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Final Exam: FNP654 / FNP 654 (Latest Update 2025 / 2026) Family Primary Care II | Test Review Questions & Verified Answers | 100% Correct | Grade A – GCU

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Final Exam: FNP654 / FNP 654 (Latest Update 2025 / 2026) Family Primary Care II | Test Review Questions & Verified Answers | 100% Correct | Grade A – GCU

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FNP654 / FNP 654
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February 9, 2025
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Written in
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Final Exam: FNP654 / FNP 654 (Latest Update 2025 /
2026) Family Primary Care II | Test Review Questions &
Verified Answers | 100% Correct | Grade A – GCU

FNP role in bioterrorism? - ans -1. Contain the mess
2. Initiate basic life support
3. Involve the government
4. Inform the public

What to do for moderate acne? - ans -Topical retinoid
Topical antibiotic (clindamycin, erythromycin) and BPO

Education for patient with rosacea - ans -1. Avoid alcohol and spicy foods that can
cause flares
2. Avoid oil-based cosmetics and skincare that can aggravate
3. Never apply steroids to rosacea
4. Wear sunscreen!

What 2 birth controls are recommended for females with acne? - ans -YAZ &
Ortho tri cyclen

What hormone should not be given alone to female patients with acne? - ans -
Progesterone. Can worsen current acne.

Describe hives (urticaria) - ans -an allergic skin condition characterized by the
formation of a wheal and flare - red, raised

What medications can cause hives? - ans -NSAIDs, antibiotics (Bactrim), and ACEis

A patient presents with a generalized rash. No medical history. What does the
FNP do? - ans -Order CBC (anemia, polycythemia). CMP (kidney, liver dz). Thyroid.

Scabies treatment - ans -Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
All family members need to be treated.
Itch can persist past treatment for 2-4 weeks.

, The FNP diagnoses the honey-colored crusts as non-bullous impetigo. It is
widespread. What is the first-line treatment? - ans -Oral cephelexin (Keflex)

The child has a sandpapery, red rash in the flexor regions of his elbows. Also
behind his knees. What is the most likely diagnosis? - ans -Eczema (atopic
dermatitis)

The adult presents with a scaly rash on the extensor regions of his elbows. What
is the most likely diagnosis? - ans -Psoriasis

What is guttate psoriasis? - ans -Develops after an infection (typically strep) and
appears as salmon-colored patches

Hydroxyzine (Vistaril) - ans -Antihistamine that can oversedation. On Beer's List.

What is the number one exposure to lead? - ans -The environment

Lead toxicity in children - ans -#1 symptom is abd cramps in children
Remove offending agent, then recheck levels in 3-4 weeks then in 3 months
Chelation therapy is recommended in levels above 45

Heat cramps vs heat exhaustion vs heat stroke - ans -Cramps: warm to touch,
dehydrated, muscle cramps
Exhaustion: excessive sweating but alert and oriented
Stroke: disoriented, temp greater than 104, EMERGENCY

A patient with Alzheimer's dz is taking Aricept but seems down and isn't sleeping
well. What should the FNP recommend? - ans -ENCOURAGE EXERCISE / PHYSICAL
ACTIVITY

What does Donepezil (Aricept) do? - ans -Slows progression of Alzheimer's dz,
does not gain back memory that was lost

What must the FNP assess before administering a SLUMS or MMSE? - ans -The
patient must be able to participate

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