FNP 654 Final Exam Questions And
Answers
/. The primary care nurse practitioner attempts to learn more about the emotional health
of an 18-month-old child through which assessment strategy? - Answer-✅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? - Answer-
✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? -
Answer-✅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? - Answer-✅Bone radiograph
/.What is the most important role of the primary care provider in cancer management? -
Answer-✅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? - Answer-✅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? -
Answer-✅Obtain a STAT CBC with differential
/.What is a possible cause of decreased arousal, libido, and orgasm in a
postmenopausal woman? - Answer-✅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? - Answer-✅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? - Answer-✅Annual monitoring of calcium, creatinine, and
bone density
/.What is true about HPV infection in women? - Answer-✅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? - Answer-✅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? - Answer-
✅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? - Answer-✅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? - Answer-✅Repeat
cytology in 12 months
/.Which drug is used to treat patients with focal epilepsy and complex partial seizures? -
Answer-✅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. What is the initial intervention for this patient? - Answer-
✅Prescribe oral prednisolone
/.A primary care provider suspects Parkinson's disease (PD) in a 70-year-old patient.
Which tests may be performed to diagnose this disorder? - Answer-✅Presence of 2
cardinal signs which improve with levodopa
/.A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that these
behaviors began shortly after a sibling was born. What will the primary care nurse
practitioner do? - Answer-✅Engage the parent in positive parenting strategies to
facilitate appropriate child coping.
/.A 69-year-old patient with cancer is reluctant to take an opioid agonist medication
because of the side effects. What will the primary care provider recommend? - Answer-
✅Taking a stool softener with the opioid
/.Which is a risk factor for pelvic inflammatory disease? - Answer-✅Vaginal douching
/.A 67-year-old female patient reports vulvar pruritus and dyspareunia. The provider
notes white papules on the vulva with thinning of the epithelium. What condition does
the provider suspect? - Answer-✅Lichen sclerosis
/.A woman who has just weaned her infant from breastfeeding develops signs of
mastitis and is treated with antibiotics. At a follow up visit, the provider notes marked
breast edema and erythema of the affected breast. What will the provider do next? -
Answer-✅Refer the patient for an immediate biopsy
/.An 18-year-old sexually active young female reports vaginal discharge and moderate
vulvovaginal irritation. The examination reveals a white, non-inflammatory discharge
adhering to the vaginal walls, clue cells on microscopic examination and a positive KOH
Answers
/. The primary care nurse practitioner attempts to learn more about the emotional health
of an 18-month-old child through which assessment strategy? - Answer-✅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? - Answer-
✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? - Answer-✅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? -
Answer-✅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? - Answer-✅Bone radiograph
/.What is the most important role of the primary care provider in cancer management? -
Answer-✅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? - Answer-✅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? -
Answer-✅Obtain a STAT CBC with differential
/.What is a possible cause of decreased arousal, libido, and orgasm in a
postmenopausal woman? - Answer-✅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? - Answer-✅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? - Answer-✅Annual monitoring of calcium, creatinine, and
bone density
/.What is true about HPV infection in women? - Answer-✅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? - Answer-✅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? - Answer-
✅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? - Answer-✅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? - Answer-✅Repeat
cytology in 12 months
/.Which drug is used to treat patients with focal epilepsy and complex partial seizures? -
Answer-✅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. What is the initial intervention for this patient? - Answer-
✅Prescribe oral prednisolone
/.A primary care provider suspects Parkinson's disease (PD) in a 70-year-old patient.
Which tests may be performed to diagnose this disorder? - Answer-✅Presence of 2
cardinal signs which improve with levodopa
/.A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that these
behaviors began shortly after a sibling was born. What will the primary care nurse
practitioner do? - Answer-✅Engage the parent in positive parenting strategies to
facilitate appropriate child coping.
/.A 69-year-old patient with cancer is reluctant to take an opioid agonist medication
because of the side effects. What will the primary care provider recommend? - Answer-
✅Taking a stool softener with the opioid
/.Which is a risk factor for pelvic inflammatory disease? - Answer-✅Vaginal douching
/.A 67-year-old female patient reports vulvar pruritus and dyspareunia. The provider
notes white papules on the vulva with thinning of the epithelium. What condition does
the provider suspect? - Answer-✅Lichen sclerosis
/.A woman who has just weaned her infant from breastfeeding develops signs of
mastitis and is treated with antibiotics. At a follow up visit, the provider notes marked
breast edema and erythema of the affected breast. What will the provider do next? -
Answer-✅Refer the patient for an immediate biopsy
/.An 18-year-old sexually active young female reports vaginal discharge and moderate
vulvovaginal irritation. The examination reveals a white, non-inflammatory discharge
adhering to the vaginal walls, clue cells on microscopic examination and a positive KOH
