*** INSTANT DOWNLOAD***FNP Final Exam 2025 with complete solutions pass guaranteed

FNP Final Exam 2025 with complete solutions
pass guaranteed




A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is effective for a
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majority of patients with cluster headaches?
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a. Lithium
N




b. NSAIDs
N




c. Oxygen
N




d. Verapamil - CORRECT ANSWER✔✔C. Oxygen
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A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur with weather
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changes or when sleep patterns are disrupted and describes them as severe, with throbbing on one side of the
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head and sometimes accompanied by nausea. What is the recommended treatment for this type of headache?
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a. Gabapentin
N




b. Propranolol
N




c. Rizatriptan
N




d. Topiramate - CORRECT ANSWER✔✔c. Rizatriptan
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Which medication is NOT useful in treating tension-type headaches?
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a. Antiemetics
N




b. Lithium
N




c. Muscle relaxants
N N




d. NSAIDse. Oxygen - CORRECT ANSWER✔✔b. Lithium
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A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each about 2 months
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apart. Which diagnostic testing will the provider order initially?
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a. Lumbar puncture
N N




b. Magnetic resonance imaging
N N N




c. Optical Coherence Tomography
N N N




d. Visual evoked potential - CORRECT ANSWER✔✔b. Magnetic resonance imaging
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A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa (Sinemet) with good results but
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,develops increased dyskinesia. Which drug will be added to this patient's regimen to help control this
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symptom?
N




a. Amantadine
N




b. Benztropine
N




c. Ropinirole
N




d. Tolcapone - CORRECT ANSWER✔✔a. Amantadine
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All of the following are common symptoms seen in patients with Parkinson's disease except:
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a. Bradykinesia
N




b. Festination
N




c. Hyperphonia
N




d. Rigidity
N




e. Symmetric tremor - CORRECT ANSWER✔✔c. Hyperphonia
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Which drug is used to treat patients with focal epilepsy and complex partial seizures?
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a. Carbamazepine
N




b. Ethosuximide
N




c. Lamotrigine
N




d. Topiramate - CORRECT ANSWER✔✔a. Carbamazepine
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A patient develops a gait disorder and the patient's spouse reports noticing recent personality changes. The
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provider suspects a brain lesion. Which evaluation is especially important in the initial physical examination?
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a. Assessment of peripheral reflexes
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b. Evaluation of speech
N N N




c. Examination of the optic fundi
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d. Testing for memory loss - CORRECT ANSWER✔✔c. Examination of the optic fundi
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A toddler has begun hitting and biting other children at a day care center and is exhibiting temper tantrums and
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bad language at home. The parent reports that these behaviors began shortly after a sibling was born. What
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will the primary care pediatric nurse practitioner do?
N

N
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A. Advise the parent that the child is exhibiting early symptoms of ADHD.
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B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
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C. Recommend evaluating the child for conduct or oppositional defiant disorder.
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D. Suggest putting the child in another day care center to ameliorate the problems - CORRECT ANSWER✔✔B.
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Engage the parent in positive parenting strategies to facilitate appropriate child coping.
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A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is negative. The
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adolescent's body weight is at 82% of expected for height and age. The mother reports that her daughter often
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throws up and refuses to eat most foods. Which condition does the primary care pediatric nurse practitioner
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suspect?
N




A. Anorexia nervosa
N N




B. Bulimia nervosa
N N




C. Depression
N




D. Substance abuse - CORRECT ANSWER✔✔A. Anorexia nervosa
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During a well child examination on a 4monthold infant, the primary care pediatric nurse practitioner evaluates
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mental health issues. Which statement by the parent indicates a potential problem with the parent infant
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relationship?
N




a. "I can sense a difference in my baby's cries."
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b. "I let my baby cry a while to learn to be patient."
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c. "My baby prefers to nurse in a darkened room."
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d. "My baby seems very sensitive to loud noises." - CORRECT ANSWER✔✔b. "I let my baby cry a while to learn
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, N to be patient."
N N




The primary care pediatric nurse practitioner attempts to learn more about the emotional health of an
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18monthold child through which assessment strategy?
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a. Asking the child to tell a story using dolls and other props
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b. Asking the child to draw a picture of him or herself and other family members
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c. Interviewing the child separately from caretakers and parents
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d. Observation of the child with caretakers in structured and unstructured situations - CORRECT ANSWER✔✔
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d. Observation of the child with caretakers in structured and unstructured situations
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The parent of a 4 year old child reports that the child seems to be having trouble adjusting to a new day care
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and reportedly is always engaging in solitary play when the parent arrives to pick up the child. What will the
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primary care pediatric nurse practitioner do?
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a. Ask the parent if the child is slow to warm up to other new situations.
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b. Reassure the parent that parallel play is common among preschool age children.
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c. Recommend that the parent spend time encouraging the child to play with others.
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d. Suggest that the day care center may be neglecting the child. - CORRECT ANSWER✔✔a. Ask the parent if the
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child is slow to warm up to other new situations.
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The parent of a school age child reports that the child becomes frustrated when unable to perform tasks well
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and often has temper tantrums and difficulty sleeping. Which disorder may be considered in this child?
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a. Generalized anxiety disorder (GAD)
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b. obsessive-compulsive disorder (OCD)
N N N




c. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS)
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d. Separation anxiety disorder (SAD) - CORRECT ANSWER✔✔a. Generalized anxiety disorder (GAD)
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A newly divorced mother of a toddler reports that the child began having difficulty sleeping and nightmares
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along with exhibiting angry outbursts and tantrums 2 months prior. The primary care pediatric nurse
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practitioner learns that the child refuses to play with usual playmates and often spends time sitting quietly.
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What will the nurse practitioner do initially?
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a. Ask the mother about the child's relationship with the father.
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b. Consult with a child psychiatrist to prescribe medications.
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c. Recommend cognitive behavioral or psychodynamic therapy.
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d. Refer the family to a child behavioral specialist for counseling. - CORRECT ANSWER✔✔a. Ask the mother
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about the child's relationship with the father.
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An adolescent is diagnosed with major depression, and the mental health specialist has prescribed fluoxetine.
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What other treatment is important to protect against suicide risk?
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a. Addition of risperidone therapy
N N N N




b. Cognitive behavioral therapy
N N N




c. Family therapy
N N




d. Hospitalization - CORRECT ANSWER✔✔b. Cognitive behavioral therapy
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A 13 year old child has exhibited symptoms of mild depression for several weeks. The parent reports feeling
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relieved that the symptoms have passed but concerned that the child now seems to have boundless energy
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and an inability to sit still. What will the primary care pediatric nurse practitioner do?
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