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FNP FINAL EXAM QUESTIOS AND ANSWERS
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FNP FINAL EXAM QUESTIOS AND ANSWERS
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FNP FINAL EXAM QUESTIOS AND ANSWERSWoman had routine Pap all adult life, has an abnormal Pap with low-grade
intraepithelial lesion. What will the provider tell her about the result.
Model answer - Colposcopy with biopsy is necessary
Important purpose of conducting an interview prior to beginning neuropsychological
testing on an older adult suspected of dementia?
Model answer - To assess the patient's ability to cooperate with the testing
16 y.o. sexually active female with symptoms of PID with fever. Cultures pending. For
outpatient treatment what will the provider order?
Model answer - Rocephin, doxycycline, and metronidazole
Benefit of using liquid based medium when performing Pap test
Model answer - It allows HPV, and chlamydia testing with the same specimen
Patient with unexplained weight loss and provider notes increased skin pigmentation of
light-exposed skin folds along with darkened palmar creases. Which lab test will the
provider NOT order
Model answer - Serum Cortisol
Which is true about hypoactive sexual desire in older men?
Men with hypoactive sexual desire may have normal excitement and orgasm.
Woman has stopped having menstrual periods has vasomotor symptoms, but does not
want to use hormone therapy. What will the provider recommend?
Keep the house cool, and use personal fans
What is a risk factor for pelvic inflammatory disease?
Vaginal douching
Woman just weaned infant from breastfeeding develops signs of mastitis and is treated
with antibiotics. At follow up the provider notes marked breast edema and erythema.
What will the provider do next?
Refer for an immediate biopsy
Elderly patient diagnosed with osteoporosis. What is the recommended treatment once
the diagnosis is made?
Bisphosphonate therapy
,30 y.o. male has positive leukocyte esterase and nitrites on random urine dipstick. What
type of UTI is present?
Complicated
35 y.o. suddenly reports asymmetric smile, drooping, and tearing in one eye. History of
recent viral illness, otherwise healthy. During exam, there is unilateral full face parylasis
on the right. What initial intervention?
Prescribe oral prednisolone
17y.o. patient undergone I&D of Bartholin's Cyst with insertion of drain. Important
aspect of care for the patient?
Weekly follow up monitoring
Which underlying cause is related to chronic PID
Interstitial cystitis
Patient with breast cancer, symptom free for 6 months, reports new onset low back
pain. Most important when evaluating the patients pain?
Obtaining MRI of the spinal cord
Purpose of radiation treatment prior to surgical resection of a tumor?
To debulk the tumor mass
What is true about HPV infection?
Most HPV lesions will resolve spontaneously without causing cancer
16 y.o, female with primary amenorrhea. Pregnancy test negative. Testing reveals
normal TSH and elevated prolactin. Which test is next
Magnetic resonance imaging
40 y.o. with primary hyperparathyroidism has increased calcium 0.5 mg/dL above
normal without signs of nephrolithiasis. What is the recommended treatment
Annual monitoring of calcium, creatinine, and bone density
Patient reports restlessness, fatigue, difficulty concentrating. Provider determines the
symptoms occur in relation to many events and concerns. What other things with the
provider question this patient about
Headaches and bowel habits
Infant who just begun nursing develops hyperbilirubinemia. What will the provider tell
the mother?
To use breast pump to increase mild supply
, Patient with myelodysplastic syndrome has severe neutropenia and anemia is given
erythropoietin with improvement of hemoglobin. Which intervention has been shown to
prevent infection in patients with MDS who have severe neutropenia
Prophylactic treatment with floroquinolones
Patient reports neck mass, present off and on for 5 or 6 weeks which varies in size. The
provider palpates a lymph node measuring 1.25 cm. Which test will provider hisotologic
diagnosis?
Lymph node biopsy
Patient with Type I Von Willebrand disease. What treatment is generally effective to
prevent and treat bleeding episodes
Desmopressin
Couple has been trying to conceiver for over 9 months, ask about artificial reproductive
therapy. When discussing the risk and benefits what will the provider include?
Increased premature births
Pregnant woman, in first trimester, overweight, no previous history of hypertension or
diabetes. Initial screening BP 140/90 and fasting glucose 128 mg / dL. What will the NP
do?
Monitor BP and fasting blood glucose closely
Woman currently pregnant reports that she has had 3 previous pregnancies; twins
delivered at 35 weeks (both living), one at 38 weeks (living) and one miscarriage at 16
weeks. How will this be recorded as her G/TPAL in her record?
G4P:1113
Pregnant woman reports not having any vaccinations as a child but request vaccines
during pregnancy. Which vaccine may be given?
Tdap
Which types of lymphoma typically have an aggressive presentation?
Diffuse large B-cell lymphoma
a mother who has been breastfeeding her infant for several weeks develops a fever,
breast warmth, and breast tenderness. what will the provider recommend?
Warm pack and increase frequency of nursing
the family nurse practitioner sees a 12-month-old infant who is being fed goat's milk and
a vegetarian diet. the child is pale and has a beefy-red, sore tongue and oral mucous
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