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FNP 654 Final Exam with accurate detailed answers

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FNP 654 Final Exam with accurate detailed answers

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FNP 654










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Institution
FNP 654
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FNP 654

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Uploaded on
October 14, 2025
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28
Written in
2025/2026
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FNP 654 Final Exam with accurate detailed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answers

The primary care nurse practitioner attempts to learn more about the emotional health of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




an 18-month-old child through which assessment strategy? - correct answer✔✔Observation
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




of the child with caretakers in structured and unstructured situation
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What is an important purpose of conducting an interview prior to beginning
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




neuropsychological testing on an older adult suspected of having dementia? - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answer✔✔To assess the patient's ability to cooperate with the testing ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A patient has unexplained weight loss and the provider notes increased skin pigmentation
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




on light-exposed skin folds along with darkened palmar creases. Which laboratory test will
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




the provider NOT order? - correct answer✔✔Serum cortisol
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A patient with cancer is expected to require long-term pain medication to manage cancer
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




pain. Which agent will be best for this patient? - correct answer✔✔Morphine
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A 16-year-old female has primary amenorrhea. A pregnancy test is negative. Further testing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




reveals a normal TSH and an elevated prolactin level. Which test will the provider order
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




next? - correct answer✔✔Magnetic resonance imaging ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




During a well-baby exam on a 9-month-old infant, the parent reports that the baby always ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




uses the left hand to pick up objects and asks if the baby will be left-handed. What will the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




primary care nurse practitioner do? - correct answer✔✔Perform a careful assessment of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




fine and gross motor skills. ||\\//|| ||\\//|| ||\\//|| ||\\//||

,An asymptomatic female learns that her boyfriend has gonorrhea and asks about
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




antibiotics. What will the provider recommend? - correct answer✔✔Empiric ceftriaxone ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




and azithromycin ||\\//||




A 16-year-old sexually active female has symptoms of PID with fever. Cultures are pending.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




For outpatient treatment, what will the provider order? - correct answer✔✔Rocephin,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




doxycycline, and metronidazole ||\\//|| ||\\//||




A 30-year-old male patient has a positive leukocyte esterase and nitrites on a random urine
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




dipstick during a well patient exam. What type of urinary tract infection does this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




represent? - correct answer✔✔Complicated ||\\//|| ||\\//|| ||\\//||




A woman who has had routine Pap tests all of her adult life has an abnormal Pap with low-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




grade intraepithelial lesion. What will the provider tell her about this result? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answer✔✔Colposcopy with biopsy is necessary ||\\//|| ||\\//|| ||\\//|| ||\\//||




A patient has bone pain and laboratory testing reveals an elevated serum alkaline
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




phosphatase (SAP). Which test can help distinguish Paget's from malignant bone disease? - ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




correct answer✔✔Bone radiograph ||\\//|| ||\\//||




What is the most important role of the primary care provider in cancer management? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




correct answer✔✔Counseling about healthy practices to reduce risk factors
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A 35-year-old woman without a previous history of dysmenorrhea reports lower pelvic pain
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




and irregular bleeding between periods. What is the initial action in managing this patient?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




- correct answer✔✔Performing an abdominal, pelvic, and rectovaginal examination
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A patient being treated for cancer has had chemotherapy within the past two weeks and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




comes to the primary care clinic with a fever of 38.5° C. What is the initial action? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answer✔✔Obtain a STAT CBC with differential ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||

, What is a possible cause of decreased arousal, libido, and orgasm in a postmenopausal
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




woman? - correct answer✔✔Diminished testosterone ||\\//|| ||\\//|| ||\\//|| ||\\//||




A middle-school-age child is skipping school frequently and getting poor grades since the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




child's father was killed while deployed in the military. How will the primary care nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




practitioner manage this situation? - correct answer✔✔Refer the child to a mental health ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




specialist for evaluation and treatment. ||\\//|| ||\\//|| ||\\//|| ||\\//||




A 40-year-old patient with primary hyperparathyroidism has increased serum calcium 0.5
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




mg/dL above normal without signs of nephrolithiasis. What is the recommended treatment
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




for this patient? - correct answer✔✔Annual monitoring of calcium, creatinine, and bone
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




density



What is true about HPV infection in women? - correct answer✔✔Most HPV lesions will
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




resolve spontaneously without causing cancer. ||\\//|| ||\\//|| ||\\//|| ||\\//||




An elderly patient is diagnosed with osteoporosis. What is the recommended treatment
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




once the diagnosis is made? - correct answer✔✔Bisphosphonate therapy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A postmenopausal woman reports unilateral breast pain that she describes as sharp and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




burning and localized to one area. A breast examination reveals no dimpling, discharge, or
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




masses. Which diagnostic test will the provider order? - correct answer✔✔Bilateral
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




mammography



An adolescent female has amenorrhea. The provider notes short stature, neck webbing, and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




a pigeon chest deformity. Based on these symptoms, what is the underlying disorder
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




causing this patient's amenorrhea? - correct answer✔✔Turner's syndrome ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||

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