FNP 654 Final Exam | Actual Practice
Questions & Answers | Grand Canyon
University (GCU)
1. A patient arrives with sudden right-sided weakness and slurred speech that began
two hours ago. What is the recommended treatment if no contraindications exist?
A. Aspirin only
B. Tissue plasminogen activator
C. Oral prednisone
D. Diazepam
Answer: B
Explanation: Ischemic stroke within the treatment window may be treated with tPA if
the patient is eligible.
2. Which finding most strongly suggests bacterial meningitis rather than a benign
headache?
A. Mild scalp tenderness
B. Fever, headache, and neck stiffness
C. Headache after poor sleep
D. Headache relieved by rest
, Answer: B
Explanation: Fever, headache, and meningeal signs are classic for bacterial
meningitis.
3. What is the priority first medication for active status epilepticus in the emergency
setting?
A. Lorazepam
B. Carbamazepine
C. Lamotrigine
D. Topiramate
Answer: A
Explanation: Benzodiazepines such as lorazepam are first-line for stopping
prolonged seizures.
4. Which seizure medication is commonly used for focal epilepsy and complex partial
seizures?
A. Carbamazepine
B. Haloperidol
C. Lithium
D. Sumatriptan
Answer: A
Explanation: Carbamazepine is commonly used for focal seizure disorders.
,5. A patient reports recurrent throbbing unilateral headaches with nausea and light
sensitivity. Which medication is commonly used for acute treatment?
A. Rizatriptan
B. Furosemide
C. Amoxicillin
D. Prednisolone
Answer: A
Explanation: Triptans are standard acute treatments for migraine-type headaches.
6. A patient has recurrent cluster headaches and asks about abortive therapy. Which
intervention is effective for most patients?
A. Oxygen
B. Iron
C. Calcium carbonate
D. Doxycycline
Answer: A
Explanation: High-flow oxygen is effective for many cluster headache attacks.
7. Which symptom pattern is most consistent with tension-type headache?
A. Sudden thunderclap onset
B. Bilateral pressure with muscle tightness
C. Fever and neck stiffness
, D. Visual loss with eye pain
Answer: B
Explanation: Tension headaches are often bilateral and associated with muscle
tightness.
8. Which diagnostic study is commonly ordered first for new focal neurologic deficits
suspicious for stroke?
A. Noncontrast head CT
B. Abdominal ultrasound
C. Spirometry
D. Mammogram
Answer: A
Explanation: Acute stroke evaluation commonly begins with brain imaging to
distinguish hemorrhage from ischemia.springerpub
9. A patient has repeated episodes of visual disturbance and eye pain lasting days.
Which test is often ordered initially?
A. MRI
B. Colonoscopy
C. ECG only
D. Bone scan
Questions & Answers | Grand Canyon
University (GCU)
1. A patient arrives with sudden right-sided weakness and slurred speech that began
two hours ago. What is the recommended treatment if no contraindications exist?
A. Aspirin only
B. Tissue plasminogen activator
C. Oral prednisone
D. Diazepam
Answer: B
Explanation: Ischemic stroke within the treatment window may be treated with tPA if
the patient is eligible.
2. Which finding most strongly suggests bacterial meningitis rather than a benign
headache?
A. Mild scalp tenderness
B. Fever, headache, and neck stiffness
C. Headache after poor sleep
D. Headache relieved by rest
, Answer: B
Explanation: Fever, headache, and meningeal signs are classic for bacterial
meningitis.
3. What is the priority first medication for active status epilepticus in the emergency
setting?
A. Lorazepam
B. Carbamazepine
C. Lamotrigine
D. Topiramate
Answer: A
Explanation: Benzodiazepines such as lorazepam are first-line for stopping
prolonged seizures.
4. Which seizure medication is commonly used for focal epilepsy and complex partial
seizures?
A. Carbamazepine
B. Haloperidol
C. Lithium
D. Sumatriptan
Answer: A
Explanation: Carbamazepine is commonly used for focal seizure disorders.
,5. A patient reports recurrent throbbing unilateral headaches with nausea and light
sensitivity. Which medication is commonly used for acute treatment?
A. Rizatriptan
B. Furosemide
C. Amoxicillin
D. Prednisolone
Answer: A
Explanation: Triptans are standard acute treatments for migraine-type headaches.
6. A patient has recurrent cluster headaches and asks about abortive therapy. Which
intervention is effective for most patients?
A. Oxygen
B. Iron
C. Calcium carbonate
D. Doxycycline
Answer: A
Explanation: High-flow oxygen is effective for many cluster headache attacks.
7. Which symptom pattern is most consistent with tension-type headache?
A. Sudden thunderclap onset
B. Bilateral pressure with muscle tightness
C. Fever and neck stiffness
, D. Visual loss with eye pain
Answer: B
Explanation: Tension headaches are often bilateral and associated with muscle
tightness.
8. Which diagnostic study is commonly ordered first for new focal neurologic deficits
suspicious for stroke?
A. Noncontrast head CT
B. Abdominal ultrasound
C. Spirometry
D. Mammogram
Answer: A
Explanation: Acute stroke evaluation commonly begins with brain imaging to
distinguish hemorrhage from ischemia.springerpub
9. A patient has repeated episodes of visual disturbance and eye pain lasting days.
Which test is often ordered initially?
A. MRI
B. Colonoscopy
C. ECG only
D. Bone scan
