FNP 654 EXAM Study Questions with 100%
Correct Answers
A patient with Alzheimer's dz is taking Aricept but seems down and isn't sleeping well.
What should the FNP recommend? - Answer ENCOURAGE EXERCISE / PHYSICAL
ACTIVITY
What does Donepezil (Aricept) do? - Answer 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? - Answer 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? - Answer Lewy body - antipsychotics
worsen neuropsychiatric symptoms in those with Lewy bodies
When is Lewy Body dementia diagnosed? - Answer 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? -
Answer Amantadine (dopamine agonist)
Bell's Palsy symptoms and management - Answer S/S: unilateral facial paralysis,
forehead/eyes/nasolabial folds are affected
Management: eye lubrication q2hrs and close the eye
What is a migraine aura?
What is preventive and abortive tx for migraines? - Answer Can be light or smells
, preventive - BBs, antieleptics (topamax)
abortive - triptans
A child has recently lost a grandparent and begins to act out in anger. What should the
FNP tell the parent? - Answer The child is having a psychological regression. This is a
normal response. If behavior becomes more frequent and aggressive, the child should
receive therapy
Bipolar disorder and family medicine - Answer FNP cannot diagnose - must refer to
psych for diagnosis.
S/S of bipolar disorder
Mania - impulsivity, risk-taking behaviors, inability to sleep, boundless energy, euphoria
Depression - mild depressive behaviors
Children with bipolar disease have what common comorbidity? - Answer ADHD
What is the first line treatment for OCD and PTSD? - Answer SSRIs
Patient presents with pain greater than 3 months -- what type of pain is this? - Answer
Chronic pain lasts greater than 3 months
Why is morphine the preferred pain medicine for cancer pain? - Answer There is no
maximum dose
What is the recommended bowel care for patients used opioids? - Answer Stool
softener everyday
Correct Answers
A patient with Alzheimer's dz is taking Aricept but seems down and isn't sleeping well.
What should the FNP recommend? - Answer ENCOURAGE EXERCISE / PHYSICAL
ACTIVITY
What does Donepezil (Aricept) do? - Answer 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? - Answer 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? - Answer Lewy body - antipsychotics
worsen neuropsychiatric symptoms in those with Lewy bodies
When is Lewy Body dementia diagnosed? - Answer 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? -
Answer Amantadine (dopamine agonist)
Bell's Palsy symptoms and management - Answer S/S: unilateral facial paralysis,
forehead/eyes/nasolabial folds are affected
Management: eye lubrication q2hrs and close the eye
What is a migraine aura?
What is preventive and abortive tx for migraines? - Answer Can be light or smells
, preventive - BBs, antieleptics (topamax)
abortive - triptans
A child has recently lost a grandparent and begins to act out in anger. What should the
FNP tell the parent? - Answer The child is having a psychological regression. This is a
normal response. If behavior becomes more frequent and aggressive, the child should
receive therapy
Bipolar disorder and family medicine - Answer FNP cannot diagnose - must refer to
psych for diagnosis.
S/S of bipolar disorder
Mania - impulsivity, risk-taking behaviors, inability to sleep, boundless energy, euphoria
Depression - mild depressive behaviors
Children with bipolar disease have what common comorbidity? - Answer ADHD
What is the first line treatment for OCD and PTSD? - Answer SSRIs
Patient presents with pain greater than 3 months -- what type of pain is this? - Answer
Chronic pain lasts greater than 3 months
Why is morphine the preferred pain medicine for cancer pain? - Answer There is no
maximum dose
What is the recommended bowel care for patients used opioids? - Answer Stool
softener everyday
