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FNP FINAL EXAM 2026/2027
ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
A patient has recurrent cluster headaches and asks about
abortive therapy. Which therapy is effective for a majority of
patients with cluster headaches?
a. Lithium
b. NSAIDs
c. Oxygen
d. Verapamil - ANSWER-C. Oxygen
A patient reports recurrent headaches occurring 1 or 2 times
per month that generally occur with weather changes or when
sleep patterns are disrupted and describes them 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 - ANSWER-c. Rizatriptan
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Which medication is NOT useful in treating tension-type
headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen - ANSWER-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 initially?
a. Lumbar puncture
b. Magnetic resonance imaging
c. Optical Coherence Tomography
d. Visual evoked potential - ANSWER-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
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d. Tolcapone - ANSWER-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 - ANSWER-c. Hyperphonia
Which drug is used to treat patients with focal epilepsy and
complex partial seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
d. Topiramate - ANSWER-a. Carbamazepine
A patient develops a gait disorder and the patient's spouse
reports noticing recent personality changes. The provider
suspects a brain lesion. Which evaluation is especially
important in the initial physical examination?
a. Assessment of peripheral reflexes
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b. Evaluation of speech
c. Examination of the optic fundi
d. Testing for memory loss - ANSWER-c. Examination of the
optic fundi
A toddler has begun hitting and biting other children at a day
care center and is exhibiting temper tantrums and bad
language at home. The parent reports that these behaviors
began shortly after a sibling was born. What will the primary
care pediatric nurse 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 coping.
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 - ANSWER-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
FNP FINAL EXAM 2026/2027
ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
A patient has recurrent cluster headaches and asks about
abortive therapy. Which therapy is effective for a majority of
patients with cluster headaches?
a. Lithium
b. NSAIDs
c. Oxygen
d. Verapamil - ANSWER-C. Oxygen
A patient reports recurrent headaches occurring 1 or 2 times
per month that generally occur with weather changes or when
sleep patterns are disrupted and describes them 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 - ANSWER-c. Rizatriptan
,2 | Page
Which medication is NOT useful in treating tension-type
headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen - ANSWER-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 initially?
a. Lumbar puncture
b. Magnetic resonance imaging
c. Optical Coherence Tomography
d. Visual evoked potential - ANSWER-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
,3 | Page
d. Tolcapone - ANSWER-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 - ANSWER-c. Hyperphonia
Which drug is used to treat patients with focal epilepsy and
complex partial seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
d. Topiramate - ANSWER-a. Carbamazepine
A patient develops a gait disorder and the patient's spouse
reports noticing recent personality changes. The provider
suspects a brain lesion. Which evaluation is especially
important in the initial physical examination?
a. Assessment of peripheral reflexes
, 4 | Page
b. Evaluation of speech
c. Examination of the optic fundi
d. Testing for memory loss - ANSWER-c. Examination of the
optic fundi
A toddler has begun hitting and biting other children at a day
care center and is exhibiting temper tantrums and bad
language at home. The parent reports that these behaviors
began shortly after a sibling was born. What will the primary
care pediatric nurse 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 coping.
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 - ANSWER-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
