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FNP 652 FINAL EXAM ACTUAL EXAM AND PRACTICE TEST
QUESTION BANK COMPLETE 400 QUESTIONS AND CORRECT
SOLUTIONS LATEST UPDATE THIS YEAR
FNP 652 FINAL EXAM A
VERSION 1
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 US
Food and Drug Administration (FDA) approved for this use?
A. Carbamide peroxide
B. Hydrogen peroxide
C. Liquid docusate sodium
D. Mineral oil
ANS: A
Any preparation with carbamide peroxide is FDA approved as a cerumenolytic. Patients with
dry skin in the ear canal should not use any product containing hydrogen peroxide. Liquid
docusate sodium and mineral oil are often used, but do not have specific FDA approval.
A child with cerebral palsy receives all nutrition via gastrostomy t ube. What will the primary
care pediatric nurse practitioner recommend to promote dental health in this child?
A. Ordering medications to prevent drooling
B. Daily chlorhexidine gluconate rinses
C. Prescribing prophylactic antibiotics
D. Applying topical iodine every month
B. Daily chlorhexidine gluconate rinses
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A patient has chronic swelling of the parotid gland that is unresponsive to antibiotics and
which has not increased in size. Which diagnostic test is indicated?
A. Plain film radiography
B. Computed tomography
C. Fine needle aspiration
D. Magnetic resonance imaging
Ans: C
Chronic lesions may represent TB or malignancies, so fine-needle aspiration is indicated to rule
out these diseases. Radiological studies are used to identify the extent of the disease but are
usually not diagnostic.
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?
A. Consistently brushing and flossing the teeth twice daily.
B. Rinsing the mouth daily with chlorhexidine gluconate.
C. Using a xylitol-containing gum after meals.
D. Referral to an oral surgeon for treatment.
A. Consistently brushing and flossing the teeth twice daily.
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?
A. Insert a wick into the external auditory canal.
B. Prescribe an oral antibiotic medication.
2
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C. Irrigate the external auditory canal with saline.
D. Order systemic corticosteroids.
A. Insert a wick into the external auditory canal.
A child who was treated with amoxicillin and then amoxicillin clavulanate for acute otitis
media is seen for followup.The primary care pediatric 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?
A. Administering ceftriaxone IM.
B. Giving clindamycin orally.
C. Monitoring ear fluid levels for 3 months.
D. Watchful waiting for 48 to 72 hours.
C. Monitoring ear fluid levels for 3 months.
A patient experiencing chronically dry eyes reports having a foreign body sensation, burning,
and itching. A Schirmer test is abnormal. What is the suspected cause of this patient's
symptoms based on this test finding?
A. Poor eyelid closure
B. Corneal abrasion
C. Evaporative disorder
D. Aqueous-deficiency
ANS: D
An abnormal Schirmer test, which assesses aqueous production, indicates aqueous-deficient
dry eye. A corneal abrasion usually causes excessive tearing. An evaporative disorder is
determined by an evaluation of tear breakup time. Poor eyelid closure causes increased corneal
exposure and increased evaporation of tears.
3
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During a well child exam on a 4-year-old child, the primary care pediatric nurse practitioner
notes that the clinic nurse recorded "20/50" for the child's vision and noted that the child had
difficulty cooperating with the eye exam. What the nurse practitioner recommend?
A. Re-test the child in 1 year.
B. Test the child's vision in 1 month
C. Refer to a pediatric ophthalmologist.
D. Follow up with a visual acuity screen in 6 months.
B. Test the child's vision in 1 month
A primary care provider may suspect cataract formation in a patient with which finding?
A. Asymmetric red reflex
B. Corneal opacification
C. Excessive tearing
D. Injection of conjunctiva
Ans: A
As asymmetric red reflex may be a finding in a patient with cataracts. Corneal opacification,
excessive tearing, and corneal injection are not symptoms of cataracts.
Which are risk factors for development of cataracts? (Select all that apply.)
A. Advancing age
B. Cholesterol
C. Conjunctivitis
D. Smoking
E. Ultraviolet light
Ans: A, D, E
Most older adults will develop cataracts. Smoking and UV light exposure hasten the
development of cataracts. Cholesterol and conjunctivitis are not risk factors.
4
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