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FNP654/ FNP 654 Final Exam (Latest 2025/2026
Update) Family Primary Care I Exam | Questions and
Verified Answers| 100% Correct| Grade A GCU
The primary care nurse practitioner is evaluating a 10-year-old
child who is describing shooting pain in both legs associated with
aching, tingling, and burning. The child is unable to pinpoint specific
locations for this pain. Which type of pain does the nurse
practitioner suspect?
ANSWERS: Neuropathic pain
A patient has new-onset hypertension with a systolic blood
pressure of 180 mm Hg. Which test will the provider order to
diagnose this patient?
ANSWERS: Fractionated metanephrine levels
Which of the following is NOT considered an oncologic emergency
in a patient with cancer requiring urgent referral to an
oncologist?
ANSWERS: Bone marrow suppression
A patient has a carpal spasm when a blood pressure cuff is inflated.
Which diagnostic testing will the provider consider to evaluate the
cause of this finding?
ANSWERS: Magnesium and vitamin D
A woman has a history of migraines with aura and request oral
contraceptives to prevent pregnancy. Which type of contraceptive
will the provider recommend?
ANSWERS: Progestin-only contraception
,An adolescent female reports moderate dysmenorrhea with periods
and tells the primary care nurse
practitioner that 400 mg ibuprofen every 6 to 8 hours doesn't
completely control her pain. What will the nurse practitioner
recommend?
ANSWERS: Taking naproxen 500 mg initially and then 250 mg every 6
to 8 hours
A patient is diagnosed with osteoporosis. What is the
recommended treatment once the diagnosis is made?
ANSWERS: Biphosphonate therapy
A pregnant woman reports not having had any vaccinations as a
child but requests vaccines during her pregnancy. Which vaccines
may be given? Mark all that apply.
ANSWERS: Tdap
A couple who has been trying to conceive for over 9 months asks the
provider about artificial
reproductive therapy. When discussing risks and benefits associated
with these methods, what will the provider include?
ANSWERS: Increased premature births
A patient reports recent mild fatigue and palpitations. A complete
blood count reveals a decreased hemoglobin and ferritin level.
What other findings are likely to be present?
ANSWERS: Decreased hematocrit
A pregnant woman, in the first trimester, who is overweight, has no
previous history of hypertension or diabetes. Her initial screening
exam reveals blood pressure of 140/90 and a fasting blood
glucose of
128 mg/dL. What will the practitioner do?
ANSWERS: Monitor blood pressure and fasting blood glucose closely
,A complete blood count on a 12-month-old infant reveals
microcytic, hypochromic anemia with a hemoglobin of 9.5 g/dL.
The infar has mild pallor with no hepatosplenomegaly. The family
nurse practitioner suspects:
ANSWERS: Iron deficiency anemia
The mother of a 3-day-old newborn reports that her infant nurses
every 4 hours during the day and sleeps 6 hours at night. What will
the provider recommend?
ANSWERS: Awakening the baby every 3 hours to nurse
The family nurse practitioner provides primary care for a 30-moth-
old child who has sickle cell anemia who has had one dose of 23-
valent pneumococcal vaccine. Which is an appropriate action for
health maintenance in this child?
ANSWERS: Administer an initial meningococcal vaccine
An infant who has just begun nursing develops hyperbilirubinemia.
What will the provider tell the mother?
ANSWERS: To use a breast pump to increase her milk supply
A patient with myelodysplastic syndrome (MDS) has severe neutropenia
and anemia is given
erythropoietin (EPO) with improvement in hemoglobin. Which
intervention has been shown to prevent infection in patients with
MDS who have severe neutropenia?
ANSWERS: Prophylactic treatment with fluroquinolones
A mother who has been breastfeeding her infant for several
weeks develops a fever, breast warmth, and breast tenderness.
What will the provider recommend?
ANSWERS: Warm packs and increased frequency of nursing
, A patient Is noted to have prolonged bleeding after donating
blood. A subsequent laboratory test reveals a prolonged activated
partial thromboplastin (aPTT) time with a normal prothrombin time
(PT). based on this result, the provider may suspect alteration in
function of which factor?
ANSWERS: Factor VIII
A 60-year-old female patient has recently lost weight and a
physical examination reveals a beefy-red, sore tongue, with no
neurological findings. Based on these clinical findings, what will
the provider
anticipate finding in the laboratory data?
ANSWERS: Low hemoglobin and elevated MCV
A male patient has a history of recurrent epistaxis. Prior to a scheduled
surgery, the provider asks about family history of bleeding disorders. The
patient reports no female relatives who has excessive bleeding episodes,
but stats that a maternal uncle and his maternal grandfather both has
post-surgical
complications related to bleeding. Based on this history, which diagnosis is
possible?
ANSWERS: Hemophilia
FNP654/ FNP 654 Final Exam (Latest 2025/2026
Update) Family Primary Care I Exam | Questions and
Verified Answers| 100% Correct| Grade A GCU
The primary care nurse practitioner is evaluating a 10-year-old
child who is describing shooting pain in both legs associated with
aching, tingling, and burning. The child is unable to pinpoint specific
locations for this pain. Which type of pain does the nurse
practitioner suspect?
ANSWERS: Neuropathic pain
A patient has new-onset hypertension with a systolic blood
pressure of 180 mm Hg. Which test will the provider order to
diagnose this patient?
ANSWERS: Fractionated metanephrine levels
Which of the following is NOT considered an oncologic emergency
in a patient with cancer requiring urgent referral to an
oncologist?
ANSWERS: Bone marrow suppression
A patient has a carpal spasm when a blood pressure cuff is inflated.
Which diagnostic testing will the provider consider to evaluate the
cause of this finding?
ANSWERS: Magnesium and vitamin D
A woman has a history of migraines with aura and request oral
contraceptives to prevent pregnancy. Which type of contraceptive
will the provider recommend?
ANSWERS: Progestin-only contraception
,An adolescent female reports moderate dysmenorrhea with periods
and tells the primary care nurse
practitioner that 400 mg ibuprofen every 6 to 8 hours doesn't
completely control her pain. What will the nurse practitioner
recommend?
ANSWERS: Taking naproxen 500 mg initially and then 250 mg every 6
to 8 hours
A patient is diagnosed with osteoporosis. What is the
recommended treatment once the diagnosis is made?
ANSWERS: Biphosphonate therapy
A pregnant woman reports not having had any vaccinations as a
child but requests vaccines during her pregnancy. Which vaccines
may be given? Mark all that apply.
ANSWERS: Tdap
A couple who has been trying to conceive for over 9 months asks the
provider about artificial
reproductive therapy. When discussing risks and benefits associated
with these methods, what will the provider include?
ANSWERS: Increased premature births
A patient reports recent mild fatigue and palpitations. A complete
blood count reveals a decreased hemoglobin and ferritin level.
What other findings are likely to be present?
ANSWERS: Decreased hematocrit
A pregnant woman, in the first trimester, who is overweight, has no
previous history of hypertension or diabetes. Her initial screening
exam reveals blood pressure of 140/90 and a fasting blood
glucose of
128 mg/dL. What will the practitioner do?
ANSWERS: Monitor blood pressure and fasting blood glucose closely
,A complete blood count on a 12-month-old infant reveals
microcytic, hypochromic anemia with a hemoglobin of 9.5 g/dL.
The infar has mild pallor with no hepatosplenomegaly. The family
nurse practitioner suspects:
ANSWERS: Iron deficiency anemia
The mother of a 3-day-old newborn reports that her infant nurses
every 4 hours during the day and sleeps 6 hours at night. What will
the provider recommend?
ANSWERS: Awakening the baby every 3 hours to nurse
The family nurse practitioner provides primary care for a 30-moth-
old child who has sickle cell anemia who has had one dose of 23-
valent pneumococcal vaccine. Which is an appropriate action for
health maintenance in this child?
ANSWERS: Administer an initial meningococcal vaccine
An infant who has just begun nursing develops hyperbilirubinemia.
What will the provider tell the mother?
ANSWERS: To use a breast pump to increase her milk supply
A patient with myelodysplastic syndrome (MDS) has severe neutropenia
and anemia is given
erythropoietin (EPO) with improvement in hemoglobin. Which
intervention has been shown to prevent infection in patients with
MDS who have severe neutropenia?
ANSWERS: Prophylactic treatment with fluroquinolones
A mother who has been breastfeeding her infant for several
weeks develops a fever, breast warmth, and breast tenderness.
What will the provider recommend?
ANSWERS: Warm packs and increased frequency of nursing
, A patient Is noted to have prolonged bleeding after donating
blood. A subsequent laboratory test reveals a prolonged activated
partial thromboplastin (aPTT) time with a normal prothrombin time
(PT). based on this result, the provider may suspect alteration in
function of which factor?
ANSWERS: Factor VIII
A 60-year-old female patient has recently lost weight and a
physical examination reveals a beefy-red, sore tongue, with no
neurological findings. Based on these clinical findings, what will
the provider
anticipate finding in the laboratory data?
ANSWERS: Low hemoglobin and elevated MCV
A male patient has a history of recurrent epistaxis. Prior to a scheduled
surgery, the provider asks about family history of bleeding disorders. The
patient reports no female relatives who has excessive bleeding episodes,
but stats that a maternal uncle and his maternal grandfather both has
post-surgical
complications related to bleeding. Based on this history, which diagnosis is
possible?
ANSWERS: Hemophilia
