HOSMERIT
FNP 652 FINAL EXAM|| VERSION 1 QUESTIONS &
CORRECT ANSWERS GRADED A+|| LATEST 2025
A primary care provider may suspect cataract formation in a patient with which finding?
A. Asymmetric red reflex
B. Corneal opacification
C. Excessive tearing
D. Injection of conjunctiva
ANSWER: : A
As asymmetric red reflex may be a finding in a patient with cataracts. Corneal opacification,
excessive tearing, and corneal injection are not symptoms of
cataracts.
Which are risk factors for development of cataracts? (Select all that apply.)
A. Advancing age
B. Cholesterol
C. Conjunctivitis
D. Smoking
E. Ultraviolet light
ANSWER: : A, D, E
Most older adults will develop cataracts. Smoking and UV light exposure hasten the development
of cataracts. Cholesterol and conjunctivitis are not risk factors.
A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with erythema
and edema of the surrounding tissues without discharge. Which is the initial course of action by
the provider?
, A. Perform an incision and drainage of the edematous tissue.
B. Prescribe amoxicillin and refer to a dentist in 2 to 3 days.
C. Recommend an oral antiseptic rinse and follow up in 1 week.
D. Refer to an oral surgeon for emergency surgery.
ANSWER: : B- The primary care provider may prescribe antibiotics, especially if the
surrounding tissues are infected. Patients should follow up with a dentist in 2 to 3 days. The
primary care provider generally does not perform an I&D; this should be done by the dentist.
Follow-up should be with a dentist in 2 to 3 days, not 1 week.
A patient complains of otalgia and difficulty hearing from one ear. The provider performs an
otoscopic exam and notes a dark brown mass in the lower portion of the external canal blocking
the patient's tympanic membrane. What is the initial action?
A. Ask the patient about previous problems with that ear.
B. Use a curette to dislodge the mass.
C. Irrigate the canal with normal saline.
D. Prescribe a ceruminolytic agent for that ear.
ANSWER: : A
Before attempting to remove impacted cerumen, the provider must determine whether the
tympanic membrane (TM) is intact and should ask about pressure equalizing ear tubes, a history
of ruptured TM, and previous ear surgeries. Once the TM is determined to be intact, the other
methods may be attempted, although the curette should only be used if the mass is in the lateral
third of the ear canal.
A 5yearold child is hit in the face with a baseball bat and is brought to the clinic by a parent. An
exam reveals three avulsed front teeth. Radiologic studiesare negative for facial fractures. What
is the recommended treatment?
A. Remove the teeth, place them in saline, and refer the child to a dentist
B. Prescribe tetracycline 4.4mg/kg twice daily for 7 to 10 days.
C. Refer the child to a dentist for reimplantation of the avulsed teeth.
D. Refer the child to a dentist immediately for further evaluation.
FNP 652 FINAL EXAM|| VERSION 1 QUESTIONS &
CORRECT ANSWERS GRADED A+|| LATEST 2025
A primary care provider may suspect cataract formation in a patient with which finding?
A. Asymmetric red reflex
B. Corneal opacification
C. Excessive tearing
D. Injection of conjunctiva
ANSWER: : A
As asymmetric red reflex may be a finding in a patient with cataracts. Corneal opacification,
excessive tearing, and corneal injection are not symptoms of
cataracts.
Which are risk factors for development of cataracts? (Select all that apply.)
A. Advancing age
B. Cholesterol
C. Conjunctivitis
D. Smoking
E. Ultraviolet light
ANSWER: : A, D, E
Most older adults will develop cataracts. Smoking and UV light exposure hasten the development
of cataracts. Cholesterol and conjunctivitis are not risk factors.
A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with erythema
and edema of the surrounding tissues without discharge. Which is the initial course of action by
the provider?
, A. Perform an incision and drainage of the edematous tissue.
B. Prescribe amoxicillin and refer to a dentist in 2 to 3 days.
C. Recommend an oral antiseptic rinse and follow up in 1 week.
D. Refer to an oral surgeon for emergency surgery.
ANSWER: : B- The primary care provider may prescribe antibiotics, especially if the
surrounding tissues are infected. Patients should follow up with a dentist in 2 to 3 days. The
primary care provider generally does not perform an I&D; this should be done by the dentist.
Follow-up should be with a dentist in 2 to 3 days, not 1 week.
A patient complains of otalgia and difficulty hearing from one ear. The provider performs an
otoscopic exam and notes a dark brown mass in the lower portion of the external canal blocking
the patient's tympanic membrane. What is the initial action?
A. Ask the patient about previous problems with that ear.
B. Use a curette to dislodge the mass.
C. Irrigate the canal with normal saline.
D. Prescribe a ceruminolytic agent for that ear.
ANSWER: : A
Before attempting to remove impacted cerumen, the provider must determine whether the
tympanic membrane (TM) is intact and should ask about pressure equalizing ear tubes, a history
of ruptured TM, and previous ear surgeries. Once the TM is determined to be intact, the other
methods may be attempted, although the curette should only be used if the mass is in the lateral
third of the ear canal.
A 5yearold child is hit in the face with a baseball bat and is brought to the clinic by a parent. An
exam reveals three avulsed front teeth. Radiologic studiesare negative for facial fractures. What
is the recommended treatment?
A. Remove the teeth, place them in saline, and refer the child to a dentist
B. Prescribe tetracycline 4.4mg/kg twice daily for 7 to 10 days.
C. Refer the child to a dentist for reimplantation of the avulsed teeth.
D. Refer the child to a dentist immediately for further evaluation.
