FNP-654 Final Exam Questions with Verified
Correct Answers
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have
symptoms that include asymmetric weakness in the arms and difficulty walking. The
neurologist recognizes these symptoms as characteristic of involvement of which portion
of the nervous system?
Lower motor neurons
The spouse of a patient newly-diagnosed with amyotrophic lateral sclerosis (ALS) asks
about long-term care. What will the provider include when teaching the family about
this disease?
Preventing malnutrition is a key element in care.
Which symptoms may occur with Bell's palsy?
Select all that apply.
Alteration in taste, Drooling, Tinnitus
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with
drooping and tearing in one eye. The patient has a history of a recent viral illness, but is
otherwise healthy. During the exam, the provider notes that there is unilateral full face
paralysis on the right side. What is the initial intervention for this patient?
Prescribe oral prednisolone
What is recommended to prevent ophthalmic complications in patients with Bell's
palsy?
Lubricating eye drops
,A patient reports a recurrent sensation of spinning associated with nausea and
vomiting. Which test will the provider order to confirm a diagnosis for this patient?
The Hallpike-Dix positioning maneuver
An elderly patient reports sensations of being off balance when walking, but does not
experience dizziness. The provider will refer this patient to which specialist for further
evaluation?
Neurologist
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome in a patient
who is developing muscle weakness and paresthesias?
Lumbar puncture
Which monitoring parameters are necessary when caring for a patient with Guillain-
Barre syndrome?
Select all that apply.
Bladder scans
Cardiac telemetry
Fever
Vital capacity measures
Following an upper respiratory infection, a patient begins to develop ataxia and distal
paresthesias, along with oculomotor symptoms and double vision. Based on these
presenting symptoms which type of GBS does this patient have?
Miller Fisher syndrome (MFS)
,A patient has recurrent cluster headaches and asks about abortive therapy. Which
therapy is effective for a majority of patients with cluster headaches?
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?
Rizatriptan
Which medications may be useful in treating tension-type headache?
Select all that apply.
Antiemetics
Muscle relaxants
NSAIDs
A provider suspects that a patient has bacterial meningitis. When should antibiotics be
given?
Prior to obtaining a CT scan or lumbar puncture
A patient is brought to the emergency department with fever, lethargy, and headache
without meningeal signs. The examination reveals hypotension and lethargy and the
examiner notes petechiae on the patient's trunk. What do these findings indicate?
A poor prognosis
, 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?
Magnetic resonance imaging
A patient diagnosed with multiple sclerosis and begins disease modulating therapy
drugs. As part of the counseling about this therapy, the provider will tell the patient
that this regimen will
reduce the exacerbation rate.
A patient who has a seizure disorder and who takes levetiracetam is brought to an
emergency department with a seizure which has persisted for15 minutes and which
immediately followed another 15 minute seizure. What is the priority action for this
patient?
Administer lorazepam and monitor cardiorespiratory status
A patient with a seizure disorder has seizures which begin with eye twitching and
occasionally visual hallucinations. Which site in the brain is the seizure focus?
Occipital
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
Carbamazepine
A patient reports paroxysms of burning, shock-like pain on both sides of the face
usually triggered by chewing or talking. The provider suspects trigeminal neuralgia.
Based on these presenting symptoms, what testing is indicated?
Magnetic resonance imaging
Correct Answers
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have
symptoms that include asymmetric weakness in the arms and difficulty walking. The
neurologist recognizes these symptoms as characteristic of involvement of which portion
of the nervous system?
Lower motor neurons
The spouse of a patient newly-diagnosed with amyotrophic lateral sclerosis (ALS) asks
about long-term care. What will the provider include when teaching the family about
this disease?
Preventing malnutrition is a key element in care.
Which symptoms may occur with Bell's palsy?
Select all that apply.
Alteration in taste, Drooling, Tinnitus
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with
drooping and tearing in one eye. The patient has a history of a recent viral illness, but is
otherwise healthy. During the exam, the provider notes that there is unilateral full face
paralysis on the right side. What is the initial intervention for this patient?
Prescribe oral prednisolone
What is recommended to prevent ophthalmic complications in patients with Bell's
palsy?
Lubricating eye drops
,A patient reports a recurrent sensation of spinning associated with nausea and
vomiting. Which test will the provider order to confirm a diagnosis for this patient?
The Hallpike-Dix positioning maneuver
An elderly patient reports sensations of being off balance when walking, but does not
experience dizziness. The provider will refer this patient to which specialist for further
evaluation?
Neurologist
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome in a patient
who is developing muscle weakness and paresthesias?
Lumbar puncture
Which monitoring parameters are necessary when caring for a patient with Guillain-
Barre syndrome?
Select all that apply.
Bladder scans
Cardiac telemetry
Fever
Vital capacity measures
Following an upper respiratory infection, a patient begins to develop ataxia and distal
paresthesias, along with oculomotor symptoms and double vision. Based on these
presenting symptoms which type of GBS does this patient have?
Miller Fisher syndrome (MFS)
,A patient has recurrent cluster headaches and asks about abortive therapy. Which
therapy is effective for a majority of patients with cluster headaches?
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?
Rizatriptan
Which medications may be useful in treating tension-type headache?
Select all that apply.
Antiemetics
Muscle relaxants
NSAIDs
A provider suspects that a patient has bacterial meningitis. When should antibiotics be
given?
Prior to obtaining a CT scan or lumbar puncture
A patient is brought to the emergency department with fever, lethargy, and headache
without meningeal signs. The examination reveals hypotension and lethargy and the
examiner notes petechiae on the patient's trunk. What do these findings indicate?
A poor prognosis
, 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?
Magnetic resonance imaging
A patient diagnosed with multiple sclerosis and begins disease modulating therapy
drugs. As part of the counseling about this therapy, the provider will tell the patient
that this regimen will
reduce the exacerbation rate.
A patient who has a seizure disorder and who takes levetiracetam is brought to an
emergency department with a seizure which has persisted for15 minutes and which
immediately followed another 15 minute seizure. What is the priority action for this
patient?
Administer lorazepam and monitor cardiorespiratory status
A patient with a seizure disorder has seizures which begin with eye twitching and
occasionally visual hallucinations. Which site in the brain is the seizure focus?
Occipital
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
Carbamazepine
A patient reports paroxysms of burning, shock-like pain on both sides of the face
usually triggered by chewing or talking. The provider suspects trigeminal neuralgia.
Based on these presenting symptoms, what testing is indicated?
Magnetic resonance imaging
