FNP654 / FNP 654 FINAL EXAM COMPLETE SOLUTION SET : THE
ULTIMATE FAMILY PRIMARY CARE I EXAM BANK WITH 200+
VERIFIED QUESTIONS, EXPERT-WRITTEN RATIONALE
EXPLANATIONS, 100% CORRECT ANSWERS, AND GUARANTEED
GRADE-A PASS FOR GCU NURSE PRACTITIONER STUDENTS| 50
EXTRA QUESTIONS | JUST RELEASED !!!
The primary care nurse practitioner attempts to learn more about the emotional
health of an 18-month-old child through which assessment strategy?
CORRECT ANSWER:
Observation of the child with caretakers in structured and unstructured
situation
A woman who has had routine Pap tests all of her adult life has an abnormal Pap
with low-grade intraepithelial lesion. What will the provider tell her about this
result?
CORRECT ANSWER:
Colposcopy with biopsy is necessary
A patient has bone pain and laboratory testing reveals an elevated serum
alkaline phosphatase (SAP). Which test can help distinguish Paget's from
malignant bone disease?
CORRECT ANSWER:
Bone radiograph
What is the most important role of the primary care provider in cancer
management?
CORRECT ANSWER:
,Counseling about healthy practices to reduce risk factors
A 35-year-old woman without a previous history of dysmenorrhea reports lower
pelvic pain and irregular bleeding between periods. What is the initial action in
managing this patient?
CORRECT ANSWER:
Performing an abdominal, pelvic, and rectovaginal examination
A patient being treated for cancer has had chemotherapy within the past two
weeks and comes to the primary care clinic with a fever of 38.5° C. What is the
initial action?
CORRECT ANSWER:
Obtain a STAT CBC with differential
What is a possible cause of decreased arousal, libido, and orgasm in a
postmenopausal woman?
CORRECT ANSWER:
Diminished testosterone
What is an important purpose of conducting an interview prior to beginning
neuropsychological testing on an older adult suspected of having dementia?
CORRECT ANSWER:
To assess the patient's ability to cooperate with the testing
A patient has unexplained weight loss and the provider notes increased skin
pigmentation on light-exposed skin folds along with darkened palmar creases.
Which laboratory test will the provider NOT order?
CORRECT ANSWER:
Serum cortisol
A patient with cancer is expected to require long-term pain medication to
manage cancer pain. Which agent will be best for this patient?
CORRECT ANSWER:
Morphine
,A 16-year-old female has primary amenorrhea. A pregnancy test is negative.
Further testing reveals a normal TSH and an elevated prolactin level. Which test
will the provider order next?
CORRECT ANSWER:
Magnetic resonance imaging
During a well-baby exam on a 9-month-old infant, the parent reports that the
baby always uses the left hand to pick up objects and asks if the baby will be
left-handed. What will the primary care nurse practitioner do?
CORRECT ANSWER:
Perform a careful assessment of fine and gross motor skills.
An asymptomatic female learns that her boyfriend has gonorrhea and asks
about antibiotics. What will the provider recommend?
CORRECT ANSWER:
Empiric ceftriaxone and azithromycin
A 16-year-old sexually active female has symptoms of PID with fever. Cultures
are pending. For outpatient treatment, what will the provider order?
CORRECT ANSWER:
Rocephin, doxycycline, and metronidazole
A 30-year-old male patient has a positive leukocyte esterase and nitrites on a
random urine dipstick during a well patient exam. What type of urinary tract
infection does this represent?
CORRECT ANSWER:
Complicated
A middle-school-age child is skipping school frequently and getting poor grades
since the child's father was killed while deployed in the military. How will the
primary care nurse practitioner manage this situation?
CORRECT ANSWER:
Refer the child to a mental health specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased serum
calcium 0.5 mg/dL above normal without signs of nephrolithiasis. What is the
recommended treatment for this patient?
, CORRECT ANSWER:
Annual monitoring of calcium, creatinine, and bone density
What is true about HPV infection in women?
CORRECT ANSWER:
Most HPV lesions will resolve spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the recommended
treatment once the diagnosis is made?
CORRECT ANSWER:
Bisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she describes as
sharp and burning and localized to one area. A breast examination reveals no
dimpling, discharge, or masses. Which diagnostic test will the provider order?
CORRECT ANSWER:
Bilateral mammography
An adolescent female has amenorrhea. The provider notes short stature, neck
webbing, and a pigeon chest deformity. Based on these symptoms, what is the
underlying disorder causing this patient's amenorrhea?
CORRECT ANSWER:
Turner's syndrome
A young female has a Pap test which reveals atypical squamous cells of
undetermined significance. What will the next step be in managing this patient?
CORRECT ANSWER:
Repeat cytology in 12 months
Which drug is used to treat patients with focal epilepsy and complex partial
seizures?
CORRECT ANSWER:
Carbamazepine
A 35-year-old patient reports suddenly experiencing an asymmetric smile along
with drooping and tearing in one eye. The patient has a history of a recent viral
illness, but is otherwise healthy. During the exam, the provider notes that there
ULTIMATE FAMILY PRIMARY CARE I EXAM BANK WITH 200+
VERIFIED QUESTIONS, EXPERT-WRITTEN RATIONALE
EXPLANATIONS, 100% CORRECT ANSWERS, AND GUARANTEED
GRADE-A PASS FOR GCU NURSE PRACTITIONER STUDENTS| 50
EXTRA QUESTIONS | JUST RELEASED !!!
The primary care nurse practitioner attempts to learn more about the emotional
health of an 18-month-old child through which assessment strategy?
CORRECT ANSWER:
Observation of the child with caretakers in structured and unstructured
situation
A woman who has had routine Pap tests all of her adult life has an abnormal Pap
with low-grade intraepithelial lesion. What will the provider tell her about this
result?
CORRECT ANSWER:
Colposcopy with biopsy is necessary
A patient has bone pain and laboratory testing reveals an elevated serum
alkaline phosphatase (SAP). Which test can help distinguish Paget's from
malignant bone disease?
CORRECT ANSWER:
Bone radiograph
What is the most important role of the primary care provider in cancer
management?
CORRECT ANSWER:
,Counseling about healthy practices to reduce risk factors
A 35-year-old woman without a previous history of dysmenorrhea reports lower
pelvic pain and irregular bleeding between periods. What is the initial action in
managing this patient?
CORRECT ANSWER:
Performing an abdominal, pelvic, and rectovaginal examination
A patient being treated for cancer has had chemotherapy within the past two
weeks and comes to the primary care clinic with a fever of 38.5° C. What is the
initial action?
CORRECT ANSWER:
Obtain a STAT CBC with differential
What is a possible cause of decreased arousal, libido, and orgasm in a
postmenopausal woman?
CORRECT ANSWER:
Diminished testosterone
What is an important purpose of conducting an interview prior to beginning
neuropsychological testing on an older adult suspected of having dementia?
CORRECT ANSWER:
To assess the patient's ability to cooperate with the testing
A patient has unexplained weight loss and the provider notes increased skin
pigmentation on light-exposed skin folds along with darkened palmar creases.
Which laboratory test will the provider NOT order?
CORRECT ANSWER:
Serum cortisol
A patient with cancer is expected to require long-term pain medication to
manage cancer pain. Which agent will be best for this patient?
CORRECT ANSWER:
Morphine
,A 16-year-old female has primary amenorrhea. A pregnancy test is negative.
Further testing reveals a normal TSH and an elevated prolactin level. Which test
will the provider order next?
CORRECT ANSWER:
Magnetic resonance imaging
During a well-baby exam on a 9-month-old infant, the parent reports that the
baby always uses the left hand to pick up objects and asks if the baby will be
left-handed. What will the primary care nurse practitioner do?
CORRECT ANSWER:
Perform a careful assessment of fine and gross motor skills.
An asymptomatic female learns that her boyfriend has gonorrhea and asks
about antibiotics. What will the provider recommend?
CORRECT ANSWER:
Empiric ceftriaxone and azithromycin
A 16-year-old sexually active female has symptoms of PID with fever. Cultures
are pending. For outpatient treatment, what will the provider order?
CORRECT ANSWER:
Rocephin, doxycycline, and metronidazole
A 30-year-old male patient has a positive leukocyte esterase and nitrites on a
random urine dipstick during a well patient exam. What type of urinary tract
infection does this represent?
CORRECT ANSWER:
Complicated
A middle-school-age child is skipping school frequently and getting poor grades
since the child's father was killed while deployed in the military. How will the
primary care nurse practitioner manage this situation?
CORRECT ANSWER:
Refer the child to a mental health specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased serum
calcium 0.5 mg/dL above normal without signs of nephrolithiasis. What is the
recommended treatment for this patient?
, CORRECT ANSWER:
Annual monitoring of calcium, creatinine, and bone density
What is true about HPV infection in women?
CORRECT ANSWER:
Most HPV lesions will resolve spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the recommended
treatment once the diagnosis is made?
CORRECT ANSWER:
Bisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she describes as
sharp and burning and localized to one area. A breast examination reveals no
dimpling, discharge, or masses. Which diagnostic test will the provider order?
CORRECT ANSWER:
Bilateral mammography
An adolescent female has amenorrhea. The provider notes short stature, neck
webbing, and a pigeon chest deformity. Based on these symptoms, what is the
underlying disorder causing this patient's amenorrhea?
CORRECT ANSWER:
Turner's syndrome
A young female has a Pap test which reveals atypical squamous cells of
undetermined significance. What will the next step be in managing this patient?
CORRECT ANSWER:
Repeat cytology in 12 months
Which drug is used to treat patients with focal epilepsy and complex partial
seizures?
CORRECT ANSWER:
Carbamazepine
A 35-year-old patient reports suddenly experiencing an asymmetric smile along
with drooping and tearing in one eye. The patient has a history of a recent viral
illness, but is otherwise healthy. During the exam, the provider notes that there
