Final Exam: FNP654 / FNP 654
(Latest Update ) Family
Primary Care II | Test Review
Questions & Verified Answers |
100% Correct | Grade A - GCU
Question:
The FNP providers primary care for a 30 month old child who has sickle cell
anemia who has had one dose of 23-valent pneumococcal vaccine. Which is
an appropriate action for health maintenance in this child?
Answer:
administer an initial meningococcal vaccine
Question:
The NP is examining a 5 year old child who has had recurrent fevers, bone
pain and recent loss of weight. The physical exam reveals scattered petechiae,
lymphadenopathy, and bruising. A CBC shows thrombocytopenia, anemia,
and an elevated WBC count. The NP will refer this child to a specialist for
Answer:
bone marrow biopsy
,Question:
The FNP reviews hematology reports on a child with beta thalassemia minor
and notes a Hgb level of 8g/dL. What will the NP do?
Answer:
evaluate serum ferritin
Question:
A female patient has lower abdominal pain, nausea, and vomiting and reports
missing a period 3 weeks prior. The patient reports using an IUD for
contraception. A serum b-hCG is 1500mIU/mL. What will the provider do
based on these findings?
Answer:
perform a transvaginal ultrasound
Question:
The FNP performs a well baby examination on a 4 month old infant who is
exclusively breastfed and whose mother plans to introduce only small
amounts of fruits and vegetables in addition to breastfeeding. To ensure that
the infant gets adequate amounts of iron, what will the NP recommend?
Answer:
elemental iron supplementation of 1mg/kg/day until cereals are added
,Question:
A patient who is taking prednisolone 20mg daily to treat polymyalgia
rheumatica reports blurred vision. What will the provider do?
Answer:
Refer to a rheumatologist immediately
Question:
The primary care NP examines a child who has had stiffness and warmth in
the right knee and left ankle for 7-8 months but no back pain. The NP will
refer the child to a rheumatology specialist for evaluation of
Answer:
oligoarticular JIA
Question:
A patient is treated for a UTI and 3 weeks later presents with pain and
swelling of one knee and in one hand along with inflammation in both eyes.
What will the provider suspect as the cause of these symptoms?
Answer:
reactive arthritis
, Question:
A homeless patient who has HIV infection has been on antiretroviral therapy
(ART) for 18 months and has had normal CD4 counts and viral loads for the
past year. What will the provider recommend
Answer:
continue monitoring viral load and CD4 counts every 3-4 months
Question:
A patient reports a history of recurrent lower back pain for 6 months. The
patient describes the pain as a deep ache and stiffness that is worse upon
wakening and improves after walking. Which assessment would NOT be
helpful to make a clinical diagnosis of ankylosing spondylitis?
Answer:
Noting the degree of cervical kyphosis
Question:
The parents of a school age child who is diagnosed with oligoarticular JIA asks
the primary care NP what exercises the child may do to help reduce
symptoms. What will the NP recommend?
Answer:
swimming
(Latest Update ) Family
Primary Care II | Test Review
Questions & Verified Answers |
100% Correct | Grade A - GCU
Question:
The FNP providers primary care for a 30 month old child who has sickle cell
anemia who has had one dose of 23-valent pneumococcal vaccine. Which is
an appropriate action for health maintenance in this child?
Answer:
administer an initial meningococcal vaccine
Question:
The NP is examining a 5 year old child who has had recurrent fevers, bone
pain and recent loss of weight. The physical exam reveals scattered petechiae,
lymphadenopathy, and bruising. A CBC shows thrombocytopenia, anemia,
and an elevated WBC count. The NP will refer this child to a specialist for
Answer:
bone marrow biopsy
,Question:
The FNP reviews hematology reports on a child with beta thalassemia minor
and notes a Hgb level of 8g/dL. What will the NP do?
Answer:
evaluate serum ferritin
Question:
A female patient has lower abdominal pain, nausea, and vomiting and reports
missing a period 3 weeks prior. The patient reports using an IUD for
contraception. A serum b-hCG is 1500mIU/mL. What will the provider do
based on these findings?
Answer:
perform a transvaginal ultrasound
Question:
The FNP performs a well baby examination on a 4 month old infant who is
exclusively breastfed and whose mother plans to introduce only small
amounts of fruits and vegetables in addition to breastfeeding. To ensure that
the infant gets adequate amounts of iron, what will the NP recommend?
Answer:
elemental iron supplementation of 1mg/kg/day until cereals are added
,Question:
A patient who is taking prednisolone 20mg daily to treat polymyalgia
rheumatica reports blurred vision. What will the provider do?
Answer:
Refer to a rheumatologist immediately
Question:
The primary care NP examines a child who has had stiffness and warmth in
the right knee and left ankle for 7-8 months but no back pain. The NP will
refer the child to a rheumatology specialist for evaluation of
Answer:
oligoarticular JIA
Question:
A patient is treated for a UTI and 3 weeks later presents with pain and
swelling of one knee and in one hand along with inflammation in both eyes.
What will the provider suspect as the cause of these symptoms?
Answer:
reactive arthritis
, Question:
A homeless patient who has HIV infection has been on antiretroviral therapy
(ART) for 18 months and has had normal CD4 counts and viral loads for the
past year. What will the provider recommend
Answer:
continue monitoring viral load and CD4 counts every 3-4 months
Question:
A patient reports a history of recurrent lower back pain for 6 months. The
patient describes the pain as a deep ache and stiffness that is worse upon
wakening and improves after walking. Which assessment would NOT be
helpful to make a clinical diagnosis of ankylosing spondylitis?
Answer:
Noting the degree of cervical kyphosis
Question:
The parents of a school age child who is diagnosed with oligoarticular JIA asks
the primary care NP what exercises the child may do to help reduce
symptoms. What will the NP recommend?
Answer:
swimming
