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FNP654 Final Exam (FNP 654) – 300 Questions & Answers | Primary Care, Women’s Health, Pediatrics, Dermatology | 2026/2027 – Family Nurse Practitioner Programs, Grand Canyon University

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This document contains approximately 300 practice questions and verified answers designed for the FNP654 Family Primary Care II final exam. It comprehensively covers core clinical topics including women’s health, pediatrics, dermatology, mental health, neurology, endocrinology, infectious diseases, and chronic condition management. The structured Q&A format supports efficient exam preparation, active recall, and clinical reasoning development for nurse practitioner students. The content integrates both theoretical knowledge and real-world clinical scenarios, reflecting the complexity of primary care practice. As shown throughout the document (e.g., diagnostic and treatment decision-making on pages 2–10 and advanced clinical management cases across later sections), it emphasizes evidence-based care, differential diagnosis, pharmacologic interventions, and patient-centered management strategies. Topics such as cancer screening, STI treatment, autoimmune disorders, neurological conditions, dermatologic disorders, and pediatric developmental assessments are thoroughly addressed. Additionally, the material provides insight into clinical decision-making processes, including when to order diagnostic tests (e.g., MRI, laboratory studies), when to refer to specialists, and how to manage acute versus chronic conditions. It also highlights preventive care, health promotion, and risk reduction strategies essential for primary care providers. This resource is ideal for students enrolled in Family Nurse Practitioner (FNP), Advanced Practice Nursing, Primary Care Nursing, and Nurse Practitioner certification programs. It is particularly relevant for those studying at institutions such as Grand Canyon University, as well as other universities and nursing schools offering advanced practice nursing curricula. It can also benefit practicing nurses preparing for certification exams or seeking to strengthen their clinical knowledge base. The document aligns closely with standard FNP preparation textbooks such as Bates’ Guide to Physical Examination and History Taking, Primary Care: A Collaborative Practice by Buttaro et al., and Current Medical Diagnosis and Treatment, which cover similar clinical guidelines, diagnostic approaches, and treatment protocols. Keywords: FNP654 exam questions, family nurse practitioner exam, primary care practice, women health management, pediatric assessment, dermatology conditions, mental health nursing, clinical decision making, pharmacology treatment, diagnostic testing, chronic disease management, nurse practitioner study guide

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FNP654/ FNP 654 FINAL EXAM |
FAMILY PRIMARY CARE II EXAM
| 100% CORRECTLY ANSWERED
& GRADED A+ | GCU | LATEST
2026/ 2027

The primary care nurse practitioner attempts to learn more about the

emotional health of an 18-month-old child through which assessment

strategy? - 🧠 ANSWER ✔✔Observation of the child with caretakers in

structured and unstructured situation

,What is an important purpose of conducting an interview prior to beginning

neuropsychological testing on an older adult suspected of having

dementia? - 🧠 ANSWER ✔✔To assess the patient's ability to cooperate

with the testing

A patient has unexplained weight loss and the provider notes increased

skin pigmentation on light-exposed skin folds along with darkened palmar

creases. Which laboratory test will the provider NOT order? - 🧠 ANSWER

✔✔Serum cortisol


A patient with cancer is expected to require long-term pain medication to

manage cancer pain. Which agent will be best for this patient? - 🧠

ANSWER ✔✔Morphine


A 16-year-old female has primary amenorrhea. A pregnancy test is

negative. Further testing reveals a normal TSH and an elevated prolactin

level. Which test will the provider order next? - 🧠 ANSWER ✔✔Magnetic

resonance imaging

During a well-baby exam on a 9-month-old infant, the parent reports that

the baby always uses the left hand to pick up objects and asks if the baby

,will be left-handed. What will the primary care nurse practitioner do? - 🧠

ANSWER ✔✔Perform a careful assessment of fine and gross motor skills.


An asymptomatic female learns that her boyfriend has gonorrhea and asks

about antibiotics. What will the provider recommend? - 🧠 ANSWER

✔✔Empiric ceftriaxone and azithromycin


A 16-year-old sexually active female has symptoms of PID with fever.

Cultures are pending. For outpatient treatment, what will the provider

order? - 🧠 ANSWER ✔✔Rocephin, doxycycline, and metronidazole


A 30-year-old male patient has a positive leukocyte esterase and nitrites on

a random urine dipstick during a well patient exam. What type of urinary

tract infection does this represent? - 🧠 ANSWER ✔✔Complicated


A woman who has had routine Pap tests all of her adult life has an

abnormal Pap with low-grade intraepithelial lesion. What will the provider

tell her about this result? - 🧠 ANSWER ✔✔Colposcopy with biopsy is

necessary

A patient has bone pain and laboratory testing reveals an elevated serum

alkaline phosphatase (SAP). Which test can help distinguish Paget's from

malignant bone disease? - 🧠 ANSWER ✔✔Bone radiograph

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, What is the most important role of the primary care provider in cancer

management? - 🧠 ANSWER ✔✔Counseling about healthy practices to

reduce risk factors

A 35-year-old woman without a previous history of dysmenorrhea reports

lower pelvic pain and irregular bleeding between periods. What is the initial

action in managing this patient? - 🧠 ANSWER ✔✔Performing an

abdominal, pelvic, and rectovaginal examination

A patient being treated for cancer has had chemotherapy within the past

two weeks and comes to the primary care clinic with a fever of 38.5° C.

What is the initial action? - 🧠 ANSWER ✔✔Obtain a STAT CBC with

differential

What is a possible cause of decreased arousal, libido, and orgasm in a

postmenopausal woman? - 🧠 ANSWER ✔✔Diminished testosterone


A middle-school-age child is skipping school frequently and getting poor

grades since the child's father was killed while deployed in the military.

How will the primary care nurse practitioner manage this situation? - 🧠

ANSWER ✔✔Refer the child to a mental health specialist for evaluation

and treatment.

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