FNP 654 FINAL EXAM (2025/2026)
UPDATE|QUESTIONS WITH CHOICES
|VERIFIED & REVISED
ANSWERS| GRADE A (NEW)!!!
Ampatientmwithmamfamilymhistorymofmamyotrophicmlateralmsclerosism(ALS)mbeginsmtomhavemsymptom
smthatmincludemasymmetricmweaknessminmthemarmsmandmdifficultymwalking.mThemneurologistmrecog
nizesmthesemsymptomsmasmcharacteristicmofminvolvementmofmwhichmportionmofmthemnervousmsyste
m?m-mCORRECTmANSWERSmLowermmotormneurons
Themspousemofmampatientmnewly-
diagnosedmwithmamyotrophicmlateralmsclerosism(ALS)masksmaboutmlong-
termmcare.mWhatmwillmthemprovidermincludemwhenmteachingmthemfamilymaboutmthismdisease?m-
mCORRECTmANSWERSmPreventingmmalnutritionmismamkeymelementminmcare.
WhichmsymptomsmmaymoccurmwithmBell'smpalsy?
Selectmallmthatmapply.m-mCORRECTmANSWERSmAlterationminmtaste,mDrooling,mTinnitus
Am35-year-
oldmpatientmreportsmsuddenlymexperiencingmanmasymmetricmsmilemalongmwithmdroopingmandmteari
ngminmonemeye.mThempatientmhasmamhistorymofmamrecentmviralmillness,mbutmismotherwisemhealthy.mDu
ringmthemexam,mthemprovidermnotesmthatmtheremismunilateralmfullmfacemparalysismonmthemrightmside.
mWhatmismtheminitialminterventionmformthismpatient?m-
mCORRECTmANSWERSmPrescribemoralmprednisolone
WhatmismrecommendedmtompreventmophthalmicmcomplicationsminmpatientsmwithmBell'smpalsy?m-
mCORRECTmANSWERSmLubricatingmeyemdrops
,Ampatientmreportsmamrecurrentmsensationmofmspinningmassociatedmwithmnauseamandmvomiting.mWh
ichmtestmwillmthemprovidermordermtomconfirmmamdiagnosismformthismpatient?m-
mCORRECTmANSWERSmThemHallpike-Dixmpositioningmmaneuver
Anmelderlympatientmreportsmsensationsmofmbeingmoffmbalancemwhenmwalking,mbutmdoesmnotmexperi
encemdizziness.mThemprovidermwillmrefermthismpatientmtomwhichmspecialistmformfurthermevaluation?m
-mCORRECTmANSWERSmNeurologist
WhichmdiagnosticmtestmhelpsmconfirmmamdiagnosismofmGuillain-
Barremsyndromeminmampatientmwhomismdevelopingmmusclemweaknessmandmparesthesias?m-
mCORRECTmANSWERSmLumbarmpuncture
WhichmmonitoringmparametersmaremnecessarymwhenmcaringmformampatientmwithmGuillain-
Barremsyndrome?
Selectmallmthatmapply.m-mCORRECTmANSWERSmBladdermscans
Cardiacmtelemetry
Fever
Vitalmcapacitymmeasures
Followingmanmuppermrespiratoryminfection,mampatientmbeginsmtomdevelopmataxiamandmdistalmparest
hesias,malongmwithmoculomotormsymptomsmandmdoublemvision.mBasedmonmthesempresentingmsymp
tomsmwhichmtypemofmGBSmdoesmthismpatientmhave?m-
mCORRECTmANSWERSmMillermFishermsyndromem(MFS)
Ampatientmhasmrecurrentmclustermheadachesmandmasksmaboutmabortivemtherapy.mWhichmtherapymis
meffectivemformammajoritymofmpatientsmwithmclustermheadaches?m-mCORRECTmANSWERSmOxygen
Ampatientmreportsmrecurrentmheadachesmoccurringm1morm2mtimesmpermmonthmthatmgenerallymoccur
mwithmweathermchangesmormwhenmsleepmpatternsmaremdisruptedmandmdescribesmthemmasmsevere,m
,withmthrobbingmonmonemsidemofmthemheadmandmsometimesmaccompaniedmbymnausea.mWhatmismthe
mrecommendedmtreatmentmformthismtypemofmheadache?m-mCORRECTmANSWERSmRizatriptan
Whichmmedicationsmmaymbemusefulminmtreatingmtension-typemheadache?
Selectmallmthatmapply.m-mCORRECTmANSWERSmAntiemetics
Musclemrelaxants
NSAIDs
Amprovidermsuspectsmthatmampatientmhasmbacterialmmeningitis.mWhenmshouldmantibioticsmbemgiven
?m-mCORRECTmANSWERSmPriormtomobtainingmamCTmscanmormlumbarmpuncture
Ampatientmismbroughtmtomthememergencymdepartmentmwithmfever,mlethargy,mandmheadachemwitho
utmmeningealmsigns.mThemexaminationmrevealsmhypotensionmandmlethargymandmthemexaminermnot
esmpetechiaemonmthempatient'smtrunk.mWhatmdomthesemfindingsmindicate?m-
mCORRECTmANSWERSmAmpoormprognosis
Ampatientmreportsmtwomepisodesmofmvisualmdisturbancesmandmeyempainmthatmlastedm1mtom2mdaysme
achmaboutm2mmonthsmapart.mWhichmdiagnosticmtestingmwillmthemprovidermorderminitially?m-
mCORRECTmANSWERSmMagneticmresonancemimaging
Ampatientmdiagnosedmwithmmultiplemsclerosismandmbeginsmdiseasemmodulatingmtherapymdrugs.mAsm
partmofmthemcounselingmaboutmthismtherapy,mthemprovidermwillmtellmthempatientmthatmthismregimenm
willm-mCORRECTmANSWERSmreducemthemexacerbationmrate.
Ampatientmwhomhasmamseizuremdisordermandmwhomtakesmlevetiracetammismbroughtmtomanmemergen
cymdepartmentmwithmamseizuremwhichmhasmpersistedmfor15mminutesmandmwhichmimmediatelymfollo
wedmanotherm15mminutemseizure.mWhatmismthemprioritymactionmformthismpatient?m-
mCORRECTmANSWERSmAdministermlorazepammandmmonitormcardiorespiratorymstatus
, Ampatientmwithmamseizuremdisordermhasmseizuresmwhichmbeginmwithmeyemtwitchingmandmoccasionall
ymvisualmhallucinations.mWhichmsiteminmthembrainmismthemseizuremfocus?m-
mCORRECTmANSWERSmOccipital
Whichmdrugmismusedmtomtreatmpatientsmwithmfocalmepilepsymandmcomplexmpartialmseizures?m-
mCORRECTmANSWERSmCarbamazepine
Ampatientmreportsmparoxysmsmofmburning,mshock-
likempainmonmbothmsidesmofmthemfacemusuallymtriggeredmbymchewingmormtalking.mThemprovidermsusp
ectsmtrigeminalmneuralgia.mBasedmonmthesempresentingmsymptoms,mwhatmtestingmismindicated?m-
mCORRECTmANSWERSmMagneticmresonancemimaging
Ampatientmwithmtrigeminalmneuralgiamhasmtriedmseveralmmedicationmregimensmtomcontrolmpainmwit
houtmsuccess.mWhatmismthemnextmstepminmmanagementmformthismcondition?m-
mCORRECTmANSWERSmReferralmtomamneurosurgeon
Ampatientmismdiagnosedmwithmtrigeminalmneuralgiamandmreportsmhavingmparoxysmsmseveralmtimesm
eachmday.mWhatmismtheminitialmtreatmentmformthismpatient?m-
mCORRECTmANSWERSmAmhighmdosemofmcarbamazepinemwithmsubsequentmtitrationmdownward
Ampatientmdevelopsmamgaitmdisordermandmthempatient'smspousemreportsmnoticingmrecentmpersonalit
ymchanges.mThemprovidermsuspectsmambrainmlesion.mWhichmevaluationmismespeciallymimportantminmt
heminitialmphysicalmexamination?m-mCORRECTmANSWERSmExaminationmofmthemopticmfundi
Whichmismthempreferredmtreatmentmformprimarymbrainmtumors?m-
mCORRECTmANSWERSmSurgicalmresection
Ampatientmismdiagnosedmwithmpanicmdisordermandmbeginsmtakingmamselectivemserotoninmreuptakemi
nhibitormmedication.mSixmweeksmlater,mthempatientmreportsmlittlemreliefmfrommsymptoms.mWhatmwil
lmthemprovidermdomnextmtommanagemthismpatient?m-
mCORRECTmANSWERSmRefermtomammentalmhealthmprovider
UPDATE|QUESTIONS WITH CHOICES
|VERIFIED & REVISED
ANSWERS| GRADE A (NEW)!!!
Ampatientmwithmamfamilymhistorymofmamyotrophicmlateralmsclerosism(ALS)mbeginsmtomhavemsymptom
smthatmincludemasymmetricmweaknessminmthemarmsmandmdifficultymwalking.mThemneurologistmrecog
nizesmthesemsymptomsmasmcharacteristicmofminvolvementmofmwhichmportionmofmthemnervousmsyste
m?m-mCORRECTmANSWERSmLowermmotormneurons
Themspousemofmampatientmnewly-
diagnosedmwithmamyotrophicmlateralmsclerosism(ALS)masksmaboutmlong-
termmcare.mWhatmwillmthemprovidermincludemwhenmteachingmthemfamilymaboutmthismdisease?m-
mCORRECTmANSWERSmPreventingmmalnutritionmismamkeymelementminmcare.
WhichmsymptomsmmaymoccurmwithmBell'smpalsy?
Selectmallmthatmapply.m-mCORRECTmANSWERSmAlterationminmtaste,mDrooling,mTinnitus
Am35-year-
oldmpatientmreportsmsuddenlymexperiencingmanmasymmetricmsmilemalongmwithmdroopingmandmteari
ngminmonemeye.mThempatientmhasmamhistorymofmamrecentmviralmillness,mbutmismotherwisemhealthy.mDu
ringmthemexam,mthemprovidermnotesmthatmtheremismunilateralmfullmfacemparalysismonmthemrightmside.
mWhatmismtheminitialminterventionmformthismpatient?m-
mCORRECTmANSWERSmPrescribemoralmprednisolone
WhatmismrecommendedmtompreventmophthalmicmcomplicationsminmpatientsmwithmBell'smpalsy?m-
mCORRECTmANSWERSmLubricatingmeyemdrops
,Ampatientmreportsmamrecurrentmsensationmofmspinningmassociatedmwithmnauseamandmvomiting.mWh
ichmtestmwillmthemprovidermordermtomconfirmmamdiagnosismformthismpatient?m-
mCORRECTmANSWERSmThemHallpike-Dixmpositioningmmaneuver
Anmelderlympatientmreportsmsensationsmofmbeingmoffmbalancemwhenmwalking,mbutmdoesmnotmexperi
encemdizziness.mThemprovidermwillmrefermthismpatientmtomwhichmspecialistmformfurthermevaluation?m
-mCORRECTmANSWERSmNeurologist
WhichmdiagnosticmtestmhelpsmconfirmmamdiagnosismofmGuillain-
Barremsyndromeminmampatientmwhomismdevelopingmmusclemweaknessmandmparesthesias?m-
mCORRECTmANSWERSmLumbarmpuncture
WhichmmonitoringmparametersmaremnecessarymwhenmcaringmformampatientmwithmGuillain-
Barremsyndrome?
Selectmallmthatmapply.m-mCORRECTmANSWERSmBladdermscans
Cardiacmtelemetry
Fever
Vitalmcapacitymmeasures
Followingmanmuppermrespiratoryminfection,mampatientmbeginsmtomdevelopmataxiamandmdistalmparest
hesias,malongmwithmoculomotormsymptomsmandmdoublemvision.mBasedmonmthesempresentingmsymp
tomsmwhichmtypemofmGBSmdoesmthismpatientmhave?m-
mCORRECTmANSWERSmMillermFishermsyndromem(MFS)
Ampatientmhasmrecurrentmclustermheadachesmandmasksmaboutmabortivemtherapy.mWhichmtherapymis
meffectivemformammajoritymofmpatientsmwithmclustermheadaches?m-mCORRECTmANSWERSmOxygen
Ampatientmreportsmrecurrentmheadachesmoccurringm1morm2mtimesmpermmonthmthatmgenerallymoccur
mwithmweathermchangesmormwhenmsleepmpatternsmaremdisruptedmandmdescribesmthemmasmsevere,m
,withmthrobbingmonmonemsidemofmthemheadmandmsometimesmaccompaniedmbymnausea.mWhatmismthe
mrecommendedmtreatmentmformthismtypemofmheadache?m-mCORRECTmANSWERSmRizatriptan
Whichmmedicationsmmaymbemusefulminmtreatingmtension-typemheadache?
Selectmallmthatmapply.m-mCORRECTmANSWERSmAntiemetics
Musclemrelaxants
NSAIDs
Amprovidermsuspectsmthatmampatientmhasmbacterialmmeningitis.mWhenmshouldmantibioticsmbemgiven
?m-mCORRECTmANSWERSmPriormtomobtainingmamCTmscanmormlumbarmpuncture
Ampatientmismbroughtmtomthememergencymdepartmentmwithmfever,mlethargy,mandmheadachemwitho
utmmeningealmsigns.mThemexaminationmrevealsmhypotensionmandmlethargymandmthemexaminermnot
esmpetechiaemonmthempatient'smtrunk.mWhatmdomthesemfindingsmindicate?m-
mCORRECTmANSWERSmAmpoormprognosis
Ampatientmreportsmtwomepisodesmofmvisualmdisturbancesmandmeyempainmthatmlastedm1mtom2mdaysme
achmaboutm2mmonthsmapart.mWhichmdiagnosticmtestingmwillmthemprovidermorderminitially?m-
mCORRECTmANSWERSmMagneticmresonancemimaging
Ampatientmdiagnosedmwithmmultiplemsclerosismandmbeginsmdiseasemmodulatingmtherapymdrugs.mAsm
partmofmthemcounselingmaboutmthismtherapy,mthemprovidermwillmtellmthempatientmthatmthismregimenm
willm-mCORRECTmANSWERSmreducemthemexacerbationmrate.
Ampatientmwhomhasmamseizuremdisordermandmwhomtakesmlevetiracetammismbroughtmtomanmemergen
cymdepartmentmwithmamseizuremwhichmhasmpersistedmfor15mminutesmandmwhichmimmediatelymfollo
wedmanotherm15mminutemseizure.mWhatmismthemprioritymactionmformthismpatient?m-
mCORRECTmANSWERSmAdministermlorazepammandmmonitormcardiorespiratorymstatus
, Ampatientmwithmamseizuremdisordermhasmseizuresmwhichmbeginmwithmeyemtwitchingmandmoccasionall
ymvisualmhallucinations.mWhichmsiteminmthembrainmismthemseizuremfocus?m-
mCORRECTmANSWERSmOccipital
Whichmdrugmismusedmtomtreatmpatientsmwithmfocalmepilepsymandmcomplexmpartialmseizures?m-
mCORRECTmANSWERSmCarbamazepine
Ampatientmreportsmparoxysmsmofmburning,mshock-
likempainmonmbothmsidesmofmthemfacemusuallymtriggeredmbymchewingmormtalking.mThemprovidermsusp
ectsmtrigeminalmneuralgia.mBasedmonmthesempresentingmsymptoms,mwhatmtestingmismindicated?m-
mCORRECTmANSWERSmMagneticmresonancemimaging
Ampatientmwithmtrigeminalmneuralgiamhasmtriedmseveralmmedicationmregimensmtomcontrolmpainmwit
houtmsuccess.mWhatmismthemnextmstepminmmanagementmformthismcondition?m-
mCORRECTmANSWERSmReferralmtomamneurosurgeon
Ampatientmismdiagnosedmwithmtrigeminalmneuralgiamandmreportsmhavingmparoxysmsmseveralmtimesm
eachmday.mWhatmismtheminitialmtreatmentmformthismpatient?m-
mCORRECTmANSWERSmAmhighmdosemofmcarbamazepinemwithmsubsequentmtitrationmdownward
Ampatientmdevelopsmamgaitmdisordermandmthempatient'smspousemreportsmnoticingmrecentmpersonalit
ymchanges.mThemprovidermsuspectsmambrainmlesion.mWhichmevaluationmismespeciallymimportantminmt
heminitialmphysicalmexamination?m-mCORRECTmANSWERSmExaminationmofmthemopticmfundi
Whichmismthempreferredmtreatmentmformprimarymbrainmtumors?m-
mCORRECTmANSWERSmSurgicalmresection
Ampatientmismdiagnosedmwithmpanicmdisordermandmbeginsmtakingmamselectivemserotoninmreuptakemi
nhibitormmedication.mSixmweeksmlater,mthempatientmreportsmlittlemreliefmfrommsymptoms.mWhatmwil
lmthemprovidermdomnextmtommanagemthismpatient?m-
mCORRECTmANSWERSmRefermtomammentalmhealthmprovider
