FNP 654 FINAL EXAM
(2025/2026) UPDATE|EXAM
QUESTIONS WITH CHOICES
|VERIFIED & REVISED
ANSWERS (NEW)!!!
Themprimarymcaremnursempractitionermattemptsmtomlearnmmoremaboutmthememotionalmhealthmofma
nm18-month-oldmchildmthroughmwhichmassessmentmstrategy?m-
mCORRECTmANSWERSmObservationmofmthemchildmwithmcaretakersminmstructuredmandmunstructuredm
situation
Whatmismanmimportantmpurposemofmconductingmanminterviewmpriormtombeginningmneuropsychologi
calmtestingmonmanmoldermadultmsuspectedmofmhavingmdementia?m-
mCORRECTmANSWERSmTomassessmthempatient'smabilitymtomcooperatemwithmthemtesting
Ampatientmhasmunexplainedmweightmlossmandmthemprovidermnotesmincreasedmskinmpigmentationmo
nmlight-
exposedmskinmfoldsmalongmwithmdarkenedmpalmarmcreases.mWhichmlaboratorymtestmwillmthemprovid
ermNOTmorder?m-mCORRECTmANSWERSmSerummcortisol
Ampatientmwithmcancermismexpectedmtomrequiremlong-
termmpainmmedicationmtommanagemcancermpain.mWhichmagentmwillmbembestmformthismpatient?m-
mCORRECTmANSWERSmMorphine
Am16-year-
oldmfemalemhasmprimarymamenorrhea.mAmpregnancymtestmismnegative.mFurthermtestingmrevealsmamn
ormalmTSHmandmanmelevatedmprolactinmlevel.mWhichmtestmwillmthemprovidermordermnext?m-
mCORRECTmANSWERSmMagneticmresonancemimaging
,Duringmamwell-babymexammonmam9-month-
oldminfant,mthemparentmreportsmthatmthembabymalwaysmusesmthemleftmhandmtompickmupmobjectsmand
masksmifmthembabymwillmbemleft-handed.mWhatmwillmthemprimarymcaremnursempractitionermdo?m-
mCORRECTmANSWERSmPerformmamcarefulmassessmentmofmfinemandmgrossmmotormskills.
Anmasymptomaticmfemalemlearnsmthatmhermboyfriendmhasmgonorrheamandmasksmaboutmantibiotics.
mWhatmwillmthemprovidermrecommend?m-
mCORRECTmANSWERSmEmpiricmceftriaxonemandmazithromycin
Am16-year-
oldmsexuallymactivemfemalemhasmsymptomsmofmPIDmwithmfever.mCulturesmarempending.mFormoutpati
entmtreatment,mwhatmwillmthemprovidermorder?m-
mCORRECTmANSWERSmRocephin,mdoxycycline,mandmmetronidazole
Am30-year-
oldmmalempatientmhasmampositivemleukocytemesterasemandmnitritesmonmamrandommurinemdipstickmdu
ringmamwellmpatientmexam.mWhatmtypemofmurinarymtractminfectionmdoesmthismrepresent?m-
mCORRECTmANSWERSmComplicated
AmwomanmwhomhasmhadmroutinemPapmtestsmallmofmhermadultmlifemhasmanmabnormalmPapmwithmlow-
grademintraepithelialmlesion.mWhatmwillmthemprovidermtellmhermaboutmthismresult?m-
mCORRECTmANSWERSmColposcopymwithmbiopsymismnecessary
Ampatientmhasmbonempainmandmlaboratorymtestingmrevealsmanmelevatedmserummalkalinemphosphata
sem(SAP).mWhichmtestmcanmhelpmdistinguishmPaget'smfrommmalignantmbonemdisease?m-
mCORRECTmANSWERSmBonemradiograph
Whatmismthemmostmimportantmrolemofmthemprimarymcaremproviderminmcancermmanagement?m-
mCORRECTmANSWERSmCounselingmaboutmhealthympracticesmtomreducemriskmfactors
, Am35-year-
oldmwomanmwithoutmampreviousmhistorymofmdysmenorrheamreportsmlowermpelvicmpainmandmirregul
armbleedingmbetweenmperiods.mWhatmismtheminitialmactionminmmanagingmthismpatient?m-
mCORRECTmANSWERSmPerformingmanmabdominal,mpelvic,mandmrectovaginalmexamination
Ampatientmbeingmtreatedmformcancermhasmhadmchemotherapymwithinmthempastmtwomweeksmandmco
mesmtomthemprimarymcaremclinicmwithmamfevermofm38.5°mC.mWhatmismtheminitialmaction?m-
mCORRECTmANSWERSmObtainmamSTATmCBCmwithmdifferential
Whatmismampossiblemcausemofmdecreasedmarousal,mlibido,mandmorgasmminmampostmenopausalmwom
an?m-mCORRECTmANSWERSmDiminishedmtestosterone
Ammiddle-school-
agemchildmismskippingmschoolmfrequentlymandmgettingmpoormgradesmsincemthemchild'smfathermwasmki
lledmwhilemdeployedminmthemmilitary.mHowmwillmthemprimarymcaremnursempractitionermmanagemthis
msituation?m-
mCORRECTmANSWERSmRefermthemchildmtomammentalmhealthmspecialistmformevaluationmandmtreatme
nt.
Am40-year-
oldmpatientmwithmprimarymhyperparathyroidismmhasmincreasedmserummcalciumm0.5mmg/dLmabovem
normalmwithoutmsignsmofmnephrolithiasis.mWhatmismthemrecommendedmtreatmentmformthismpatient
?m-mCORRECTmANSWERSmAnnualmmonitoringmofmcalcium,mcreatinine,mandmbonemdensity
WhatmismtruemaboutmHPVminfectionminmwomen?m-
mCORRECTmANSWERSmMostmHPVmlesionsmwillmresolvemspontaneouslymwithoutmcausingmcancer.
Anmelderlympatientmismdiagnosedmwithmosteoporosis.mWhatmismthemrecommendedmtreatmentmonc
emthemdiagnosismismmade?m-mCORRECTmANSWERSmBisphosphonatemtherapy
(2025/2026) UPDATE|EXAM
QUESTIONS WITH CHOICES
|VERIFIED & REVISED
ANSWERS (NEW)!!!
Themprimarymcaremnursempractitionermattemptsmtomlearnmmoremaboutmthememotionalmhealthmofma
nm18-month-oldmchildmthroughmwhichmassessmentmstrategy?m-
mCORRECTmANSWERSmObservationmofmthemchildmwithmcaretakersminmstructuredmandmunstructuredm
situation
Whatmismanmimportantmpurposemofmconductingmanminterviewmpriormtombeginningmneuropsychologi
calmtestingmonmanmoldermadultmsuspectedmofmhavingmdementia?m-
mCORRECTmANSWERSmTomassessmthempatient'smabilitymtomcooperatemwithmthemtesting
Ampatientmhasmunexplainedmweightmlossmandmthemprovidermnotesmincreasedmskinmpigmentationmo
nmlight-
exposedmskinmfoldsmalongmwithmdarkenedmpalmarmcreases.mWhichmlaboratorymtestmwillmthemprovid
ermNOTmorder?m-mCORRECTmANSWERSmSerummcortisol
Ampatientmwithmcancermismexpectedmtomrequiremlong-
termmpainmmedicationmtommanagemcancermpain.mWhichmagentmwillmbembestmformthismpatient?m-
mCORRECTmANSWERSmMorphine
Am16-year-
oldmfemalemhasmprimarymamenorrhea.mAmpregnancymtestmismnegative.mFurthermtestingmrevealsmamn
ormalmTSHmandmanmelevatedmprolactinmlevel.mWhichmtestmwillmthemprovidermordermnext?m-
mCORRECTmANSWERSmMagneticmresonancemimaging
,Duringmamwell-babymexammonmam9-month-
oldminfant,mthemparentmreportsmthatmthembabymalwaysmusesmthemleftmhandmtompickmupmobjectsmand
masksmifmthembabymwillmbemleft-handed.mWhatmwillmthemprimarymcaremnursempractitionermdo?m-
mCORRECTmANSWERSmPerformmamcarefulmassessmentmofmfinemandmgrossmmotormskills.
Anmasymptomaticmfemalemlearnsmthatmhermboyfriendmhasmgonorrheamandmasksmaboutmantibiotics.
mWhatmwillmthemprovidermrecommend?m-
mCORRECTmANSWERSmEmpiricmceftriaxonemandmazithromycin
Am16-year-
oldmsexuallymactivemfemalemhasmsymptomsmofmPIDmwithmfever.mCulturesmarempending.mFormoutpati
entmtreatment,mwhatmwillmthemprovidermorder?m-
mCORRECTmANSWERSmRocephin,mdoxycycline,mandmmetronidazole
Am30-year-
oldmmalempatientmhasmampositivemleukocytemesterasemandmnitritesmonmamrandommurinemdipstickmdu
ringmamwellmpatientmexam.mWhatmtypemofmurinarymtractminfectionmdoesmthismrepresent?m-
mCORRECTmANSWERSmComplicated
AmwomanmwhomhasmhadmroutinemPapmtestsmallmofmhermadultmlifemhasmanmabnormalmPapmwithmlow-
grademintraepithelialmlesion.mWhatmwillmthemprovidermtellmhermaboutmthismresult?m-
mCORRECTmANSWERSmColposcopymwithmbiopsymismnecessary
Ampatientmhasmbonempainmandmlaboratorymtestingmrevealsmanmelevatedmserummalkalinemphosphata
sem(SAP).mWhichmtestmcanmhelpmdistinguishmPaget'smfrommmalignantmbonemdisease?m-
mCORRECTmANSWERSmBonemradiograph
Whatmismthemmostmimportantmrolemofmthemprimarymcaremproviderminmcancermmanagement?m-
mCORRECTmANSWERSmCounselingmaboutmhealthympracticesmtomreducemriskmfactors
, Am35-year-
oldmwomanmwithoutmampreviousmhistorymofmdysmenorrheamreportsmlowermpelvicmpainmandmirregul
armbleedingmbetweenmperiods.mWhatmismtheminitialmactionminmmanagingmthismpatient?m-
mCORRECTmANSWERSmPerformingmanmabdominal,mpelvic,mandmrectovaginalmexamination
Ampatientmbeingmtreatedmformcancermhasmhadmchemotherapymwithinmthempastmtwomweeksmandmco
mesmtomthemprimarymcaremclinicmwithmamfevermofm38.5°mC.mWhatmismtheminitialmaction?m-
mCORRECTmANSWERSmObtainmamSTATmCBCmwithmdifferential
Whatmismampossiblemcausemofmdecreasedmarousal,mlibido,mandmorgasmminmampostmenopausalmwom
an?m-mCORRECTmANSWERSmDiminishedmtestosterone
Ammiddle-school-
agemchildmismskippingmschoolmfrequentlymandmgettingmpoormgradesmsincemthemchild'smfathermwasmki
lledmwhilemdeployedminmthemmilitary.mHowmwillmthemprimarymcaremnursempractitionermmanagemthis
msituation?m-
mCORRECTmANSWERSmRefermthemchildmtomammentalmhealthmspecialistmformevaluationmandmtreatme
nt.
Am40-year-
oldmpatientmwithmprimarymhyperparathyroidismmhasmincreasedmserummcalciumm0.5mmg/dLmabovem
normalmwithoutmsignsmofmnephrolithiasis.mWhatmismthemrecommendedmtreatmentmformthismpatient
?m-mCORRECTmANSWERSmAnnualmmonitoringmofmcalcium,mcreatinine,mandmbonemdensity
WhatmismtruemaboutmHPVminfectionminmwomen?m-
mCORRECTmANSWERSmMostmHPVmlesionsmwillmresolvemspontaneouslymwithoutmcausingmcancer.
Anmelderlympatientmismdiagnosedmwithmosteoporosis.mWhatmismthemrecommendedmtreatmentmonc
emthemdiagnosismismmade?m-mCORRECTmANSWERSmBisphosphonatemtherapy
