FNP Final Exam 2025 with complete solutions
pass guaranteed
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is effective for a
N N N N N N N N N N N N N N N N
majority of patients with cluster headaches?
N N N N N N
a. Lithium
N
b. NSAIDs
N
c. Oxygen
N
d. Verapamil - CORRECT ANSWER✔✔C. Oxygen
N N N N N
A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur with weather
N N N N N N N N N N N N N N N N
changes or when sleep patterns are disrupted and describes them as severe, with throbbing on one side of the
N N N N N N N N N N N N N N N N N N N
head and sometimes accompanied by nausea. What is the recommended treatment for this type of headache?
N N N N N N N N N N N N N N N N
a. Gabapentin
N
b. Propranolol
N
c. Rizatriptan
N
d. Topiramate - CORRECT ANSWER✔✔c. Rizatriptan
N N N N N
Which medication is NOT useful in treating tension-type headaches?
N N N N N N N N
a. Antiemetics
N
b. Lithium
N
c. Muscle relaxants
N N
d. NSAIDse. Oxygen - CORRECT ANSWER✔✔b. Lithium
N N N N N N
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each about 2 months
N N N N N N N N N N N N N N N N N N N N
apart. Which diagnostic testing will the provider order initially?
N N N N N N N N N
a. Lumbar puncture
N N
b. Magnetic resonance imaging
N N N
c. Optical Coherence Tomography
N N N
d. Visual evoked potential - CORRECT ANSWER✔✔b. Magnetic resonance imaging
N N N N N N N N N
A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa (Sinemet) with good results but
N N N N N N N N N N N N N N
,develops increased dyskinesia. Which drug will be added to this patient's regimen to help control this
N N N N N N N N N N N N N N N N
symptom?
N
a. Amantadine
N
b. Benztropine
N
c. Ropinirole
N
d. Tolcapone - CORRECT ANSWER✔✔a. Amantadine
N N N N N
All of the following are common symptoms seen in patients with Parkinson's disease except:
N N N N N N N N N N N N N
a. Bradykinesia
N
b. Festination
N
c. Hyperphonia
N
d. Rigidity
N
e. Symmetric tremor - CORRECT ANSWER✔✔c. Hyperphonia
N N N N N N
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
N N N N N N N N N N N N N
a. Carbamazepine
N
b. Ethosuximide
N
c. Lamotrigine
N
d. Topiramate - CORRECT ANSWER✔✔a. Carbamazepine
N N N N N
A patient develops a gait disorder and the patient's spouse reports noticing recent personality changes. The
N N N N N N N N N N N N N N N
provider suspects a brain lesion. Which evaluation is especially important in the initial physical examination?
N N N N N N N N N N N N N N N
a. Assessment of peripheral reflexes
N N N N
b. Evaluation of speech
N N N
c. Examination of the optic fundi
N N N N N
d. Testing for memory loss - CORRECT ANSWER✔✔c. Examination of the optic fundi
N N N N N N N N N N N N
A toddler has begun hitting and biting other children at a day care center and is exhibiting temper tantrums and
N N N N N N N N N N N N N N N N N N N
bad language at home. The parent reports that these behaviors began shortly after a sibling was born. What
N N N N N N N N N N N N N N N N N N
will the primary care pediatric nurse practitioner do?
N
N
N N N N N N N
A. Advise the parent that the child is exhibiting early symptoms of ADHD.
N N N N N N N N N N N N
B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
N N N N N N N N N N N N
C. Recommend evaluating the child for conduct or oppositional defiant disorder.
N N N N N N N N N N
D. Suggest putting the child in another day care center to ameliorate the problems - CORRECT ANSWER✔✔B.
N N N N N N N N N N N N N N N N
Engage the parent in positive parenting strategies to facilitate appropriate child coping.
N N N N N N N N N N N N
A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is negative. The
N N N N N N N N N N N N N N N N N
adolescent's body weight is at 82% of expected for height and age. The mother reports that her daughter often
N N N N N N N N N N N N N N N N N N N
throws up and refuses to eat most foods. Which condition does the primary care pediatric nurse practitioner
N N N N N N N N N N N N N N N N N
suspect?
N
A. Anorexia nervosa
N N
B. Bulimia nervosa
N N
C. Depression
N
D. Substance abuse - CORRECT ANSWER✔✔A. Anorexia nervosa
N N N N N N N
During a well child examination on a 4monthold infant, the primary care pediatric nurse practitioner evaluates
N N N N N N N N N N N N N N N
mental health issues. Which statement by the parent indicates a potential problem with the parent infant
N N N N N N N N N N N N N N N N
relationship?
N
a. "I can sense a difference in my baby's cries."
N N N N N N N N N
b. "I let my baby cry a while to learn to be patient."
N N N N N N N N N N N N
c. "My baby prefers to nurse in a darkened room."
N N N N N N N N N
d. "My baby seems very sensitive to loud noises." - CORRECT ANSWER✔✔b. "I let my baby cry a while to learn
N N N N N N N N N N N N N N N N N N N N
, N to be patient."
N N
The primary care pediatric nurse practitioner attempts to learn more about the emotional health of an
N N N N N N N N N N N N N N N
18monthold child through which assessment strategy?
N N N N N N
a. Asking the child to tell a story using dolls and other props
N N N N N N N N N N N N
b. Asking the child to draw a picture of him or herself and other family members
N N N N N N N N N N N N N N N
c. Interviewing the child separately from caretakers and parents
N N N N N N N N
d. Observation of the child with caretakers in structured and unstructured situations - CORRECT ANSWER✔✔
N N N N N N N N N N N N N N
d. Observation of the child with caretakers in structured and unstructured situations
N N N N N N N N N N N
The parent of a 4 year old child reports that the child seems to be having trouble adjusting to a new day care
N N N N N N N N N N N N N N N N N N N N N N
and reportedly is always engaging in solitary play when the parent arrives to pick up the child. What will the
N N N N N N N N N N N N N N N N N N N N
primary care pediatric nurse practitioner do?
N N N N N N
a. Ask the parent if the child is slow to warm up to other new situations.
N N N N N N N N N N N N N N N
b. Reassure the parent that parallel play is common among preschool age children.
N N N N N N N N N N N N
c. Recommend that the parent spend time encouraging the child to play with others.
N N N N N N N N N N N N N
d. Suggest that the day care center may be neglecting the child. - CORRECT ANSWER✔✔a. Ask the parent if the
N N N N N N N N N N N N N N N N N N N
child is slow to warm up to other new situations.
N N N N N N N N N N
The parent of a school age child reports that the child becomes frustrated when unable to perform tasks well
N N N N N N N N N N N N N N N N N N
and often has temper tantrums and difficulty sleeping. Which disorder may be considered in this child?
N N N N N N N N N N N N N N N N
a. Generalized anxiety disorder (GAD)
N N N N
b. obsessive-compulsive disorder (OCD)
N N N
c. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS)
N N N N N N N N N
d. Separation anxiety disorder (SAD) - CORRECT ANSWER✔✔a. Generalized anxiety disorder (GAD)
N N N N N N N N N N N
A newly divorced mother of a toddler reports that the child began having difficulty sleeping and nightmares
N N N N N N N N N N N N N N N N
along with exhibiting angry outbursts and tantrums 2 months prior. The primary care pediatric nurse
N N N N N N N N N N N N N N N
practitioner learns that the child refuses to play with usual playmates and often spends time sitting quietly.
N N N N N N N N N N N N N N N N N
What will the nurse practitioner do initially?
N N N N N N N
a. Ask the mother about the child's relationship with the father.
N N N N N N N N N N
b. Consult with a child psychiatrist to prescribe medications.
N N N N N N N N
c. Recommend cognitive behavioral or psychodynamic therapy.
N N N N N N
d. Refer the family to a child behavioral specialist for counseling. - CORRECT ANSWER✔✔a. Ask the mother
N N N N N N N N N N N N N N N N
about the child's relationship with the father.
N N N N N N N
An adolescent is diagnosed with major depression, and the mental health specialist has prescribed fluoxetine.
N N N N N N N N N N N N N N
What other treatment is important to protect against suicide risk?
N N N N N N N N N N
a. Addition of risperidone therapy
N N N N
b. Cognitive behavioral therapy
N N N
c. Family therapy
N N
d. Hospitalization - CORRECT ANSWER✔✔b. Cognitive behavioral therapy
N N N N N N N
A 13 year old child has exhibited symptoms of mild depression for several weeks. The parent reports feeling
N N N N N N N N N N N N N N N N N
relieved that the symptoms have passed but concerned that the child now seems to have boundless energy
N N N N N N N N N N N N N N N N N
and an inability to sit still. What will the primary care pediatric nurse practitioner do?
N N N N N N N N N N N N N N N
pass guaranteed
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is effective for a
N N N N N N N N N N N N N N N N
majority of patients with cluster headaches?
N N N N N N
a. Lithium
N
b. NSAIDs
N
c. Oxygen
N
d. Verapamil - CORRECT ANSWER✔✔C. Oxygen
N N N N N
A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur with weather
N N N N N N N N N N N N N N N N
changes or when sleep patterns are disrupted and describes them as severe, with throbbing on one side of the
N N N N N N N N N N N N N N N N N N N
head and sometimes accompanied by nausea. What is the recommended treatment for this type of headache?
N N N N N N N N N N N N N N N N
a. Gabapentin
N
b. Propranolol
N
c. Rizatriptan
N
d. Topiramate - CORRECT ANSWER✔✔c. Rizatriptan
N N N N N
Which medication is NOT useful in treating tension-type headaches?
N N N N N N N N
a. Antiemetics
N
b. Lithium
N
c. Muscle relaxants
N N
d. NSAIDse. Oxygen - CORRECT ANSWER✔✔b. Lithium
N N N N N N
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each about 2 months
N N N N N N N N N N N N N N N N N N N N
apart. Which diagnostic testing will the provider order initially?
N N N N N N N N N
a. Lumbar puncture
N N
b. Magnetic resonance imaging
N N N
c. Optical Coherence Tomography
N N N
d. Visual evoked potential - CORRECT ANSWER✔✔b. Magnetic resonance imaging
N N N N N N N N N
A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa (Sinemet) with good results but
N N N N N N N N N N N N N N
,develops increased dyskinesia. Which drug will be added to this patient's regimen to help control this
N N N N N N N N N N N N N N N N
symptom?
N
a. Amantadine
N
b. Benztropine
N
c. Ropinirole
N
d. Tolcapone - CORRECT ANSWER✔✔a. Amantadine
N N N N N
All of the following are common symptoms seen in patients with Parkinson's disease except:
N N N N N N N N N N N N N
a. Bradykinesia
N
b. Festination
N
c. Hyperphonia
N
d. Rigidity
N
e. Symmetric tremor - CORRECT ANSWER✔✔c. Hyperphonia
N N N N N N
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
N N N N N N N N N N N N N
a. Carbamazepine
N
b. Ethosuximide
N
c. Lamotrigine
N
d. Topiramate - CORRECT ANSWER✔✔a. Carbamazepine
N N N N N
A patient develops a gait disorder and the patient's spouse reports noticing recent personality changes. The
N N N N N N N N N N N N N N N
provider suspects a brain lesion. Which evaluation is especially important in the initial physical examination?
N N N N N N N N N N N N N N N
a. Assessment of peripheral reflexes
N N N N
b. Evaluation of speech
N N N
c. Examination of the optic fundi
N N N N N
d. Testing for memory loss - CORRECT ANSWER✔✔c. Examination of the optic fundi
N N N N N N N N N N N N
A toddler has begun hitting and biting other children at a day care center and is exhibiting temper tantrums and
N N N N N N N N N N N N N N N N N N N
bad language at home. The parent reports that these behaviors began shortly after a sibling was born. What
N N N N N N N N N N N N N N N N N N
will the primary care pediatric nurse practitioner do?
N
N
N N N N N N N
A. Advise the parent that the child is exhibiting early symptoms of ADHD.
N N N N N N N N N N N N
B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
N N N N N N N N N N N N
C. Recommend evaluating the child for conduct or oppositional defiant disorder.
N N N N N N N N N N
D. Suggest putting the child in another day care center to ameliorate the problems - CORRECT ANSWER✔✔B.
N N N N N N N N N N N N N N N N
Engage the parent in positive parenting strategies to facilitate appropriate child coping.
N N N N N N N N N N N N
A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is negative. The
N N N N N N N N N N N N N N N N N
adolescent's body weight is at 82% of expected for height and age. The mother reports that her daughter often
N N N N N N N N N N N N N N N N N N N
throws up and refuses to eat most foods. Which condition does the primary care pediatric nurse practitioner
N N N N N N N N N N N N N N N N N
suspect?
N
A. Anorexia nervosa
N N
B. Bulimia nervosa
N N
C. Depression
N
D. Substance abuse - CORRECT ANSWER✔✔A. Anorexia nervosa
N N N N N N N
During a well child examination on a 4monthold infant, the primary care pediatric nurse practitioner evaluates
N N N N N N N N N N N N N N N
mental health issues. Which statement by the parent indicates a potential problem with the parent infant
N N N N N N N N N N N N N N N N
relationship?
N
a. "I can sense a difference in my baby's cries."
N N N N N N N N N
b. "I let my baby cry a while to learn to be patient."
N N N N N N N N N N N N
c. "My baby prefers to nurse in a darkened room."
N N N N N N N N N
d. "My baby seems very sensitive to loud noises." - CORRECT ANSWER✔✔b. "I let my baby cry a while to learn
N N N N N N N N N N N N N N N N N N N N
, N to be patient."
N N
The primary care pediatric nurse practitioner attempts to learn more about the emotional health of an
N N N N N N N N N N N N N N N
18monthold child through which assessment strategy?
N N N N N N
a. Asking the child to tell a story using dolls and other props
N N N N N N N N N N N N
b. Asking the child to draw a picture of him or herself and other family members
N N N N N N N N N N N N N N N
c. Interviewing the child separately from caretakers and parents
N N N N N N N N
d. Observation of the child with caretakers in structured and unstructured situations - CORRECT ANSWER✔✔
N N N N N N N N N N N N N N
d. Observation of the child with caretakers in structured and unstructured situations
N N N N N N N N N N N
The parent of a 4 year old child reports that the child seems to be having trouble adjusting to a new day care
N N N N N N N N N N N N N N N N N N N N N N
and reportedly is always engaging in solitary play when the parent arrives to pick up the child. What will the
N N N N N N N N N N N N N N N N N N N N
primary care pediatric nurse practitioner do?
N N N N N N
a. Ask the parent if the child is slow to warm up to other new situations.
N N N N N N N N N N N N N N N
b. Reassure the parent that parallel play is common among preschool age children.
N N N N N N N N N N N N
c. Recommend that the parent spend time encouraging the child to play with others.
N N N N N N N N N N N N N
d. Suggest that the day care center may be neglecting the child. - CORRECT ANSWER✔✔a. Ask the parent if the
N N N N N N N N N N N N N N N N N N N
child is slow to warm up to other new situations.
N N N N N N N N N N
The parent of a school age child reports that the child becomes frustrated when unable to perform tasks well
N N N N N N N N N N N N N N N N N N
and often has temper tantrums and difficulty sleeping. Which disorder may be considered in this child?
N N N N N N N N N N N N N N N N
a. Generalized anxiety disorder (GAD)
N N N N
b. obsessive-compulsive disorder (OCD)
N N N
c. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS)
N N N N N N N N N
d. Separation anxiety disorder (SAD) - CORRECT ANSWER✔✔a. Generalized anxiety disorder (GAD)
N N N N N N N N N N N
A newly divorced mother of a toddler reports that the child began having difficulty sleeping and nightmares
N N N N N N N N N N N N N N N N
along with exhibiting angry outbursts and tantrums 2 months prior. The primary care pediatric nurse
N N N N N N N N N N N N N N N
practitioner learns that the child refuses to play with usual playmates and often spends time sitting quietly.
N N N N N N N N N N N N N N N N N
What will the nurse practitioner do initially?
N N N N N N N
a. Ask the mother about the child's relationship with the father.
N N N N N N N N N N
b. Consult with a child psychiatrist to prescribe medications.
N N N N N N N N
c. Recommend cognitive behavioral or psychodynamic therapy.
N N N N N N
d. Refer the family to a child behavioral specialist for counseling. - CORRECT ANSWER✔✔a. Ask the mother
N N N N N N N N N N N N N N N N
about the child's relationship with the father.
N N N N N N N
An adolescent is diagnosed with major depression, and the mental health specialist has prescribed fluoxetine.
N N N N N N N N N N N N N N
What other treatment is important to protect against suicide risk?
N N N N N N N N N N
a. Addition of risperidone therapy
N N N N
b. Cognitive behavioral therapy
N N N
c. Family therapy
N N
d. Hospitalization - CORRECT ANSWER✔✔b. Cognitive behavioral therapy
N N N N N N N
A 13 year old child has exhibited symptoms of mild depression for several weeks. The parent reports feeling
N N N N N N N N N N N N N N N N N
relieved that the symptoms have passed but concerned that the child now seems to have boundless energy
N N N N N N N N N N N N N N N N N
and an inability to sit still. What will the primary care pediatric nurse practitioner do?
N N N N N N N N N N N N N N N
