Nursing5336 FNP Exam 3 2025/26 With complete solution Rated A+

Nursing5336 FNP Exam 3 2025/26 With I!% I!% I!% I!% I!%




complete solution Rated A+ I!% I!%



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A patient has recurrent cluster headaches and asks about abortive therapy. Which
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therapy is effective for a majority of patients with cluster headaches?
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a. Lithium
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b. NSAIDs
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c. Oxygen
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d. Verapamil - C. Oxygen
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A patient reports recurrent headaches occurring 1 or 2 times per month that
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generally occur with weather changes or when sleep patterns are disrupted and
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describes them as severe, with throbbing on one side of the head and sometimes
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accompanied by nausea. What is the recommended treatment for this type of
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headache?
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a. Gabapentin I!%




b. Propranolol I!%




c. Rizatriptan I!%




d. Topiramate - c. Rizatriptan
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Which medication is NOT useful in treating tension-type headaches?
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a. Antiemetics
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b. Lithium
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c. Muscle relaxants
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d. NSAIDse. Oxygen - b. Lithium
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A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2
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days each about 2 months apart. Which diagnostic testing will the provider order
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initially? I!%



a. Lumbar puncture
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b. Magnetic resonance imaging
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c. Optical Coherence Tomography
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d. Visual evoked potential - b. Magnetic resonance imaging
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A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa
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(Sinemet) with good results but develops increased dyskinesia. Which drug will
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be added to this patient's regimen to help control this symptom? a. Amantadine
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b. Benztropine I!%




c. Ropinirole I!%




d. Tolcapone - a. Amantadine
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All of the following are common symptoms seen in patients with Parkinson's disease
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except:
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a. Bradykinesia I!%




b. Festination I!%




c. Hyperphonia I!%




d. Rigidity I!%




e. Symmetric tremor - c. Hyperphonia
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,Which drug is used to treat patients with focal epilepsy and complex partial seizures?
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a. Carbamazepine I!%




b. Ethosuximide I!%




c. Lamotrigine I!%




d. Topiramate - a. Carbamazepine
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A patient develops a gait disorder and the patient's spouse reports noticing recent
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personality changes. The provider suspects a brain lesion. Which evaluation is I!% I!% I!% I!% I!% I!% I!%

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especially important in the initial physical examination? I!% I!% I!% I!% I!%

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a. Assessment of peripheral reflexes
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b. Evaluation of speech
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c. Examination of the optic fundi
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d. Testing for memory loss - c. Examination of the optic fundi
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A toddler has begun hitting and biting other children at a day care center and is
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exhibiting temper tantrums and bad language at home. The parent reports that
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these behaviors began shortly after a sibling was born. What will the primary care
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pediatric nurse practitioner do?
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A. Advise the parent that the child is exhibiting early symptoms of ADHD.
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B. Engage the parent in positive parenting strategies to facilitate appropriate child
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coping. I!% I!%




C. Recommend evaluating the child for conduct or oppositional defiant disorder. I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%




D. Suggest putting the child in another day care center to ameliorate the problems -
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B. Engage the parent in positive parenting strategies to facilitate appropriate child
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coping. I!% I!%




A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy
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test is negative. The adolescent's body weight is at 82% of expected for height and
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age. The mother reports that her daughter often throws up and refuses to eat most
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foods. Which condition does the primary care pediatric nurse practitioner suspect?
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A. Anorexia nervosa I!% I!%




B. Bulimia nervosa I!% I!%




C. Depression I!%




D. Substance abuse - A. Anorexia nervosa
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During a well child examination on a 4monthold infant, the primary care pediatric
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nurse practitioner evaluates mental health issues. Which statement by the
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parent indicates a potential problem with the parent infant relationship? a. "I can
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sense a difference in my baby's cries."
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b. "I let my baby cry a while to learn to be patient."
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c. "My baby prefers to nurse in a darkened room."
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d. "My baby seems very sensitive to loud noises." - b. "I let my baby cry a while to
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learn to be patient."
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The primary care pediatric nurse practitioner attempts to learn more about the
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emotional health of an 18monthold child through which assessment strategy?
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a. Asking the child to tell a story using dolls and other props I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%




b. Asking the child to draw a picture of him or herself and other family members
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c. Interviewing the child separately from caretakers and parents I!% I!% I!% I!% I!% I!% I!% I!%




d. Observation of the child with caretakers in structured and unstructured situations -
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, d. Observation of the child with caretakers in structured and unstructured situations
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The parent of a 4 year old child reports that the child seems to be having trouble
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adjusting to a new day care and reportedly is always engaging in solitary play when
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the parent arrives to pick up the child. What will the primary care pediatric nurse
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practitioner do?
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a. Ask the parent if the child is slow to warm up to other new situations.
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b. Reassure the parent that parallel play is common among preschool age children. I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%




c. Recommend that the parent spend time encouraging the child to play with others. I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%




d. Suggest that the day care center may be neglecting the child. - a. Ask the parent if
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the child is slow to warm up to other new situations.
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The parent of a school age child reports that the child becomes frustrated when
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unable to perform tasks well and often has temper tantrums and difficulty sleeping.
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Which disorder may be considered in this child?
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a. Generalized anxiety disorder (GAD) I!% I!% I!% I!%




b. obsessive-compulsive disorder (OCD) I!% I!% I!%




c. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal I!% I!% I!% I!% I!% I!%




infection (PANDAS)
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d. Separation anxiety disorder (SAD) - a. Generalized anxiety disorder (GAD)
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A newly divorced mother of a toddler reports that the child began having difficulty
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sleeping and nightmares along with exhibiting angry outbursts and tantrums 2
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months prior. The primary care pediatric nurse practitioner learns that the child
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refuses to play with usual playmates and often spends time sitting quietly. What will
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the nurse practitioner do initially?
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a. Ask the mother about the child's relationship with the father.
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b. Consult with a child psychiatrist to prescribe medications. I!% I!% I!% I!% I!% I!% I!% I!%




c. Recommend cognitive behavioral or psychodynamic therapy. I!% I!% I!% I!% I!% I!%




d. Refer the family to a child behavioral specialist for counseling. - a. Ask the mother
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about the child's relationship with the father.
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An adolescent is diagnosed with major depression, and the mental health specialist
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has prescribed fluoxetine. What other treatment is important to protect against
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suicide risk?
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a. Addition of risperidone therapy
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b. Cognitive behavioral therapy
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c. Family therapy
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d. Hospitalization - b. Cognitive behavioral therapy
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A 13 year old child has exhibited symptoms of mild depression for several weeks.
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The parent reports feeling relieved that the symptoms have passed but concerned
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that the child now seems to have boundless energy and an inability to sit still. What
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will the primary care pediatric nurse practitioner do?
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A. Administer an ADHD diagnostic scale and consider an ADHD medication. I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%




B. Consult with a child psychiatrist to prescribe an antidepressant medication.
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C. Reassure the parent that this behavior is common after mild depressive
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symptoms I!% I!%




D. Refer the child to a child psychiatrist for evaluation of bipolar disorder. - D. Refer
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the child to a child psychiatrist for evaluation of bipolar disorder.
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