FNP FINAL EXAM VERIFIED QUESTIONS AND
ANSWERS(UPDATED)
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy
is eective for a majority of patients with cluster headaches?
a. Lithium
b. NSAIDs
c. Oxygen
d. Verapamil
Correct answer: C. Oxygen
A patient reports recurrent headaches occurring 1 or 2 times per month that generally
occur with weather changes or when sleep patterns are disrupted and describes them as
severe, with throbbing on one side of the head and sometimes accompanied by nausea.
What is the recommended treatment for this type of headache?
a. Gabapentin
b. Propranolol
c. Rizatriptan
d. Topiramate
Correct answer: c. Rizatriptan
Which medication is NOT useful in treating tension-type headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen
Correct answer: b. Lithium
,A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days
each about 2 months apart. Which diagnostic testing will the provider order initially?
a. Lumbar puncture
b. Magnetic resonance imaging
c. Optical Coherence Tomography
d. Visual evoked potential
Correct answer: b. Magnetic resonance imaging
A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa (Sinemet) with
good results but develops increased dyskinesia. Which drug will be added to this patient's
regimen to help control this symptom?
a. Amantadine
b. Benztropine
c. Ropinirole
d. Tolcapone
Correct answer: a. Amantadine
All of the following are common symptoms seen in patients with Parkinson's disease
except:
a. Bradykinesia
b. Festination
c. Hyperphonia
d. Rigidity
e. Symmetric tremor
Correct answer: c. Hyperphonia
,Which drug is used to treat patients with focal epilepsy and complex partial seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
d. Topiramate
Correct answer: a. Carbamazepine
A patient develops a gait disorder and the patient's spouse reports noticing recent
personality changes. The provider suspects a brain lesion. Which evaluation is especially
important in the initial physical examination?
a. Assessment of peripheral reexes
b. Evaluation of speech
c. Examination of the optic fundi
d. Testing for memory loss
Correct answer: c. Examination of the optic fundi
A toddler has begun hitting and biting other children at a day care center and is exhibiting
temper tantrums and bad language at home. The parent reports that these behaviors began
shortly after a sibling was born. What will the primary care pediatric nurse practitioner do?
A. Advise the parent that the child is exhibiting early symptoms of ADHD.
B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
C. Recommend evaluating the child for conduct or oppositional deant disorder.
D. Suggest putting the child in another day care center to ameliorate the problems
Correct answer: B. Engage the parent in positive parenting strategies to facilitate
appropriate child coping.
, A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is
negative. The adolescent's body weight is at 82% of expected for height and age. The
mother reports that her daughter often throws up and refuses to eat most foods. Which
condition does the primary care pediatric nurse practitioner suspect?
A. Anorexia nervosa
B. Bulimia nervosa
C. Depression
D. Substance abuse
Correct answer: A. Anorexia nervosa
During a well child examination on a 4monthold infant, the primary care pediatric nurse
practitioner evaluates mental health issues. Which statement by the parent indicates a
potential problem with the parent infant relationship?
a. "I can sense a dierence in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises."
Correct answer: b. "I let my baby cry a while to learn to be patient."
The primary care pediatric nurse practitioner attempts to learn more about the emotional
health of an 18monthold child through which assessment strategy?
a. Asking the child to tell a story using dolls and other props
b. Asking the child to draw a picture of him or herself and other family members
c. Interviewing the child separately from caretakers and parents
d. Observation of the child with caretakers in structured and unstructured situations
Correct answer: d. Observation of the child with caretakers in structured and unstructured
situations
ANSWERS(UPDATED)
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy
is eective for a majority of patients with cluster headaches?
a. Lithium
b. NSAIDs
c. Oxygen
d. Verapamil
Correct answer: C. Oxygen
A patient reports recurrent headaches occurring 1 or 2 times per month that generally
occur with weather changes or when sleep patterns are disrupted and describes them as
severe, with throbbing on one side of the head and sometimes accompanied by nausea.
What is the recommended treatment for this type of headache?
a. Gabapentin
b. Propranolol
c. Rizatriptan
d. Topiramate
Correct answer: c. Rizatriptan
Which medication is NOT useful in treating tension-type headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen
Correct answer: b. Lithium
,A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days
each about 2 months apart. Which diagnostic testing will the provider order initially?
a. Lumbar puncture
b. Magnetic resonance imaging
c. Optical Coherence Tomography
d. Visual evoked potential
Correct answer: b. Magnetic resonance imaging
A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa (Sinemet) with
good results but develops increased dyskinesia. Which drug will be added to this patient's
regimen to help control this symptom?
a. Amantadine
b. Benztropine
c. Ropinirole
d. Tolcapone
Correct answer: a. Amantadine
All of the following are common symptoms seen in patients with Parkinson's disease
except:
a. Bradykinesia
b. Festination
c. Hyperphonia
d. Rigidity
e. Symmetric tremor
Correct answer: c. Hyperphonia
,Which drug is used to treat patients with focal epilepsy and complex partial seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
d. Topiramate
Correct answer: a. Carbamazepine
A patient develops a gait disorder and the patient's spouse reports noticing recent
personality changes. The provider suspects a brain lesion. Which evaluation is especially
important in the initial physical examination?
a. Assessment of peripheral reexes
b. Evaluation of speech
c. Examination of the optic fundi
d. Testing for memory loss
Correct answer: c. Examination of the optic fundi
A toddler has begun hitting and biting other children at a day care center and is exhibiting
temper tantrums and bad language at home. The parent reports that these behaviors began
shortly after a sibling was born. What will the primary care pediatric nurse practitioner do?
A. Advise the parent that the child is exhibiting early symptoms of ADHD.
B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
C. Recommend evaluating the child for conduct or oppositional deant disorder.
D. Suggest putting the child in another day care center to ameliorate the problems
Correct answer: B. Engage the parent in positive parenting strategies to facilitate
appropriate child coping.
, A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is
negative. The adolescent's body weight is at 82% of expected for height and age. The
mother reports that her daughter often throws up and refuses to eat most foods. Which
condition does the primary care pediatric nurse practitioner suspect?
A. Anorexia nervosa
B. Bulimia nervosa
C. Depression
D. Substance abuse
Correct answer: A. Anorexia nervosa
During a well child examination on a 4monthold infant, the primary care pediatric nurse
practitioner evaluates mental health issues. Which statement by the parent indicates a
potential problem with the parent infant relationship?
a. "I can sense a dierence in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises."
Correct answer: b. "I let my baby cry a while to learn to be patient."
The primary care pediatric nurse practitioner attempts to learn more about the emotional
health of an 18monthold child through which assessment strategy?
a. Asking the child to tell a story using dolls and other props
b. Asking the child to draw a picture of him or herself and other family members
c. Interviewing the child separately from caretakers and parents
d. Observation of the child with caretakers in structured and unstructured situations
Correct answer: d. Observation of the child with caretakers in structured and unstructured
situations
