FNP 654 FINAL EXAM(V1) 2026|200Qs&As|GRADED
A+:GCU
The primary care nurse practitioner attempts to learn more about the emotional
health of an 18- month-old child through which assessment strategy?
Observation of the child with caretakers in structured and unstructured situation
What is an important purpose of conducting an interview prior to beginning
neuropsychological testing on an older adult suspected of having dementia?
To assess the patient's ability to cooperate with the testing
A patient has unexplained weight loss and the provider notes increased skin
pigmentation on light-exposed skin folds along with darkened palmar creases.
Which laboratory test will the provider NOT order?
Serum cortisol
A patient with cancer is expected to require long-term pain medication to manage
cancer pain. Which agent will be best for this patient?
Morphine
A 16-year-old female has primary amenorrhea. A pregnancy test is negative.
Further testing reveals a normal TSH and an elevated prolactin level. Which
test will the provider order next?
Magnetic resonance imaging
During a well-baby exam on a 9-month-old infant, the parent reports that the
baby always uses the left hand to pick up objects and asks if the baby will be
left-handed. What will the primary care nurse practitioner do?
Perform a careful assessment of fine and gross motor skills.
An asymptomatic female learns that her boyfriend has gonorrhea and asks about
antibiotics. What will the provider recommend?
Empiric ceftriaxone and azithromycin
A 16-year-old sexually active female has symptoms of PID with fever. Cultures are
pending. For outpatient treatment, what will the provider order?
,Rocephin, doxycycline, and metronidazole
A 30-year-old male patient has a positive leukocyte esterase and nitrites on a
random urine dipstick during a well patient exam. What type of urinary tract
infection does this represent?
Complicated
A woman who has had routine Pap tests all of her adult life has an abnormal Pap
with low-grade intraepithelial lesion. What will the provider tell her about this
result?
Colposcopy with biopsy is necessary
A patient has bone pain and laboratory testing reveals an elevated serum
alkaline phosphatase (SAP). Which test can help distinguish Paget's from
malignant bone disease?
Bone radiograph
What is the most important role of the primary care provider in cancer
management?
Counseling about healthy practices to reduce risk factors
A 35-year-old woman without a previous history of dysmenorrhea reports lower
pelvic pain and irregular bleeding between periods. What is the initial action in
managing this patient?
Performing an abdominal, pelvic, and rectovaginal examination
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 38.5° C. What is the initial
action?
Obtain a STAT CBC with differential
What is a possible cause of decreased arousal, libido, and orgasm in a
postmenopausal woman?
Diminished testosterone
A middle-school-age child is skipping school frequently and getting poor grades
since the child's father was killed while deployed in the military. How will the
primary care nurse practitioner manage this situation?
, Refer the child to a mental health specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased serum
calcium 0.5 mg/dL above normal without signs of nephrolithiasis. What is the
recommended treatment for this patient?
Annual monitoring of calcium, creatinine, and bone
density What is true about HPV infection in women?
Most HPV lesions will resolve spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the recommended
treatment once the diagnosis is made?
Bisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she describes as
sharp and burning and localized to one area. A breast examination reveals no
dimpling, discharge, or masses.
Which diagnostic test will the provider order?
Bilateral mammography
An adolescent female has amenorrhea. The provider notes short stature, neck
webbing, and a pigeon chest deformity. Based on these symptoms, what is the
underlying disorder causing this patient's amenorrhea?
Turner's syndrome
A young female has a Pap test which reveals atypical squamous cells of
undetermined significance. What will the next step be in managing this patient?
Repeat cytology in 12 months
Which drug is used to treat patients with focal epilepsy and complex partial
seizures?
Carbamazepine
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 notes that there is
unilateral full face paralysis on the right side.
A+:GCU
The primary care nurse practitioner attempts to learn more about the emotional
health of an 18- month-old child through which assessment strategy?
Observation of the child with caretakers in structured and unstructured situation
What is an important purpose of conducting an interview prior to beginning
neuropsychological testing on an older adult suspected of having dementia?
To assess the patient's ability to cooperate with the testing
A patient has unexplained weight loss and the provider notes increased skin
pigmentation on light-exposed skin folds along with darkened palmar creases.
Which laboratory test will the provider NOT order?
Serum cortisol
A patient with cancer is expected to require long-term pain medication to manage
cancer pain. Which agent will be best for this patient?
Morphine
A 16-year-old female has primary amenorrhea. A pregnancy test is negative.
Further testing reveals a normal TSH and an elevated prolactin level. Which
test will the provider order next?
Magnetic resonance imaging
During a well-baby exam on a 9-month-old infant, the parent reports that the
baby always uses the left hand to pick up objects and asks if the baby will be
left-handed. What will the primary care nurse practitioner do?
Perform a careful assessment of fine and gross motor skills.
An asymptomatic female learns that her boyfriend has gonorrhea and asks about
antibiotics. What will the provider recommend?
Empiric ceftriaxone and azithromycin
A 16-year-old sexually active female has symptoms of PID with fever. Cultures are
pending. For outpatient treatment, what will the provider order?
,Rocephin, doxycycline, and metronidazole
A 30-year-old male patient has a positive leukocyte esterase and nitrites on a
random urine dipstick during a well patient exam. What type of urinary tract
infection does this represent?
Complicated
A woman who has had routine Pap tests all of her adult life has an abnormal Pap
with low-grade intraepithelial lesion. What will the provider tell her about this
result?
Colposcopy with biopsy is necessary
A patient has bone pain and laboratory testing reveals an elevated serum
alkaline phosphatase (SAP). Which test can help distinguish Paget's from
malignant bone disease?
Bone radiograph
What is the most important role of the primary care provider in cancer
management?
Counseling about healthy practices to reduce risk factors
A 35-year-old woman without a previous history of dysmenorrhea reports lower
pelvic pain and irregular bleeding between periods. What is the initial action in
managing this patient?
Performing an abdominal, pelvic, and rectovaginal examination
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 38.5° C. What is the initial
action?
Obtain a STAT CBC with differential
What is a possible cause of decreased arousal, libido, and orgasm in a
postmenopausal woman?
Diminished testosterone
A middle-school-age child is skipping school frequently and getting poor grades
since the child's father was killed while deployed in the military. How will the
primary care nurse practitioner manage this situation?
, Refer the child to a mental health specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased serum
calcium 0.5 mg/dL above normal without signs of nephrolithiasis. What is the
recommended treatment for this patient?
Annual monitoring of calcium, creatinine, and bone
density What is true about HPV infection in women?
Most HPV lesions will resolve spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the recommended
treatment once the diagnosis is made?
Bisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she describes as
sharp and burning and localized to one area. A breast examination reveals no
dimpling, discharge, or masses.
Which diagnostic test will the provider order?
Bilateral mammography
An adolescent female has amenorrhea. The provider notes short stature, neck
webbing, and a pigeon chest deformity. Based on these symptoms, what is the
underlying disorder causing this patient's amenorrhea?
Turner's syndrome
A young female has a Pap test which reveals atypical squamous cells of
undetermined significance. What will the next step be in managing this patient?
Repeat cytology in 12 months
Which drug is used to treat patients with focal epilepsy and complex partial
seizures?
Carbamazepine
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 notes that there is
unilateral full face paralysis on the right side.
