FNP FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(ALREADY GRADED A+)
A 12-year-old is brought to the clinic with joint pain, a 3-
week history of low-grade fever, and a facial rash. The NP
palpates an enlarged liver 2cm below the subcostal
margin along with diffuse lymphadenopathy. An ANA test
is positive. Which test may be ordered to confirm a
diagnosis of SLE?
a. Anti-La antibodies
b. Anti-RO antibodies
c. Anti-Sm antibodies
d. Anti-double strand DNA antibodies - correct
answer- d. Anti-double strand DNA antibodies
A 13 year old child has exhibited symptoms of mild
depression for several weeks. The parent reports feeling
relieved that the symptoms have passed but concerned
that the child now seems to have boundless energy and
,an inability to sit still. What will the primary care pediatric
nurse practitioner do?
A. Administer an ADHD diagnostic scale and consider an
ADHD medication.
B. Consult with a child psychiatrist to prescribe an
antidepressant medication.
C. Reassure the parent that this behavior is common after
mild depressive symptoms
D. Refer the child to a child psychiatrist for evaluation of
bipolar disorder. - correct answer- D. Refer the
child to a child psychiatrist for evaluation of bipolar
disorder.
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 foods. Which condition
does the primary care pediatric nurse practitioner
suspect?
A. Anorexia nervosa
,B. Bulimia nervosa
C. Depression
D. Substance abuse - correct answer- A.
Anorexia nervosa
A 16-year-old female has primary amenorrhea. A
pregnancy test is negative. Further testing reveals a
normal TSH and an elevated prolactin level. Which test
will the provider order next?
a. Progesterone challenge test
b. MRI
c. Serum dehydroepiandrosterone
d. Clomiphene challenge test - correct answer-
b. MRI
A 16-year-old patient with primary dysmenorrhea has
taken NSAID's and COX-2 inhibitors without getting relief
from symptoms. What will the provider suggest?
, a. A combined oral contraceptive
b. Counsel the patient to apply warm compresses
c. IUD
d. Narcotic analgesics as needed - correct answer-
a. A combined oral contraceptive
A 16-year-old sexually active female has symptoms of PID
with fever. Cultures are pending. For outpatient
treatment, what will the provider order?
a. Clindamycin and gentamycin
b. Cefotetan and doxycycline
c. Ampicillin and doxycycline
d. Rocephin, doxycycline, and metronidazole - correct
answer- d. Rocephin, doxycycline, and
metronidazole
A 17-year-old patient has undergone surgical incision and
drainage of a Bartholin's gland cyst with insertion of a
drain. What is an important aspect of care for this
patient?
CORRECT DETAILED ANSWERS
(ALREADY GRADED A+)
A 12-year-old is brought to the clinic with joint pain, a 3-
week history of low-grade fever, and a facial rash. The NP
palpates an enlarged liver 2cm below the subcostal
margin along with diffuse lymphadenopathy. An ANA test
is positive. Which test may be ordered to confirm a
diagnosis of SLE?
a. Anti-La antibodies
b. Anti-RO antibodies
c. Anti-Sm antibodies
d. Anti-double strand DNA antibodies - correct
answer- d. Anti-double strand DNA antibodies
A 13 year old child has exhibited symptoms of mild
depression for several weeks. The parent reports feeling
relieved that the symptoms have passed but concerned
that the child now seems to have boundless energy and
,an inability to sit still. What will the primary care pediatric
nurse practitioner do?
A. Administer an ADHD diagnostic scale and consider an
ADHD medication.
B. Consult with a child psychiatrist to prescribe an
antidepressant medication.
C. Reassure the parent that this behavior is common after
mild depressive symptoms
D. Refer the child to a child psychiatrist for evaluation of
bipolar disorder. - correct answer- D. Refer the
child to a child psychiatrist for evaluation of bipolar
disorder.
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 foods. Which condition
does the primary care pediatric nurse practitioner
suspect?
A. Anorexia nervosa
,B. Bulimia nervosa
C. Depression
D. Substance abuse - correct answer- A.
Anorexia nervosa
A 16-year-old female has primary amenorrhea. A
pregnancy test is negative. Further testing reveals a
normal TSH and an elevated prolactin level. Which test
will the provider order next?
a. Progesterone challenge test
b. MRI
c. Serum dehydroepiandrosterone
d. Clomiphene challenge test - correct answer-
b. MRI
A 16-year-old patient with primary dysmenorrhea has
taken NSAID's and COX-2 inhibitors without getting relief
from symptoms. What will the provider suggest?
, a. A combined oral contraceptive
b. Counsel the patient to apply warm compresses
c. IUD
d. Narcotic analgesics as needed - correct answer-
a. A combined oral contraceptive
A 16-year-old sexually active female has symptoms of PID
with fever. Cultures are pending. For outpatient
treatment, what will the provider order?
a. Clindamycin and gentamycin
b. Cefotetan and doxycycline
c. Ampicillin and doxycycline
d. Rocephin, doxycycline, and metronidazole - correct
answer- d. Rocephin, doxycycline, and
metronidazole
A 17-year-old patient has undergone surgical incision and
drainage of a Bartholin's gland cyst with insertion of a
drain. What is an important aspect of care for this
patient?
