• 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+
Which of the following antihypertensive medications should the nurse practitioner avoid when treating patients
with emphysema?
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
A) Calcium channel blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics - Correct Answer :C) Beta-blockers
Beta-blockers should be avoided in patients with a history of emphysema. Studies have shown evidence of a
reduction in forced expiratory volume in 1 second (FEV1), increased airway hyperresponsiveness, and inhibition
of bronchodilator response to beta agonists in patients receiving non-selective beta- blockers and high doses of
cardioselective beta-blockers.
A 30-year-old chef complains of pruritic hives over her chest and arms but denies difficulty swallowing or
breathing. She reports a family history of allergic rhinitis and asthma. Which of the following interventions is most
appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
C) Give an injection of epinephrine 1:1000 intramuscularly stat
D) Call 911 - Correct Answer :A) Perform a complete and thorough history
Prior to prescribing medications, a complete and thorough history must be performed to determine possible
causes of hives. The patient denied difficulty with swallowing and breathing, so there was no medical emergency
to require calling 911.
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
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
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.
Which of the following symptoms is associated with B12 deficiency anemia?
A) Spoon-shaped nails and pica
B) An abnormal neurological exam
C) A vegan diet
D) Tingling and numbness of both feet - Correct Answer :D) Tingling and numbness of both feet
Vitamin B12 deficiency anemia can cause nerve cell damage if not treated. Symptoms of B12 deficiency anemia
may include tingling or numbness in fingers and toes, difficulty walking, mood changes or depression, memory
loss, disorientation, and dementia.
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
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.
All of the following are true statements about diverticula except:
A) Diverticula are located in the colon
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
B) A low-fiber diet is associated with the condition
C) Most diverticula in the colon are infected with gram-negative bacteria
D) Supplementingwithfibersuchaspsyllium(Metamucil)isrecommended
- Correct Answer :C) Most diverticula in the colon are infected with gram-negative bacte-
ria
Diverticuli in the colon can be infected with both gram-negative and gram- positive bacteria.
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.
Kyphosis is a late sign of:
A) Old age
B) Osteopenia
C) Osteoporosis
D) Osteoarthritis - Correct Answer :C) Osteoporosis
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+
Which of the following antihypertensive medications should the nurse practitioner avoid when treating patients
with emphysema?
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
A) Calcium channel blockers
B) Angiotensin-converting enzyme (ACE) inhibitors
C) Beta-blockers
D) Diuretics - Correct Answer :C) Beta-blockers
Beta-blockers should be avoided in patients with a history of emphysema. Studies have shown evidence of a
reduction in forced expiratory volume in 1 second (FEV1), increased airway hyperresponsiveness, and inhibition
of bronchodilator response to beta agonists in patients receiving non-selective beta- blockers and high doses of
cardioselective beta-blockers.
A 30-year-old chef complains of pruritic hives over her chest and arms but denies difficulty swallowing or
breathing. She reports a family history of allergic rhinitis and asthma. Which of the following interventions is most
appropriate?
A) Perform a complete and thorough history
B) Prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID
C) Give an injection of epinephrine 1:1000 intramuscularly stat
D) Call 911 - Correct Answer :A) Perform a complete and thorough history
Prior to prescribing medications, a complete and thorough history must be performed to determine possible
causes of hives. The patient denied difficulty with swallowing and breathing, so there was no medical emergency
to require calling 911.
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
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
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.
Which of the following symptoms is associated with B12 deficiency anemia?
A) Spoon-shaped nails and pica
B) An abnormal neurological exam
C) A vegan diet
D) Tingling and numbness of both feet - Correct Answer :D) Tingling and numbness of both feet
Vitamin B12 deficiency anemia can cause nerve cell damage if not treated. Symptoms of B12 deficiency anemia
may include tingling or numbness in fingers and toes, difficulty walking, mood changes or depression, memory
loss, disorientation, and dementia.
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
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.
All of the following are true statements about diverticula except:
A) Diverticula are located in the colon
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
B) A low-fiber diet is associated with the condition
C) Most diverticula in the colon are infected with gram-negative bacteria
D) Supplementingwithfibersuchaspsyllium(Metamucil)isrecommended
- Correct Answer :C) Most diverticula in the colon are infected with gram-negative bacte-
ria
Diverticuli in the colon can be infected with both gram-negative and gram- positive bacteria.
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.
Kyphosis is a late sign of:
A) Old age
B) Osteopenia
C) Osteoporosis
D) Osteoarthritis - Correct Answer :C) Osteoporosis
P 4
