Midterm Exam: FNP654/ FNP 654 (Latest 2025/ 2026
Update) Family Primary Care I Exam | Questions and
Verified Answers| 100% Correct| Grade A - GCU
NUR 654 Midterm Study Guide
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension.
Once confirmatory tests are performed, what is a possible treatment for this patient?
Pituitary tumor resection
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 tests
will the provider order vs NOT order
ORDER: Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F
Patient wishes related to palliative care should be discussed at the initial visit and updated
at preventive visits
T
T or F
A patient on chemo has a high temperature and absolute neutropenic count >500,000 needs
immediate ER workup
T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT
,Treatment of side effects of chemo
T or F
SIADH is an oncological emergency requiring urgent oncologic care
T
What is an effective pharmacologic medication to treat non-cancer chronic pain?
Ibuprofen
T or F
The most common sites for breast CA metastasis include lymph, lungs, liver, bone, and
brain
T
What is an FDA approved treatment for osteoporosis?
Biphosphonate therapy
T or F
Bone density improvement is the primary goal of biphosphonate treatment?
F (it is to slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT
Hypothyroidism
T or F
Xray findings associated with Paget's disease can show enlargement of bone and specific
deformities (long bone bowing)
, T
Symptoms of Cushing's Syndrome include
Amenorrhea
T or F
Pituitary tumor resection may be first line treatment for Cushing's Syndrome if inidicated
T
Addison's Disease may cause which of the following lab abnormalities?
Elevated ACTH (not hypokalemia, hypernatremia, or elevated cortisol)
T or F
A patient with suspected hirsituism should be referred to endocrinology for an evaluation
T
A positive Trousseau's sign occurs with which serum abnormality?
HYPOcalcemia
Which of the following can cause hypocalcemia?
Vit D deficiency, hypomagnesemia
T or F
Low serum albumin may lower serum calcium
T
Which can cause hyperkalemia in a patient with normal renal function?
Update) Family Primary Care I Exam | Questions and
Verified Answers| 100% Correct| Grade A - GCU
NUR 654 Midterm Study Guide
A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension.
Once confirmatory tests are performed, what is a possible treatment for this patient?
Pituitary tumor resection
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 tests
will the provider order vs NOT order
ORDER: Serum ACTH, Serum electrolytes, TB skin testing
NOT: Serum cortisol
T or F
Patient wishes related to palliative care should be discussed at the initial visit and updated
at preventive visits
T
T or F
A patient on chemo has a high temperature and absolute neutropenic count >500,000 needs
immediate ER workup
T
Radiation therapy can be used for all of the following in cancer treatment EXCEPT
,Treatment of side effects of chemo
T or F
SIADH is an oncological emergency requiring urgent oncologic care
T
What is an effective pharmacologic medication to treat non-cancer chronic pain?
Ibuprofen
T or F
The most common sites for breast CA metastasis include lymph, lungs, liver, bone, and
brain
T
What is an FDA approved treatment for osteoporosis?
Biphosphonate therapy
T or F
Bone density improvement is the primary goal of biphosphonate treatment?
F (it is to slow the progression of disease)
An elevated serum alkaline phosphate (SAP) may include all of the following EXCEPT
Hypothyroidism
T or F
Xray findings associated with Paget's disease can show enlargement of bone and specific
deformities (long bone bowing)
, T
Symptoms of Cushing's Syndrome include
Amenorrhea
T or F
Pituitary tumor resection may be first line treatment for Cushing's Syndrome if inidicated
T
Addison's Disease may cause which of the following lab abnormalities?
Elevated ACTH (not hypokalemia, hypernatremia, or elevated cortisol)
T or F
A patient with suspected hirsituism should be referred to endocrinology for an evaluation
T
A positive Trousseau's sign occurs with which serum abnormality?
HYPOcalcemia
Which of the following can cause hypocalcemia?
Vit D deficiency, hypomagnesemia
T or F
Low serum albumin may lower serum calcium
T
Which can cause hyperkalemia in a patient with normal renal function?
