FNP-652 COMPREHENSIVE EXAM 2026
QUESTIONS AND ANSWERS 100% CORRECT
◉ A child who was treated with amoxicillin and then amoxicillin-
clavulanate for acute otitis media is seen for follow-up. The primary care
nurse practitioner notes dull-gray tympanic membranes with a visible
air-fluid level. The child is afebrile and without pain. What is the next
course of action? Answer: Monitoring ear fluid levels for 3 months
◉ A 13-year-old with cerebral palsy receives all nutrition via
gastrostomy tube. What will the primary care nurse practitioner
recommend to promote dental health in this child? Answer: Daily
chlorhexidine gluconate
◉ A primary care provider may suspect cataract formation in a patient
with which finding? Answer: Asymmetric red reflex
◉ A patient has chronically dry eyes, sometimes with a foreign body
sensation, burning, and itching. A Schirmer test is abnormal. What is the
suspected cause of this patient's symptoms? Answer: Aqueous
Deficiency
◉ A teen who has otitis externa has severe swelling of the external
auditory canal that persists after 2 days of therapy with ototopical
,antibiotic/corticosteroid drops. What is the next step in treatment for this
child? Answer: Insert a wick into the external auditory canal
◉ A patient reports tooth pain in a lower molar and the provider notes a
mobile tooth with erythema and edema of the surrounding tissues
without discharge. Which is the initial course of action by the provider?
Answer: Prescribe amoxicillin and refer to a dentist in 2-3 days
◉ An elderly patient has a permanent loss of the sense of smell and
diminished taste. What will be included in teaching this patient about
managing these symptoms? Answer: 1. The importance of installing
smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
◉ A toddler exhibits exotropia of the right eye during a cover-uncover
screen. The primary nurse practitioner will refer to a pediatric
ophthalmologist to initiate which treatment? Answer: Patching of the
unaffected eye for 2 hours each day
◉ An adolescent has localized bleeding of the gums when brushing the
teeth. An exam of the mouth reveals the presence of plaque and calculus
on the teeth which are not loose. What will the primary care nurse
practitioner recommend? Answer: Consistently brushing and flossing
the teeth twice daily
,◉ A provider is recommending a cerumenolytic for a patient who has
chronic cerumen buildup. The provider notes that the patient has dry
skin in the ear canal. Which preparation is FDA approved for this use?
Answer: Carbamide peroxide
◉ A parent asks about ways to promote dental health in school-aged
children while on family vacation that are convenient while camping and
picnicking. What will the primary care nurse practitioner recommend?
Answer: Offering gum containing xylitol after meals
◉ A patient reports several episodes of acute vertigo, some lasting up to
an hour with associated nausea and vomiting. What is part of the initial
diagnostic workup for this patient? Answer: Audiogram and MRI
◉ A teen with a history of otitis externa asks about ways to prevent this
condition. What will the primary care nurse practitioner recommend?
Answer: Drying the ear canal with a hair dryer
◉ A 7-month-old infant has had two prior acute ear infections and is
currently on the 10th day of therapy with amoxicillin-clavulanate after a
failed course of amoxicillin. The primary care nurse practitioner notes
marker middle ear effusion and erythema of the TM. The child is
irritable and has a temperature of 99.8. What is the next step in
management of this child's infection? Answer: Refer the child to an
otolayngologist
, ◉ A patient reports painful swelling in the mouth with increased pain at
mealtimes. The provider notes a mass in the salivary gland region. What
is the likely cause of these symptoms? Answer: Sialolithiasis
◉ A child complains of itching in both ears and is having trouble
hearing. The primary care nurse practitioner notes periauricular edema
and marked swelling of the external auditory canal and elicits severe
pain when manipulating the external ear structures. Which is an
appropriate intervention? Answer: Order ototopical
antibiotic/corticosteroid drops
◉ During a well child assessment of an African American infant, the
primary care nurse practitioner notes a dark red-brown light reflex in the
left eye and a slightly brighter, red-orange light reflex in the right eye.
The nurse practitioner will... Answer: Refer the infant to an
opthalmologist
◉ Which are risk factors for development of cataracts? Answer: 1.
Smoking
2. Advancing Age
3. UV Light
◉ A preschool age child who attend daycare has a 2 day history of
matted eyelids in the morning and burning and itching of the eyes. The
primary care NP notes yellow-green purulent discharge from both eyes,
QUESTIONS AND ANSWERS 100% CORRECT
◉ A child who was treated with amoxicillin and then amoxicillin-
clavulanate for acute otitis media is seen for follow-up. The primary care
nurse practitioner notes dull-gray tympanic membranes with a visible
air-fluid level. The child is afebrile and without pain. What is the next
course of action? Answer: Monitoring ear fluid levels for 3 months
◉ A 13-year-old with cerebral palsy receives all nutrition via
gastrostomy tube. What will the primary care nurse practitioner
recommend to promote dental health in this child? Answer: Daily
chlorhexidine gluconate
◉ A primary care provider may suspect cataract formation in a patient
with which finding? Answer: Asymmetric red reflex
◉ A patient has chronically dry eyes, sometimes with a foreign body
sensation, burning, and itching. A Schirmer test is abnormal. What is the
suspected cause of this patient's symptoms? Answer: Aqueous
Deficiency
◉ A teen who has otitis externa has severe swelling of the external
auditory canal that persists after 2 days of therapy with ototopical
,antibiotic/corticosteroid drops. What is the next step in treatment for this
child? Answer: Insert a wick into the external auditory canal
◉ A patient reports tooth pain in a lower molar and the provider notes a
mobile tooth with erythema and edema of the surrounding tissues
without discharge. Which is the initial course of action by the provider?
Answer: Prescribe amoxicillin and refer to a dentist in 2-3 days
◉ An elderly patient has a permanent loss of the sense of smell and
diminished taste. What will be included in teaching this patient about
managing these symptoms? Answer: 1. The importance of installing
smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
◉ A toddler exhibits exotropia of the right eye during a cover-uncover
screen. The primary nurse practitioner will refer to a pediatric
ophthalmologist to initiate which treatment? Answer: Patching of the
unaffected eye for 2 hours each day
◉ An adolescent has localized bleeding of the gums when brushing the
teeth. An exam of the mouth reveals the presence of plaque and calculus
on the teeth which are not loose. What will the primary care nurse
practitioner recommend? Answer: Consistently brushing and flossing
the teeth twice daily
,◉ A provider is recommending a cerumenolytic for a patient who has
chronic cerumen buildup. The provider notes that the patient has dry
skin in the ear canal. Which preparation is FDA approved for this use?
Answer: Carbamide peroxide
◉ A parent asks about ways to promote dental health in school-aged
children while on family vacation that are convenient while camping and
picnicking. What will the primary care nurse practitioner recommend?
Answer: Offering gum containing xylitol after meals
◉ A patient reports several episodes of acute vertigo, some lasting up to
an hour with associated nausea and vomiting. What is part of the initial
diagnostic workup for this patient? Answer: Audiogram and MRI
◉ A teen with a history of otitis externa asks about ways to prevent this
condition. What will the primary care nurse practitioner recommend?
Answer: Drying the ear canal with a hair dryer
◉ A 7-month-old infant has had two prior acute ear infections and is
currently on the 10th day of therapy with amoxicillin-clavulanate after a
failed course of amoxicillin. The primary care nurse practitioner notes
marker middle ear effusion and erythema of the TM. The child is
irritable and has a temperature of 99.8. What is the next step in
management of this child's infection? Answer: Refer the child to an
otolayngologist
, ◉ A patient reports painful swelling in the mouth with increased pain at
mealtimes. The provider notes a mass in the salivary gland region. What
is the likely cause of these symptoms? Answer: Sialolithiasis
◉ A child complains of itching in both ears and is having trouble
hearing. The primary care nurse practitioner notes periauricular edema
and marked swelling of the external auditory canal and elicits severe
pain when manipulating the external ear structures. Which is an
appropriate intervention? Answer: Order ototopical
antibiotic/corticosteroid drops
◉ During a well child assessment of an African American infant, the
primary care nurse practitioner notes a dark red-brown light reflex in the
left eye and a slightly brighter, red-orange light reflex in the right eye.
The nurse practitioner will... Answer: Refer the infant to an
opthalmologist
◉ Which are risk factors for development of cataracts? Answer: 1.
Smoking
2. Advancing Age
3. UV Light
◉ A preschool age child who attend daycare has a 2 day history of
matted eyelids in the morning and burning and itching of the eyes. The
primary care NP notes yellow-green purulent discharge from both eyes,
