• FNP 654 FINAL 09/13/2026
EXAM
FNP654/ FNP 654 FINAL EXAM | FAMILY
PRIMARY CARE II EXAM 1 | 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+
You have a 58-year-old male patient with possible pancreatic cancer. You will not order an abdominal ultrasound
for diagnosis because it is limited by which of the following?
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
previous history of pancreatic disease
patient's age
the presence of intestinal gas
size of tumor - Correct Answer :the presence of intestinal gas
The usefulness of abdominal ultrasound is limited by the presence of intestinal gas. Abdominal CT scan is more
helpful in identifying pancreatic cancer.
A 58-year-old male presents in the office with a glucose of 309 mg/dL and is symptomatic for Type II diabetes
mellitus. What should be done to manage him FIRST?
Start insulin
Start metformin plus pioglitazone
Have him return tomorrow to recheck his blood glucose
Start metformin - Correct Answer :Start insulin
Most oral agents will have little effect on his glucose and it should be lowered immediately. Therefore, insulin is
the best agent to reduce the blood sugar so that oral agents will have a chance to work. He should return to the
clinic the next day for a recheck of the blood glucose and medication adjustment.
Utilization review can best be described as which of the following?
a system of monitoring and assessing for high-risk areas and procedures
the process of evaluating the appropriateness of inpatient hospitalization
the process used for accreditation
the process used for case management - Correct Answer :the process of evaluating the appropriateness of
inpatient hospitalization
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
A utilization review is the process of evaluating the appropriateness of inpatient hospitalization. Proof of the
medical necessity for the patient's hospitalization is done mainly through chart reviews. If the reviewer and
payor do not agree, the claim can be denied, resulting in denial of payment to the health facility.
John is a patient with acute renal failure. His inability to regulate electrolytes might be evidenced by all but which
of the following conditions?
hyperkalemia
hyperlipidemia
hypocalcemia
hypernatremia - Correct Answer :hyperlipidemia
This patient's inability to regulate electrolytes might be evidenced by hyperkalemia, hypernatremia,
hyponatremia, hypokalemia, hypermagnesemia, hyperphosphatemia, and hypocalcemia. Hyperlipidemia is
abnormally elevated levels of any or all lipids and/or lipoproteins in the blood.
Which of the following statements about evaluation and follow-up of a patient with IBD is least accurate?
Most patients follow a cyclic course of remission and flare-up.
An estimated 50% to 65% of patients with Crohn's disease undergo surgery at some point in their lives for
intestinal resection or colectomy.
Overall mortality for ulcerative colitis is between 35% and 40%.
Ulcerative colitis patients have a risk for serious complications such as hemorrhage and perforation. - Correct
Answer :Overall mortality for ulcerative colitis is between 35% and 40%.
This is not accurate. The overall mortality for ulcerative colitis is much lower - between 12% and 15%. This is
because of risk for serious complications such as hemorrhage, perforation, and toxic megacolon.
A patient who has been prescribed miconazole for athlete's foot asks how long he should use the medication.
Which of the following is an appropriate response to this patient?
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
The patient should use the medication for 3 days.
The patient should use the medication for 1 month.
The patient should use the medication until symptoms are gone.
The patient should use the medication for 2 weeks. - Correct Answer :The patient should use the medication for
1 month
Patients who are using miconazole for athlete's foot should apply the medication once or twice a day for 1
month. Patients should not exceed the recommended amount or duration of miconazole.
Mary is concerned because her 12-year-old son shows no signs of puberty. You would tell her that the average
age of onset for males is which of the following?
10 - 12 years
13 - 16 years
10.5 - 16 years
10.5- 13 years - Correct Answer :10.5 - 16 years
You can reassure this mother that her son is not behind schedule in reaching puberty. The average age of onset
for males is 10.5 - 16 years.
After completing a physical examination, you suspect that a 16-year old girl has acute appendicitis. She presents
with acute abdominal pain and you order a white blood cell (WBC) count with differential and an x-ray of the
abdomen. You receive the laboratory report back first and are still waiting on the x-ray. By looking at the
laboratory report, which of the following values would you expect to see in a patient with acute appendicitis?
total WBCs 1200 mm³
neutrophils 4%
bands 1%
lymphocytes 44%
P 4
EXAM
FNP654/ FNP 654 FINAL EXAM | FAMILY
PRIMARY CARE II EXAM 1 | 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+
You have a 58-year-old male patient with possible pancreatic cancer. You will not order an abdominal ultrasound
for diagnosis because it is limited by which of the following?
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
previous history of pancreatic disease
patient's age
the presence of intestinal gas
size of tumor - Correct Answer :the presence of intestinal gas
The usefulness of abdominal ultrasound is limited by the presence of intestinal gas. Abdominal CT scan is more
helpful in identifying pancreatic cancer.
A 58-year-old male presents in the office with a glucose of 309 mg/dL and is symptomatic for Type II diabetes
mellitus. What should be done to manage him FIRST?
Start insulin
Start metformin plus pioglitazone
Have him return tomorrow to recheck his blood glucose
Start metformin - Correct Answer :Start insulin
Most oral agents will have little effect on his glucose and it should be lowered immediately. Therefore, insulin is
the best agent to reduce the blood sugar so that oral agents will have a chance to work. He should return to the
clinic the next day for a recheck of the blood glucose and medication adjustment.
Utilization review can best be described as which of the following?
a system of monitoring and assessing for high-risk areas and procedures
the process of evaluating the appropriateness of inpatient hospitalization
the process used for accreditation
the process used for case management - Correct Answer :the process of evaluating the appropriateness of
inpatient hospitalization
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
A utilization review is the process of evaluating the appropriateness of inpatient hospitalization. Proof of the
medical necessity for the patient's hospitalization is done mainly through chart reviews. If the reviewer and
payor do not agree, the claim can be denied, resulting in denial of payment to the health facility.
John is a patient with acute renal failure. His inability to regulate electrolytes might be evidenced by all but which
of the following conditions?
hyperkalemia
hyperlipidemia
hypocalcemia
hypernatremia - Correct Answer :hyperlipidemia
This patient's inability to regulate electrolytes might be evidenced by hyperkalemia, hypernatremia,
hyponatremia, hypokalemia, hypermagnesemia, hyperphosphatemia, and hypocalcemia. Hyperlipidemia is
abnormally elevated levels of any or all lipids and/or lipoproteins in the blood.
Which of the following statements about evaluation and follow-up of a patient with IBD is least accurate?
Most patients follow a cyclic course of remission and flare-up.
An estimated 50% to 65% of patients with Crohn's disease undergo surgery at some point in their lives for
intestinal resection or colectomy.
Overall mortality for ulcerative colitis is between 35% and 40%.
Ulcerative colitis patients have a risk for serious complications such as hemorrhage and perforation. - Correct
Answer :Overall mortality for ulcerative colitis is between 35% and 40%.
This is not accurate. The overall mortality for ulcerative colitis is much lower - between 12% and 15%. This is
because of risk for serious complications such as hemorrhage, perforation, and toxic megacolon.
A patient who has been prescribed miconazole for athlete's foot asks how long he should use the medication.
Which of the following is an appropriate response to this patient?
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
The patient should use the medication for 3 days.
The patient should use the medication for 1 month.
The patient should use the medication until symptoms are gone.
The patient should use the medication for 2 weeks. - Correct Answer :The patient should use the medication for
1 month
Patients who are using miconazole for athlete's foot should apply the medication once or twice a day for 1
month. Patients should not exceed the recommended amount or duration of miconazole.
Mary is concerned because her 12-year-old son shows no signs of puberty. You would tell her that the average
age of onset for males is which of the following?
10 - 12 years
13 - 16 years
10.5 - 16 years
10.5- 13 years - Correct Answer :10.5 - 16 years
You can reassure this mother that her son is not behind schedule in reaching puberty. The average age of onset
for males is 10.5 - 16 years.
After completing a physical examination, you suspect that a 16-year old girl has acute appendicitis. She presents
with acute abdominal pain and you order a white blood cell (WBC) count with differential and an x-ray of the
abdomen. You receive the laboratory report back first and are still waiting on the x-ray. By looking at the
laboratory report, which of the following values would you expect to see in a patient with acute appendicitis?
total WBCs 1200 mm³
neutrophils 4%
bands 1%
lymphocytes 44%
P 4
