FNP-654 FINAL EXAM
accentuate changes in color of pathologic lesions by fluorescence ANS: Dermoscopy is used in skin
examination to do all the following EXCEPT:
possible herpes simplex lesions ANS: A Tzank test is used to evaluate
False. For severe acne ANS: Oral isotretinoin should be used for moderate acne
True. ANS: Patients with rosacea should avoid sun exposure to the skin
Yaz, Ortho Tri-Cyclen, Estrostep ANS: Which of the following is FDA approved for an adolescent female
with ance
Human bites ANS: "Fight-bite" is an injury sustained by:
True ANS: "Fight-bite" has a high complication rate with a potential for osteomyelitis, tendinitis, and
septic arthritis
True ANS: Patient's with partial thickness burns on the face should be referred to ER for evaluation
treatment
Ace inhibitors. Erythromycin, NSAIDS, and penicillins are associated with the rashes ANS: Which of the
following medication is NOT associated with urticarial rashes?
stuffed animal and pillows should be placed in plastic bags for one week ANS: Important teaching for a
patient diagnosed today with scabies:
,True ANS: Impetigo that has spread to hands and legs should be treated with amoxicillin clavulanate
False. ANS: All warts should be treated with either chemical agents or cryotherapy
psoriasis ANS: A child presents with plaques on the extensor surface of both elbows and on the face is
likely caused by:
False ANS: Follow up testing in a child treated for lead intoxication is not needed
containing the exposures ANS: The initial priority in a bioterrorism attack is:
True ANS: Any sexual assault perpetrated on a victim younger than 18 years old must be reported to the
local authorities:
slurred speech and headache ANS: Heat stroke may have symptoms of:
True ANS: Heat exhaustion may be present with a patient who is alert and oriented
Anorexia nervosa ANS: A 14-year-old female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative. The adolescent's body weight is at 82% of expected for height and age. The
mother reports that her daughter often throws up and refuses to eat most foods. Which condition does
the primary care nurse practitioner suspect?
Encourage activity and exercise ANS: A patient with Alzheimer's disease (AD) is taking donepezil to treat
cognitive symptoms. The patient's son reports noting increased social withdrawal and sleep impairment.
What is the initial step to manage these symptoms?
, Refer the adolescent to a pain management specialist ANS: An adolescent takes ibuprofen,
acetaminophen, and a tricyclic antidepressant (TCA) to treat phantom limb pain and reports that the
medications are no longer effective. What will the primary care nurse practitioner do?
Weekly follow-up monitoring ANS: A 17-year-old patient has undergone surgical incision and drainage of
a Bartholin's cyst with insertion of a drain. What is an important aspect of care for this patient?
"I let my baby cry a while to learn to be patient." ANS: During a well-child examination on a 4-month-old
infant, the primary care nurse practitioner evaluates mental health issues. Which statement by the
parent indicates a potential problem with the parent-infant relationship?
Gender dysphoria ANS: What is the medical diagnostic term used to identify transgender patients?
Endometriosis ANS: A previously healthy 22-year-old female reports pain in the rectovaginal area that
occurs with sexual intercourse. What is the most likely cause of this patient's discomfort?
Evaluating for cardiovascular disease ANS: A 50-year-old man reports having erectile dysfunction. What
is an important response by the provider when developing a plan of care for this patient?
It allows HPV, gonorrhea, and chlamydia testing with the same specimen. ANS: What is the benefit of
using a liquid-based medium when performing a Pap test?
Engaging in regular exercise, Keeping the house cool, Avoiding caffeine ANS: A woman who has stopped
having menstrual periods has vasomotor symptoms, but does not want to use hormone replacement
therapy. What measures will the provider recommend? (Mark all that apply)
To debulk the tumor mass ANS: What is the purpose of radiation treatment prior to surgical resection of
a tumor?
accentuate changes in color of pathologic lesions by fluorescence ANS: Dermoscopy is used in skin
examination to do all the following EXCEPT:
possible herpes simplex lesions ANS: A Tzank test is used to evaluate
False. For severe acne ANS: Oral isotretinoin should be used for moderate acne
True. ANS: Patients with rosacea should avoid sun exposure to the skin
Yaz, Ortho Tri-Cyclen, Estrostep ANS: Which of the following is FDA approved for an adolescent female
with ance
Human bites ANS: "Fight-bite" is an injury sustained by:
True ANS: "Fight-bite" has a high complication rate with a potential for osteomyelitis, tendinitis, and
septic arthritis
True ANS: Patient's with partial thickness burns on the face should be referred to ER for evaluation
treatment
Ace inhibitors. Erythromycin, NSAIDS, and penicillins are associated with the rashes ANS: Which of the
following medication is NOT associated with urticarial rashes?
stuffed animal and pillows should be placed in plastic bags for one week ANS: Important teaching for a
patient diagnosed today with scabies:
,True ANS: Impetigo that has spread to hands and legs should be treated with amoxicillin clavulanate
False. ANS: All warts should be treated with either chemical agents or cryotherapy
psoriasis ANS: A child presents with plaques on the extensor surface of both elbows and on the face is
likely caused by:
False ANS: Follow up testing in a child treated for lead intoxication is not needed
containing the exposures ANS: The initial priority in a bioterrorism attack is:
True ANS: Any sexual assault perpetrated on a victim younger than 18 years old must be reported to the
local authorities:
slurred speech and headache ANS: Heat stroke may have symptoms of:
True ANS: Heat exhaustion may be present with a patient who is alert and oriented
Anorexia nervosa ANS: A 14-year-old female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative. The adolescent's body weight is at 82% of expected for height and age. The
mother reports that her daughter often throws up and refuses to eat most foods. Which condition does
the primary care nurse practitioner suspect?
Encourage activity and exercise ANS: A patient with Alzheimer's disease (AD) is taking donepezil to treat
cognitive symptoms. The patient's son reports noting increased social withdrawal and sleep impairment.
What is the initial step to manage these symptoms?
, Refer the adolescent to a pain management specialist ANS: An adolescent takes ibuprofen,
acetaminophen, and a tricyclic antidepressant (TCA) to treat phantom limb pain and reports that the
medications are no longer effective. What will the primary care nurse practitioner do?
Weekly follow-up monitoring ANS: A 17-year-old patient has undergone surgical incision and drainage of
a Bartholin's cyst with insertion of a drain. What is an important aspect of care for this patient?
"I let my baby cry a while to learn to be patient." ANS: During a well-child examination on a 4-month-old
infant, the primary care nurse practitioner evaluates mental health issues. Which statement by the
parent indicates a potential problem with the parent-infant relationship?
Gender dysphoria ANS: What is the medical diagnostic term used to identify transgender patients?
Endometriosis ANS: A previously healthy 22-year-old female reports pain in the rectovaginal area that
occurs with sexual intercourse. What is the most likely cause of this patient's discomfort?
Evaluating for cardiovascular disease ANS: A 50-year-old man reports having erectile dysfunction. What
is an important response by the provider when developing a plan of care for this patient?
It allows HPV, gonorrhea, and chlamydia testing with the same specimen. ANS: What is the benefit of
using a liquid-based medium when performing a Pap test?
Engaging in regular exercise, Keeping the house cool, Avoiding caffeine ANS: A woman who has stopped
having menstrual periods has vasomotor symptoms, but does not want to use hormone replacement
therapy. What measures will the provider recommend? (Mark all that apply)
To debulk the tumor mass ANS: What is the purpose of radiation treatment prior to surgical resection of
a tumor?
