• FNP 654 FINAL 09/13/2026
EXAM
FNP654/ FNP 654 FINAL EXAM | FAMILY
PRIMARY CARE II EXAM 2 | QUESTIONS AND
VERIFIED ANSWERS RATED A+ | 2026/2027
GUIDE | GCU| 2026/2027 Latest Update |
Complete Chapter Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
Risk factors for acute pancreatitis include all of the following except:
a. hypothyroidism
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
b. dyslipidemia
c. abdominal trauma
d. thiazide diuretic use - Correct Answer :a. hypothyroidism
Common risk are gallstones, excessive ETOH, elevated triglycerides, and idiopathic causes. Less common risks:
opiods, corticosteroids, thiazide diuretics, viral infection, blunt abdominal trauma.
A 38yo woman with a long standing hx of alcohol abuse present with a 4d hx of a mid-abdominal ache that
radiates through to the back, remains relatively constant, and has been accompanied by nausea and 3 episodes
of vomiting. She has tried taking antacids without relief. Abdominal examination reveals slightly hyperactive
bowel sounds with upper abdominal tenderness without localization or rebound. Her skin is cool and moist with
a BP of 90/72mmHg, pulse rate of 120bpm, and respiratory rate of 24/min. The most likely dx is:
a. gastric ulcer
b. acute pancreatitis
c. acute alcohol poisoning
d. viral hepatitis - Correct Answer :b. acute pancreatitis
Antacids would have eased a gastric ulcer. Acute alcohol poisoning would include signs of intoxication. Viral
hepatitis presentation is variable.
Your next best action in caring for a 38yo woman with a long standing hx of alcohol abuse present with a 4d hx
of a mid-abdominal ache that radiates through to the back, remains relatively constant, and has been
accompanied by nausea and 3 episodes of vomiting. She has tried taking antacids without relief. Abdominal
examination reveals slightly hyperactive bowel sounds with upper abdominal tenderness without localization or
rebound. Her skin is cool and moist with a BP of 90/72mmHg, pulse rate of 120bpm, and respiratory rate of
24/min is to:
a. refer to the acute care hospital for admission
b. attempt office hydration after administration of an analgesic agent
c. initiate therapy with ranitidine (Zantac) and an antacid
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
d. obtain serum electrolyte levels - Correct Answer :a. refer to the acute care hospital for admission
Pancreatitis is not something that can be treated in the clinic setting.
Which of the following statements is true when evaluating a patient with acute pancreatitis?
a. Diagnosis can be made by assessment alone
b. the pancreas can be clearly visualized by abdominal ultrasound
c. measuring serum lipase level along with amylase level increase diagnostic specificity in acute pancreatitis
d. hypocalcemia is a nearly universal finding - Correct Answer :c. measuring serum lipase level along with
amylase level increase diagnostic specificity in acute pancreatitis
Gold standard for pancreatitis dx is elevated serum amylase. Lipase levels are also elevated. These return to
normal in 3-7 days.
In assessing a person with suspected pancreatic cancer, the clinician anticipates which of the following findings?
a. palpable midline abdominal mass
b. mid-epigastric pain that radiates to the mid-back or lower back region
c. Cullen sign
d. positive obturator and psoas signs - Correct Answer :b. mid-epigastric pain that radiates to the mid-back or
lower back region
Pancreatic cancer commonly present with abdominal pain, weight loss, anorexia, nausea, and vomiting.
Cullen sign is superficial edema and bruising in SQ tissue around umbilicus. Positive obturator and psoas signs are
consistent with appendicitis.
The clinical presentation of pancreatic cancer involving the head of the pancreas usually includes:
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
a. jaundice
b. polycythemia
c. hematuria
d. hyperkalemia - Correct Answer :a. jaundice
Jaundice occurs if head of pancreas is involved. Clinical presentation usually occurs late in disease.
Which of the following is unlikely to be found in a person with pancreatic cancer?
a. hx of chronic pancreatitis
b. lesion identified on abdominal CT
c. normocytic, normochromic anemia
d. elevation of amylase level - Correct Answer :d. elevation of amylase level
Elevated amylase occurs with acute pancreatitis. The patient with pancreatic cancer may also experience
elevated total and direct bilirubin and alkaline phosphatase.
38. The "quad screen" is used to help detect increased risk for which of the following conditions in the fetus?
a. Trisomy 21 and open neural tube defects
b. cystic fibrosis and Down syndrome
c. Tay-Sachs disease and trisomy 18
d. sickle cell anemia and beta-thalassemia major - Correct Answer :a. Trisomy 21 and open neural tube defects
Quad screen looks for AFP, hCG, Estriol, and Inhibin-A for chromosomal abnormalities and neural tube defects.
Which ethnic group is at risk for carrying the sickle cell trait?
P 4
EXAM
FNP654/ FNP 654 FINAL EXAM | FAMILY
PRIMARY CARE II EXAM 2 | QUESTIONS AND
VERIFIED ANSWERS RATED A+ | 2026/2027
GUIDE | GCU| 2026/2027 Latest Update |
Complete Chapter Questions & Answers with
Rationales | Verified Questions & Answers |
Graded A+
Risk factors for acute pancreatitis include all of the following except:
a. hypothyroidism
P 1
, • FNP 654 FINAL 09/13/2026
EXAM
b. dyslipidemia
c. abdominal trauma
d. thiazide diuretic use - Correct Answer :a. hypothyroidism
Common risk are gallstones, excessive ETOH, elevated triglycerides, and idiopathic causes. Less common risks:
opiods, corticosteroids, thiazide diuretics, viral infection, blunt abdominal trauma.
A 38yo woman with a long standing hx of alcohol abuse present with a 4d hx of a mid-abdominal ache that
radiates through to the back, remains relatively constant, and has been accompanied by nausea and 3 episodes
of vomiting. She has tried taking antacids without relief. Abdominal examination reveals slightly hyperactive
bowel sounds with upper abdominal tenderness without localization or rebound. Her skin is cool and moist with
a BP of 90/72mmHg, pulse rate of 120bpm, and respiratory rate of 24/min. The most likely dx is:
a. gastric ulcer
b. acute pancreatitis
c. acute alcohol poisoning
d. viral hepatitis - Correct Answer :b. acute pancreatitis
Antacids would have eased a gastric ulcer. Acute alcohol poisoning would include signs of intoxication. Viral
hepatitis presentation is variable.
Your next best action in caring for a 38yo woman with a long standing hx of alcohol abuse present with a 4d hx
of a mid-abdominal ache that radiates through to the back, remains relatively constant, and has been
accompanied by nausea and 3 episodes of vomiting. She has tried taking antacids without relief. Abdominal
examination reveals slightly hyperactive bowel sounds with upper abdominal tenderness without localization or
rebound. Her skin is cool and moist with a BP of 90/72mmHg, pulse rate of 120bpm, and respiratory rate of
24/min is to:
a. refer to the acute care hospital for admission
b. attempt office hydration after administration of an analgesic agent
c. initiate therapy with ranitidine (Zantac) and an antacid
P 2
, • FNP 654 FINAL 09/13/2026
EXAM
d. obtain serum electrolyte levels - Correct Answer :a. refer to the acute care hospital for admission
Pancreatitis is not something that can be treated in the clinic setting.
Which of the following statements is true when evaluating a patient with acute pancreatitis?
a. Diagnosis can be made by assessment alone
b. the pancreas can be clearly visualized by abdominal ultrasound
c. measuring serum lipase level along with amylase level increase diagnostic specificity in acute pancreatitis
d. hypocalcemia is a nearly universal finding - Correct Answer :c. measuring serum lipase level along with
amylase level increase diagnostic specificity in acute pancreatitis
Gold standard for pancreatitis dx is elevated serum amylase. Lipase levels are also elevated. These return to
normal in 3-7 days.
In assessing a person with suspected pancreatic cancer, the clinician anticipates which of the following findings?
a. palpable midline abdominal mass
b. mid-epigastric pain that radiates to the mid-back or lower back region
c. Cullen sign
d. positive obturator and psoas signs - Correct Answer :b. mid-epigastric pain that radiates to the mid-back or
lower back region
Pancreatic cancer commonly present with abdominal pain, weight loss, anorexia, nausea, and vomiting.
Cullen sign is superficial edema and bruising in SQ tissue around umbilicus. Positive obturator and psoas signs are
consistent with appendicitis.
The clinical presentation of pancreatic cancer involving the head of the pancreas usually includes:
P 3
, • FNP 654 FINAL 09/13/2026
EXAM
a. jaundice
b. polycythemia
c. hematuria
d. hyperkalemia - Correct Answer :a. jaundice
Jaundice occurs if head of pancreas is involved. Clinical presentation usually occurs late in disease.
Which of the following is unlikely to be found in a person with pancreatic cancer?
a. hx of chronic pancreatitis
b. lesion identified on abdominal CT
c. normocytic, normochromic anemia
d. elevation of amylase level - Correct Answer :d. elevation of amylase level
Elevated amylase occurs with acute pancreatitis. The patient with pancreatic cancer may also experience
elevated total and direct bilirubin and alkaline phosphatase.
38. The "quad screen" is used to help detect increased risk for which of the following conditions in the fetus?
a. Trisomy 21 and open neural tube defects
b. cystic fibrosis and Down syndrome
c. Tay-Sachs disease and trisomy 18
d. sickle cell anemia and beta-thalassemia major - Correct Answer :a. Trisomy 21 and open neural tube defects
Quad screen looks for AFP, hCG, Estriol, and Inhibin-A for chromosomal abnormalities and neural tube defects.
Which ethnic group is at risk for carrying the sickle cell trait?
P 4
