FNP-654 Final Test Questions with Verified
Correct Answers
When examining a patient's skin, a practitioner uses dermoscopy in order to: Select all
that apply
1) assess changes in pigmentation throughout various lesions,
2) determine whether lesion borders are regular or irregular,
3) visualize skin fissures, hair follicles, and pores in lesions.
A patient has acne and the provider notes lesions on half of the face, some nodules, and
two scarred areas. Which treatment will be prescribed?
Topical benzoyl peroxide and clindamycin
When counseling a patient with rosacea about management of this condition, the
provider may recommend Select all that apply.
1) avoiding oil-based products.
2) eliminating spicy foods.
3) using topical antibiotics.
A provider is considering an oral contraceptive medication to treat acne in an
adolescent female. Which is an important consideration when prescribing this drug?
Yaz, Ortho Tri-Cyclen, and Estrostep are approved for acne treatment.
A patient comes to the clinic after being splashed by boiling water while cooking. The
patient has partial thickness burns on both forearms, the neck, and the chin. What will
the provider do?
Refer the patient to the emergency department
,A patient has sustained a human bite on his hand during a fist fight. Which is especially
concerning with this type of bite injury?
Potential septic arthritis or osteomyelitis
A patient is taking a sulfonamide antibiotic and develops a rash that begins peeling.
Which type of rash is suspected?
Stevens-Johnson
Which types of medications are associated with urticarial type rashes? Select all that
apply.
1) Erythromycin
2) NSAIDs
3) Penicillins
A patient complains of persistent pruritis of the extremities. A history is negative for
medical and psychiatric causes and the patient has not had significant exposures. The
physical examination of the affected skin is negative, except for marks made by
scratching. What will the provider order to evaluate the cause of this itching? Select all
that apply.
1) Blood urea nitrogen and serum creatinine
2) Complete blood count with differential
3) Thyroid panel and blood glucose
The provider is prescribing 5% permethrin cream for an adolescent patient who has
scabies. What will the provider include in education for this patient?
Stuffed animals and pillows should be placed in plastic bags for 1 week.
, An elderly adult patient with bullous pemphigoid is prescribed oral prednisone and
hydroxyzine to manage symptoms. Which medication side effect is of immediate
concern for this patient?
Sedation
What agent is used in the treatment of impetigo?
Augmentin (Amoxicillin clavanuate)
A child has plaques on the extensor surfaces of both elbows and on the face with
minimal scaling and pruritis. What is the likely cause of these lesions?
Psoriasis
An adolescent patient has several warts on one hand. Which action by the provider is
indicated?
Reassure the patient that these lesions will regress spontaneously
A child presents with a lead level of 25 (20-45 is considered high), what should the
provider do?
Continue follow up testing
A patient reports heart palpitations but no other symptoms and has no prior history of
cardiovascular disease. The clinic provider performs an electrocardiogram and notes
atrial fibrillation and a heart rate of 120 beats per minute. Which is the initial course of
action in treating this patient?
Refer the patient to a cardiologist
What is the first priority in emergency management of a biological terrorism attack?
Containing the exposures
Correct Answers
When examining a patient's skin, a practitioner uses dermoscopy in order to: Select all
that apply
1) assess changes in pigmentation throughout various lesions,
2) determine whether lesion borders are regular or irregular,
3) visualize skin fissures, hair follicles, and pores in lesions.
A patient has acne and the provider notes lesions on half of the face, some nodules, and
two scarred areas. Which treatment will be prescribed?
Topical benzoyl peroxide and clindamycin
When counseling a patient with rosacea about management of this condition, the
provider may recommend Select all that apply.
1) avoiding oil-based products.
2) eliminating spicy foods.
3) using topical antibiotics.
A provider is considering an oral contraceptive medication to treat acne in an
adolescent female. Which is an important consideration when prescribing this drug?
Yaz, Ortho Tri-Cyclen, and Estrostep are approved for acne treatment.
A patient comes to the clinic after being splashed by boiling water while cooking. The
patient has partial thickness burns on both forearms, the neck, and the chin. What will
the provider do?
Refer the patient to the emergency department
,A patient has sustained a human bite on his hand during a fist fight. Which is especially
concerning with this type of bite injury?
Potential septic arthritis or osteomyelitis
A patient is taking a sulfonamide antibiotic and develops a rash that begins peeling.
Which type of rash is suspected?
Stevens-Johnson
Which types of medications are associated with urticarial type rashes? Select all that
apply.
1) Erythromycin
2) NSAIDs
3) Penicillins
A patient complains of persistent pruritis of the extremities. A history is negative for
medical and psychiatric causes and the patient has not had significant exposures. The
physical examination of the affected skin is negative, except for marks made by
scratching. What will the provider order to evaluate the cause of this itching? Select all
that apply.
1) Blood urea nitrogen and serum creatinine
2) Complete blood count with differential
3) Thyroid panel and blood glucose
The provider is prescribing 5% permethrin cream for an adolescent patient who has
scabies. What will the provider include in education for this patient?
Stuffed animals and pillows should be placed in plastic bags for 1 week.
, An elderly adult patient with bullous pemphigoid is prescribed oral prednisone and
hydroxyzine to manage symptoms. Which medication side effect is of immediate
concern for this patient?
Sedation
What agent is used in the treatment of impetigo?
Augmentin (Amoxicillin clavanuate)
A child has plaques on the extensor surfaces of both elbows and on the face with
minimal scaling and pruritis. What is the likely cause of these lesions?
Psoriasis
An adolescent patient has several warts on one hand. Which action by the provider is
indicated?
Reassure the patient that these lesions will regress spontaneously
A child presents with a lead level of 25 (20-45 is considered high), what should the
provider do?
Continue follow up testing
A patient reports heart palpitations but no other symptoms and has no prior history of
cardiovascular disease. The clinic provider performs an electrocardiogram and notes
atrial fibrillation and a heart rate of 120 beats per minute. Which is the initial course of
action in treating this patient?
Refer the patient to a cardiologist
What is the first priority in emergency management of a biological terrorism attack?
Containing the exposures
