FNP654/ FNP 654 FINAL EXAM | FAMILY
PRIMARY CARE II EXAM | QUESTIONS AND
VERIFIED ANSWERS RATED A+ | 2026/2027
GUIDE | GCU
An obese adolescent female patients reports irregular periods and
excessive acne. The provider notes an increased amount of hair on her
upper back, shoulder, and upper abdomen. What will the provider do
based upon these findings?
- Correct Answer - Refer to an endocrinologist for evaluation
A patient being treated for cancer has had chemotherapy within the past
two weeks and comes to the primary care clinic with a fever of 38
degrees C. What is the initial action?
- Correct Answer - obtain a STAT CBC with differential
A patient with cancer is expected to require long term pain medication to
manage cancer pain. which agent will be best for this patient?
- Correct Answer - Morphine
A patient with breast cancer has been symptom-free for 6 months and
reports a new onset of lower back pain rated as an 8 on a 1 to 10 pain
,rating scale to the primary provider. What is most important when
evaluating this patient's pain?
- Correct Answer - Obtaining an MRI of the spinal cord
What is the purpose of radiation treatment prior to surgical resection of a
tumor?
- Correct Answer - to debulk the tumor mass
A patient has new-onset hypertension with a systolic blood pressure of
180 mm Hg. Which test will the provider order to diagnose this patient?
- Correct Answer - Fractionated metanephrine levels
A woman who has stopped having menstrual periods has vasomotor
symptoms but does not want to use hormone replacement therapy. What
measures will the provider recommend?
- Correct Answer - keeping the house cool, use of personal fans
A 45 year old woman has gone 120 days without a menstrual period. A
pregnancy test is negative. What will the provider do based on this
symptom?
- Correct Answer - Evaluate the various causes of amenorrhea
Which of the following is NOT considered an oncologic emergency in a
patient with cancer requiring urgent referral for an oncologist?
, - Correct Answer - bone marrow suppression
(SIADH, tumor lysis syndrome, and superior vena cava syndrome are
emergencies)
Which laboratory values representing parathyroid hormone (PTH) and
serum calcium are consistent with a diagnosis of primary
hyperparathyroidism?
- Correct Answer - Inappropriate secretion of PTH along with
hypercalcemia
An adolescent female reports moderate dysmenorrhea with periods and
tells the primary care NP that 400mg of ibuprofen every 6-8 hours is not
controlling her pain. What will the NP recommend?
- Correct Answer - taking naproxen 500mg initially, then 250mg every 6-
8 hours
A woman who is taking oral contraceptive pills (OCPs) to prevent
pregnancy calls the provider to report forgetting to take the pills for 4
days. She has not had sexual intercourse during that time. What will the
provider recommend?
- Correct Answer - Resume the pills and use a backup method the
remainder of the cycle
A patient with normal renal function has a potassium level of 6.0 mEq/L.
Which underlying cause is possible in this patient?
PRIMARY CARE II EXAM | QUESTIONS AND
VERIFIED ANSWERS RATED A+ | 2026/2027
GUIDE | GCU
An obese adolescent female patients reports irregular periods and
excessive acne. The provider notes an increased amount of hair on her
upper back, shoulder, and upper abdomen. What will the provider do
based upon these findings?
- Correct Answer - Refer to an endocrinologist for evaluation
A patient being treated for cancer has had chemotherapy within the past
two weeks and comes to the primary care clinic with a fever of 38
degrees C. What is the initial action?
- Correct Answer - obtain a STAT CBC with differential
A patient with cancer is expected to require long term pain medication to
manage cancer pain. which agent will be best for this patient?
- Correct Answer - Morphine
A patient with breast cancer has been symptom-free for 6 months and
reports a new onset of lower back pain rated as an 8 on a 1 to 10 pain
,rating scale to the primary provider. What is most important when
evaluating this patient's pain?
- Correct Answer - Obtaining an MRI of the spinal cord
What is the purpose of radiation treatment prior to surgical resection of a
tumor?
- Correct Answer - to debulk the tumor mass
A patient has new-onset hypertension with a systolic blood pressure of
180 mm Hg. Which test will the provider order to diagnose this patient?
- Correct Answer - Fractionated metanephrine levels
A woman who has stopped having menstrual periods has vasomotor
symptoms but does not want to use hormone replacement therapy. What
measures will the provider recommend?
- Correct Answer - keeping the house cool, use of personal fans
A 45 year old woman has gone 120 days without a menstrual period. A
pregnancy test is negative. What will the provider do based on this
symptom?
- Correct Answer - Evaluate the various causes of amenorrhea
Which of the following is NOT considered an oncologic emergency in a
patient with cancer requiring urgent referral for an oncologist?
, - Correct Answer - bone marrow suppression
(SIADH, tumor lysis syndrome, and superior vena cava syndrome are
emergencies)
Which laboratory values representing parathyroid hormone (PTH) and
serum calcium are consistent with a diagnosis of primary
hyperparathyroidism?
- Correct Answer - Inappropriate secretion of PTH along with
hypercalcemia
An adolescent female reports moderate dysmenorrhea with periods and
tells the primary care NP that 400mg of ibuprofen every 6-8 hours is not
controlling her pain. What will the NP recommend?
- Correct Answer - taking naproxen 500mg initially, then 250mg every 6-
8 hours
A woman who is taking oral contraceptive pills (OCPs) to prevent
pregnancy calls the provider to report forgetting to take the pills for 4
days. She has not had sexual intercourse during that time. What will the
provider recommend?
- Correct Answer - Resume the pills and use a backup method the
remainder of the cycle
A patient with normal renal function has a potassium level of 6.0 mEq/L.
Which underlying cause is possible in this patient?
