NR 667 CEA FNP Capstone Practicum and Intensive
FINAL EXAM – CHAMBERLAIN
1. Kia is a 22-year-old trans female patient who is actively undergoing a gender affirming
therapy abruptly stopped their medication regimen for the last two weeks due to insurance
issues. They present to your clinic with hypotension, pallor and hypothermia. Assuming they
are taking all of the following medica- tions, which of these is most likely the culprit for these
symptoms after abrupt withdrawal?
A. spironolactone (Aldactone)
B. progestin (Heather)
C. Abarelix (Plenaxis)
D. Prednisone (Deltasone)
Answer> D. Prednisone (Deltasone)
2. Your 55-year-old female patient, Eve, has been diagnosed with acute myeloid leukemia.
Which of the following agents would be most likely to assist in management of her anticipated
side effects of cancer treatment?
A. allopurinol
B. colchicine
C. Lasix
D. N acetylcysteine
Answer> A. allopurinol
3. Patients with acute autoimmune disorder flares are routinely treated with
medication to reduce the inflammation but does not typically manage the un- derlying disease
state. Which class of medication is typically used to manage the underlying long term disease
state with most autoimmune disorders?
,A. corticosteroids
B. monoclonal antibodies
C. H2 receptor antagonist
D. non steroid anti-inflammatory
Answer> B. monoclonal antibodies
4. Zeke is a 22-year-old male patient presented to your primary care clinic with unilateral leg
swelling and tenderness after all nighter playing video games. You suspect he has a
provoked DVT from immobility and an ultrasound has been ordered. While awaiting this exam
to be performed you preemptively discuss coagulation with the patient assuming he will
most likely be needing this therapy period which of the following represents adequate
understanding from the patient?
A. The goal of my INR on Xarelto should be somewhat around 2.0
B. I will be I will need to take lovenox if I am started on Xarelto
C. Regardless of the venous Doppler findings, I can start warfarin alone and it will take around
four to five days to get the drug to the properly anticoagulation D if they find blood clot I will
need to use Lovenox in addition to warfarin until my INR is 3.0
Answer> D
if they find blood clot I will need to use Lovenox in addition to warfarin until my INR is 3.0
5. Shelley is a 19-year-old female patient who presents for a routine health visit. During your
exam she mentioned recent symptoms of dysuria and urinary frequency and you suspect a
urinary tract infection. You confirm this with urinalysis which is a which is as follows urine
positive for leukocyte esterase, nitrates, and WBC's as well as the presence of bacteria. Most
recent labs were six months ago and showed normal CBC and BMP. She also has a health
history of sea death after an antibiotic for an unrelated illness two years ago. Based on her
presentation which would be the best strategy for treating her urinary tract infection?
A. sulfamethoxazole/trimethoprim(Bactrim)
B. B doxycycline
C. C Clindamycin
D. D tobramycin
Answer> A. sulfamethoxazole/trimethoprim (Bactrim)
,6. 1. Which class of medications are indicated as first line management of both post traumatic
stress disorder and major depressive disorder?
A. Selective serotonin reuptake inhibitors (SSRIs)
B. non selective dopamine reuptake inhibitors
C. mood stabilizers
D. Monoamine oxidase inhibitors.
Answer> A. Selective serotonin reuptake inhibitors (SS- RIs)
7. 1. Which of the following concepts refers to where small differences in dose or blood
concentration may lead to failures and or adverse drug reactions that are life threatening or
result in persistent or significant disability?
A. wide therapeutic index
B. narrow therapeutic index
C. post antibiotic effect
D. zero order kinetics.
Answer> B. narrow therapeutic index
8. 1. Your patient is diagnosed with Addison's disease which of the following might you
expect to find during the examination?
A. low body temperature
B. abdominal striae
C. dowager hump
D. moon phase
Answer> A. low body temperature
9. 1. Your late adolescent female patient presents with a history of heavy menses and pale
conjunctiva. Your review of systems is fairly unremarkable other than she lives in our house
built in 1965, has an unrestricted diet and her family heredity is Italian. She denies any history
of chronic health conditions. Initial CBC with differential shows a microcytic hypochromic
anemia which has not yet been diagnosed or treated and the red cell distribution width is
, elevated at 15%. Based on the most common cause of microcytic hypochromic anemia which of
the following labs will you order first?
A. B12 folate
B. gel electrophoresis
C. TIBC and ferritin
serum lead
Answer> C. TIBC and ferritin
10. 1. The 43-year-old patient with macrocytic anemia should be evaluated for which lab
levels to help narrow down the etiology.
A. ferritin
B. lead level
C. vitamin B12
D. TIBC.
Answer> C. vitamin B12
11. 1. Which of the following sweat glands concentrated in the palms of the hands and
soles of the feet and is involved in temperature regulation?
A. epidermis
B. apocrine
C. sebaceous
D. Eccrine
Answer> D. Eccrine
12. 1. Your schizophrenic patient is agitated during your exam in states what is that awful
taste? This is an example of which of the following types of hallucination?
A. Olfactory
B. Visual
C. Smells the hallucinations
D. Limbic
FINAL EXAM – CHAMBERLAIN
1. Kia is a 22-year-old trans female patient who is actively undergoing a gender affirming
therapy abruptly stopped their medication regimen for the last two weeks due to insurance
issues. They present to your clinic with hypotension, pallor and hypothermia. Assuming they
are taking all of the following medica- tions, which of these is most likely the culprit for these
symptoms after abrupt withdrawal?
A. spironolactone (Aldactone)
B. progestin (Heather)
C. Abarelix (Plenaxis)
D. Prednisone (Deltasone)
Answer> D. Prednisone (Deltasone)
2. Your 55-year-old female patient, Eve, has been diagnosed with acute myeloid leukemia.
Which of the following agents would be most likely to assist in management of her anticipated
side effects of cancer treatment?
A. allopurinol
B. colchicine
C. Lasix
D. N acetylcysteine
Answer> A. allopurinol
3. Patients with acute autoimmune disorder flares are routinely treated with
medication to reduce the inflammation but does not typically manage the un- derlying disease
state. Which class of medication is typically used to manage the underlying long term disease
state with most autoimmune disorders?
,A. corticosteroids
B. monoclonal antibodies
C. H2 receptor antagonist
D. non steroid anti-inflammatory
Answer> B. monoclonal antibodies
4. Zeke is a 22-year-old male patient presented to your primary care clinic with unilateral leg
swelling and tenderness after all nighter playing video games. You suspect he has a
provoked DVT from immobility and an ultrasound has been ordered. While awaiting this exam
to be performed you preemptively discuss coagulation with the patient assuming he will
most likely be needing this therapy period which of the following represents adequate
understanding from the patient?
A. The goal of my INR on Xarelto should be somewhat around 2.0
B. I will be I will need to take lovenox if I am started on Xarelto
C. Regardless of the venous Doppler findings, I can start warfarin alone and it will take around
four to five days to get the drug to the properly anticoagulation D if they find blood clot I will
need to use Lovenox in addition to warfarin until my INR is 3.0
Answer> D
if they find blood clot I will need to use Lovenox in addition to warfarin until my INR is 3.0
5. Shelley is a 19-year-old female patient who presents for a routine health visit. During your
exam she mentioned recent symptoms of dysuria and urinary frequency and you suspect a
urinary tract infection. You confirm this with urinalysis which is a which is as follows urine
positive for leukocyte esterase, nitrates, and WBC's as well as the presence of bacteria. Most
recent labs were six months ago and showed normal CBC and BMP. She also has a health
history of sea death after an antibiotic for an unrelated illness two years ago. Based on her
presentation which would be the best strategy for treating her urinary tract infection?
A. sulfamethoxazole/trimethoprim(Bactrim)
B. B doxycycline
C. C Clindamycin
D. D tobramycin
Answer> A. sulfamethoxazole/trimethoprim (Bactrim)
,6. 1. Which class of medications are indicated as first line management of both post traumatic
stress disorder and major depressive disorder?
A. Selective serotonin reuptake inhibitors (SSRIs)
B. non selective dopamine reuptake inhibitors
C. mood stabilizers
D. Monoamine oxidase inhibitors.
Answer> A. Selective serotonin reuptake inhibitors (SS- RIs)
7. 1. Which of the following concepts refers to where small differences in dose or blood
concentration may lead to failures and or adverse drug reactions that are life threatening or
result in persistent or significant disability?
A. wide therapeutic index
B. narrow therapeutic index
C. post antibiotic effect
D. zero order kinetics.
Answer> B. narrow therapeutic index
8. 1. Your patient is diagnosed with Addison's disease which of the following might you
expect to find during the examination?
A. low body temperature
B. abdominal striae
C. dowager hump
D. moon phase
Answer> A. low body temperature
9. 1. Your late adolescent female patient presents with a history of heavy menses and pale
conjunctiva. Your review of systems is fairly unremarkable other than she lives in our house
built in 1965, has an unrestricted diet and her family heredity is Italian. She denies any history
of chronic health conditions. Initial CBC with differential shows a microcytic hypochromic
anemia which has not yet been diagnosed or treated and the red cell distribution width is
, elevated at 15%. Based on the most common cause of microcytic hypochromic anemia which of
the following labs will you order first?
A. B12 folate
B. gel electrophoresis
C. TIBC and ferritin
serum lead
Answer> C. TIBC and ferritin
10. 1. The 43-year-old patient with macrocytic anemia should be evaluated for which lab
levels to help narrow down the etiology.
A. ferritin
B. lead level
C. vitamin B12
D. TIBC.
Answer> C. vitamin B12
11. 1. Which of the following sweat glands concentrated in the palms of the hands and
soles of the feet and is involved in temperature regulation?
A. epidermis
B. apocrine
C. sebaceous
D. Eccrine
Answer> D. Eccrine
12. 1. Your schizophrenic patient is agitated during your exam in states what is that awful
taste? This is an example of which of the following types of hallucination?
A. Olfactory
B. Visual
C. Smells the hallucinations
D. Limbic
