FNP FINAL EXAM WITH CORRECT
ANSWERS
1. A school age child comes to the clinic for evaluation of excessive
bruising. The primary care pediatric nurse practitioner notes a history
of an upper respiratory infection 2 weeks prior. The physical exam is
negative for hepatosplenomegaly and lymphadenopathy. Blood work
reveals a platelet count of 60,000/mm3 with normal PT and aPTT. How
will the nurse practitioner manage this child's condition? - ANSWER-
Teach to avoid NSAIDS and contact sports
2. The family nurse practitioner sees a 12-month-old infant who is being
fed goats milk and vegetarian diet. The child is pale and has a beefy-
red, sore tongue and oral mucous membrane. Which tests will the
nurse practitioner order to evaluate this childs condition? - ANSWER-
RBC folate, iron and B12 levels
3. Which types of lymphomas typically have an aggressive presentation?
- ANSWER-Diffuse large-B cell lymphoma
4. The family nurse practitioner reviews hematology reports on a child
with beta-thalassemia minor and notes an Hgb level of 8 g/dL. What
will the nurse practitioner do? - ANSWER-Evaluate serum ferritin
5. A patient reports a neck mass that has been present off and on for 5 to
6 weeks which varies in size. The provider palpates a lymph node
measuring 1.25cm. which test will the provider proper histologic
diagnosis for this patient? - ANSWER-Lymph node biopsy
6. A woman who is currently pregnant reports that she has had three
previous pregnancies: twins delivered at 35 weeks, gestation (both
living), one at 38 weeks gestation (living), and one miscarriage at 16
, weeks gestation. How will this be recorded as her G/TPAL in her
electronic medical record? - ANSWER-G4P:1113
7. A female patient has lower abdominal pain, nausea, and vomiting and
reports missing a period 3 weeks prior. The patient reports using an
intrauterine device for contraception. A serum B-hCG is 1500 mIU/mL.
what will the provider do, based on these findings? - ANSWER-Perform
a transvaginal ultrasound
8. The primary care pediatric nurse practitioner is examining a 5-year-old
child who has had recurrent fevers, bone pain, and a recent loss of
weight. The physical exam reveals scattered petechiae,
lymphadenopathy, and bruising. A complete blood count shows
thrombocytopenia, anemia, and an elevated white cell blood count.
The nurse practitioner will refer this child to specialist for
thrombocytopenia, anemia, and an elevated white cell blood count.
The nurse practitioner will refer this child to specialist for: - ANSWER-
Bone marrow biopsy
9. Which is a distinctive finding in patients who have Churg-Strauss
syndrome (CSS)? - ANSWER-Increased Eosinophils
10. A patient is treated for a urinary tract infection and, 3 weeks
later, presents with pain and swelling of one knee and in one hand,
along with inflammation in both eyes. What will the provider suspect as
the cause of these symptoms? - ANSWER-Reactive Arthritis
11. Which patients with documented HIV infection may be classified
has having acquired immunodeficiency syndrome (AIDS)? - ANSWER-A
patient with tuberculosis
12. A patient with systemic lupus erythematosus (SLE) has frequent
symptoms and has been taking prednisone for each episode. provider
plans to start hydroxychloroquine and the patient asks why this
, medication is necessary. What will the provider tell patient about this
medication? - ANSWER-It is effective in reducing disease flareups and
for tapering steroids
13. The parent of a school-age child who is diagnosed with
oligoarticular JIA asks the primary care nurse practitioner what
exercises the child may do to help reduce symptoms. What will the
nurse practitioner recommend? - ANSWER-Swimming
14. A 60-year-old patient reports new onset of bilateral shoulder pain
with morning stiffness lasting approximately one hour. Which will be
NOT be included in initial diagnostic testing for this patient? - ANSWER-
Serum Calcitonin
15. A patient reports a history of recurrent lower back pain for 6
months. The patient describes the pain as a deep ache and stiffness
that is worse upon wakening and improves after walking. Which
assessment would NOT be helpful to make a clinical diagnosis of
ankylosing spondylitis? - ANSWER-Noting the degree of cervical
kyphosis
16. A patient has a palpable purpural rash. This finding is most
consistent with? - ANSWER-Small-vessel vasculitis
17. The primary care nurse practitioner is performing a well-baby
checkup on a 6-month-old infant and notes a candida diaper rash and
oral thrush. The infant has had two ear infections in the past 2 months
and is in the 3rd percentile for weight. What will the nurse practitioner
do? - ANSWER-Order a CBC with differential and quantitative
immunoglobulins.
18. The primary care nurse practitioner is prescribing ibuprofen for a
25 kg child with JIA who has oligoarthitis. If the child will take 4 doses
ANSWERS
1. A school age child comes to the clinic for evaluation of excessive
bruising. The primary care pediatric nurse practitioner notes a history
of an upper respiratory infection 2 weeks prior. The physical exam is
negative for hepatosplenomegaly and lymphadenopathy. Blood work
reveals a platelet count of 60,000/mm3 with normal PT and aPTT. How
will the nurse practitioner manage this child's condition? - ANSWER-
Teach to avoid NSAIDS and contact sports
2. The family nurse practitioner sees a 12-month-old infant who is being
fed goats milk and vegetarian diet. The child is pale and has a beefy-
red, sore tongue and oral mucous membrane. Which tests will the
nurse practitioner order to evaluate this childs condition? - ANSWER-
RBC folate, iron and B12 levels
3. Which types of lymphomas typically have an aggressive presentation?
- ANSWER-Diffuse large-B cell lymphoma
4. The family nurse practitioner reviews hematology reports on a child
with beta-thalassemia minor and notes an Hgb level of 8 g/dL. What
will the nurse practitioner do? - ANSWER-Evaluate serum ferritin
5. A patient reports a neck mass that has been present off and on for 5 to
6 weeks which varies in size. The provider palpates a lymph node
measuring 1.25cm. which test will the provider proper histologic
diagnosis for this patient? - ANSWER-Lymph node biopsy
6. A woman who is currently pregnant reports that she has had three
previous pregnancies: twins delivered at 35 weeks, gestation (both
living), one at 38 weeks gestation (living), and one miscarriage at 16
, weeks gestation. How will this be recorded as her G/TPAL in her
electronic medical record? - ANSWER-G4P:1113
7. A female patient has lower abdominal pain, nausea, and vomiting and
reports missing a period 3 weeks prior. The patient reports using an
intrauterine device for contraception. A serum B-hCG is 1500 mIU/mL.
what will the provider do, based on these findings? - ANSWER-Perform
a transvaginal ultrasound
8. The primary care pediatric nurse practitioner is examining a 5-year-old
child who has had recurrent fevers, bone pain, and a recent loss of
weight. The physical exam reveals scattered petechiae,
lymphadenopathy, and bruising. A complete blood count shows
thrombocytopenia, anemia, and an elevated white cell blood count.
The nurse practitioner will refer this child to specialist for
thrombocytopenia, anemia, and an elevated white cell blood count.
The nurse practitioner will refer this child to specialist for: - ANSWER-
Bone marrow biopsy
9. Which is a distinctive finding in patients who have Churg-Strauss
syndrome (CSS)? - ANSWER-Increased Eosinophils
10. A patient is treated for a urinary tract infection and, 3 weeks
later, presents with pain and swelling of one knee and in one hand,
along with inflammation in both eyes. What will the provider suspect as
the cause of these symptoms? - ANSWER-Reactive Arthritis
11. Which patients with documented HIV infection may be classified
has having acquired immunodeficiency syndrome (AIDS)? - ANSWER-A
patient with tuberculosis
12. A patient with systemic lupus erythematosus (SLE) has frequent
symptoms and has been taking prednisone for each episode. provider
plans to start hydroxychloroquine and the patient asks why this
, medication is necessary. What will the provider tell patient about this
medication? - ANSWER-It is effective in reducing disease flareups and
for tapering steroids
13. The parent of a school-age child who is diagnosed with
oligoarticular JIA asks the primary care nurse practitioner what
exercises the child may do to help reduce symptoms. What will the
nurse practitioner recommend? - ANSWER-Swimming
14. A 60-year-old patient reports new onset of bilateral shoulder pain
with morning stiffness lasting approximately one hour. Which will be
NOT be included in initial diagnostic testing for this patient? - ANSWER-
Serum Calcitonin
15. A patient reports a history of recurrent lower back pain for 6
months. The patient describes the pain as a deep ache and stiffness
that is worse upon wakening and improves after walking. Which
assessment would NOT be helpful to make a clinical diagnosis of
ankylosing spondylitis? - ANSWER-Noting the degree of cervical
kyphosis
16. A patient has a palpable purpural rash. This finding is most
consistent with? - ANSWER-Small-vessel vasculitis
17. The primary care nurse practitioner is performing a well-baby
checkup on a 6-month-old infant and notes a candida diaper rash and
oral thrush. The infant has had two ear infections in the past 2 months
and is in the 3rd percentile for weight. What will the nurse practitioner
do? - ANSWER-Order a CBC with differential and quantitative
immunoglobulins.
18. The primary care nurse practitioner is prescribing ibuprofen for a
25 kg child with JIA who has oligoarthitis. If the child will take 4 doses
