FNP FINAL EXAM QUESTIONS AND
ANSWERS
A=patient=has=recurrent=cluster=headaches=and=asks=about=abortive=therapy.=Which=th
erapy=is=effective=for=a=majority=of=patients=with=cluster=headaches?
a.=Lithium
b.=NSAIDs
c.=Oxygen
d.=Verapamil=-=ans-✔✔C.=Oxygen
A=patient=reports=recurrent=headaches=occurring=1=or=2=times=per=month=that=generall
y=occur=with=weather=changes=or=when=sleep=patterns=are=disrupted=and=describes=th
em=as=severe,=with=throbbing=on=one=side=of=the=head=and=sometimes=accompanied=
by=nausea.=What=is=the=recommended=treatment=for=this=type=of=headache?
a.=Gabapentin
b.=Propranolol
c.=Rizatriptan
d.=Topiramate=-=ans-✔✔c.=Rizatriptan
Which=medication=is=NOT=useful=in=treating=tension-type=headaches?
a.=Antiemetics
b.=Lithium
c.=Muscle=relaxants
d.=NSAIDse.=Oxygen=-=ans-✔✔b.=Lithium
A=patient=reports=two=episodes=of=visual=disturbances=and=eye=pain=that=lasted=1=to=2
=days=each=about=2=months=apart.=Which=diagnostic=testing=will=the=provider=order=init
ially?
a.=Lumbar=puncture
b.=Magnetic=resonance=imaging
c.=Optical=Coherence=Tomography
d.=Visual=evoked=potential=-=ans-✔✔b.=Magnetic=resonance=imaging
A=patient=with=Parkinson's=disease=(PD)=has=been=taking=carbidopa-
levodopa=(Sinemet)=with=good=results=but=develops=increased=dyskinesia.=Which=drug
=will=be=added=to=this=patient's=regimen=to=help=control=this=symptom?
a.=Amantadine
b.=Benztropine
,c.=Ropinirole
d.=Tolcapone=-=ans-✔✔a.=Amantadine
All=of=the=following=are=common=symptoms=seen=in=patients=with=Parkinson's=disease=
except:
a.=Bradykinesia
b.=Festination
c.=Hyperphonia
d.=Rigidity
e.=Symmetric=tremor=-=ans-✔✔c.=Hyperphonia
Which=drug=is=used=to=treat=patients=with=focal=epilepsy=and=complex=partial=seizures
?
a.=Carbamazepine
b.=Ethosuximide
c.=Lamotrigine
d.=Topiramate=-=ans-✔✔a.=Carbamazepine
A=patient=develops=a=gait=disorder=and=the=patient's=spouse=reports=noticing=recent=pe
rsonality=changes.=The=provider=suspects=a=brain=lesion.=Which=evaluation=is=especiall
y=important=in=the=initial=physical=examination?
a.=Assessment=of=peripheral=reflexes
b.=Evaluation=of=speech
c.=Examination=of=the=optic=fundi
d.=Testing=for=memory=loss=-=ans-✔✔c.=Examination=of=the=optic=fundi
A=toddler=has=begun=hitting=and=biting=other=children=at=a=day=care=center=and=is=exhi
biting=temper=tantrums=and=bad=language=at=home.=The=parent=reports=that=these=be
haviors=began=shortly=after=a=sibling=was=born.=What=will=the=primary=care=pediatric=n
urse=practitioner=do?
=
A.=Advise=the=parent=that=the=child=is=exhibiting=early=symptoms=of=ADHD.
B.=Engage=the=parent=in=positive=parenting=strategies=to=facilitate=appropriate=child=co
ping.
C.=Recommend=evaluating=the=child=for=conduct=or=oppositional=defiant=disorder.
D.=Suggest=putting=the=child=in=another=day=care=center=to=ameliorate=the=problems=-
=ans-
✔✔B.=Engage=the=parent=in=positive=parenting=strategies=to=facilitate=appropriate=child
=coping.
A=14yearold=female=comes=to=the=clinic=with=amenorrhea=for=3=months.=A=pregnancy=
test=is=negative.=The=adolescent's=body=weight=is=at=82%=of=expected=for=height=and=
age.=The=mother=reports=that=her=daughter=often=throws=up=and=refuses=to=eat=most=f
oods.=Which=condition=does=the=primary=care=pediatric=nurse=practitioner=suspect?
A.=Anorexia=nervosa
B.=Bulimia=nervosa
C.=Depression
, D.=Substance=abuse=-=ans-✔✔A.=Anorexia=nervosa
During=a=well=child=examination=on=a=4monthold=infant,=the=primary=care=pediatric=nur
se=practitioner=evaluates=mental=health=issues.=Which=statement=by=the=parent=indicat
es=a=potential=problem=with=the=parent=infant=relationship?
a.="I=can=sense=a=difference=in=my=baby's=cries."
b.="I=let=my=baby=cry=a=while=to=learn=to=be=patient."
c.="My=baby=prefers=to=nurse=in=a=darkened=room."
d.="My=baby=seems=very=sensitive=to=loud=noises."=-=ans-
✔✔b.="I=let=my=baby=cry=a=while=to=learn=to=be=patient."
The=primary=care=pediatric=nurse=practitioner=attempts=to=learn=more=about=the=emoti
onal=health=of=an=18monthold=child=through=which=assessment=strategy?
a.=Asking=the=child=to=tell=a=story=using=dolls=and=other=props
b.=Asking=the=child=to=draw=a=picture=of=him=or=herself=and=other=family=members
c.=Interviewing=the=child=separately=from=caretakers=and=parents
d.=Observation=of=the=child=with=caretakers=in=structured=and=unstructured=situations=-
=ans-
✔✔d.=Observation=of=the=child=with=caretakers=in=structured=and=unstructured=situatio
ns
The=parent=of=a=4=year=old=child=reports=that=the=child=seems=to=be=having=trouble=adj
usting=to=a=new=day=care=and=reportedly=is=always=engaging=in=solitary=play=when=the
=parent=arrives=to=pick=up=the=child.=What=will=the=primary=care=pediatric=nurse=practiti
oner=do?
a.=Ask=the=parent=if=the=child=is=slow=to=warm=up=to=other=new=situations.
b.=Reassure=the=parent=that=parallel=play=is=common=among=preschool=age=children.
c.=Recommend=that=the=parent=spend=time=encouraging=the=child=to=play=with=others.
d.=Suggest=that=the=day=care=center=may=be=neglecting=the=child.=-=ans-
✔✔a.=Ask=the=parent=if=the=child=is=slow=to=warm=up=to=other=new=situations.
The=parent=of=a=school=age=child=reports=that=the=child=becomes=frustrated=when=una
ble=to=perform=tasks=well=and=often=has=temper=tantrums=and=difficulty=sleeping.=Whic
h=disorder=may=be=considered=in=this=child?
a.=Generalized=anxiety=disorder=(GAD)
b.=obsessive-compulsive=disorder=(OCD)
c.=Pediatric=autoimmune=neuropsychiatric=disorder=associated=with=streptococcal=infec
tion=(PANDAS)
d.=Separation=anxiety=disorder=(SAD)=-=ans-✔✔a.=Generalized=anxiety=disorder=(GAD)
A=newly=divorced=mother=of=a=toddler=reports=that=the=child=began=having=difficulty=sle
eping=and=nightmares=along=with=exhibiting=angry=outbursts=and=tantrums=2=months=p
rior.=The=primary=care=pediatric=nurse=practitioner=learns=that=the=child=refuses=to=play
ANSWERS
A=patient=has=recurrent=cluster=headaches=and=asks=about=abortive=therapy.=Which=th
erapy=is=effective=for=a=majority=of=patients=with=cluster=headaches?
a.=Lithium
b.=NSAIDs
c.=Oxygen
d.=Verapamil=-=ans-✔✔C.=Oxygen
A=patient=reports=recurrent=headaches=occurring=1=or=2=times=per=month=that=generall
y=occur=with=weather=changes=or=when=sleep=patterns=are=disrupted=and=describes=th
em=as=severe,=with=throbbing=on=one=side=of=the=head=and=sometimes=accompanied=
by=nausea.=What=is=the=recommended=treatment=for=this=type=of=headache?
a.=Gabapentin
b.=Propranolol
c.=Rizatriptan
d.=Topiramate=-=ans-✔✔c.=Rizatriptan
Which=medication=is=NOT=useful=in=treating=tension-type=headaches?
a.=Antiemetics
b.=Lithium
c.=Muscle=relaxants
d.=NSAIDse.=Oxygen=-=ans-✔✔b.=Lithium
A=patient=reports=two=episodes=of=visual=disturbances=and=eye=pain=that=lasted=1=to=2
=days=each=about=2=months=apart.=Which=diagnostic=testing=will=the=provider=order=init
ially?
a.=Lumbar=puncture
b.=Magnetic=resonance=imaging
c.=Optical=Coherence=Tomography
d.=Visual=evoked=potential=-=ans-✔✔b.=Magnetic=resonance=imaging
A=patient=with=Parkinson's=disease=(PD)=has=been=taking=carbidopa-
levodopa=(Sinemet)=with=good=results=but=develops=increased=dyskinesia.=Which=drug
=will=be=added=to=this=patient's=regimen=to=help=control=this=symptom?
a.=Amantadine
b.=Benztropine
,c.=Ropinirole
d.=Tolcapone=-=ans-✔✔a.=Amantadine
All=of=the=following=are=common=symptoms=seen=in=patients=with=Parkinson's=disease=
except:
a.=Bradykinesia
b.=Festination
c.=Hyperphonia
d.=Rigidity
e.=Symmetric=tremor=-=ans-✔✔c.=Hyperphonia
Which=drug=is=used=to=treat=patients=with=focal=epilepsy=and=complex=partial=seizures
?
a.=Carbamazepine
b.=Ethosuximide
c.=Lamotrigine
d.=Topiramate=-=ans-✔✔a.=Carbamazepine
A=patient=develops=a=gait=disorder=and=the=patient's=spouse=reports=noticing=recent=pe
rsonality=changes.=The=provider=suspects=a=brain=lesion.=Which=evaluation=is=especiall
y=important=in=the=initial=physical=examination?
a.=Assessment=of=peripheral=reflexes
b.=Evaluation=of=speech
c.=Examination=of=the=optic=fundi
d.=Testing=for=memory=loss=-=ans-✔✔c.=Examination=of=the=optic=fundi
A=toddler=has=begun=hitting=and=biting=other=children=at=a=day=care=center=and=is=exhi
biting=temper=tantrums=and=bad=language=at=home.=The=parent=reports=that=these=be
haviors=began=shortly=after=a=sibling=was=born.=What=will=the=primary=care=pediatric=n
urse=practitioner=do?
=
A.=Advise=the=parent=that=the=child=is=exhibiting=early=symptoms=of=ADHD.
B.=Engage=the=parent=in=positive=parenting=strategies=to=facilitate=appropriate=child=co
ping.
C.=Recommend=evaluating=the=child=for=conduct=or=oppositional=defiant=disorder.
D.=Suggest=putting=the=child=in=another=day=care=center=to=ameliorate=the=problems=-
=ans-
✔✔B.=Engage=the=parent=in=positive=parenting=strategies=to=facilitate=appropriate=child
=coping.
A=14yearold=female=comes=to=the=clinic=with=amenorrhea=for=3=months.=A=pregnancy=
test=is=negative.=The=adolescent's=body=weight=is=at=82%=of=expected=for=height=and=
age.=The=mother=reports=that=her=daughter=often=throws=up=and=refuses=to=eat=most=f
oods.=Which=condition=does=the=primary=care=pediatric=nurse=practitioner=suspect?
A.=Anorexia=nervosa
B.=Bulimia=nervosa
C.=Depression
, D.=Substance=abuse=-=ans-✔✔A.=Anorexia=nervosa
During=a=well=child=examination=on=a=4monthold=infant,=the=primary=care=pediatric=nur
se=practitioner=evaluates=mental=health=issues.=Which=statement=by=the=parent=indicat
es=a=potential=problem=with=the=parent=infant=relationship?
a.="I=can=sense=a=difference=in=my=baby's=cries."
b.="I=let=my=baby=cry=a=while=to=learn=to=be=patient."
c.="My=baby=prefers=to=nurse=in=a=darkened=room."
d.="My=baby=seems=very=sensitive=to=loud=noises."=-=ans-
✔✔b.="I=let=my=baby=cry=a=while=to=learn=to=be=patient."
The=primary=care=pediatric=nurse=practitioner=attempts=to=learn=more=about=the=emoti
onal=health=of=an=18monthold=child=through=which=assessment=strategy?
a.=Asking=the=child=to=tell=a=story=using=dolls=and=other=props
b.=Asking=the=child=to=draw=a=picture=of=him=or=herself=and=other=family=members
c.=Interviewing=the=child=separately=from=caretakers=and=parents
d.=Observation=of=the=child=with=caretakers=in=structured=and=unstructured=situations=-
=ans-
✔✔d.=Observation=of=the=child=with=caretakers=in=structured=and=unstructured=situatio
ns
The=parent=of=a=4=year=old=child=reports=that=the=child=seems=to=be=having=trouble=adj
usting=to=a=new=day=care=and=reportedly=is=always=engaging=in=solitary=play=when=the
=parent=arrives=to=pick=up=the=child.=What=will=the=primary=care=pediatric=nurse=practiti
oner=do?
a.=Ask=the=parent=if=the=child=is=slow=to=warm=up=to=other=new=situations.
b.=Reassure=the=parent=that=parallel=play=is=common=among=preschool=age=children.
c.=Recommend=that=the=parent=spend=time=encouraging=the=child=to=play=with=others.
d.=Suggest=that=the=day=care=center=may=be=neglecting=the=child.=-=ans-
✔✔a.=Ask=the=parent=if=the=child=is=slow=to=warm=up=to=other=new=situations.
The=parent=of=a=school=age=child=reports=that=the=child=becomes=frustrated=when=una
ble=to=perform=tasks=well=and=often=has=temper=tantrums=and=difficulty=sleeping.=Whic
h=disorder=may=be=considered=in=this=child?
a.=Generalized=anxiety=disorder=(GAD)
b.=obsessive-compulsive=disorder=(OCD)
c.=Pediatric=autoimmune=neuropsychiatric=disorder=associated=with=streptococcal=infec
tion=(PANDAS)
d.=Separation=anxiety=disorder=(SAD)=-=ans-✔✔a.=Generalized=anxiety=disorder=(GAD)
A=newly=divorced=mother=of=a=toddler=reports=that=the=child=began=having=difficulty=sle
eping=and=nightmares=along=with=exhibiting=angry=outbursts=and=tantrums=2=months=p
rior.=The=primary=care=pediatric=nurse=practitioner=learns=that=the=child=refuses=to=play
