FNP 654 FINAL EXAM QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)
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FNP 654
Institution
FNP 654
FNP 654 FINAL EXAM QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)FNP 654 FINAL EXAM QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)FNP 654 FINAL EXAM QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)FNP 654 FINAL EXAM QUESTIONS AND ANSWERS UPDATED (2024/2025) (...
FNP 654 FINAL E XAM QUESTIONS AND
ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
A patient reports two episodes of visual disturbances and eye pain that
lasted 1 to 2 days each about 2 months apart. Which diagnostic testing will
the provider order initially? - ANS ✓Magnetic resonance imaging
A patient diagnosed with multiple sclerosis and begins disease modulating
therapy drugs. As part of the counselling about this therapy, the provider
will tell the patient that this regimen will - ANS ✓reduce the exacerbation
rate.
A patient who has a seizure disorder and who takes levetiracetam is
brought to an emergency department with a seizure which has persisted
for15 minutes and which immediately followed another 15 minute seizure.
What is the priority action for this patient? - ANS ✓Administer lorazepam and
monitor cardiorespiratory status
A patient with a seizure disorder has seizures which begin with eye
twitching and occasionally visual hallucinations. Which site in the brain is
the seizure focus? - ANS ✓Occipital
Which drug is used to treat patients with focal epilepsy and complex partial
seizures? - ANS ✓Carbamazepine
A patient reports paroxysms of burning, shock-like pain on both sides of
the face usually triggered by chewing or talking. The provider suspects
trigeminal neuralgia. Based on these presenting symptoms, what testing is
indicated? - ANS ✓Magnetic resonance imaging
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A patient with trigeminal neuralgia has tried several medication regimens
to control pain without success. What is the next step in management for
this condition? - ANS ✓Referral to a neurosurgeon
A patient is diagnosed with trigeminal neuralgia and reports having
paroxysms several times each day. What is the initial treatment for this
patient? - ANS ✓A high dose of carbamazepine with subsequent titration
downward
A patient develops a gait disorder and the patient's spouse reports noticing
recent personality changes. The provider suspects a brain lesion. Which
evaluation is especially important in the initial physical examination? - ANS
✓Examination of the optic fundi
Which is the preferred treatment for primary brain tumours? - ANS
✓Surgical resection
A patient is diagnosed with panic disorder and begins taking a selective
serotonin reuptake inhibitor medication. Six weeks later, the patient
reports little relief from symptoms. What will the provider do next to
manage this patient? - ANS ✓Refer to a mental health provider
Which medication are useful in treating both obsessive-compulsive
disorder and PTSD?
Select all that apply. - ANS ✓Selective serotonin reuptake inhibitors
Serotonin-norepinephrine reuptake inhibitors
Tricyclic antidepressants
A patient reports symptoms of restlessness, fatigue, and difficulty
concentrating. The provider determines that these symptoms occur in
relation to many events and concerns. What other things will the provider
question this patient about? - ANS ✓Headaches and bowel habits
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A patient is seen in clinic 2 weeks after the death of a parent. The patient
reports feelings of sadness and hopelessness and a feeling that the parent is
still present, even to the point of hearing the parent's voice at times. What
will the provider determine from these findings? - ANS ✓These are normal
grief responses.
A college student is brought to clinic by a parent who is concerned about
increasingly bizarre behavior and poor school performance. The provider
notes difficulty engaging the patient in an organized conversation. The
patient denies any concerns about behavior. What will the provider do
initially to manage this patient's symptoms? - ANS ✓Begin treatment with
lithium or lamotrigine
A patient is seen frequently over a 9-month period with somatic complaints
that are not related to physical disease. The primary provider notes that
the patient has had a 15% weight loss in the previous 2 months and the
patient reports difficulty sleeping. The spouse tells the provider that the
patient seems tired all the time and is irritable with other family members.
What will the provider do initially? - ANS ✓Perform a suicide risk assessment
A patient is brought to the emergency department who is experiencing
disorientation, confusion, and fever. The patient describes visual and
auditory hallucinations. The patient's spouse states that the patient had
several drinks 12 hours prior to passing out. A blood alcohol level is 0.2%.
What is the recommended treatment? - ANS ✓Benzodiazepines
A college student is brought to the emergency department by a roommate
who is concerned about symptoms of extreme restlessness, nausea, and
vomiting. The provider notes elevations of the pulse and blood pressure
and pupillary dilation, along with hyperactive bowel sounds. The provider
suspects withdrawal from which substance? - ANS ✓Opioids
A 17-year-old male is brought to the clinic by a parent who is concerned
that the patient has become more isolated and withdrawn and expresses
suspicions that his teachers hate him and want him to fail. What will the
provider tell this parent? - ANS ✓The adolescent should be evaluated by a
psychiatrist.
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A young male patient is reported to be more withdrawn from his peers than
usual and has dropped out of college and quit his job within the last 5
months. The parent is concerned that the patient may have schizophrenia
because a maternal uncle has the disease. What will the provider do next? -
ANS ✓Ask about the patient's speech and thinking patterns
Which are considered "negative" symptoms of schizophrenia?
Select all that apply. - ANS ✓Impaired self care
Poor school performance
Withdrawing from peers
When prescribing medications to an 80-year-old patient, the provider will -
ANS ✓consult the Beers list to help identify potentially problematic drugs.
An 80-year-old woman who lives alone is noted to have a recent weight loss
of 5 pounds. She appears somewhat confused, according to her daughter,
who is concerned that she is developing dementia. The provider learns that
the woman still drives, volunteers at the local hospital, and attends a book
club with several friends once a month. What is the initial step in evaluating
this patient? - ANS ✓Obtain a CBC, serum electrolytes, BUN, and glucose
The practitioner is establishing a plan for routine health maintenance for a
new female client who is 80 years old. The client has never smoked and has
been in good health. What will the practitioner include in routine care for
this patient? - ANS ✓Pneumovax vaccine if not previously given
Yearly influenza vaccine
A previously healthy 30-year-old patient is brought to the emergency
department with signs of stroke. Diagnostic testing determines an ongoing
ischemic cause. The patient's spouse reports that symptoms began
approximately 2 hours prior to transport. What is the recommended
treatment? - ANS ✓Tissue plasminogen activator (tPA) administration
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