FNP FINAL EXAMS WITH CORRECT
ANSWERS
1. 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
2. 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
3. Which medication is NOT useful in treating tension-type headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen - ANSWER-b. Lithium
4. 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
,5. 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
d. Tolcapone - ANSWER-a. Amantadine
6. 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
7. 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
8. 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
b. Evaluation of speech
c. Examination of the optic fundi
d. Testing for memory loss - ANSWER-c. Examination of the optic
fundi
,9. 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.
10. 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 - ANSWER-A. Anorexia nervosa
11. During a well child examination on a 4monthold infant, the
primary care pediatric nurse practitioner evaluates mental health
issues. Which statement by the parent indicates a potential problem
with the parent infant relationship?
a. "I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises." - ANSWER-b. "I let
my baby cry a while to learn to be patient."
, 12. The primary care pediatric nurse practitioner attempts to learn
more about the emotional health of an 18monthold child through which
assessment strategy?
a. Asking the child to tell a story using dolls and other props
b. Asking the child to draw a picture of him or herself and other
family members
c. Interviewing the child separately from caretakers and parents
d. Observation of the child with caretakers in structured and
unstructured situations - ANSWER-d. Observation of the child
with caretakers in structured and unstructured situations
13. The parent of a 4 year old child reports that the child seems to
be having trouble adjusting to a new day care and reportedly is always
engaging in solitary play when the parent arrives to pick up the child.
What will the primary care pediatric nurse practitioner do?
a. Ask the parent if the child is slow to warm up to other new
situations.
b. Reassure the parent that parallel play is common among
preschool age children.
c. Recommend that the parent spend time encouraging the child to
play with others.
d. Suggest that the day care center may be neglecting the child. -
ANSWER-a. Ask the parent if the child is slow to warm up to other
new situations.
14. The parent of a school age child reports that the child becomes
frustrated when unable to perform tasks well and often has temper
tantrums and difficulty sleeping. Which disorder may be considered in
this child?
a. Generalized anxiety disorder (GAD)
b. obsessive-compulsive disorder (OCD)
ANSWERS
1. 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
2. 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
3. Which medication is NOT useful in treating tension-type headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen - ANSWER-b. Lithium
4. 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
,5. 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
d. Tolcapone - ANSWER-a. Amantadine
6. 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
7. 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
8. 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
b. Evaluation of speech
c. Examination of the optic fundi
d. Testing for memory loss - ANSWER-c. Examination of the optic
fundi
,9. 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.
10. 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 - ANSWER-A. Anorexia nervosa
11. During a well child examination on a 4monthold infant, the
primary care pediatric nurse practitioner evaluates mental health
issues. Which statement by the parent indicates a potential problem
with the parent infant relationship?
a. "I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises." - ANSWER-b. "I let
my baby cry a while to learn to be patient."
, 12. The primary care pediatric nurse practitioner attempts to learn
more about the emotional health of an 18monthold child through which
assessment strategy?
a. Asking the child to tell a story using dolls and other props
b. Asking the child to draw a picture of him or herself and other
family members
c. Interviewing the child separately from caretakers and parents
d. Observation of the child with caretakers in structured and
unstructured situations - ANSWER-d. Observation of the child
with caretakers in structured and unstructured situations
13. The parent of a 4 year old child reports that the child seems to
be having trouble adjusting to a new day care and reportedly is always
engaging in solitary play when the parent arrives to pick up the child.
What will the primary care pediatric nurse practitioner do?
a. Ask the parent if the child is slow to warm up to other new
situations.
b. Reassure the parent that parallel play is common among
preschool age children.
c. Recommend that the parent spend time encouraging the child to
play with others.
d. Suggest that the day care center may be neglecting the child. -
ANSWER-a. Ask the parent if the child is slow to warm up to other
new situations.
14. The parent of a school age child reports that the child becomes
frustrated when unable to perform tasks well and often has temper
tantrums and difficulty sleeping. Which disorder may be considered in
this child?
a. Generalized anxiety disorder (GAD)
b. obsessive-compulsive disorder (OCD)
