• 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+
All of the following conditions are contraindications for bupropion (Wellbutrin, Zyban) except:
A) Anorexia nervosa and bulimia
B) Seizure disorders
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
C) Peripheral neuropathy
D) Within 14 days after discontinuation of a monoamine oxidase inhibitor
(MAOI) - Correct Answer :C) Peripheral neuropathy
Bupropion increases the risk of seizures. Contraindications are seizures, anorexia nervosa, and bulimia. Avoid
with any condition that increases seizures, such as after abrupt withdrawal of alcohol or sedatives and certain
head injuries. For peripheral neuropathy, atypical antide- pressants such as duloxetine (Cymbalta) and TCAs such
as amitriptyline (Elavil) are used.
The Health Insurance Portability and Accountability Act (HIPAA) was passed by Congress in 2003. All of the
following statements about HIPAA are correct except:
A) It provides federal protections for personal health information
B) It is applicable to all health care providers and payers who bill electronically and transmit health information
over the Internet
C) Patients have the right to view their mental health and psychotherapy-related health information
D) It gives patients the right to view and correct errors in their medical records - Correct Answer :C) Patients
have the right to view their mental health and psychotherapy-related health information
Mental health and psychotherapy/psychiatric records do not have to be released to patients even if they request
those records. Otherwise, any type of medical records can be released if it is requested by the health insurance
or health plan for billing purposes and reimbursement. HIPAA applies to all health care providers, health plans,
health insurance companies, medical clearinghouses, and others who bill electronically and transmit health
information over the Internet.
During the physical exam of a 60-year-old adult, the nurse practitioner performs an abdominal exam. The nurse
practitioner is checking the left upper quadrant of the abdomen. During percussion, an area of dullness is noted
beneath the lower left ribcage. Which of the following is a true statement regarding the spleen?
A) The spleen is not palpable in the majority of healthy adults
B) The spleen is 8 cm to 10 cm in the left midaxillary line at its longest axis
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
C) The spleen is 2 cm to 6 cm between the ninth to eleventh ribs on the left midaxillary line
D) The splenic size varies depending on the patient's gender - Correct Answer :A) The spleen is not palpable in
the majority of healthy adults
The spleen is located on the left upper quadrant of the abdomen under the diaphragm and is protected by the
lower ribcage. In the majority of adults, it is not palpable. The spleen's longest axis is from 11 cm to 20 cm. Any
spleen larger than 20 cm is enlarged. The best test for evaluating splenic (or hepatic) size is the abdominal
ultrasound. Disorders that can cause splenomegaly include mononucleosis, sickle cell disease, congestive heart
failure, bone marrow cancers (myeloma, leukemia), and several other diseases.
All of the following drug classes are approved for treating hypertension. Which of the following antihypertensive
drug classes is associated with the largest number of research studies?
A) ACE inhibitors
B) Angiotensive receptor blockers (ARBs)
C) Thiazide diuretics
D) Calcium channel blockers (CCBs) - Correct Answer :C) Thiazide diuretics
Thiazide diuretics have been used to treat hypertension for many decades and numerous placebo-controlled
studies have documented their effectiveness as an antihypertensive drug class.
Thiazide diuretics have been shown to have a beneficial effect on the bones. Hypertensive women with
osteopenia or osteoporosis benefit from thiazide diuretics. What is the mechanism of action for its effect on the
bones?
A) Thiazide diuretics decrease calcium excretion by the kidneys and stimulate osteoclast production
B) Thiazide diuretics increase both calcium and magnesium retention by the kidneys
C) Thiazide diuretics increase bone mineral density (BMD)
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
D) Thiazide diuretics influence electrolyte excretion by the kidneys - Correct Answer :A) Thiazide diuretics
decrease calcium excretion by the kidneys and stimulate osteoclast production
This positive side effect of thiazides results in a decrease in calcium bone loss and an increase in the bone
mineral density.
What is the best description of a variable?
A) It is an important part of every research study
B) It is the probability that a factor is important for the research data
C) It is the value or number that occurs the most frequently
D) It is a condition, characteristic, or factor that is being measured - Correct Answer :D) It is a condition,
characteristic, or factor that is being measured
A variable is a condition, characteristic, or factor that is being measured. An independent variable is the one
being manipulated that is not affected by the others. A dependent variable changes depending on the
manipulation of the independent variable.
A 30-year-old male with a history of gout is walking to the examination room and the nurse practitioner notices
that he is limping. When the patient sits down, the nurse practitioner notes that the metatarsophalangeal joint
of the great toe is very swollen and is bright red. The patient reports that he was attending a party the night
before and drank. The patient is requesting a prescription to treat his painful toe. The nurse practitioner
prescribes the patient indomethacin (Indocin) 50 mg TID PRN and colchicine. Regarding colchicine, which of the
following instructions is correct?
A) Take 1 pill every hour to every 2 hours until relief is obtained or adverse gastrointestinal effects occur, such as
abdominal pain, nausea, or diarrhea
B) Take 1 pill every hour until relief is obtained up to 24 hours
C) Take 1 pill every 4 to 6 hours until the pain is relieved
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+
All of the following conditions are contraindications for bupropion (Wellbutrin, Zyban) except:
A) Anorexia nervosa and bulimia
B) Seizure disorders
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
C) Peripheral neuropathy
D) Within 14 days after discontinuation of a monoamine oxidase inhibitor
(MAOI) - Correct Answer :C) Peripheral neuropathy
Bupropion increases the risk of seizures. Contraindications are seizures, anorexia nervosa, and bulimia. Avoid
with any condition that increases seizures, such as after abrupt withdrawal of alcohol or sedatives and certain
head injuries. For peripheral neuropathy, atypical antide- pressants such as duloxetine (Cymbalta) and TCAs such
as amitriptyline (Elavil) are used.
The Health Insurance Portability and Accountability Act (HIPAA) was passed by Congress in 2003. All of the
following statements about HIPAA are correct except:
A) It provides federal protections for personal health information
B) It is applicable to all health care providers and payers who bill electronically and transmit health information
over the Internet
C) Patients have the right to view their mental health and psychotherapy-related health information
D) It gives patients the right to view and correct errors in their medical records - Correct Answer :C) Patients
have the right to view their mental health and psychotherapy-related health information
Mental health and psychotherapy/psychiatric records do not have to be released to patients even if they request
those records. Otherwise, any type of medical records can be released if it is requested by the health insurance
or health plan for billing purposes and reimbursement. HIPAA applies to all health care providers, health plans,
health insurance companies, medical clearinghouses, and others who bill electronically and transmit health
information over the Internet.
During the physical exam of a 60-year-old adult, the nurse practitioner performs an abdominal exam. The nurse
practitioner is checking the left upper quadrant of the abdomen. During percussion, an area of dullness is noted
beneath the lower left ribcage. Which of the following is a true statement regarding the spleen?
A) The spleen is not palpable in the majority of healthy adults
B) The spleen is 8 cm to 10 cm in the left midaxillary line at its longest axis
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
C) The spleen is 2 cm to 6 cm between the ninth to eleventh ribs on the left midaxillary line
D) The splenic size varies depending on the patient's gender - Correct Answer :A) The spleen is not palpable in
the majority of healthy adults
The spleen is located on the left upper quadrant of the abdomen under the diaphragm and is protected by the
lower ribcage. In the majority of adults, it is not palpable. The spleen's longest axis is from 11 cm to 20 cm. Any
spleen larger than 20 cm is enlarged. The best test for evaluating splenic (or hepatic) size is the abdominal
ultrasound. Disorders that can cause splenomegaly include mononucleosis, sickle cell disease, congestive heart
failure, bone marrow cancers (myeloma, leukemia), and several other diseases.
All of the following drug classes are approved for treating hypertension. Which of the following antihypertensive
drug classes is associated with the largest number of research studies?
A) ACE inhibitors
B) Angiotensive receptor blockers (ARBs)
C) Thiazide diuretics
D) Calcium channel blockers (CCBs) - Correct Answer :C) Thiazide diuretics
Thiazide diuretics have been used to treat hypertension for many decades and numerous placebo-controlled
studies have documented their effectiveness as an antihypertensive drug class.
Thiazide diuretics have been shown to have a beneficial effect on the bones. Hypertensive women with
osteopenia or osteoporosis benefit from thiazide diuretics. What is the mechanism of action for its effect on the
bones?
A) Thiazide diuretics decrease calcium excretion by the kidneys and stimulate osteoclast production
B) Thiazide diuretics increase both calcium and magnesium retention by the kidneys
C) Thiazide diuretics increase bone mineral density (BMD)
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
D) Thiazide diuretics influence electrolyte excretion by the kidneys - Correct Answer :A) Thiazide diuretics
decrease calcium excretion by the kidneys and stimulate osteoclast production
This positive side effect of thiazides results in a decrease in calcium bone loss and an increase in the bone
mineral density.
What is the best description of a variable?
A) It is an important part of every research study
B) It is the probability that a factor is important for the research data
C) It is the value or number that occurs the most frequently
D) It is a condition, characteristic, or factor that is being measured - Correct Answer :D) It is a condition,
characteristic, or factor that is being measured
A variable is a condition, characteristic, or factor that is being measured. An independent variable is the one
being manipulated that is not affected by the others. A dependent variable changes depending on the
manipulation of the independent variable.
A 30-year-old male with a history of gout is walking to the examination room and the nurse practitioner notices
that he is limping. When the patient sits down, the nurse practitioner notes that the metatarsophalangeal joint
of the great toe is very swollen and is bright red. The patient reports that he was attending a party the night
before and drank. The patient is requesting a prescription to treat his painful toe. The nurse practitioner
prescribes the patient indomethacin (Indocin) 50 mg TID PRN and colchicine. Regarding colchicine, which of the
following instructions is correct?
A) Take 1 pill every hour to every 2 hours until relief is obtained or adverse gastrointestinal effects occur, such as
abdominal pain, nausea, or diarrhea
B) Take 1 pill every hour until relief is obtained up to 24 hours
C) Take 1 pill every 4 to 6 hours until the pain is relieved
P 4
