FNP FINAL EXAM QUESTIONS AND
CORRECT ANSWERS
AA2patientA2hasA2recurrentA2clusterA2headachesA2andA2asksA2aboutA2abortiveA2therapy.A2
WhichA2therapyA2isA2effectiveA2forA2aA2majorityA2ofA2patientsA2withA2clusterA2headaches?
a.A2Lithium
b.A2NSAIDs
c.A2Oxygen
d.A2VerapamilA2-A2Ans--C.A2Oxygen
AA2patientA2reportsA2recurrentA2headachesA2occurringA21A2orA22A2timesA2perA2monthA2that
A2generallyA2occurA2withA2weatherA2changesA2orA2whenA2sleepA2patternsA2areA2disruptedA
2andA2describesA2themA2asA2severe,A2withA2throbbingA2onA2oneA2sideA2ofA2theA2headA2and
A2sometimesA2accompaniedA2byA2nausea.A2WhatA2isA2theA2recommendedA2treatmentA2for
A2thisA2typeA2ofA2headache?
a.A2Gabapentin
b.A2Propranolol
c.A2Rizatriptan
d.A2TopiramateA2-A2Ans--c.A2Rizatriptan
WhichA2medicationA2isA2NOTA2usefulA2inA2treatingA2tension-typeA2headaches?
a.A2Antiemetics
b.A2Lithium
c.A2MuscleA2relaxants
d.A2NSAIDse.A2OxygenA2-A2Ans--b.A2Lithium
AA2patientA2reportsA2twoA2episodesA2ofA2visualA2disturbancesA2andA2eyeA2painA2thatA2laste
dA21A2toA22A2daysA2eachA2aboutA22A2monthsA2apart.A2WhichA2diagnosticA2testingA2willA2the
A2providerA2orderA2initially?
a.A2LumbarA2puncture
b.A2MagneticA2resonanceA2imaging
c.A2OpticalA2CoherenceA2Tomography
d.A2VisualA2evokedA2potentialA2-A2Ans--b.A2MagneticA2resonanceA2imaging
AA2patientA2withA2Parkinson'sA2diseaseA2(PD)A2hasA2beenA2takingA2carbidopa-
levodopaA2(Sinemet)A2withA2goodA2resultsA2butA2developsA2increasedA2dyskinesia.A2Whic
hA2drugA2willA2beA2addedA2toA2thisA2patient'sA2regimenA2toA2helpA2controlA2thisA2symptom?
a.A2Amantadine
b.A2Benztropine
c.A2Ropinirole
d.A2TolcaponeA2-A2Ans--a.A2Amantadine
,AllA2ofA2theA2followingA2areA2commonA2symptomsA2seenA2inA2patientsA2withA2Parkinson'sA2
diseaseA2except:
a.A2Bradykinesia
b.A2Festination
c.A2Hyperphonia
d.A2Rigidity
e.A2SymmetricA2tremorA2-A2Ans--c.A2Hyperphonia
WhichA2drugA2isA2usedA2toA2treatA2patientsA2withA2focalA2epilepsyA2andA2complexA2partialA2
seizures?
a.A2Carbamazepine
b.A2Ethosuximide
c.A2Lamotrigine
d.A2TopiramateA2-A2Ans--a.A2Carbamazepine
AA2patientA2developsA2aA2gaitA2disorderA2andA2theA2patient'sA2spouseA2reportsA2noticingA2r
ecentA2personalityA2changes.A2TheA2providerA2suspectsA2aA2brainA2lesion.A2WhichA2evalu
ationA2isA2especiallyA2importantA2inA2theA2initialA2physicalA2examination?
a.A2AssessmentA2ofA2peripheralA2reflexes
b.A2EvaluationA2ofA2speech
c.A2ExaminationA2ofA2theA2opticA2fundi
d.A2TestingA2forA2memoryA2lossA2-A2Ans--c.A2ExaminationA2ofA2theA2opticA2fundi
AA2toddlerA2hasA2begunA2hittingA2andA2bitingA2otherA2childrenA2atA2aA2dayA2careA2centerA2a
ndA2isA2exhibitingA2temperA2tantrumsA2andA2badA2languageA2atA2home.A2TheA2parentA2rep
ortsA2thatA2theseA2behaviorsA2beganA2shortlyA2afterA2aA2siblingA2wasA2born.A2WhatA2willA2t
heA2primaryA2careA2pediatricA2nurseA2practitionerA2do?
A2
A.A2AdviseA2theA2parentA2thatA2theA2childA2isA2exhibitingA2earlyA2symptomsA2ofA2ADHD.
B.A2EngageA2theA2parentA2inA2positiveA2parentingA2strategiesA2toA2facilitateA2appropriateA2
childA2coping.
C.A2RecommendA2evaluatingA2theA2childA2forA2conductA2orA2oppositionalA2defiantA2disorde
r.
D.A2SuggestA2puttingA2theA2childA2inA2anotherA2dayA2careA2centerA2toA2ameliorateA2theA2pr
oblemsA2-A2Ans--
B.A2EngageA2theA2parentA2inA2positiveA2parentingA2strategiesA2toA2facilitateA2appropriateA2
childA2coping.
AA214yearoldA2femaleA2comesA2toA2theA2clinicA2withA2amenorrheaA2forA23A2months.A2AA2pr
egnancyA2testA2isA2negative.A2TheA2adolescent'sA2bodyA2weightA2isA2atA282%A2ofA2expecte
dA2forA2heightA2andA2age.A2TheA2motherA2reportsA2thatA2herA2daughterA2oftenA2throwsA2up
A2andA2refusesA2toA2eatA2mostA2foods.A2WhichA2conditionA2doesA2theA2primaryA2careA2pedi
atricA2nurseA2practitionerA2suspect?
A.A2AnorexiaA2nervosa
B.A2BulimiaA2nervosa
C.A2Depression
D.A2SubstanceA2abuseA2-A2Ans--A.A2AnorexiaA2nervosa
, DuringA2aA2wellA2childA2examinationA2onA2aA24montholdA2infant,A2theA2primaryA2careA2pedi
atricA2nurseA2practitionerA2evaluatesA2mentalA2healthA2issues.A2WhichA2statementA2byA2th
eA2parentA2indicatesA2aA2potentialA2problemA2withA2theA2parentA2infantA2relationship?
a.A2"IA2canA2senseA2aA2differenceA2inA2myA2baby'sA2cries."
b.A2"IA2letA2myA2babyA2cryA2aA2whileA2toA2learnA2toA2beA2patient."
c.A2"MyA2babyA2prefersA2toA2nurseA2inA2aA2darkenedA2room."
d.A2"MyA2babyA2seemsA2veryA2sensitiveA2toA2loudA2noises."A2-A2Ans--
b.A2"IA2letA2myA2babyA2cryA2aA2whileA2toA2learnA2toA2beA2patient."
TheA2primaryA2careA2pediatricA2nurseA2practitionerA2attemptsA2toA2learnA2moreA2aboutA2th
eA2emotionalA2healthA2ofA2anA218montholdA2childA2throughA2whichA2assessmentA2strategy
?
a.A2AskingA2theA2childA2toA2tellA2aA2storyA2usingA2dollsA2andA2otherA2props
b.A2AskingA2theA2childA2toA2drawA2aA2pictureA2ofA2himA2orA2herselfA2andA2otherA2familyA2me
mbers
c.A2InterviewingA2theA2childA2separatelyA2fromA2caretakersA2andA2parents
d.A2ObservationA2ofA2theA2childA2withA2caretakersA2inA2structuredA2andA2unstructuredA2situ
ationsA2-A2Ans--
d.A2ObservationA2ofA2theA2childA2withA2caretakersA2inA2structuredA2andA2unstructuredA2situ
ations
TheA2parentA2ofA2aA24A2yearA2oldA2childA2reportsA2thatA2theA2childA2seemsA2toA2beA2havingA
2troubleA2adjustingA2toA2aA2newA2dayA2careA2andA2reportedlyA2isA2alwaysA2engagingA2inA2s
olitaryA2playA2whenA2theA2parentA2arrivesA2toA2pickA2upA2theA2child.A2WhatA2willA2theA2prim
aryA2careA2pediatricA2nurseA2practitionerA2do?
a.A2AskA2theA2parentA2ifA2theA2childA2isA2slowA2toA2warmA2upA2toA2otherA2newA2situations.
b.A2ReassureA2theA2parentA2thatA2parallelA2playA2isA2commonA2amongA2preschoolA2ageA2c
hildren.
c.A2RecommendA2thatA2theA2parentA2spendA2timeA2encouragingA2theA2childA2toA2playA2with
A2others.
d.A2SuggestA2thatA2theA2dayA2careA2centerA2mayA2beA2neglectingA2theA2child.A2-A2Ans--
a.A2AskA2theA2parentA2ifA2theA2childA2isA2slowA2toA2warmA2upA2toA2otherA2newA2situations.
TheA2parentA2ofA2aA2schoolA2ageA2childA2reportsA2thatA2theA2childA2becomesA2frustratedA2
whenA2unableA2toA2performA2tasksA2wellA2andA2oftenA2hasA2temperA2tantrumsA2andA2diffic
ultyA2sleeping.A2WhichA2disorderA2mayA2beA2consideredA2inA2thisA2child?
a.A2GeneralizedA2anxietyA2disorderA2(GAD)
b.A2obsessive-compulsiveA2disorderA2(OCD)
c.A2PediatricA2autoimmuneA2neuropsychiatricA2disorderA2associatedA2withA2streptococcalA
2infectionA2(PANDAS)
d.A2SeparationA2anxietyA2disorderA2(SAD)A2-A2Ans--
a.A2GeneralizedA2anxietyA2disorderA2(GAD)
CORRECT ANSWERS
AA2patientA2hasA2recurrentA2clusterA2headachesA2andA2asksA2aboutA2abortiveA2therapy.A2
WhichA2therapyA2isA2effectiveA2forA2aA2majorityA2ofA2patientsA2withA2clusterA2headaches?
a.A2Lithium
b.A2NSAIDs
c.A2Oxygen
d.A2VerapamilA2-A2Ans--C.A2Oxygen
AA2patientA2reportsA2recurrentA2headachesA2occurringA21A2orA22A2timesA2perA2monthA2that
A2generallyA2occurA2withA2weatherA2changesA2orA2whenA2sleepA2patternsA2areA2disruptedA
2andA2describesA2themA2asA2severe,A2withA2throbbingA2onA2oneA2sideA2ofA2theA2headA2and
A2sometimesA2accompaniedA2byA2nausea.A2WhatA2isA2theA2recommendedA2treatmentA2for
A2thisA2typeA2ofA2headache?
a.A2Gabapentin
b.A2Propranolol
c.A2Rizatriptan
d.A2TopiramateA2-A2Ans--c.A2Rizatriptan
WhichA2medicationA2isA2NOTA2usefulA2inA2treatingA2tension-typeA2headaches?
a.A2Antiemetics
b.A2Lithium
c.A2MuscleA2relaxants
d.A2NSAIDse.A2OxygenA2-A2Ans--b.A2Lithium
AA2patientA2reportsA2twoA2episodesA2ofA2visualA2disturbancesA2andA2eyeA2painA2thatA2laste
dA21A2toA22A2daysA2eachA2aboutA22A2monthsA2apart.A2WhichA2diagnosticA2testingA2willA2the
A2providerA2orderA2initially?
a.A2LumbarA2puncture
b.A2MagneticA2resonanceA2imaging
c.A2OpticalA2CoherenceA2Tomography
d.A2VisualA2evokedA2potentialA2-A2Ans--b.A2MagneticA2resonanceA2imaging
AA2patientA2withA2Parkinson'sA2diseaseA2(PD)A2hasA2beenA2takingA2carbidopa-
levodopaA2(Sinemet)A2withA2goodA2resultsA2butA2developsA2increasedA2dyskinesia.A2Whic
hA2drugA2willA2beA2addedA2toA2thisA2patient'sA2regimenA2toA2helpA2controlA2thisA2symptom?
a.A2Amantadine
b.A2Benztropine
c.A2Ropinirole
d.A2TolcaponeA2-A2Ans--a.A2Amantadine
,AllA2ofA2theA2followingA2areA2commonA2symptomsA2seenA2inA2patientsA2withA2Parkinson'sA2
diseaseA2except:
a.A2Bradykinesia
b.A2Festination
c.A2Hyperphonia
d.A2Rigidity
e.A2SymmetricA2tremorA2-A2Ans--c.A2Hyperphonia
WhichA2drugA2isA2usedA2toA2treatA2patientsA2withA2focalA2epilepsyA2andA2complexA2partialA2
seizures?
a.A2Carbamazepine
b.A2Ethosuximide
c.A2Lamotrigine
d.A2TopiramateA2-A2Ans--a.A2Carbamazepine
AA2patientA2developsA2aA2gaitA2disorderA2andA2theA2patient'sA2spouseA2reportsA2noticingA2r
ecentA2personalityA2changes.A2TheA2providerA2suspectsA2aA2brainA2lesion.A2WhichA2evalu
ationA2isA2especiallyA2importantA2inA2theA2initialA2physicalA2examination?
a.A2AssessmentA2ofA2peripheralA2reflexes
b.A2EvaluationA2ofA2speech
c.A2ExaminationA2ofA2theA2opticA2fundi
d.A2TestingA2forA2memoryA2lossA2-A2Ans--c.A2ExaminationA2ofA2theA2opticA2fundi
AA2toddlerA2hasA2begunA2hittingA2andA2bitingA2otherA2childrenA2atA2aA2dayA2careA2centerA2a
ndA2isA2exhibitingA2temperA2tantrumsA2andA2badA2languageA2atA2home.A2TheA2parentA2rep
ortsA2thatA2theseA2behaviorsA2beganA2shortlyA2afterA2aA2siblingA2wasA2born.A2WhatA2willA2t
heA2primaryA2careA2pediatricA2nurseA2practitionerA2do?
A2
A.A2AdviseA2theA2parentA2thatA2theA2childA2isA2exhibitingA2earlyA2symptomsA2ofA2ADHD.
B.A2EngageA2theA2parentA2inA2positiveA2parentingA2strategiesA2toA2facilitateA2appropriateA2
childA2coping.
C.A2RecommendA2evaluatingA2theA2childA2forA2conductA2orA2oppositionalA2defiantA2disorde
r.
D.A2SuggestA2puttingA2theA2childA2inA2anotherA2dayA2careA2centerA2toA2ameliorateA2theA2pr
oblemsA2-A2Ans--
B.A2EngageA2theA2parentA2inA2positiveA2parentingA2strategiesA2toA2facilitateA2appropriateA2
childA2coping.
AA214yearoldA2femaleA2comesA2toA2theA2clinicA2withA2amenorrheaA2forA23A2months.A2AA2pr
egnancyA2testA2isA2negative.A2TheA2adolescent'sA2bodyA2weightA2isA2atA282%A2ofA2expecte
dA2forA2heightA2andA2age.A2TheA2motherA2reportsA2thatA2herA2daughterA2oftenA2throwsA2up
A2andA2refusesA2toA2eatA2mostA2foods.A2WhichA2conditionA2doesA2theA2primaryA2careA2pedi
atricA2nurseA2practitionerA2suspect?
A.A2AnorexiaA2nervosa
B.A2BulimiaA2nervosa
C.A2Depression
D.A2SubstanceA2abuseA2-A2Ans--A.A2AnorexiaA2nervosa
, DuringA2aA2wellA2childA2examinationA2onA2aA24montholdA2infant,A2theA2primaryA2careA2pedi
atricA2nurseA2practitionerA2evaluatesA2mentalA2healthA2issues.A2WhichA2statementA2byA2th
eA2parentA2indicatesA2aA2potentialA2problemA2withA2theA2parentA2infantA2relationship?
a.A2"IA2canA2senseA2aA2differenceA2inA2myA2baby'sA2cries."
b.A2"IA2letA2myA2babyA2cryA2aA2whileA2toA2learnA2toA2beA2patient."
c.A2"MyA2babyA2prefersA2toA2nurseA2inA2aA2darkenedA2room."
d.A2"MyA2babyA2seemsA2veryA2sensitiveA2toA2loudA2noises."A2-A2Ans--
b.A2"IA2letA2myA2babyA2cryA2aA2whileA2toA2learnA2toA2beA2patient."
TheA2primaryA2careA2pediatricA2nurseA2practitionerA2attemptsA2toA2learnA2moreA2aboutA2th
eA2emotionalA2healthA2ofA2anA218montholdA2childA2throughA2whichA2assessmentA2strategy
?
a.A2AskingA2theA2childA2toA2tellA2aA2storyA2usingA2dollsA2andA2otherA2props
b.A2AskingA2theA2childA2toA2drawA2aA2pictureA2ofA2himA2orA2herselfA2andA2otherA2familyA2me
mbers
c.A2InterviewingA2theA2childA2separatelyA2fromA2caretakersA2andA2parents
d.A2ObservationA2ofA2theA2childA2withA2caretakersA2inA2structuredA2andA2unstructuredA2situ
ationsA2-A2Ans--
d.A2ObservationA2ofA2theA2childA2withA2caretakersA2inA2structuredA2andA2unstructuredA2situ
ations
TheA2parentA2ofA2aA24A2yearA2oldA2childA2reportsA2thatA2theA2childA2seemsA2toA2beA2havingA
2troubleA2adjustingA2toA2aA2newA2dayA2careA2andA2reportedlyA2isA2alwaysA2engagingA2inA2s
olitaryA2playA2whenA2theA2parentA2arrivesA2toA2pickA2upA2theA2child.A2WhatA2willA2theA2prim
aryA2careA2pediatricA2nurseA2practitionerA2do?
a.A2AskA2theA2parentA2ifA2theA2childA2isA2slowA2toA2warmA2upA2toA2otherA2newA2situations.
b.A2ReassureA2theA2parentA2thatA2parallelA2playA2isA2commonA2amongA2preschoolA2ageA2c
hildren.
c.A2RecommendA2thatA2theA2parentA2spendA2timeA2encouragingA2theA2childA2toA2playA2with
A2others.
d.A2SuggestA2thatA2theA2dayA2careA2centerA2mayA2beA2neglectingA2theA2child.A2-A2Ans--
a.A2AskA2theA2parentA2ifA2theA2childA2isA2slowA2toA2warmA2upA2toA2otherA2newA2situations.
TheA2parentA2ofA2aA2schoolA2ageA2childA2reportsA2thatA2theA2childA2becomesA2frustratedA2
whenA2unableA2toA2performA2tasksA2wellA2andA2oftenA2hasA2temperA2tantrumsA2andA2diffic
ultyA2sleeping.A2WhichA2disorderA2mayA2beA2consideredA2inA2thisA2child?
a.A2GeneralizedA2anxietyA2disorderA2(GAD)
b.A2obsessive-compulsiveA2disorderA2(OCD)
c.A2PediatricA2autoimmuneA2neuropsychiatricA2disorderA2associatedA2withA2streptococcalA
2infectionA2(PANDAS)
d.A2SeparationA2anxietyA2disorderA2(SAD)A2-A2Ans--
a.A2GeneralizedA2anxietyA2disorderA2(GAD)