• FNP 654 FINAL 09/13/2026
EXAM
FNP654/ FNP 654 FINAL EXAM | 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 25-year-old woman complains of dysuria, severe vaginal pruritis, and a malodorous vaginal discharge. Pelvic
examination reveals a strawberry-colored cervix and frothy yellow discharge. Microscopic exam of the discharge
reveals mobile organisms that have flagella. The correct pharmacologic therapy for the condition is:
A) Metronidazole (Flagyl)
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
B) Ceftriaxone sodium (Rocephin)
C) Doxycycline hyclate (Vibramycin)
D) Clotrimazole (Gyne-Lotrimin) - Correct Answer :A) Metronidazole (Flagyl)
Trichomoniasis symptoms include dysuria, severe vaginal pruritis, and malodorous vaginal discharge. Wet prep
will show trichomonads that are pear-shaped and have several flagella (whiplike tails) at one end. CDC
recommendation for treatment is metronidazole.
A new mother reports to you that her 6-month-old infant has a cold and has a fever of 99.8 degrees Fahrenheit.
The infant is not irritable and is feeding well without problems. The mother wants to know whether it is okay for
him to be immunized at this time. Which of the following statements is true?
A) The infant should not be immunized until he is afebrile
B) An infant with a cold can be immunized at any time
C) An infant with a cold can be immunized as long as the infant's temperature is no higher than 100.4 degrees
Fahrenheit
D) Because immunization is so important, it should be given to the infant as scheduled - Correct Answer :C) An
infant with a cold can be immunized as long as the infant's temperature is no higher than 100.4 degrees
Fahrenheit
Immunization is acceptable as long as the temperature is not higher than 100.4°F.
All of the following drugs interfere with the metabolism of oral contraceptives except:
A) Tetracycline
B) Rifampin
C) Phenytoin (Dilantin)
D) Ciprofloxacin (Cipro) - Correct Answer :D) Ciprofloxacin (Cipro)
Cipro is the only medication listed that will not interfere with the metabolism and absorption of OCPs.
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
Women who are pregnant during the winter months are recommended to have which of the following?
A) Increased intake of Vitamin C and folate
B) Vaccination against the influenza virus
C) Increased caloric intake of fruits and vegetables
D) Heavier winter clothes to avoid chilling the fetus - Correct Answer :B) Vaccination against the influenza virus
Influenza vaccine is recommended for all pregnant patients for prevention due to the decrease in immune status
during pregnancy. The vaccine is safe to use during pregnancy.
Which of the following is a CDC-recommended treatment for a case of uncomplicated gonorrheal and chlamydial
infection?
A) Metronidazole (Flagyl) 250 mg PO TID x 7 days
B) Valacyclovir (Valtrex) 500 mg PO BID x 10 days
C) Azithromycin 1 g orally OR doxycycline 100 mg orally twice a day for 7 days
D) 1 dose of oral fluconazole (Diflucan) 150 mg - Correct Answer :C) Azithromycin 1 g orally OR doxycycline 100
mg orally twice a day for 7 days
Drug therapy is based on the 2010 CDC STD guidelines for treatment.
A 35-year-old sexually active male presents with a 1-week history of fever and pain over the left scrotum. It is
accompanied by frequency and dysuria. The scrotum is edematous and tender to touch. He denies flank pain,
nausea, and vomiting. He reports that the pain is lessened when he uses scrotal support briefs. His urinalysis
shows 2+ blood and a large number of leukocytes. What is the most likely diagnosis?
A) Acute urinary tract infection
B) Acute pyelonephritis
C) Acute orchitis
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
D) Acute epididymitis - Correct Answer :D) Acute epididymitis
Acute epididymitis is the infection presented here. Scrotal edema and pain with palpation do not occur in UTI or
pyelonephritis. Acute orchitis symptoms include testicular pain and edema, are usually associated with the
mumps, but do not have frequency and dysuria.
Julia, a 16-year-old patient, is being treated for her first urinary tract infection. Julia had an allergic reaction with
hives after taking sulfa as a child. Which of the following antibiotics would be contraindicated?
A) Cephalexin (Keflex)
B) Ampicillin (Amoxil)
C) Trimethoprim-sulfamethoxazole (Bactrim)
D) Nitrofurantoin crystals (Macrobid) - Correct Answer :C) Trimethoprim-sulfamethoxazole (Bactrim)
With the allergic history to sulfa drugs, it would be safest to avoid Bactrim.
The following statements about benign prostatic hypertrophy are correct except:
A) It is seen in up to 50% of males older than 50
B) Dribbling and nocturia are common patient complaints
C) Saw palmetto is always effective in reducing symptoms
D) The PSA value is usually slightly elevated - Correct Answer :C) Saw palmetto is always effective in reducing
symptoms
Research does not support the theory that saw palmetto reduces the symptoms of benign prostatic hyperplasia
in all cases.
411. Which of the following is the most common cause of nongonococcal urethritis?
P 4
EXAM
FNP654/ FNP 654 FINAL EXAM | 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 25-year-old woman complains of dysuria, severe vaginal pruritis, and a malodorous vaginal discharge. Pelvic
examination reveals a strawberry-colored cervix and frothy yellow discharge. Microscopic exam of the discharge
reveals mobile organisms that have flagella. The correct pharmacologic therapy for the condition is:
A) Metronidazole (Flagyl)
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
B) Ceftriaxone sodium (Rocephin)
C) Doxycycline hyclate (Vibramycin)
D) Clotrimazole (Gyne-Lotrimin) - Correct Answer :A) Metronidazole (Flagyl)
Trichomoniasis symptoms include dysuria, severe vaginal pruritis, and malodorous vaginal discharge. Wet prep
will show trichomonads that are pear-shaped and have several flagella (whiplike tails) at one end. CDC
recommendation for treatment is metronidazole.
A new mother reports to you that her 6-month-old infant has a cold and has a fever of 99.8 degrees Fahrenheit.
The infant is not irritable and is feeding well without problems. The mother wants to know whether it is okay for
him to be immunized at this time. Which of the following statements is true?
A) The infant should not be immunized until he is afebrile
B) An infant with a cold can be immunized at any time
C) An infant with a cold can be immunized as long as the infant's temperature is no higher than 100.4 degrees
Fahrenheit
D) Because immunization is so important, it should be given to the infant as scheduled - Correct Answer :C) An
infant with a cold can be immunized as long as the infant's temperature is no higher than 100.4 degrees
Fahrenheit
Immunization is acceptable as long as the temperature is not higher than 100.4°F.
All of the following drugs interfere with the metabolism of oral contraceptives except:
A) Tetracycline
B) Rifampin
C) Phenytoin (Dilantin)
D) Ciprofloxacin (Cipro) - Correct Answer :D) Ciprofloxacin (Cipro)
Cipro is the only medication listed that will not interfere with the metabolism and absorption of OCPs.
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
Women who are pregnant during the winter months are recommended to have which of the following?
A) Increased intake of Vitamin C and folate
B) Vaccination against the influenza virus
C) Increased caloric intake of fruits and vegetables
D) Heavier winter clothes to avoid chilling the fetus - Correct Answer :B) Vaccination against the influenza virus
Influenza vaccine is recommended for all pregnant patients for prevention due to the decrease in immune status
during pregnancy. The vaccine is safe to use during pregnancy.
Which of the following is a CDC-recommended treatment for a case of uncomplicated gonorrheal and chlamydial
infection?
A) Metronidazole (Flagyl) 250 mg PO TID x 7 days
B) Valacyclovir (Valtrex) 500 mg PO BID x 10 days
C) Azithromycin 1 g orally OR doxycycline 100 mg orally twice a day for 7 days
D) 1 dose of oral fluconazole (Diflucan) 150 mg - Correct Answer :C) Azithromycin 1 g orally OR doxycycline 100
mg orally twice a day for 7 days
Drug therapy is based on the 2010 CDC STD guidelines for treatment.
A 35-year-old sexually active male presents with a 1-week history of fever and pain over the left scrotum. It is
accompanied by frequency and dysuria. The scrotum is edematous and tender to touch. He denies flank pain,
nausea, and vomiting. He reports that the pain is lessened when he uses scrotal support briefs. His urinalysis
shows 2+ blood and a large number of leukocytes. What is the most likely diagnosis?
A) Acute urinary tract infection
B) Acute pyelonephritis
C) Acute orchitis
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
D) Acute epididymitis - Correct Answer :D) Acute epididymitis
Acute epididymitis is the infection presented here. Scrotal edema and pain with palpation do not occur in UTI or
pyelonephritis. Acute orchitis symptoms include testicular pain and edema, are usually associated with the
mumps, but do not have frequency and dysuria.
Julia, a 16-year-old patient, is being treated for her first urinary tract infection. Julia had an allergic reaction with
hives after taking sulfa as a child. Which of the following antibiotics would be contraindicated?
A) Cephalexin (Keflex)
B) Ampicillin (Amoxil)
C) Trimethoprim-sulfamethoxazole (Bactrim)
D) Nitrofurantoin crystals (Macrobid) - Correct Answer :C) Trimethoprim-sulfamethoxazole (Bactrim)
With the allergic history to sulfa drugs, it would be safest to avoid Bactrim.
The following statements about benign prostatic hypertrophy are correct except:
A) It is seen in up to 50% of males older than 50
B) Dribbling and nocturia are common patient complaints
C) Saw palmetto is always effective in reducing symptoms
D) The PSA value is usually slightly elevated - Correct Answer :C) Saw palmetto is always effective in reducing
symptoms
Research does not support the theory that saw palmetto reduces the symptoms of benign prostatic hyperplasia
in all cases.
411. Which of the following is the most common cause of nongonococcal urethritis?
P 4
