FNP654/ FNP 654 FINAL EXAM | FAMILY
PRIMARY CARE II EXAM | QUESTIONS AND
VERIFIED ANSWERS| 100% CORRECT| GRADE
A – GCU | 2026/2027
A patient reports a neck mass that has been present off and on for 5 to 6
weeks which varies in size. The provider palpates a lymph node
measuring 1.25cm. which test will the provider proper histologic
diagnosis for this patient?
- Correct Answer - Lymph node biopsy
Which laboratory tests may help distinguish systemic lupus
erythematosus (SLE) from other systemic rheumatologic disorders?
- Correct Answer - Serum complement levels
A 60-year-old patient reports new onset of bilateral shoulder pain with
morning stiffness lasting approximately one hour. Which will be included
in initial diagnostic testing for this patient? Select all that apply.
- Correct Answer - 1) ESR and CRP
2) Liver function tests
3) Protein electrophoresis
,A patient is diagnosed with ankylosing spondylitis and begins taking a
COX-2 inhibitor with minimal pain and inflammation relief. What will the
provider order initially to manage this patient's symptoms?
- Correct Answer - Changing to a COX-1 inhibitor medication
A patient reports a history of recurrent lower back pain for 6 months. The
patient describes the pain as a deep ache and stiffness that is worse
upon wakening and improves after walking. Which assessment would
NOT be helpful to make a clinical diagnosis of ankylosing spondylitis?
- Correct Answer - Noting the degree of cervical kyphosis
A patient who is taking prednisolone 20 mg daily to treat polymyalgia
rheumatica, reports blurred vision. What will the provider do?
- Correct Answer - Increase the prednisolone dose to 60 mg daily
A patient has swelling and tenderness in the small joints of both hands
and reports several weeks of malaise and fatigue. A RF test is negative.
What will the primary care provider do next?
- Correct Answer - Order radiographic tests, a CBC, and acute-phase
reactant levels
A child has a high fever, bilateral conjunctivitis, and a desquamating rash
and is presumed to have a vasculitic disease. What is the likely
treatment for this child?
, - Correct Answer - Aspirin and Intravenous immunoglobulin
School age child with seasonal allergies
- Correct Answer - nonsedating antihistamines mildly helpful, next
approach: Intranasal corticosteroid
An adolescent female reports poor sleep, fatigue, muscle and joint paint,
and anxiety lasting for several months. The primary care nurse
practitioner notes point tenderness at several sites. What will the nurse
practitioner do next?
- Correct Answer - Refer the adolescent to a rheumatologist for further
evaluation
Which patients with documented HIV infection may be classified has
having acquired immunodeficiency syndrome (AIDS)?
- Correct Answer - A patient with tuberculosis
A patient has a palpable purpural rash. This finding is most consistent
with?
- Correct Answer - Small-vessel vasculitis
A 12-year-old child is brought to the clinic with joint pain, a 3-week
history of low-grade fever, and a facial rash. The primary care nurse
practitioner palpates an enlarged liver 2 cm below the subcostal margin
PRIMARY CARE II EXAM | QUESTIONS AND
VERIFIED ANSWERS| 100% CORRECT| GRADE
A – GCU | 2026/2027
A patient reports a neck mass that has been present off and on for 5 to 6
weeks which varies in size. The provider palpates a lymph node
measuring 1.25cm. which test will the provider proper histologic
diagnosis for this patient?
- Correct Answer - Lymph node biopsy
Which laboratory tests may help distinguish systemic lupus
erythematosus (SLE) from other systemic rheumatologic disorders?
- Correct Answer - Serum complement levels
A 60-year-old patient reports new onset of bilateral shoulder pain with
morning stiffness lasting approximately one hour. Which will be included
in initial diagnostic testing for this patient? Select all that apply.
- Correct Answer - 1) ESR and CRP
2) Liver function tests
3) Protein electrophoresis
,A patient is diagnosed with ankylosing spondylitis and begins taking a
COX-2 inhibitor with minimal pain and inflammation relief. What will the
provider order initially to manage this patient's symptoms?
- Correct Answer - Changing to a COX-1 inhibitor medication
A patient reports a history of recurrent lower back pain for 6 months. The
patient describes the pain as a deep ache and stiffness that is worse
upon wakening and improves after walking. Which assessment would
NOT be helpful to make a clinical diagnosis of ankylosing spondylitis?
- Correct Answer - Noting the degree of cervical kyphosis
A patient who is taking prednisolone 20 mg daily to treat polymyalgia
rheumatica, reports blurred vision. What will the provider do?
- Correct Answer - Increase the prednisolone dose to 60 mg daily
A patient has swelling and tenderness in the small joints of both hands
and reports several weeks of malaise and fatigue. A RF test is negative.
What will the primary care provider do next?
- Correct Answer - Order radiographic tests, a CBC, and acute-phase
reactant levels
A child has a high fever, bilateral conjunctivitis, and a desquamating rash
and is presumed to have a vasculitic disease. What is the likely
treatment for this child?
, - Correct Answer - Aspirin and Intravenous immunoglobulin
School age child with seasonal allergies
- Correct Answer - nonsedating antihistamines mildly helpful, next
approach: Intranasal corticosteroid
An adolescent female reports poor sleep, fatigue, muscle and joint paint,
and anxiety lasting for several months. The primary care nurse
practitioner notes point tenderness at several sites. What will the nurse
practitioner do next?
- Correct Answer - Refer the adolescent to a rheumatologist for further
evaluation
Which patients with documented HIV infection may be classified has
having acquired immunodeficiency syndrome (AIDS)?
- Correct Answer - A patient with tuberculosis
A patient has a palpable purpural rash. This finding is most consistent
with?
- Correct Answer - Small-vessel vasculitis
A 12-year-old child is brought to the clinic with joint pain, a 3-week
history of low-grade fever, and a facial rash. The primary care nurse
practitioner palpates an enlarged liver 2 cm below the subcostal margin
