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FNP 652 FINAL (2026) EXAM QUESTIONS
AND ALL CORRECT ANSWERS 100%
SOLVED AND GUARANTEED SUCCESS!!
A patient reports several episodes of acute vertigo, some lasting up to an
hour with associated nausea and vomiting. What is part of the initial
diagnostic workup for this patient? ......ANSWER.....Audiogram and MRI
A teen with a history of otitis externa asks about ways to prevent this
condition. What will the primary care nurse practitioner recommend?
......ANSWER.....Drying the ear canal with a hair dryer
A 7-month-old infant has had two prior acute ear infections and is currently
on the 10th day of therapy with amoxicillin-clavulanate after a failed course
of amoxicillin. The primary care nurse practitioner notes marker middle ear
effusion and erythema of the TM. The child is irritable and has a
temperature of 99.8. What is the next step in management of this child's
infection? ......ANSWER.....Refer the child to an otolayngologist
A patient reports painful swelling in the mouth with increased pain at
mealtimes. The provider notes a mass in the salivary gland region. What is
the likely cause of these symptoms? ......ANSWER.....Sialolithiasis
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A child complains of itching in both ears and is having trouble hearing. The
primary care nurse practitioner notes periauricular edema and marked
swelling of the external auditory canal and elicits severe pain when
manipulating the external ear structures. Which is an appropriate
intervention? ......ANSWER.....Order ototopical antibiotic/corticosteroid
drops
During a well child assessment of an African American infant, the primary
care nurse practitioner notes a dark red-brown light reflex in the left eye and
a slightly brighter, red-orange light reflex in the right eye. The nurse
practitioner will... ......ANSWER.....Refer the infant to an opthalmologist
Which are risk factors for development of cataracts? ......ANSWER.....1.
Smoking
2. Advancing Age
3. UV Light
A preschool age child who attend daycare has a 2 day history of matted
eyelids in the morning and burning and itching of the eyes. The primary care
NP notes yellow-green purulent discharge from both eyes, conjunctival
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erythema and mild URI symptoms. Which action is correct?
......ANSWER.....Prescribe topical antibiotic drops
An 18-month-old child with no previous history of otitis media awoke during
the night with right ear pain. The primary care NP notes an axillary
temperature of 100.5 and an erythematous, bulging TM. A tympanogram
reveals a peak of +15-mm H2O. What is the recommended treatment for this
child? ......ANSWER.....An analgesic medication and watchful waiting
A patient complains of otalgia and difficulty hearing from one ear. The
provider performs an otoscopic exam and notes a dark brown mass in the
lower portion of the external canal blocking the patient's TM. What is the
initial action? ......ANSWER.....Ask the patient about previous problems with
the ear
The primary care NP is treating an infant with lacrimal duct obstruction who
has developed bacterial conjunctivitis. After 2 weeks of treatment with
topical antibiotics along with massage and frequent cleaning of secretions,
the infant's symptoms have not improved. Which action is correct?
......ANSWER.....Refer to an ophthalmologist
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A patient has a chronic swelling of the parotid gland that is unresponsive to
antibiotics and which has not increased in size. Which diagnostic test is
indicated? ......ANSWER.....Fine needle aspiration
During a well-child exam on a 4-year-old child, the primary care NP notes
that the clinic nurse recorded 20/50 for the child's vision and noted that the
child has difficulty cooperating with the exam. What will the NP
recommend? ......ANSWER.....Test the child's vision in 1 month
Causes of cough, not related to pulmonary issues ......ANSWER.....Allergies,
GERD, medications (lisinopril)
A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic
studies are negative for facial fractures. What is the recommended
treatment? ......ANSWER.....Refer the child to the dentist immediately for
further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate
for acute otitis media is seen for follow-up. The primary care nurse
practitioner notes dull-gray tympanic membranes with a visible air-fluid
level. The child is afebrile and without pain. What is the next course of
action? ......ANSWER.....Monitoring ear fluid levels for 3 months
FNP 652 FINAL (2026) EXAM QUESTIONS
AND ALL CORRECT ANSWERS 100%
SOLVED AND GUARANTEED SUCCESS!!
A patient reports several episodes of acute vertigo, some lasting up to an
hour with associated nausea and vomiting. What is part of the initial
diagnostic workup for this patient? ......ANSWER.....Audiogram and MRI
A teen with a history of otitis externa asks about ways to prevent this
condition. What will the primary care nurse practitioner recommend?
......ANSWER.....Drying the ear canal with a hair dryer
A 7-month-old infant has had two prior acute ear infections and is currently
on the 10th day of therapy with amoxicillin-clavulanate after a failed course
of amoxicillin. The primary care nurse practitioner notes marker middle ear
effusion and erythema of the TM. The child is irritable and has a
temperature of 99.8. What is the next step in management of this child's
infection? ......ANSWER.....Refer the child to an otolayngologist
A patient reports painful swelling in the mouth with increased pain at
mealtimes. The provider notes a mass in the salivary gland region. What is
the likely cause of these symptoms? ......ANSWER.....Sialolithiasis
,2|Page
A child complains of itching in both ears and is having trouble hearing. The
primary care nurse practitioner notes periauricular edema and marked
swelling of the external auditory canal and elicits severe pain when
manipulating the external ear structures. Which is an appropriate
intervention? ......ANSWER.....Order ototopical antibiotic/corticosteroid
drops
During a well child assessment of an African American infant, the primary
care nurse practitioner notes a dark red-brown light reflex in the left eye and
a slightly brighter, red-orange light reflex in the right eye. The nurse
practitioner will... ......ANSWER.....Refer the infant to an opthalmologist
Which are risk factors for development of cataracts? ......ANSWER.....1.
Smoking
2. Advancing Age
3. UV Light
A preschool age child who attend daycare has a 2 day history of matted
eyelids in the morning and burning and itching of the eyes. The primary care
NP notes yellow-green purulent discharge from both eyes, conjunctival
,3|Page
erythema and mild URI symptoms. Which action is correct?
......ANSWER.....Prescribe topical antibiotic drops
An 18-month-old child with no previous history of otitis media awoke during
the night with right ear pain. The primary care NP notes an axillary
temperature of 100.5 and an erythematous, bulging TM. A tympanogram
reveals a peak of +15-mm H2O. What is the recommended treatment for this
child? ......ANSWER.....An analgesic medication and watchful waiting
A patient complains of otalgia and difficulty hearing from one ear. The
provider performs an otoscopic exam and notes a dark brown mass in the
lower portion of the external canal blocking the patient's TM. What is the
initial action? ......ANSWER.....Ask the patient about previous problems with
the ear
The primary care NP is treating an infant with lacrimal duct obstruction who
has developed bacterial conjunctivitis. After 2 weeks of treatment with
topical antibiotics along with massage and frequent cleaning of secretions,
the infant's symptoms have not improved. Which action is correct?
......ANSWER.....Refer to an ophthalmologist
, 4|Page
A patient has a chronic swelling of the parotid gland that is unresponsive to
antibiotics and which has not increased in size. Which diagnostic test is
indicated? ......ANSWER.....Fine needle aspiration
During a well-child exam on a 4-year-old child, the primary care NP notes
that the clinic nurse recorded 20/50 for the child's vision and noted that the
child has difficulty cooperating with the exam. What will the NP
recommend? ......ANSWER.....Test the child's vision in 1 month
Causes of cough, not related to pulmonary issues ......ANSWER.....Allergies,
GERD, medications (lisinopril)
A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic
studies are negative for facial fractures. What is the recommended
treatment? ......ANSWER.....Refer the child to the dentist immediately for
further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate
for acute otitis media is seen for follow-up. The primary care nurse
practitioner notes dull-gray tympanic membranes with a visible air-fluid
level. The child is afebrile and without pain. What is the next course of
action? ......ANSWER.....Monitoring ear fluid levels for 3 months
