FNP654 FINAL EXAM QUESTIONS AND CORRECT ANSWERS LATEST VERSION 2024 (ALREADY PASSED)
FNP role in bioterrorism? - Answers 1. Contain the mess
2. Initiate basic life support
3. Involve the government
4. Inform the public
What to do for moderate acne? - Answers Topical retinoid
Topical antibiotic (clindamycin, erythromycin) and BPO
Education for patient with rosacea - Answers 1. Avoid alcohol and spicy foods that can cause flares
2. Avoid oil-based cosmetics and skincare that can aggravate
3. Never apply steroids to rosacea
4. Wear sunscreen!
What 2 birth controls are recommended for females with acne? - Answers YAZ & Ortho tri cyclen
What hormone should not be given alone to female patients with acne? - Answers Progesterone. Can
worsen current acne.
Describe hives (urticaria) - Answers an allergic skin condition characterized by the formation of a wheal
and flare - red, raised
What medications can cause hives? - Answers NSAIDs, antibiotics (Bactrim), and ACEis
A patient presents with a generalized rash. No medical history. What does the FNP do? - Answers Order
CBC (anemia, polycythemia). CMP (kidney, liver dz). Thyroid.
Scabies treatment - Answers Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
All family members need to be treated.
Itch can persist past treatment for 2-4 weeks.
The FNP diagnoses the honey-colored crusts as non-bullous impetigo. It is widespread. What is the first-
line treatment? - Answers Oral cephelexin (Keflex)
The child has a sandpapery, red rash in the flexor regions of his elbows. Also behind his knees. What is
the most likely diagnosis? - Answers Eczema (atopic dermatitis)
, The adult presents with a scaly rash on the extensor regions of his elbows. What is the most likely
diagnosis? - Answers Psoriasis
What is guttate psoriasis? - Answers Develops after an infection (typically strep) and appears as salmon-
colored patches
Hydroxyzine (Vistaril) - Answers Antihistamine that can oversedation. On Beer's List.
What is the number one exposure to lead? - Answers The environment
Lead toxicity in children - Answers #1 symptom is abd cramps in children
Remove offending agent, then recheck levels in 3-4 weeks then in 3 months
Chelation therapy is recommended in levels above 45
Heat cramps vs heat exhaustion vs heat stroke - Answers Cramps: warm to touch, dehydrated, muscle
cramps
Exhaustion: excessive sweating but alert and oriented
Stroke: disoriented, temp greater than 104, EMERGENCY
A patient with Alzheimer's dz is taking Aricept but seems down and isn't sleeping well. What should the
FNP recommend? - Answers ENCOURAGE EXERCISE / PHYSICAL ACTIVITY
What does Donepezil (Aricept) do? - Answers Slows progression of Alzheimer's dz, does not gain back
memory that was lost
What must the FNP assess before administering a SLUMS or MMSE? - Answers The patient must be able
to participate
If a patient with dementia is given Haldol for sleep but has an adverse effect of agitation, what type of
dementia may he have? - Answers Lewy body - antipsychotics worsen neuropsychiatric symptoms in
those with Lewy bodies
When is Lewy Body dementia diagnosed? - Answers On autopsy
A patient with Parkinson's disease is taking Sinemet (Carbidopa-levodopa) but his symptoms are
worsening. What might the FNP add to the medication regimen? - Answers Amantadine (dopamine
agonist)
Bell's Palsy symptoms and management - Answers S/S: unilateral facial paralysis,
forehead/eyes/nasolabial folds are affected
Management: eye lubrication q2hrs and close the eye
What is a migraine aura?
FNP role in bioterrorism? - Answers 1. Contain the mess
2. Initiate basic life support
3. Involve the government
4. Inform the public
What to do for moderate acne? - Answers Topical retinoid
Topical antibiotic (clindamycin, erythromycin) and BPO
Education for patient with rosacea - Answers 1. Avoid alcohol and spicy foods that can cause flares
2. Avoid oil-based cosmetics and skincare that can aggravate
3. Never apply steroids to rosacea
4. Wear sunscreen!
What 2 birth controls are recommended for females with acne? - Answers YAZ & Ortho tri cyclen
What hormone should not be given alone to female patients with acne? - Answers Progesterone. Can
worsen current acne.
Describe hives (urticaria) - Answers an allergic skin condition characterized by the formation of a wheal
and flare - red, raised
What medications can cause hives? - Answers NSAIDs, antibiotics (Bactrim), and ACEis
A patient presents with a generalized rash. No medical history. What does the FNP do? - Answers Order
CBC (anemia, polycythemia). CMP (kidney, liver dz). Thyroid.
Scabies treatment - Answers Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
All family members need to be treated.
Itch can persist past treatment for 2-4 weeks.
The FNP diagnoses the honey-colored crusts as non-bullous impetigo. It is widespread. What is the first-
line treatment? - Answers Oral cephelexin (Keflex)
The child has a sandpapery, red rash in the flexor regions of his elbows. Also behind his knees. What is
the most likely diagnosis? - Answers Eczema (atopic dermatitis)
, The adult presents with a scaly rash on the extensor regions of his elbows. What is the most likely
diagnosis? - Answers Psoriasis
What is guttate psoriasis? - Answers Develops after an infection (typically strep) and appears as salmon-
colored patches
Hydroxyzine (Vistaril) - Answers Antihistamine that can oversedation. On Beer's List.
What is the number one exposure to lead? - Answers The environment
Lead toxicity in children - Answers #1 symptom is abd cramps in children
Remove offending agent, then recheck levels in 3-4 weeks then in 3 months
Chelation therapy is recommended in levels above 45
Heat cramps vs heat exhaustion vs heat stroke - Answers Cramps: warm to touch, dehydrated, muscle
cramps
Exhaustion: excessive sweating but alert and oriented
Stroke: disoriented, temp greater than 104, EMERGENCY
A patient with Alzheimer's dz is taking Aricept but seems down and isn't sleeping well. What should the
FNP recommend? - Answers ENCOURAGE EXERCISE / PHYSICAL ACTIVITY
What does Donepezil (Aricept) do? - Answers Slows progression of Alzheimer's dz, does not gain back
memory that was lost
What must the FNP assess before administering a SLUMS or MMSE? - Answers The patient must be able
to participate
If a patient with dementia is given Haldol for sleep but has an adverse effect of agitation, what type of
dementia may he have? - Answers Lewy body - antipsychotics worsen neuropsychiatric symptoms in
those with Lewy bodies
When is Lewy Body dementia diagnosed? - Answers On autopsy
A patient with Parkinson's disease is taking Sinemet (Carbidopa-levodopa) but his symptoms are
worsening. What might the FNP add to the medication regimen? - Answers Amantadine (dopamine
agonist)
Bell's Palsy symptoms and management - Answers S/S: unilateral facial paralysis,
forehead/eyes/nasolabial folds are affected
Management: eye lubrication q2hrs and close the eye
What is a migraine aura?
