• FNP 654 FINAL 09/13/2026
EXAM
FNP654/ FNP 654 FINAL EXAM 1| FAMILY
PRIMARY CARE II EXAM | QUESTIONS AND
VERIFIED ANSWERS RATED A+ | 2026/2027
GUIDE | GCU| 2026/2027 Latest Update |
Complete Chapter Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control blood pressure –
Correct Answer :D) A prescription of methyldopa (Aldomet) to control blood pressure
Recommended care for women diagnosed with preeclampsia includes bed rest with bath- room privileges,
weight and BP monitoring, and closely following urine protein and serum protein, creatinine, and platelet counts.
Oral medications are not used as first-line treatment.
Which of the following findings is most likely in young primigravidas with pregnancy-induced hypertension?
A) Abdominal cramping and constipation
B) Edema of the face and the upper extremities
C) Shortness of breath
D) Dysuria and frequency - Correct Answer :B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension include edema of the face and the upper
extremities, weight gain, blurred vision, elevated BP, proteinuria, and headaches.
A second triple screen on a 35-year-old primigravida reveals abnormally low lev- els of the alpha fetoprotein and
estriol and high levels of human chorionic gonad- otropin. Which of the following interventions is the best choice
for this patient?
A) Order an ultrasound
B) Order a computed tomography (CT) scan of the abdomen
C) Order a 24-hour urine for protein clearance
D) Assess for a history of illicit drug or alcohol use - Correct Answer :A) Order an ultrasound
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
Abnormally low levels of alpha fetoprotein and estriol and high levels of human chorionic gonadotropin are
abnormal during pregnancy. An ultrasound should be ordered to further evaluate the fetus for characteristics of
Down syndrome and/or fetal demise.
Patients who are diagnosed with gonorrhea should also be treated for which of the following infections?
A) Chancroid
B) Chlamydia trachomatis
C) Herpes genitalis
D) PID (pelvic inflammatory disease) - Correct Answer :B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated for Chlamydia trachomatis.
A 35-year-old primigravida who is at 28 weeks of gestation is expecting twins. What would you would expect her
alpha fetoprotein (AFP) values to be?
A) Normal
B) Higher than normal
C) Lower than normal
D) None of the above - Correct Answer :B) Higher than normal
Alpha fetoprotein is produced in the fetal and maternal liver. Higher levels of alpha fetoprotein are commonly
seen in multiple gestations due to the growing fetuses and enlargement of the livers.
Which of the following antihypertensive medications has beneficial effects for an elderly White female with
osteoporosis?
A) Calcium channel blocker
B) Angiotensin-converting enzyme (ACE) inhibitor
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
C) Beta-blocker
D) Diuretic - Correct Answer :A) Calcium channel blocker
Calcium channel blockers act by blocking the cal- cium channels in the heart muscle and the blood vessels,
thereby keeping more calcium in the bones.
When an adolescent male's penis grows more in length than width, at which of the following Tanner stages is he
classified?
A) Tanner Stage II
B) Tanner Stage III
C) Tanner Stage IV
D) Tanner Stage V - Correct Answer :B) Tanner Stage III
Tanner Stage III in males consists of penis lengthening and darker, coarse pubic hair, which begins to curl
Fetal TORCH infections can cause microcephaly, mental retardation, hepatospleno- megaly, and intrauterine
growth retardation. The acronym TORCH stands for:
A) Toxoplasma gondii, other infections, rubella, cytomegalovirus, and herpes
B) Toxic shock syndrome, ocular infections, rubella, cytomegalovirus, and herpes
zoster
C) Tetanus, ophthalmic infections, roseola, cancer, and head abnormalities
D) Toxins, other infections, roseola, candidiasis, and head abnormalities - Correct Answer :A) Toxoplasmagondii,
other infections, rubella, cytomegalovirus, and herpes
The acronym TORCH stands for Toxoplasma gondii, other infections, rubella, cytomegalovirus, and herpes.
Although several of the conditions listed in the other answer options can also cause fetal problems, they are not
included in the TORCH acronym.
P 4
EXAM
FNP654/ FNP 654 FINAL EXAM 1| FAMILY
PRIMARY CARE II EXAM | QUESTIONS AND
VERIFIED ANSWERS RATED A+ | 2026/2027
GUIDE | GCU| 2026/2027 Latest Update |
Complete Chapter Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
Treatment for mild preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control blood pressure –
Correct Answer :D) A prescription of methyldopa (Aldomet) to control blood pressure
Recommended care for women diagnosed with preeclampsia includes bed rest with bath- room privileges,
weight and BP monitoring, and closely following urine protein and serum protein, creatinine, and platelet counts.
Oral medications are not used as first-line treatment.
Which of the following findings is most likely in young primigravidas with pregnancy-induced hypertension?
A) Abdominal cramping and constipation
B) Edema of the face and the upper extremities
C) Shortness of breath
D) Dysuria and frequency - Correct Answer :B) Edema of the face and the upper extremities
Common signs and symptoms of pregnancy-induced hypertension include edema of the face and the upper
extremities, weight gain, blurred vision, elevated BP, proteinuria, and headaches.
A second triple screen on a 35-year-old primigravida reveals abnormally low lev- els of the alpha fetoprotein and
estriol and high levels of human chorionic gonad- otropin. Which of the following interventions is the best choice
for this patient?
A) Order an ultrasound
B) Order a computed tomography (CT) scan of the abdomen
C) Order a 24-hour urine for protein clearance
D) Assess for a history of illicit drug or alcohol use - Correct Answer :A) Order an ultrasound
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
Abnormally low levels of alpha fetoprotein and estriol and high levels of human chorionic gonadotropin are
abnormal during pregnancy. An ultrasound should be ordered to further evaluate the fetus for characteristics of
Down syndrome and/or fetal demise.
Patients who are diagnosed with gonorrhea should also be treated for which of the following infections?
A) Chancroid
B) Chlamydia trachomatis
C) Herpes genitalis
D) PID (pelvic inflammatory disease) - Correct Answer :B) Chlamydia trachomatis
When diagnosed with gonorrhea, the patient should also be treated for Chlamydia trachomatis.
A 35-year-old primigravida who is at 28 weeks of gestation is expecting twins. What would you would expect her
alpha fetoprotein (AFP) values to be?
A) Normal
B) Higher than normal
C) Lower than normal
D) None of the above - Correct Answer :B) Higher than normal
Alpha fetoprotein is produced in the fetal and maternal liver. Higher levels of alpha fetoprotein are commonly
seen in multiple gestations due to the growing fetuses and enlargement of the livers.
Which of the following antihypertensive medications has beneficial effects for an elderly White female with
osteoporosis?
A) Calcium channel blocker
B) Angiotensin-converting enzyme (ACE) inhibitor
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
C) Beta-blocker
D) Diuretic - Correct Answer :A) Calcium channel blocker
Calcium channel blockers act by blocking the cal- cium channels in the heart muscle and the blood vessels,
thereby keeping more calcium in the bones.
When an adolescent male's penis grows more in length than width, at which of the following Tanner stages is he
classified?
A) Tanner Stage II
B) Tanner Stage III
C) Tanner Stage IV
D) Tanner Stage V - Correct Answer :B) Tanner Stage III
Tanner Stage III in males consists of penis lengthening and darker, coarse pubic hair, which begins to curl
Fetal TORCH infections can cause microcephaly, mental retardation, hepatospleno- megaly, and intrauterine
growth retardation. The acronym TORCH stands for:
A) Toxoplasma gondii, other infections, rubella, cytomegalovirus, and herpes
B) Toxic shock syndrome, ocular infections, rubella, cytomegalovirus, and herpes
zoster
C) Tetanus, ophthalmic infections, roseola, cancer, and head abnormalities
D) Toxins, other infections, roseola, candidiasis, and head abnormalities - Correct Answer :A) Toxoplasmagondii,
other infections, rubella, cytomegalovirus, and herpes
The acronym TORCH stands for Toxoplasma gondii, other infections, rubella, cytomegalovirus, and herpes.
Although several of the conditions listed in the other answer options can also cause fetal problems, they are not
included in the TORCH acronym.
P 4
