FNP 652 FINAL EXAM VERSION 1 GRAND
CANYON UNIVERSITY 2026/2027 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION|JUST RELEASED!!
A patient presents with chest pain that occurs regardless of activity, is not relieved by rest, and
has already had one dose of nitro with no relief, what is the next action
Administer a Beta Blocker (most likely experiencing micro angina)
Factors causing heart murmurs
-Backwards flow through a septal defect
-Forward flow into dilated vessel -High rates of flow through normal valve
Secondary HTN causes in pediatric patients?
Assess renal function and plasmarenin testing
Patient with right scrotal pain and on palpation feels like a "bag of worms" - what will you do?
Varicocele - right side is rare, they need US and to find underlying cause
How to assess an infant with swollen and painful scrotum?
Transillumination
What will you order for a patient with painless scrotal swelling?
Ultrasound
Signs and symptoms of nephrolithiasis
1|Page
,Painful urination, flank pain, U/A w/ hematuria
What is the first line treatment for nephrolithiasis?
Hydration - at least 2L/day
A pediatric male presents with pinpoint opening of foreskin, tightness, thickened/inflammed -
what will you do next?
Phimosis - refer to urology
-Never attempt to forcefully retract the foreskin
Normal post-void residual volume?
<50
What labs should we monitor in a patient with chronic kidney disease?
PTH, Lipid Panel, Vit D
Gonococcal arthritis will present with
-Multiple joint pain
-Fever
-Rashes
Testing for gonococcal arthritis includes:
swab/culture NAT test for everything!
cervix, rectum, pharynx, urethra
Signs and symptoms of osteomyelitis
warmth, swelling, fever, toxic-appearing, non-weight bearing, unilateral involvement
While reviewing lab results you note a PSA of 12, what should you be concerned about?
Prostate CA (>10)
2|Page
, Asymptomatic pregnant woman has positive leukocytes and positive nitrates, what will you do
next?
Send urine for culture
Elderly woman with weight loss and coughing/choking as she eats - what type of dysphagia is
this?
Pharyngeal
A 3-year-old has mild/moderate dehydration, stable - how will you manage?
Oral rehydration, f/u in 24 hours
A patient has a midsystolic murmur that gets louder when they lay flat. What type of murmur is
this?
Stills Murmur
A patient with PAD does not want angioplasty treatment, what is another effective treatment
plan
walking to the point of pain each day
Child presents with fatty, foul-smelling stools, but is not lactose intollerant - what are we
concerned for?
Celiac Disease
A patient presents to the clinic with exercise-induced asthma (EIA) that is experiencing
decreased tolerance to rescue SABA. What is the plan of care?
Increase to daily ICS
A patient presents to the clinic with asthma symptoms and a peak flow of 75% after one puff of
albuterol, what is the next action?
Repeat albuterol - will only punt to ED if PF<70%
3|Page
CANYON UNIVERSITY 2026/2027 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION|JUST RELEASED!!
A patient presents with chest pain that occurs regardless of activity, is not relieved by rest, and
has already had one dose of nitro with no relief, what is the next action
Administer a Beta Blocker (most likely experiencing micro angina)
Factors causing heart murmurs
-Backwards flow through a septal defect
-Forward flow into dilated vessel -High rates of flow through normal valve
Secondary HTN causes in pediatric patients?
Assess renal function and plasmarenin testing
Patient with right scrotal pain and on palpation feels like a "bag of worms" - what will you do?
Varicocele - right side is rare, they need US and to find underlying cause
How to assess an infant with swollen and painful scrotum?
Transillumination
What will you order for a patient with painless scrotal swelling?
Ultrasound
Signs and symptoms of nephrolithiasis
1|Page
,Painful urination, flank pain, U/A w/ hematuria
What is the first line treatment for nephrolithiasis?
Hydration - at least 2L/day
A pediatric male presents with pinpoint opening of foreskin, tightness, thickened/inflammed -
what will you do next?
Phimosis - refer to urology
-Never attempt to forcefully retract the foreskin
Normal post-void residual volume?
<50
What labs should we monitor in a patient with chronic kidney disease?
PTH, Lipid Panel, Vit D
Gonococcal arthritis will present with
-Multiple joint pain
-Fever
-Rashes
Testing for gonococcal arthritis includes:
swab/culture NAT test for everything!
cervix, rectum, pharynx, urethra
Signs and symptoms of osteomyelitis
warmth, swelling, fever, toxic-appearing, non-weight bearing, unilateral involvement
While reviewing lab results you note a PSA of 12, what should you be concerned about?
Prostate CA (>10)
2|Page
, Asymptomatic pregnant woman has positive leukocytes and positive nitrates, what will you do
next?
Send urine for culture
Elderly woman with weight loss and coughing/choking as she eats - what type of dysphagia is
this?
Pharyngeal
A 3-year-old has mild/moderate dehydration, stable - how will you manage?
Oral rehydration, f/u in 24 hours
A patient has a midsystolic murmur that gets louder when they lay flat. What type of murmur is
this?
Stills Murmur
A patient with PAD does not want angioplasty treatment, what is another effective treatment
plan
walking to the point of pain each day
Child presents with fatty, foul-smelling stools, but is not lactose intollerant - what are we
concerned for?
Celiac Disease
A patient presents to the clinic with exercise-induced asthma (EIA) that is experiencing
decreased tolerance to rescue SABA. What is the plan of care?
Increase to daily ICS
A patient presents to the clinic with asthma symptoms and a peak flow of 75% after one puff of
albuterol, what is the next action?
Repeat albuterol - will only punt to ED if PF<70%
3|Page
