FNP 654 FINAL EXAM QUESTIONS AND
ANSWERS 100% SOLVED | RATED A+
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins
to have symptoms that include asymmetric weakness in the arms and
difficulty walking. The neurologist recognizes these symptoms as
characteristic of involvement of which portion of the nervous system? -
✔✔Lower motor neurons
The spouse of a patient newly-diagnosed with amyotrophic lateral sclerosis
(ALS) asks about long-term care. What will the provider include when
teaching the family about this disease? - ✔✔Preventing malnutrition is a
key element in care.
Which symptoms may occur with Bell's palsy?
Select all that apply. - ✔✔Alteration in taste, Drooling, Tinnitus
A 35-year-old patient reports suddenly experiencing an asymmetric smile
along with drooping and tearing in one eye. The patient has a history of a
recent viral illness, but is otherwise healthy. During the exam, the provider
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,notes that there is unilateral full face paralysis on the right side. What is the
initial intervention for this patient? - ✔✔Prescribe oral prednisolone
What is recommended to prevent ophthalmic complications in patients with
Bell's palsy? - ✔✔Lubricating eye drops
A patient reports a recurrent sensation of spinning associated with nausea
and vomiting. Which test will the provider order to confirm a diagnosis for
this patient? - ✔✔The Hallpike-Dix positioning maneuver
An elderly patient reports sensations of being off balance when walking, but
does not experience dizziness. The provider will refer this patient to which
specialist for further evaluation? - ✔✔Neurologist
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome
in a patient who is developing muscle weakness and paresthesias? -
✔✔Lumbar puncture
Which monitoring parameters are necessary when caring for a patient with
Guillain-Barre syndrome?
Select all that apply. - ✔✔Bladder scans
Cardiac telemetry
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,Fever
Vital capacity measures
Following an upper respiratory infection, a patient begins to develop ataxia
and distal paresthesias, along with oculomotor symptoms and double
vision. Based on these presenting symptoms which type of GBS does this
patient have? - ✔✔Miller Fisher syndrome (MFS)
A patient has recurrent cluster headaches and asks about abortive therapy.
Which therapy is effective for a majority of patients with cluster headaches?
- ✔✔Oxygen
A patient reports recurrent headaches occurring 1 or 2 times per month that
generally occur with weather changes or when sleep patterns are disrupted
and describes them as severe, with throbbing on one side of the head and
sometimes accompanied by nausea. What is the recommended treatment
for this type of headache? - ✔✔Rizatriptan
Which medications may be useful in treating tension-type headache?
Select all that apply. - ✔✔Antiemetics
Muscle relaxants
NSAIDs
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, A provider suspects that a patient has bacterial meningitis. When should
antibiotics be given? - ✔✔Prior to obtaining a CT scan or lumbar puncture
A patient is brought to the emergency department with fever, lethargy, and
headache without meningeal signs. The examination reveals hypotension
and lethargy and the examiner notes petechiae on the patient's trunk. What
do these findings indicate? - ✔✔A poor prognosis
A patient reports two episodes of visual disturbances and eye pain that
lasted 1 to 2 days each about 2 months apart. Which diagnostic testing will
the provider order initially? - ✔✔Magnetic resonance imaging
A patient diagnosed with multiple sclerosis and begins disease modulating
therapy drugs. As part of the counseling about this therapy, the provider will
tell the patient that this regimen will - ✔✔reduce the exacerbation rate.
A patient who has a seizure disorder and who takes levetiracetam is
brought to an emergency department with a seizure which has persisted
for15 minutes and which immediately followed another 15 minute seizure.
What is the priority action for this patient? - ✔✔Administer lorazepam and
monitor cardiorespiratory status
4
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
ANSWERS 100% SOLVED | RATED A+
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins
to have symptoms that include asymmetric weakness in the arms and
difficulty walking. The neurologist recognizes these symptoms as
characteristic of involvement of which portion of the nervous system? -
✔✔Lower motor neurons
The spouse of a patient newly-diagnosed with amyotrophic lateral sclerosis
(ALS) asks about long-term care. What will the provider include when
teaching the family about this disease? - ✔✔Preventing malnutrition is a
key element in care.
Which symptoms may occur with Bell's palsy?
Select all that apply. - ✔✔Alteration in taste, Drooling, Tinnitus
A 35-year-old patient reports suddenly experiencing an asymmetric smile
along with drooping and tearing in one eye. The patient has a history of a
recent viral illness, but is otherwise healthy. During the exam, the provider
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,notes that there is unilateral full face paralysis on the right side. What is the
initial intervention for this patient? - ✔✔Prescribe oral prednisolone
What is recommended to prevent ophthalmic complications in patients with
Bell's palsy? - ✔✔Lubricating eye drops
A patient reports a recurrent sensation of spinning associated with nausea
and vomiting. Which test will the provider order to confirm a diagnosis for
this patient? - ✔✔The Hallpike-Dix positioning maneuver
An elderly patient reports sensations of being off balance when walking, but
does not experience dizziness. The provider will refer this patient to which
specialist for further evaluation? - ✔✔Neurologist
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome
in a patient who is developing muscle weakness and paresthesias? -
✔✔Lumbar puncture
Which monitoring parameters are necessary when caring for a patient with
Guillain-Barre syndrome?
Select all that apply. - ✔✔Bladder scans
Cardiac telemetry
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,Fever
Vital capacity measures
Following an upper respiratory infection, a patient begins to develop ataxia
and distal paresthesias, along with oculomotor symptoms and double
vision. Based on these presenting symptoms which type of GBS does this
patient have? - ✔✔Miller Fisher syndrome (MFS)
A patient has recurrent cluster headaches and asks about abortive therapy.
Which therapy is effective for a majority of patients with cluster headaches?
- ✔✔Oxygen
A patient reports recurrent headaches occurring 1 or 2 times per month that
generally occur with weather changes or when sleep patterns are disrupted
and describes them as severe, with throbbing on one side of the head and
sometimes accompanied by nausea. What is the recommended treatment
for this type of headache? - ✔✔Rizatriptan
Which medications may be useful in treating tension-type headache?
Select all that apply. - ✔✔Antiemetics
Muscle relaxants
NSAIDs
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, A provider suspects that a patient has bacterial meningitis. When should
antibiotics be given? - ✔✔Prior to obtaining a CT scan or lumbar puncture
A patient is brought to the emergency department with fever, lethargy, and
headache without meningeal signs. The examination reveals hypotension
and lethargy and the examiner notes petechiae on the patient's trunk. What
do these findings indicate? - ✔✔A poor prognosis
A patient reports two episodes of visual disturbances and eye pain that
lasted 1 to 2 days each about 2 months apart. Which diagnostic testing will
the provider order initially? - ✔✔Magnetic resonance imaging
A patient diagnosed with multiple sclerosis and begins disease modulating
therapy drugs. As part of the counseling about this therapy, the provider will
tell the patient that this regimen will - ✔✔reduce the exacerbation rate.
A patient who has a seizure disorder and who takes levetiracetam is
brought to an emergency department with a seizure which has persisted
for15 minutes and which immediately followed another 15 minute seizure.
What is the priority action for this patient? - ✔✔Administer lorazepam and
monitor cardiorespiratory status
4
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
