FNP 654 FINAL EXAM (2025/2026) UPDATE|QUESTIONS WITH CHOICES |VERIFIED & REVISED ANSWERS| GRADE A (NEW)!!!

FNP 654 FINAL EXAM (2025/2026)
UPDATE|QUESTIONS WITH CHOICES
|VERIFIED & REVISED
ANSWERS| GRADE A (NEW)!!!
Ampatientmwithmamfamilymhistorymofmamyotrophicmlateralmsclerosism(ALS)mbeginsmtomhavemsymptom
smthatmincludemasymmetricmweaknessminmthemarmsmandmdifficultymwalking.mThemneurologistmrecog
nizesmthesemsymptomsmasmcharacteristicmofminvolvementmofmwhichmportionmofmthemnervousmsyste
m?m-mCORRECTmANSWERSmLowermmotormneurons



Themspousemofmampatientmnewly-
diagnosedmwithmamyotrophicmlateralmsclerosism(ALS)masksmaboutmlong-
termmcare.mWhatmwillmthemprovidermincludemwhenmteachingmthemfamilymaboutmthismdisease?m-
mCORRECTmANSWERSmPreventingmmalnutritionmismamkeymelementminmcare.




WhichmsymptomsmmaymoccurmwithmBell'smpalsy?

Selectmallmthatmapply.m-mCORRECTmANSWERSmAlterationminmtaste,mDrooling,mTinnitus



Am35-year-
oldmpatientmreportsmsuddenlymexperiencingmanmasymmetricmsmilemalongmwithmdroopingmandmteari
ngminmonemeye.mThempatientmhasmamhistorymofmamrecentmviralmillness,mbutmismotherwisemhealthy.mDu
ringmthemexam,mthemprovidermnotesmthatmtheremismunilateralmfullmfacemparalysismonmthemrightmside.
mWhatmismtheminitialminterventionmformthismpatient?m-


mCORRECTmANSWERSmPrescribemoralmprednisolone




WhatmismrecommendedmtompreventmophthalmicmcomplicationsminmpatientsmwithmBell'smpalsy?m-
mCORRECTmANSWERSmLubricatingmeyemdrops

,Ampatientmreportsmamrecurrentmsensationmofmspinningmassociatedmwithmnauseamandmvomiting.mWh
ichmtestmwillmthemprovidermordermtomconfirmmamdiagnosismformthismpatient?m-
mCORRECTmANSWERSmThemHallpike-Dixmpositioningmmaneuver




Anmelderlympatientmreportsmsensationsmofmbeingmoffmbalancemwhenmwalking,mbutmdoesmnotmexperi
encemdizziness.mThemprovidermwillmrefermthismpatientmtomwhichmspecialistmformfurthermevaluation?m
-mCORRECTmANSWERSmNeurologist



WhichmdiagnosticmtestmhelpsmconfirmmamdiagnosismofmGuillain-
Barremsyndromeminmampatientmwhomismdevelopingmmusclemweaknessmandmparesthesias?m-
mCORRECTmANSWERSmLumbarmpuncture




WhichmmonitoringmparametersmaremnecessarymwhenmcaringmformampatientmwithmGuillain-
Barremsyndrome?

Selectmallmthatmapply.m-mCORRECTmANSWERSmBladdermscans

Cardiacmtelemetry

Fever

Vitalmcapacitymmeasures



Followingmanmuppermrespiratoryminfection,mampatientmbeginsmtomdevelopmataxiamandmdistalmparest
hesias,malongmwithmoculomotormsymptomsmandmdoublemvision.mBasedmonmthesempresentingmsymp
tomsmwhichmtypemofmGBSmdoesmthismpatientmhave?m-
mCORRECTmANSWERSmMillermFishermsyndromem(MFS)




Ampatientmhasmrecurrentmclustermheadachesmandmasksmaboutmabortivemtherapy.mWhichmtherapymis
meffectivemformammajoritymofmpatientsmwithmclustermheadaches?m-mCORRECTmANSWERSmOxygen




Ampatientmreportsmrecurrentmheadachesmoccurringm1morm2mtimesmpermmonthmthatmgenerallymoccur
mwithmweathermchangesmormwhenmsleepmpatternsmaremdisruptedmandmdescribesmthemmasmsevere,m

,withmthrobbingmonmonemsidemofmthemheadmandmsometimesmaccompaniedmbymnausea.mWhatmismthe
mrecommendedmtreatmentmformthismtypemofmheadache?m-mCORRECTmANSWERSmRizatriptan




Whichmmedicationsmmaymbemusefulminmtreatingmtension-typemheadache?

Selectmallmthatmapply.m-mCORRECTmANSWERSmAntiemetics

Musclemrelaxants

NSAIDs



Amprovidermsuspectsmthatmampatientmhasmbacterialmmeningitis.mWhenmshouldmantibioticsmbemgiven
?m-mCORRECTmANSWERSmPriormtomobtainingmamCTmscanmormlumbarmpuncture



Ampatientmismbroughtmtomthememergencymdepartmentmwithmfever,mlethargy,mandmheadachemwitho
utmmeningealmsigns.mThemexaminationmrevealsmhypotensionmandmlethargymandmthemexaminermnot
esmpetechiaemonmthempatient'smtrunk.mWhatmdomthesemfindingsmindicate?m-
mCORRECTmANSWERSmAmpoormprognosis




Ampatientmreportsmtwomepisodesmofmvisualmdisturbancesmandmeyempainmthatmlastedm1mtom2mdaysme
achmaboutm2mmonthsmapart.mWhichmdiagnosticmtestingmwillmthemprovidermorderminitially?m-
mCORRECTmANSWERSmMagneticmresonancemimaging




Ampatientmdiagnosedmwithmmultiplemsclerosismandmbeginsmdiseasemmodulatingmtherapymdrugs.mAsm
partmofmthemcounselingmaboutmthismtherapy,mthemprovidermwillmtellmthempatientmthatmthismregimenm
willm-mCORRECTmANSWERSmreducemthemexacerbationmrate.



Ampatientmwhomhasmamseizuremdisordermandmwhomtakesmlevetiracetammismbroughtmtomanmemergen
cymdepartmentmwithmamseizuremwhichmhasmpersistedmfor15mminutesmandmwhichmimmediatelymfollo
wedmanotherm15mminutemseizure.mWhatmismthemprioritymactionmformthismpatient?m-
mCORRECTmANSWERSmAdministermlorazepammandmmonitormcardiorespiratorymstatus

, Ampatientmwithmamseizuremdisordermhasmseizuresmwhichmbeginmwithmeyemtwitchingmandmoccasionall
ymvisualmhallucinations.mWhichmsiteminmthembrainmismthemseizuremfocus?m-
mCORRECTmANSWERSmOccipital




Whichmdrugmismusedmtomtreatmpatientsmwithmfocalmepilepsymandmcomplexmpartialmseizures?m-
mCORRECTmANSWERSmCarbamazepine




Ampatientmreportsmparoxysmsmofmburning,mshock-
likempainmonmbothmsidesmofmthemfacemusuallymtriggeredmbymchewingmormtalking.mThemprovidermsusp
ectsmtrigeminalmneuralgia.mBasedmonmthesempresentingmsymptoms,mwhatmtestingmismindicated?m-
mCORRECTmANSWERSmMagneticmresonancemimaging




Ampatientmwithmtrigeminalmneuralgiamhasmtriedmseveralmmedicationmregimensmtomcontrolmpainmwit
houtmsuccess.mWhatmismthemnextmstepminmmanagementmformthismcondition?m-
mCORRECTmANSWERSmReferralmtomamneurosurgeon




Ampatientmismdiagnosedmwithmtrigeminalmneuralgiamandmreportsmhavingmparoxysmsmseveralmtimesm
eachmday.mWhatmismtheminitialmtreatmentmformthismpatient?m-
mCORRECTmANSWERSmAmhighmdosemofmcarbamazepinemwithmsubsequentmtitrationmdownward




Ampatientmdevelopsmamgaitmdisordermandmthempatient'smspousemreportsmnoticingmrecentmpersonalit
ymchanges.mThemprovidermsuspectsmambrainmlesion.mWhichmevaluationmismespeciallymimportantminmt
heminitialmphysicalmexamination?m-mCORRECTmANSWERSmExaminationmofmthemopticmfundi



Whichmismthempreferredmtreatmentmformprimarymbrainmtumors?m-
mCORRECTmANSWERSmSurgicalmresection




Ampatientmismdiagnosedmwithmpanicmdisordermandmbeginsmtakingmamselectivemserotoninmreuptakemi
nhibitormmedication.mSixmweeksmlater,mthempatientmreportsmlittlemreliefmfrommsymptoms.mWhatmwil
lmthemprovidermdomnextmtommanagemthismpatient?m-
mCORRECTmANSWERSmRefermtomammentalmhealthmprovider