• FNP 654 FINAL 09/13/2026
EXAM
FNP654/ FNP 654 FINAL EXAM 2| 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+
A multigravida who is at 34 weeks of gestation wants to know at what level her uterine fundus should be. The
best answer is to advise the mother that her fun- dus is:
A) Midway between the umbilicus and the lower ribs
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
B) At the level of the umbilicus
C) From 33 to 35 cm
D) From 32 to 34 cm –
Correct Answer :C) From 33 to 35 cm
After 20 weeks gestation, fundal height in centimeters should measure approximately the same as the number
of weeks of gestation
Signs and symptoms of depression include all of the following except:
A) Anhedonia and changes in appetite
B) Decreased energy and irritability
C) Apathy and low self-esteem
D) Apraxia and fatigue - Correct Answer :D) Apraxia and fatigue
Apraxia is a disorder of the nervous system in which the brain is affected and the patient is unable to move the
arms/legs when asked to do so. Common signs of depression include anhedonia (loss of interest in activities that
the patient finds pleasurable), unintentional weight loss or gain, fatigue, change in appetite, insomnia or
hypersomnia, feelings of guilt and worthlessness, and recurrent thoughts of suicide.
A 28-year-old multipara who is at 32 weeks of gestation presents to your office complaining of a sudden onset of
small amounts of bright red vaginal bleeding. She has had several episodes and appears anxious. On exam, her
uterus is soft to palpation. Which of the following is most likely?
A) Placenta abruptio
B) Placenta previa
C) Acute cervicitis
D) Molar pregnancy (hydatidiform mole) - Correct Answer :B) Placenta previa
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
Placenta previa occurs when abnormal implantation of the placenta occurs. A common symptom of placenta
previa is painless, bright red bleeding.
A 48-year-old woman is told by a physician that she is starting menopause. All of the following are possible
findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings - Correct Answer :C) Severe vaginal atrophic changes
As women reach menopause, changes that may occur include hot flashes, irregular menstrual periods, and cyclic
mood swings. Vaginal changes, such as dryness and thinning, may also begin to occur
A 30-year-old primigravida is diagnosed with a possible threatened abortion. The result of the urine pregnancy
test is positive. Which of the following statements is true regarding a threatened abortion?
A) Vaginal bleeding and cramping are present, but the cervix remains closed
B) Vaginal bleeding and cramping are present along with a dilated cervix
C) The fetus and placenta are all expelled
D) The products of conception and the placenta remain inside the uterus along
with a dilated cervix - Correct Answer :A) Vaginal bleeding and cramping are present, but the cervix remains
closed
Threatened abortion is defined as vaginal bleeding and cramping with- out the presence of cervical dilation.
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
A 30-year-old female who is sexually active complains of a large amount of milk- like vaginal discharge for several
weeks. A microscopy slide reveals a large amount of squamous epithelial cells that have blurred margins. Very
few white blood cells are seen. The vaginal pH is at 6.0. What is most likely?
A) Trichomonas infection
B) Bacterial vaginosis
C) Candidal infection
D) A normal finding - Correct Answer :B) Bacterial vaginosis
Bacterial vaginosis is a bacterial infection of the vagina. Signs and symptoms include copious off-white to gray
discharge with foul odor without vaginal erythema or irritation. Wet prep will show positive for clue cells. When
performing a wet prep, the "whiff test" will be positive for a strong "fishy" odor when vaginal discharge is mixed
with one drop of KOH.
The Pap smear result on a 20-year-old sexually active student who uses condoms inconsistently shows a large
amount of inflammation. Which of the following is the best follow-up action?
A) The NP needs to do cervical cultures to verify the presence of gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over the phone
C) Call the patient and tell her she needs a repeat Pap smear in 6 months
D) Advise the patient to use a Betadine douche at bedtime x 3 days - Correct Answer :A) The NP needs to do
cervical cultures to verify the presence of gonor-
rhea
Cultures should be taken at the time of the Pap smear, as the patient may not return for later diagnostic testing.
Jason, an 8-year-old with type 1 diabetes, is being seen for a 3-day history of fre- quency and nocturia. He denies
flank pain and is afebrile. The urinalysis result is negative for blood and nitrites but is positive for a large amount
of leukocytes and ketones. He has a trace amount of protein. Which of the following is the best test to order
initially?
P 4
EXAM
FNP654/ FNP 654 FINAL EXAM 2| 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+
A multigravida who is at 34 weeks of gestation wants to know at what level her uterine fundus should be. The
best answer is to advise the mother that her fun- dus is:
A) Midway between the umbilicus and the lower ribs
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
B) At the level of the umbilicus
C) From 33 to 35 cm
D) From 32 to 34 cm –
Correct Answer :C) From 33 to 35 cm
After 20 weeks gestation, fundal height in centimeters should measure approximately the same as the number
of weeks of gestation
Signs and symptoms of depression include all of the following except:
A) Anhedonia and changes in appetite
B) Decreased energy and irritability
C) Apathy and low self-esteem
D) Apraxia and fatigue - Correct Answer :D) Apraxia and fatigue
Apraxia is a disorder of the nervous system in which the brain is affected and the patient is unable to move the
arms/legs when asked to do so. Common signs of depression include anhedonia (loss of interest in activities that
the patient finds pleasurable), unintentional weight loss or gain, fatigue, change in appetite, insomnia or
hypersomnia, feelings of guilt and worthlessness, and recurrent thoughts of suicide.
A 28-year-old multipara who is at 32 weeks of gestation presents to your office complaining of a sudden onset of
small amounts of bright red vaginal bleeding. She has had several episodes and appears anxious. On exam, her
uterus is soft to palpation. Which of the following is most likely?
A) Placenta abruptio
B) Placenta previa
C) Acute cervicitis
D) Molar pregnancy (hydatidiform mole) - Correct Answer :B) Placenta previa
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
Placenta previa occurs when abnormal implantation of the placenta occurs. A common symptom of placenta
previa is painless, bright red bleeding.
A 48-year-old woman is told by a physician that she is starting menopause. All of the following are possible
findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings - Correct Answer :C) Severe vaginal atrophic changes
As women reach menopause, changes that may occur include hot flashes, irregular menstrual periods, and cyclic
mood swings. Vaginal changes, such as dryness and thinning, may also begin to occur
A 30-year-old primigravida is diagnosed with a possible threatened abortion. The result of the urine pregnancy
test is positive. Which of the following statements is true regarding a threatened abortion?
A) Vaginal bleeding and cramping are present, but the cervix remains closed
B) Vaginal bleeding and cramping are present along with a dilated cervix
C) The fetus and placenta are all expelled
D) The products of conception and the placenta remain inside the uterus along
with a dilated cervix - Correct Answer :A) Vaginal bleeding and cramping are present, but the cervix remains
closed
Threatened abortion is defined as vaginal bleeding and cramping with- out the presence of cervical dilation.
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
A 30-year-old female who is sexually active complains of a large amount of milk- like vaginal discharge for several
weeks. A microscopy slide reveals a large amount of squamous epithelial cells that have blurred margins. Very
few white blood cells are seen. The vaginal pH is at 6.0. What is most likely?
A) Trichomonas infection
B) Bacterial vaginosis
C) Candidal infection
D) A normal finding - Correct Answer :B) Bacterial vaginosis
Bacterial vaginosis is a bacterial infection of the vagina. Signs and symptoms include copious off-white to gray
discharge with foul odor without vaginal erythema or irritation. Wet prep will show positive for clue cells. When
performing a wet prep, the "whiff test" will be positive for a strong "fishy" odor when vaginal discharge is mixed
with one drop of KOH.
The Pap smear result on a 20-year-old sexually active student who uses condoms inconsistently shows a large
amount of inflammation. Which of the following is the best follow-up action?
A) The NP needs to do cervical cultures to verify the presence of gonorrhea
B) Prescribe metronidazole vaginal cream for the patient over the phone
C) Call the patient and tell her she needs a repeat Pap smear in 6 months
D) Advise the patient to use a Betadine douche at bedtime x 3 days - Correct Answer :A) The NP needs to do
cervical cultures to verify the presence of gonor-
rhea
Cultures should be taken at the time of the Pap smear, as the patient may not return for later diagnostic testing.
Jason, an 8-year-old with type 1 diabetes, is being seen for a 3-day history of fre- quency and nocturia. He denies
flank pain and is afebrile. The urinalysis result is negative for blood and nitrites but is positive for a large amount
of leukocytes and ketones. He has a trace amount of protein. Which of the following is the best test to order
initially?
P 4
