FNP 654 Final Exam 2024/2025
The primary care nurse practitioner attempts to learn more about the
emotional health of an 18-month-old child through which assessment
strategy? - Precise Answer ✔✔Observation of the child with caretakers
in structured and unstructured situation
What is an important purpose of conducting an interview prior to
beginning neuropsychological testing on an older adult suspected of
having dementia? - Precise Answer ✔✔To assess the patient's ability to
cooperate with the testing
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 test will the provider NOT order? -
Precise Answer ✔✔Serum cortisol
A patient with cancer is expected to require long-term pain medication
to manage cancer pain. Which agent will be best for this patient? -
Precise Answer ✔✔Morphine
A 16-year-old female has primary amenorrhea. A pregnancy test is
negative. Further testing reveals a normal TSH and an elevated prolactin
level. Which test will the provider order next? - Precise Answer
✔✔Magnetic resonance imaging
,During a well-baby exam on a 9-month-old infant, the parent reports that
the baby always uses the left hand to pick up objects and asks if the baby
will be left-handed. What will the primary care nurse practitioner do? -
Precise Answer ✔✔Perform a careful assessment of fine and gross
motor skills.
An asymptomatic female learns that her boyfriend has gonorrhea and
asks about antibiotics. What will the provider recommend? - Precise
Answer ✔✔Empiric ceftriaxone and azithromycin
A 16-year-old sexually active female has symptoms of PID with fever.
Cultures are pending. For outpatient treatment, what will the provider
order? - Precise Answer ✔✔Rocephin, doxycycline, and metronidazole
A 30-year-old male patient has a positive leukocyte esterase and nitrites
on a random urine dipstick during a well patient exam. What type of
urinary tract infection does this represent? - Precise Answer
✔✔Complicated
A woman who has had routine Pap tests all of her adult life has an
abnormal Pap with low-grade intraepithelial lesion. What will the
provider tell her about this result? - Precise Answer ✔✔Colposcopy
with biopsy is necessary
A patient has bone pain and laboratory testing reveals an elevated serum
alkaline phosphatase (SAP). Which test can help distinguish Paget's
from malignant bone disease? - Precise Answer ✔✔Bone radiograph
,What is the most important role of the primary care provider in cancer
management? - Precise Answer ✔✔Counseling about healthy practices
to reduce risk factors
A 35-year-old woman without a previous history of dysmenorrhea
reports lower pelvic pain and irregular bleeding between periods. What
is the initial action in managing this patient? - Precise Answer
✔✔Performing an abdominal, pelvic, and rectovaginal examination
A patient being treated for cancer has had chemotherapy within the past
two weeks and comes to the primary care clinic with a fever of 38.5° C.
What is the initial action? - Precise Answer ✔✔Obtain a STAT CBC
with differential
What is a possible cause of decreased arousal, libido, and orgasm in a
postmenopausal woman? - Precise Answer ✔✔Diminished testosterone
A middle-school-age child is skipping school frequently and getting
poor grades since the child's father was killed while deployed in the
military. How will the primary care nurse practitioner manage this
situation? - Precise Answer ✔✔Refer the child to a mental health
specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased
serum calcium 0.5 mg/dL above normal without signs of nephrolithiasis.
What is the recommended treatment for this patient? - Precise Answer
✔✔Annual monitoring of calcium, creatinine, and bone density
, What is true about HPV infection in women? - Precise Answer ✔✔Most
HPV lesions will resolve spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the
recommended treatment once the diagnosis is made? - Precise Answer
✔✔Bisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she
describes as sharp and burning and localized to one area. A breast
examination reveals no dimpling, discharge, or masses. Which
diagnostic test will the provider order? - Precise Answer ✔✔Bilateral
mammography
An adolescent female has amenorrhea. The provider notes short stature,
neck webbing, and a pigeon chest deformity. Based on these symptoms,
what is the underlying disorder causing this patient's amenorrhea? -
Precise Answer ✔✔Turner's syndrome
A young female has a Pap test which reveals atypical squamous cells of
undetermined significance. What will the next step be in managing this
patient? - Precise Answer ✔✔Repeat cytology in 12 months
Which drug is used to treat patients with focal epilepsy and complex
partial seizures? - Precise Answer ✔✔Carbamazepine
A 35-year-old patient reports suddenly experiencing an asymmetric
smile along with drooping and tearing in one eye. The patient has a
The primary care nurse practitioner attempts to learn more about the
emotional health of an 18-month-old child through which assessment
strategy? - Precise Answer ✔✔Observation of the child with caretakers
in structured and unstructured situation
What is an important purpose of conducting an interview prior to
beginning neuropsychological testing on an older adult suspected of
having dementia? - Precise Answer ✔✔To assess the patient's ability to
cooperate with the testing
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 test will the provider NOT order? -
Precise Answer ✔✔Serum cortisol
A patient with cancer is expected to require long-term pain medication
to manage cancer pain. Which agent will be best for this patient? -
Precise Answer ✔✔Morphine
A 16-year-old female has primary amenorrhea. A pregnancy test is
negative. Further testing reveals a normal TSH and an elevated prolactin
level. Which test will the provider order next? - Precise Answer
✔✔Magnetic resonance imaging
,During a well-baby exam on a 9-month-old infant, the parent reports that
the baby always uses the left hand to pick up objects and asks if the baby
will be left-handed. What will the primary care nurse practitioner do? -
Precise Answer ✔✔Perform a careful assessment of fine and gross
motor skills.
An asymptomatic female learns that her boyfriend has gonorrhea and
asks about antibiotics. What will the provider recommend? - Precise
Answer ✔✔Empiric ceftriaxone and azithromycin
A 16-year-old sexually active female has symptoms of PID with fever.
Cultures are pending. For outpatient treatment, what will the provider
order? - Precise Answer ✔✔Rocephin, doxycycline, and metronidazole
A 30-year-old male patient has a positive leukocyte esterase and nitrites
on a random urine dipstick during a well patient exam. What type of
urinary tract infection does this represent? - Precise Answer
✔✔Complicated
A woman who has had routine Pap tests all of her adult life has an
abnormal Pap with low-grade intraepithelial lesion. What will the
provider tell her about this result? - Precise Answer ✔✔Colposcopy
with biopsy is necessary
A patient has bone pain and laboratory testing reveals an elevated serum
alkaline phosphatase (SAP). Which test can help distinguish Paget's
from malignant bone disease? - Precise Answer ✔✔Bone radiograph
,What is the most important role of the primary care provider in cancer
management? - Precise Answer ✔✔Counseling about healthy practices
to reduce risk factors
A 35-year-old woman without a previous history of dysmenorrhea
reports lower pelvic pain and irregular bleeding between periods. What
is the initial action in managing this patient? - Precise Answer
✔✔Performing an abdominal, pelvic, and rectovaginal examination
A patient being treated for cancer has had chemotherapy within the past
two weeks and comes to the primary care clinic with a fever of 38.5° C.
What is the initial action? - Precise Answer ✔✔Obtain a STAT CBC
with differential
What is a possible cause of decreased arousal, libido, and orgasm in a
postmenopausal woman? - Precise Answer ✔✔Diminished testosterone
A middle-school-age child is skipping school frequently and getting
poor grades since the child's father was killed while deployed in the
military. How will the primary care nurse practitioner manage this
situation? - Precise Answer ✔✔Refer the child to a mental health
specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased
serum calcium 0.5 mg/dL above normal without signs of nephrolithiasis.
What is the recommended treatment for this patient? - Precise Answer
✔✔Annual monitoring of calcium, creatinine, and bone density
, What is true about HPV infection in women? - Precise Answer ✔✔Most
HPV lesions will resolve spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the
recommended treatment once the diagnosis is made? - Precise Answer
✔✔Bisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she
describes as sharp and burning and localized to one area. A breast
examination reveals no dimpling, discharge, or masses. Which
diagnostic test will the provider order? - Precise Answer ✔✔Bilateral
mammography
An adolescent female has amenorrhea. The provider notes short stature,
neck webbing, and a pigeon chest deformity. Based on these symptoms,
what is the underlying disorder causing this patient's amenorrhea? -
Precise Answer ✔✔Turner's syndrome
A young female has a Pap test which reveals atypical squamous cells of
undetermined significance. What will the next step be in managing this
patient? - Precise Answer ✔✔Repeat cytology in 12 months
Which drug is used to treat patients with focal epilepsy and complex
partial seizures? - Precise Answer ✔✔Carbamazepine
A 35-year-old patient reports suddenly experiencing an asymmetric
smile along with drooping and tearing in one eye. The patient has a
