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FNP 654 Final Exam with complete
solutions latest version
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
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
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
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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
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, BRAINSCAPE1
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
A young female has a Pap test which reveals atypical squamous cells of undetermined
significance. What will the next step be in managing this patient? - CORRECT
ANSWER-Repeat cytology in 12 months
Which drug is used to treat patients with focal epilepsy and complex partial seizures? -
CORRECT ANSWER-Carbamazepine
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with
drooping and tearing in one eye. The patient has a history of a recent viral illness, but is
otherwise healthy. During the exam, the provider notes that there is unilateral full face
paralysis on the right side. What is the initial intervention for this patient? - CORRECT
ANSWER-Prescribe oral prednisolone
A primary care provider suspects Parkinson's disease (PD) in a 70-year-old patient.
Which tests may be performed to diagnose this disorder? - CORRECT ANSWER-
Presence of 2 cardinal signs which improve with levodopa
A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that these
behaviors began shortly after a sibling was born. What will the primary care nurse
practitioner do? - CORRECT ANSWER-Engage the parent in positive parenting
strategies to facilitate appropriate child coping.
A 69-year-old patient with cancer is reluctant to take an opioid agonist medication
because of the side effects. What will the primary care provider recommend? -
CORRECT ANSWER-Taking a stool softener with the opioid
Which is a risk factor for pelvic inflammatory disease? - CORRECT ANSWER-Vaginal
douching
A 67-year-old female patient reports vulvar pruritus and dyspareunia. The provider
notes white papules on the vulva with thinning of the epithelium. What condition does
the provider suspect? - CORRECT ANSWER-Lichen sclerosis
A woman who has just weaned her infant from breastfeeding develops signs of mastitis
and is treated with antibiotics. At a follow up visit, the provider notes marked breast
edema and erythema of the affected breast. What will the provider do next? -
CORRECT ANSWER-Refer the patient for an immediate biopsy
An 18-year-old sexually active young female reports vaginal discharge and moderate
vulvovaginal irritation. The examination reveals a white, non-inflammatory discharge
adhering to the vaginal walls, clue cells on microscopic examination and a positive KOH
BRAINSCAPE1
FNP 654 Final Exam with complete
solutions latest version
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
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
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
BRAINSCAPE1
, BRAINSCAPE1
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
BRAINSCAPE1
, BRAINSCAPE1
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
A young female has a Pap test which reveals atypical squamous cells of undetermined
significance. What will the next step be in managing this patient? - CORRECT
ANSWER-Repeat cytology in 12 months
Which drug is used to treat patients with focal epilepsy and complex partial seizures? -
CORRECT ANSWER-Carbamazepine
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with
drooping and tearing in one eye. The patient has a history of a recent viral illness, but is
otherwise healthy. During the exam, the provider notes that there is unilateral full face
paralysis on the right side. What is the initial intervention for this patient? - CORRECT
ANSWER-Prescribe oral prednisolone
A primary care provider suspects Parkinson's disease (PD) in a 70-year-old patient.
Which tests may be performed to diagnose this disorder? - CORRECT ANSWER-
Presence of 2 cardinal signs which improve with levodopa
A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that these
behaviors began shortly after a sibling was born. What will the primary care nurse
practitioner do? - CORRECT ANSWER-Engage the parent in positive parenting
strategies to facilitate appropriate child coping.
A 69-year-old patient with cancer is reluctant to take an opioid agonist medication
because of the side effects. What will the primary care provider recommend? -
CORRECT ANSWER-Taking a stool softener with the opioid
Which is a risk factor for pelvic inflammatory disease? - CORRECT ANSWER-Vaginal
douching
A 67-year-old female patient reports vulvar pruritus and dyspareunia. The provider
notes white papules on the vulva with thinning of the epithelium. What condition does
the provider suspect? - CORRECT ANSWER-Lichen sclerosis
A woman who has just weaned her infant from breastfeeding develops signs of mastitis
and is treated with antibiotics. At a follow up visit, the provider notes marked breast
edema and erythema of the affected breast. What will the provider do next? -
CORRECT ANSWER-Refer the patient for an immediate biopsy
An 18-year-old sexually active young female reports vaginal discharge and moderate
vulvovaginal irritation. The examination reveals a white, non-inflammatory discharge
adhering to the vaginal walls, clue cells on microscopic examination and a positive KOH
BRAINSCAPE1
