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FNP 652 FINAL EXAM VERSION 2 LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!|| GRAND CANYON UNIVERSITY
A patient who has HIV infection has a negative tuberculosis skin
test with induration less than 10 mm. The provider learns that the
patient lives with a person who has active tuberculosis. What is
the next step in managing this patient? - ANSWER-Order a chest
radiograph.
A child complains of itching in both ears and is having trouble
hearing. The primary care 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? - ANSWER-Order ototopical
antibiotic/corticosteroid drops.
A woman who is obese has a neck circumference of 16.5 cm.
Which test is necessary to assess for complications of obesity in
this patient based on this finding? - ANSWER-Polysomnography.
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A 5-month old infant who has a 3-day history of cough and
rhinorrhea has developed symptoms of respiratory distress with
audible expiratory wheezes and increased coughing. The infant's
immunizations are up-to-date. The physical exam reveals a
respiratory rate of 50 breaths per minute, coarse expiratory
wheezing, and prolonged expiration. An oxygen saturation is 96%
on room air. What is the recommended treatment for this infant? -
ANSWER-Recommend increased fluids and close follow-up.
Which patient would benefit from a polysomnography evaluation
to assess a potential sleep disorder? - ANSWER-A child with
enlarged tonsils who has daytime sleepiness.
A patient has a cough and fever and the provider auscultates
rales in both lungs that do not clear with cough. The patient
reports having a headache and sore throat prior to the onset of
coughing. A chest radiograph shows patchy, nonhomogeneous
infiltrates. Based on these findings, which organism is the most
likely cause of this patient's pneumonia? - ANSWER-Mycoplasma
After 14 days of treatment with amoxicillin 45 mg/kg/day for acute
rhinosinusitis, a child continues to have mucopurulent nasal
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discharge along with induration, swelling, and erythema of both
eyelids. What is the next course of treatment? - ANSWER-
Referral to a pediatric otolaryngologist.
A patient who is obese has recurrent urinary tract infections and
reports feeling tired most of the time. What initial diagnostic test
will the provider order in the clinic at this visit? - ANSWER-
Hemoglobin A1C
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? -
ANSWER-Ask the patient about previous problems with that ear.
A school-age child who uses a SABA and an inhaled
corticosteroid medication is seen in the clinic for an acute asthma
exacerbation. After 4 puffs of an inhaled short-acting B2-agonist
(SABA) every 20 minutes for three treatments, spirometry testing
shows an FEV1 of 60% of the child's personal best. What will the
primary care pediatric nurse practitioner do next? - ANSWER-
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Order an oral corticosteroid, continue the SABA every 3 to 4
hours, and follow closely.
When counseling an adolescent with a family history of
hyperinsulinemia and type 2 diabetes, the primary care nurse
practitioner will recommend avoiding: - ANSWER-Processed
breads.
A patient has chronically dry eyes, sometimes with 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? - ANSWER-Aqueous deficiency
A 70-year-old male patient has an aortic aneurysm measuring 5.0
cm. The patient has poorly-controlled hypertension, and
decompensated heart failure. What is the recommendation for
treatment for this patient? - ANSWER-Serial ultrasonographic
surveillance of the aneurysm
A pregnant woman at 30 weeks gestation has proteinuria. What
will the provider do next? - ANSWER-Evaluate her blood pressure
FNP 652 FINAL EXAM VERSION 2 LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!|| GRAND CANYON UNIVERSITY
A patient who has HIV infection has a negative tuberculosis skin
test with induration less than 10 mm. The provider learns that the
patient lives with a person who has active tuberculosis. What is
the next step in managing this patient? - ANSWER-Order a chest
radiograph.
A child complains of itching in both ears and is having trouble
hearing. The primary care 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? - ANSWER-Order ototopical
antibiotic/corticosteroid drops.
A woman who is obese has a neck circumference of 16.5 cm.
Which test is necessary to assess for complications of obesity in
this patient based on this finding? - ANSWER-Polysomnography.
,2|Page
A 5-month old infant who has a 3-day history of cough and
rhinorrhea has developed symptoms of respiratory distress with
audible expiratory wheezes and increased coughing. The infant's
immunizations are up-to-date. The physical exam reveals a
respiratory rate of 50 breaths per minute, coarse expiratory
wheezing, and prolonged expiration. An oxygen saturation is 96%
on room air. What is the recommended treatment for this infant? -
ANSWER-Recommend increased fluids and close follow-up.
Which patient would benefit from a polysomnography evaluation
to assess a potential sleep disorder? - ANSWER-A child with
enlarged tonsils who has daytime sleepiness.
A patient has a cough and fever and the provider auscultates
rales in both lungs that do not clear with cough. The patient
reports having a headache and sore throat prior to the onset of
coughing. A chest radiograph shows patchy, nonhomogeneous
infiltrates. Based on these findings, which organism is the most
likely cause of this patient's pneumonia? - ANSWER-Mycoplasma
After 14 days of treatment with amoxicillin 45 mg/kg/day for acute
rhinosinusitis, a child continues to have mucopurulent nasal
,3|Page
discharge along with induration, swelling, and erythema of both
eyelids. What is the next course of treatment? - ANSWER-
Referral to a pediatric otolaryngologist.
A patient who is obese has recurrent urinary tract infections and
reports feeling tired most of the time. What initial diagnostic test
will the provider order in the clinic at this visit? - ANSWER-
Hemoglobin A1C
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? -
ANSWER-Ask the patient about previous problems with that ear.
A school-age child who uses a SABA and an inhaled
corticosteroid medication is seen in the clinic for an acute asthma
exacerbation. After 4 puffs of an inhaled short-acting B2-agonist
(SABA) every 20 minutes for three treatments, spirometry testing
shows an FEV1 of 60% of the child's personal best. What will the
primary care pediatric nurse practitioner do next? - ANSWER-
, 4|Page
Order an oral corticosteroid, continue the SABA every 3 to 4
hours, and follow closely.
When counseling an adolescent with a family history of
hyperinsulinemia and type 2 diabetes, the primary care nurse
practitioner will recommend avoiding: - ANSWER-Processed
breads.
A patient has chronically dry eyes, sometimes with 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? - ANSWER-Aqueous deficiency
A 70-year-old male patient has an aortic aneurysm measuring 5.0
cm. The patient has poorly-controlled hypertension, and
decompensated heart failure. What is the recommendation for
treatment for this patient? - ANSWER-Serial ultrasonographic
surveillance of the aneurysm
A pregnant woman at 30 weeks gestation has proteinuria. What
will the provider do next? - ANSWER-Evaluate her blood pressure
