FNP 654 Final Exam | Actual Practice Questions & Answers |
Grand Canyon University (GCU) | Family Primary Care II |
Women's Health, Pediatrics, Neurology, Endocrinology,
Dermatology, Hematology, Infectious Disease, Rheumatology,
Pharmacology | Latest 2026/2027 | 100% Verified
OVERVIEW
This FNP 654 Final Exam study guide contains actual practice questions and verified answers for Grand
Canyon University's Family Primary Care II course, updated for the latest 2025/2026 academic year.
Covers all key exam topics including women's health and gynecology (contraception, dysmenorrhea,
abnormal Pap, PID, GTPAL, ectopic pregnancy, HIV in pregnancy, prolactinoma), pediatrics (sickle cell
anemia, iron deficiency anemia, ITP, leukemia, newborn feeding, hand preference), neurology and mental
health (ALS, cluster headaches, delirium, schizophrenia, epilepsy, cranial nerve assessment),
endocrinology (Addison's disease, Cushing's syndrome), dermatology (dermoscopy, tinea corporis,
melanoma, dyshidrotic eczema), hematology and oncology (iron deficiency anemia, MDS, chemotherapy,
lymphoma), infectious diseases (pregnancy vaccines, UTI, HIV), rheumatology (ankylosing spondylitis,
SLE, JIA), and pharmacology (hypertension treatment, diabetes diagnosis, pneumococcal vaccines,
osteoporosis). Each question includes the correct answer in bold with an italic rationale to reinforce clinical
reasoning. Perfect for FNP students preparing for the GCU FNP 654 final exam, clinical rotation summative
evaluations, and FNP certification review. Pass your exam with confidence. Instant digital download.
, Topic Key Points
Contraception with Progestin-only contraception is recommended; estrogen-containing
Migraine with Aura contraceptives are contraindicated .
PID Treatment Ceftriaxone (Rocephin) IM + Doxycycline PO + Metronidazole PO .
(Outpatient)
GTPAL Documentation G = total pregnancies; T = term births (≥37 weeks); P = preterm
births (20-36 weeks); A = abortions (<20 weeks); L = living children .
Sickle Cell Anemia Meningococcal vaccine should be given at 2 years of age .
Vaccines
ITP in Children Supportive care; avoid NSAIDs and contact sports; refer for platelet
count <20,000 .
Childhood Leukemia Fever, bone pain, weight loss, petechiae, lymphadenopathy,
pancytopenia; refer for bone marrow biopsy .
Cushing's Syndrome Symptoms include amenorrhea, moon facies, truncal obesity,
hypertension, hyperglycemia .
Cluster Headache Oxygen therapy is effective for most patients .
Abortive Therapy
Schizophrenia Most chronic and disabling of the severe mental illnesses .
Delirium Hallmark Inattention and sleep-wake cycle disturbance .
Symptoms
SECTION 1: WOMEN'S HEALTH & GYNECOLOGY (Questions 1–20)
1. A woman has a history of migraines with aura and requests oral contraceptives to
prevent pregnancy. Which type of contraceptive will the provider recommend?
, A) Combined oral contraceptive (COC)
B) Progestin-only contraception
C) Transdermal patch
D) Vaginal ring
Answer: B
Estrogen-containing contraceptives are contraindicated in women with migraines with aura
due to increased risk of stroke. Progestin-only pills are safer .
2. An adolescent female reports moderate dysmenorrhea with periods and tells the
primary care nurse practitioner that 400 mg ibuprofen every 6 to 8 hours doesn't
completely control her pain. What will the nurse practitioner recommend?
A) Increase ibuprofen to 600 mg every 6 hours
B) Switch to acetaminophen 650 mg every 6 hours
C) Taking naproxen 500 mg initially and then 250 mg every 6 to 8 hours
D) Prescribe oral contraceptive pills
Answer: C
Naproxen has a longer half-life and may provide more sustained relief. Starting with a
loading dose of 500 mg followed by 250 mg every 6-8 hours is appropriate for moderate
dysmenorrhea .
3. A woman who has had routine Pap tests all of her adult life has an abnormal Pap
with a low-grade intraepithelial lesion. What will the provider recommend?
A) Immediate colposcopy
B) Repeat Pap in 12 months
C) HPV testing only
D) Loop electrosurgical excision procedure (LEEP)
Grand Canyon University (GCU) | Family Primary Care II |
Women's Health, Pediatrics, Neurology, Endocrinology,
Dermatology, Hematology, Infectious Disease, Rheumatology,
Pharmacology | Latest 2026/2027 | 100% Verified
OVERVIEW
This FNP 654 Final Exam study guide contains actual practice questions and verified answers for Grand
Canyon University's Family Primary Care II course, updated for the latest 2025/2026 academic year.
Covers all key exam topics including women's health and gynecology (contraception, dysmenorrhea,
abnormal Pap, PID, GTPAL, ectopic pregnancy, HIV in pregnancy, prolactinoma), pediatrics (sickle cell
anemia, iron deficiency anemia, ITP, leukemia, newborn feeding, hand preference), neurology and mental
health (ALS, cluster headaches, delirium, schizophrenia, epilepsy, cranial nerve assessment),
endocrinology (Addison's disease, Cushing's syndrome), dermatology (dermoscopy, tinea corporis,
melanoma, dyshidrotic eczema), hematology and oncology (iron deficiency anemia, MDS, chemotherapy,
lymphoma), infectious diseases (pregnancy vaccines, UTI, HIV), rheumatology (ankylosing spondylitis,
SLE, JIA), and pharmacology (hypertension treatment, diabetes diagnosis, pneumococcal vaccines,
osteoporosis). Each question includes the correct answer in bold with an italic rationale to reinforce clinical
reasoning. Perfect for FNP students preparing for the GCU FNP 654 final exam, clinical rotation summative
evaluations, and FNP certification review. Pass your exam with confidence. Instant digital download.
, Topic Key Points
Contraception with Progestin-only contraception is recommended; estrogen-containing
Migraine with Aura contraceptives are contraindicated .
PID Treatment Ceftriaxone (Rocephin) IM + Doxycycline PO + Metronidazole PO .
(Outpatient)
GTPAL Documentation G = total pregnancies; T = term births (≥37 weeks); P = preterm
births (20-36 weeks); A = abortions (<20 weeks); L = living children .
Sickle Cell Anemia Meningococcal vaccine should be given at 2 years of age .
Vaccines
ITP in Children Supportive care; avoid NSAIDs and contact sports; refer for platelet
count <20,000 .
Childhood Leukemia Fever, bone pain, weight loss, petechiae, lymphadenopathy,
pancytopenia; refer for bone marrow biopsy .
Cushing's Syndrome Symptoms include amenorrhea, moon facies, truncal obesity,
hypertension, hyperglycemia .
Cluster Headache Oxygen therapy is effective for most patients .
Abortive Therapy
Schizophrenia Most chronic and disabling of the severe mental illnesses .
Delirium Hallmark Inattention and sleep-wake cycle disturbance .
Symptoms
SECTION 1: WOMEN'S HEALTH & GYNECOLOGY (Questions 1–20)
1. A woman has a history of migraines with aura and requests oral contraceptives to
prevent pregnancy. Which type of contraceptive will the provider recommend?
, A) Combined oral contraceptive (COC)
B) Progestin-only contraception
C) Transdermal patch
D) Vaginal ring
Answer: B
Estrogen-containing contraceptives are contraindicated in women with migraines with aura
due to increased risk of stroke. Progestin-only pills are safer .
2. An adolescent female reports moderate dysmenorrhea with periods and tells the
primary care nurse practitioner that 400 mg ibuprofen every 6 to 8 hours doesn't
completely control her pain. What will the nurse practitioner recommend?
A) Increase ibuprofen to 600 mg every 6 hours
B) Switch to acetaminophen 650 mg every 6 hours
C) Taking naproxen 500 mg initially and then 250 mg every 6 to 8 hours
D) Prescribe oral contraceptive pills
Answer: C
Naproxen has a longer half-life and may provide more sustained relief. Starting with a
loading dose of 500 mg followed by 250 mg every 6-8 hours is appropriate for moderate
dysmenorrhea .
3. A woman who has had routine Pap tests all of her adult life has an abnormal Pap
with a low-grade intraepithelial lesion. What will the provider recommend?
A) Immediate colposcopy
B) Repeat Pap in 12 months
C) HPV testing only
D) Loop electrosurgical excision procedure (LEEP)
