Final Exam: FNP 652 Family Primary Care Questions with Verified Answers |Latest 2024/2025
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FNP 652
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FNP 652
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, exces...
Final Exam: FNP 652 Family Primary Care
Questions with Verified Answers.
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.
A patient complains of otalgia and difficulty hearing from one ear. The
provider performs an otoscopic exam and notes a dark brown mass in
the lower portion of the external canal blocking the patient's tympanic
membrane. What is the initial action?
A. Ask the patient about previous problems with that ear.
B. Use a curette to dislodge the mass.
C. Irrigate the canal with normal saline.
D. Prescribe a ceruminolytic agent for that ear.
Ans: A
Before attempting to remove impacted cerumen, the provider must
determine whether the tympanic membrane (TM) is intact and should
,ask about pressure equalizing ear tubes, a history of ruptured TM, and
previous ear surgeries. Once the TM is determined to be intact, the
other methods may be attempted, although the curette should only be
used if the mass is in the lateral third of the ear canal.
A 5yearold child is hit in the face with a baseball bat and is brought to
the clinic by a parent. An exam reveals three avulsed front teeth.
Radiologic studiesare negative for facial fractures. What is the
recommended treatment?
A. Remove the teeth, place them in saline, and refer the child to a
dentist
B. Prescribe tetracycline 4.4mg/kg twice daily for 7 to 10 days.
C. Refer the child to a dentist for reimplantation of the avulsed teeth.
D. Refer the child to a dentist immediately for further evaluation.
Ans: D
Refer the child to a dentist immediately
The primary care pediatric nurse practitioner is treating an infant with
lacrimal duct obstruction who has developed bacterial conjunctivitis.
After 2 weeks of treatment with topical antibiotics along with massage
and frequent cleansing of secretions, the infant's symptoms have not
improved. Which action is correct?
A. Refer to an ophthalmologist.
B. Perform massage more frequently.
C. Recommend hot compresses.
D. Prescribe an oral antibiotic.
A. Refer to an ophthalmologist.
,A preschool age child is seen in the clinic after waking up with a
temperature of 102.2F, swelling and erythema of the upper lid of one
eye, and moderate pain when looking from side to side. Which course
of treatment is correct? A. Order warm compresses 4 times daily for 5
days.
B. Prescribe 10-to-14-day course of oral antibiotics.
C. Admit to the hospital for intravenous antibiotics.
D. Obtain a lumbar puncture and blood culture.
C. Admit to the hospital for intravenous antibiotics.
A toddler exhibits exotropia of the right eye during a cover uncover
screen. The primary care pediatric nurse practitioner will refer to a
pediatric ophthalmologist to initiate which treatment?
A. Occluding the affected eye for 6 hours per day.
B. Pathing of the unaffected eye for 2 hours each day.
C. Corrective lenses.
D. Botulinum toxin injection
B. Pathing of the unaffected eye for 2 hours each day.
A child complains of itching in both ears and is having trouble hearing.
The primary care pediatric nurse practitioner notes periauricular edema
and marked swelling of the external auditory canal and elicits severe
pain when manipulating the external ear structures. Which is an
appropriate intervention?
A. Obtain a culture of the external auditory canal.
B. Order otoptopical antibiotic/corticosteroid drops.
C. Prescribe oral amoxicillin clavulanate.
D. Refer the child to an otolaryngologist.
, B. Order otoptopical antibiotic/corticosteroid drops.
A child with a history of otitis externa asks about ways to prevent this
condition. What will the primary care nurse practitioner recommend?
A. Cleaning ear canals well after swimming.
B. Drying the ear canal with a hair dryer.
C. Swimming only in chlorinated pools.
D. Using cerumenolytic agents.
B. Drying the ear canal with a hair dryer.
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?
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