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FNP Final Exam 2024 with verified answers
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FNP Final Exam 2024 with verified answers
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FNP Final Exam 2024 with verified answersA patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is
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effective for a majority of patients with cluster headaches?
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a. Lithium
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b. NSAIDs
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c. Oxygen
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d. Verapamil - ANSWER: ➡ C. Oxygen
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A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur
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with weather changes or when sleep patterns are disrupted and describes them as severe,
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with throbbing on one side of the head and sometimes accompanied by nausea. What is the
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recommended treatment for this type of headache?
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a. Gabapentin
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b. Propranolol
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c. Rizatriptan
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d. Topiramate - ANSWER: ➡ c. Rizatriptan
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Which medication is NOT useful in treating tension-type headaches?
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a. Antiemetics
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b. Lithium
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c. Muscle relaxants
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d. NSAIDse. Oxygen - ANSWER: ➡ b. Lithium
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A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days
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each about 2 months apart. Which diagnostic testing will the provider order initially?
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a. Lumbar puncture
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b. Magnetic resonance imaging
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,c. Optical Coherence Tomography
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d. Visual evoked potential - ANSWER: ➡ b. Magnetic resonance imaging
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A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa (Sinemet) with
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good results but develops increased dyskinesia. Which drug will be added to this patient's
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regimen to help control this symptom?
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a. Amantadine
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b. Benztropine
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c. Ropinirole
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d. Tolcapone - ANSWER: ➡ a. Amantadine
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All of the following are common symptoms seen in patients with Parkinson's disease except:
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a. Bradykinesia
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b. Festination
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c. Hyperphonia
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d. Rigidity
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e. Symmetric tremor - ANSWER: ➡ c. Hyperphonia
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Which drug is used to treat patients with focal epilepsy and complex partial seizures?
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a. Carbamazepine
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b. Ethosuximide
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c. Lamotrigine
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d. Topiramate - ANSWER: ➡ a. Carbamazepine
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A patient develops a gait disorder and the patient's spouse reports noticing recent
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personality changes. The provider suspects a brain lesion. Which evaluation is especially
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important in the initial physical examination?
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a. Assessment of peripheral reflexes
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b. Evaluation of speech
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,c. Examination of the optic fundi
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d. Testing for memory loss - ANSWER: ➡ c. Examination of the optic fundi
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A toddler has begun hitting and biting other children at a day care center and is exhibiting
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temper tantrums and bad language at home. The parent reports that these behaviors began
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shortly after a sibling was born. What will the primary care pediatric nurse practitioner do?
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A. Advise the parent that the child is exhibiting early symptoms of ADHD.
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B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
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C. Recommend evaluating the child for conduct or oppositional defiant disorder.
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D. Suggest putting the child in another day care center to ameliorate the problems -
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ANSWER: ➡ B. Engage the parent in positive parenting strategies to facilitate appropriate
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child coping.
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A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is
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negative. The adolescent's body weight is at 82% of expected for height and age. The mother
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reports that her daughter often throws up and refuses to eat most foods. Which condition
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does the primary care pediatric nurse practitioner suspect?
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A. Anorexia nervosa
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B. Bulimia nervosa
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C. Depression
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D. Substance abuse - ANSWER: ➡ A. Anorexia nervosa
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During a well child examination on a 4monthold infant, the primary care pediatric nurse
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practitioner evaluates mental health issues. Which statement by the parent indicates a
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potential problem with the parent infant relationship?
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a. "I can sense a difference in my baby's cries."
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b. "I let my baby cry a while to learn to be patient."
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c. "My baby prefers to nurse in a darkened room."
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d. "My baby seems very sensitive to loud noises." - ANSWER: ➡ b. "I let my baby cry a while
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to learn to be patient."
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, The primary care pediatric nurse practitioner attempts to learn more about the emotional
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health of an 18monthold child through which assessment strategy?
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a. Asking the child to tell a story using dolls and other props
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b. Asking the child to draw a picture of him or herself and other family members
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c. Interviewing the child separately from caretakers and parents
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d. Observation of the child with caretakers in structured and unstructured situations -
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ANSWER: ➡ d. Observation of the child with caretakers in structured and unstructured
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situations
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The parent of a 4 year old child reports that the child seems to be having trouble adjusting to
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a new day care and reportedly is always engaging in solitary play when the parent arrives to
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pick up the child. What will the primary care pediatric nurse practitioner do?
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a. Ask the parent if the child is slow to warm up to other new situations.
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b. Reassure the parent that parallel play is common among preschool age children.
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c. Recommend that the parent spend time encouraging the child to play with others.
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d. Suggest that the day care center may be neglecting the child. - ANSWER: ➡ a. Ask the
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parent if the child is slow to warm up to other new situations.
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The parent of a school age child reports that the child becomes frustrated when unable to
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perform tasks well and often has temper tantrums and difficulty sleeping. Which disorder
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may be considered in this child?
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a. Generalized anxiety disorder (GAD)
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b. obsessive-compulsive disorder (OCD)
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c. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection
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(PANDAS)
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d. Separation anxiety disorder (SAD) - ANSWER: ➡ a. Generalized anxiety disorder (GAD)
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