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FNP 652 FINAL EXAM 2026/2027
ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
A 5-year-old child is hit in the face with a baseball bat and is
brought to the clinic by a parent. An exam reveals three avulsed
front teeth. Radiologic studies are negative for facial fractures.
What is the recommended treatment? - ANSWER-Refer the
child to the dentist immediately for further evaluation
A child who was treated with amoxicillin and then amoxicillin-
clavulanate for acute otitis media is seen for follow-up. The
primary care nurse practitioner notes dull-gray tympanic
membranes with a visible air-fluid level. The child is afebrile
and without pain. What is the next course of action? -
ANSWER-Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via
gastrostomy tube. What will the primary care nurse practitioner
recommend to promote dental health in this child? - ANSWER-
Daily chlorhexidine gluconate
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A primary care provider may suspect cataract formation in a
patient with which finding? - ANSWER-Asymmetric red reflex
A patient has chronically dry eyes, sometimes with a foreign
body sensation, burning, and itching. A Schirmer test is
abnormal. What is the suspected cause of this patient's
symptoms? - ANSWER-Aqueous Deficiency
A teen who has otitis externa has severe swelling of the
external auditory canal that persists after 2 days of therapy with
ototopical antibiotic/corticosteroid drops. What is the next step
in treatment for this child? - ANSWER-Insert a wick into the
external auditory canal
A patient reports tooth pain in a lower molar and the provider
notes a mobile tooth with erythema and edema of the
surrounding tissues without discharge. Which is the initial
course of action by the provider? - ANSWER-Prescribe
amoxicillin and refer to a dentist in 2-3 days
An elderly patient has a permanent loss of the sense of smell
and diminished taste. What will be included in teaching this
patient about managing these symptoms? - ANSWER-1. The
importance of installing smoke detectors
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2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-
uncover screen. The primary nurse practitioner will refer to a
pediatric ophthalmologist to initiate which treatment? -
ANSWER-Patching of the unaffected eye for 2 hours each day
An adolescent has localized bleeding of the gums when
brushing the teeth. An exam of the mouth reveals the presence
of plaque and calculus on the teeth which are not loose. What
will the primary care nurse practitioner recommend? -
ANSWER-Consistently brushing and flossing the teeth twice
daily
A provider is recommending a cerumenolytic for a patient who
has chronic cerumen buildup. The provider notes that the
patient has dry skin in the ear canal. Which preparation is FDA
approved for this use? - ANSWER-Carbamide peroxide
A parent asks about ways to promote dental health in school-
aged children while on family vacation that are convenient while
camping and picnicking. What will the primary care nurse
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practitioner recommend? - ANSWER-Offering gum containing
xylitol after meals
A patient reports several episodes of acute vertigo, some
lasting up to an hour with associated nausea and vomiting.
What is part of the initial diagnostic workup for this patient? -
ANSWER-Audiogram and MRI
A teen with a history of otitis externa asks about ways to
prevent this condition. What will the primary care nurse
practitioner recommend? - ANSWER-Drying the ear canal with
a hair dryer
A 7-month-old infant has had two prior acute ear infections and
is currently on the 10th day of therapy with amoxicillin-
clavulanate after a failed course of amoxicillin. The primary
care nurse practitioner notes marker middle ear effusion and
erythema of the TM. The child is irritable and has a temperature
of 99.8. What is the next step in management of this child's
infection? - ANSWER-Refer the child to an otolayngologist
A patient reports painful swelling in the mouth with increased
pain at mealtimes. The provider notes a mass in the salivary
FNP 652 FINAL EXAM 2026/2027
ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
A 5-year-old child is hit in the face with a baseball bat and is
brought to the clinic by a parent. An exam reveals three avulsed
front teeth. Radiologic studies are negative for facial fractures.
What is the recommended treatment? - ANSWER-Refer the
child to the dentist immediately for further evaluation
A child who was treated with amoxicillin and then amoxicillin-
clavulanate for acute otitis media is seen for follow-up. The
primary care nurse practitioner notes dull-gray tympanic
membranes with a visible air-fluid level. The child is afebrile
and without pain. What is the next course of action? -
ANSWER-Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via
gastrostomy tube. What will the primary care nurse practitioner
recommend to promote dental health in this child? - ANSWER-
Daily chlorhexidine gluconate
,2 | Page
A primary care provider may suspect cataract formation in a
patient with which finding? - ANSWER-Asymmetric red reflex
A patient has chronically dry eyes, sometimes with a foreign
body sensation, burning, and itching. A Schirmer test is
abnormal. What is the suspected cause of this patient's
symptoms? - ANSWER-Aqueous Deficiency
A teen who has otitis externa has severe swelling of the
external auditory canal that persists after 2 days of therapy with
ototopical antibiotic/corticosteroid drops. What is the next step
in treatment for this child? - ANSWER-Insert a wick into the
external auditory canal
A patient reports tooth pain in a lower molar and the provider
notes a mobile tooth with erythema and edema of the
surrounding tissues without discharge. Which is the initial
course of action by the provider? - ANSWER-Prescribe
amoxicillin and refer to a dentist in 2-3 days
An elderly patient has a permanent loss of the sense of smell
and diminished taste. What will be included in teaching this
patient about managing these symptoms? - ANSWER-1. The
importance of installing smoke detectors
,3 | Page
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-
uncover screen. The primary nurse practitioner will refer to a
pediatric ophthalmologist to initiate which treatment? -
ANSWER-Patching of the unaffected eye for 2 hours each day
An adolescent has localized bleeding of the gums when
brushing the teeth. An exam of the mouth reveals the presence
of plaque and calculus on the teeth which are not loose. What
will the primary care nurse practitioner recommend? -
ANSWER-Consistently brushing and flossing the teeth twice
daily
A provider is recommending a cerumenolytic for a patient who
has chronic cerumen buildup. The provider notes that the
patient has dry skin in the ear canal. Which preparation is FDA
approved for this use? - ANSWER-Carbamide peroxide
A parent asks about ways to promote dental health in school-
aged children while on family vacation that are convenient while
camping and picnicking. What will the primary care nurse
, 4 | Page
practitioner recommend? - ANSWER-Offering gum containing
xylitol after meals
A patient reports several episodes of acute vertigo, some
lasting up to an hour with associated nausea and vomiting.
What is part of the initial diagnostic workup for this patient? -
ANSWER-Audiogram and MRI
A teen with a history of otitis externa asks about ways to
prevent this condition. What will the primary care nurse
practitioner recommend? - ANSWER-Drying the ear canal with
a hair dryer
A 7-month-old infant has had two prior acute ear infections and
is currently on the 10th day of therapy with amoxicillin-
clavulanate after a failed course of amoxicillin. The primary
care nurse practitioner notes marker middle ear effusion and
erythema of the TM. The child is irritable and has a temperature
of 99.8. What is the next step in management of this child's
infection? - ANSWER-Refer the child to an otolayngologist
A patient reports painful swelling in the mouth with increased
pain at mealtimes. The provider notes a mass in the salivary
