals is expected for this patient?
Physical activity for 60 minutes daily, 7 days a week
Correct!
Physical activity for 30 minutes daily, for a minimum of 5 days a week
Physical activity for 30 minutes daily, 7 days a week
Physical activity for 60 minutes daily, for a minimum of 6 days a week
Question 5
pts
Recommendation for lipid check in adolescent with type 1 DM?
10 years
5 years
2 years
Correct!
1 year
3/65
, 9/8/24, jk9:24 Week jk1 jkFull jkLength jkPractice jkExam: jkNR667 jk- jkFNP
PM Capstone
Remember than with pediatric patients with diabetes, the easiest way to remember the evaluation
jk jk jk jk jk jk jk jk jk jk jk jk jk
schedule is to perform lipid checks is with annual physicals.
jk jk jk jk jk jk jk jk jk jk
Question 6 jk
pts jk jk
An adult patient must maintain an International Normalized Ratio (INR) between 2.0 and 3.0. The patient
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
goes to a clinic for INR determination, and the result is 1.4. Which of the following would be likely to
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
decrease the effects of warfarin (Coumadin)?
jk jk jk jk jk jk
j k Red Wine jk
j k Red meat jk
Correct!
j k Broccoli
j k Grapefruit
It’s important to remember with warfarin (Coumadin) therapy that it is a vitamin K antagonist, and
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
therefore it can be counteracted by a patient who is eating a dietary intake of vitamin K. Leafy green
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
vegetables such as broccoli and spinach are notorious for increasing vitamin K levels, and therefore
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
inhibiting the anticoagulation effect of warfarin. It’s also important to remember that with the direct
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
oral anticoagulants category, vitamin K is not affected, and therefore no dietary restrictions are
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
required for this class of medications such as apixaban, rivaroxaban, and edoxaban, which is a
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
distinct benefit over warfarin as noted above. Also, with warfarin it is important to remember that the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
effects are based on the free drug, not the protein bound drug level, so patients who have
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
considerable protein stores will require more warfarin than those who are emaciated or have low
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
protein levels chronically.
jk jk jk
With respect to this particular question, red wine and grapefruit do not have an effect of lowering the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
INR, in fact, they will raise it by their unique mechanisms. Grapefruit specifically causes warfarin
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
levels to rise through the CYP 450 system, and red wine causes the INR to increase by thinning the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
blood and and red meat is not likely to have a considerable impact, although it might have some
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
impact if the protein stores are otherwise low prior to initiating the red meat in the diet. Broccoli is the
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
only option that has vitamin K and should be an obvious choice for this question.
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
Question 7 jk
pts jk jk
A patient has been complaining of palpitations for the past week and presents to you at an urgent care
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
clinic for evaluation. You perform a 12 lead EKG and identify atrial fibrillation with a hear rate of 122
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk
beats per minute. What is your next order?
jk jk jk jk jk jk jk jk
4/65
