FNP Final Exam
A 12-12 months-antique is brought to the clinic with joint ache, a three-week history of
low-grade fever, and a facial rash. The NP palpates an enlarged liver 2cm beneath the
subcostal margin in conjunction with diffuse lymphadenopathy. An ANA take a look at is
fantastic. Which check can be ordered to confirm a prognosis of SLE?
A. Anti-La antibodies
b. Anti-RO antibodies
c. Anti-Sm antibodies
d. Anti-double strand DNA antibodies - ANS-d. Anti-double strand DNA antibodies
A thirteen 12 months vintage baby has exhibited signs of mild melancholy for several weeks.
The discern reports feeling relieved that the symptoms have surpassed but involved that the
child now appears to have boundless electricity and an inability to sit nonetheless. What will
the number one care pediatric nurse practitioner do?
A. Administer an ADHD diagnostic scale and remember an ADHD medicinal drug.
B. Consult with a baby psychiatrist to prescribe an antidepressant remedy.
C. Reassure the determine that this conduct is common after moderate depressive signs
D. Refer the kid to a baby psychiatrist for evaluation of bipolar sickness. - ANS-D. Refer the
kid to a toddler psychiatrist for assessment of bipolar disease.
A 14yearold woman involves the clinic with amenorrhea for three months. A being pregnant
check is poor. The adolescent's body weight is at 82% of anticipated for height and age. The
mother reviews that her daughter frequently throws up and refuses to consume maximum
meals. Which circumstance does the primary care pediatric nurse practitioner suspect?
A. Anorexia nervosa
B. Bulimia nervosa
C. Depression
D. Substance abuse - ANS-A. Anorexia nervosa
A 16-yr-vintage lady has primary amenorrhea. A pregnancy test is poor. Further testing
exhibits a ordinary TSH and an expanded prolactin degree. Which take a look at will the
issuer order subsequent?
A. Progesterone undertaking check
b. MRI
c. Serum dehydroepiandrosterone
d. Clomiphene mission check - ANS-b. MRI
A 16-year-antique patient with number one dysmenorrhea has taken NSAID's and COX-2
inhibitors without getting remedy from signs and symptoms. What will the provider
recommend?
,A. A blended oral contraceptive
b. Counsel the patient to use heat compresses
c. IUD
d. Narcotic analgesics as wished - ANS-a. A blended oral contraceptive
A sixteen-year-antique sexually lively woman has signs of PID with fever. Cultures are
pending. For outpatient remedy, what will the provider order?
A. Clindamycin and gentamycin
b. Cefotetan and doxycycline
c. Ampicillin and doxycycline
d. Rocephin, doxycycline, and metronidazole - ANS-d. Rocephin, doxycycline, and
metronidazole
A 17-12 months-antique affected person has passed through surgical incision and drainage
of a Bartholin's gland cyst with insertion of a drain. What is an critical factor of care for this
patient?
A. Education approximately long term dyspareunia
b. Teaching approximately reproductive sequelae
c. Weekly follow-up tracking
d. Administration of antibiotics - ANS-c. Weekly follow-up monitoring
A 30-year-old male affected person has a high-quality leukocyte esterase and nitrites on a
random urine dipstick all through a nicely patient examination. What kind of urinary tract
contamination does this constitute?
A. Unresolved
b. Uncomplicated
c. Isolation
d. Complicated - ANS-d. Complicated
A 35-year-vintage affected person reviews abruptly experiencing an asymmetric smile
together with drooping and tearing in one eye. The affected person has a history of a latest
viral contamination however is otherwise healthy. During the exam, the company notes that
there may be unilateral complete-face paralysis on the proper aspect. What is the
preliminary intervention for this affected person?
A. Perform confirmatory diagnostic assessments
b. Prescribe oral prednisolone
c. Recommend carrying an eye patch
d. Refer the affected person to a neurologist - ANS-b. Prescribe oral prednisolone
A 35-year-antique woman without a preceding records of dysmenorrhea reviews decrease
pelvic ache and irregular bleeding between periods. What is the preliminary motion in
handling this patient?
A. Ordering a CBC, erythrocyte sedimentation price, and cultures
, b. Performing an belly, pelvic, and rectovaginal exam
c. Obtaining a pelvic ultrasound with saline infusion
d. Prescribing a trial of NSAID's - ANS-b. Performing an stomach, pelvic, and rectovaginal
exam
A 40-yr-vintage patient with number one hyperparathyroidism has multiplied serum calcium
zero.Five mg/dL above the normal with out signs and symptoms of nephrolithiasis. What is
the encouraged remedy for this affected person?
A. Annual tracking of calcium, creatinine, and bone density
b. Avoidance of weight bearing sporting events
c. Decreasing calcium and nutrition D intake till values are regular
Parathyroidectomy - ANS-a. Annual tracking of calcium, creatinine, and bone density
A 45-year-antique woman has long gone a hundred and twenty days with out a menstrual
duration. A pregnancy check is bad. What will the provider do based totally in this symptom?
A. Tell her she has developed early menopause
b. Evaluate for various causes of amenorrhea
c. Reassure her that this may be regular
d. Tell her that that is possibly perimenopause - ANS-b. Evaluate for numerous causes of
amenorrhea
A 50-12 months-vintage man reports having erectile disorder. What is an important reaction
by using the issuer whilst developing a plan of take care of this affected person?
A. Considering testosterone hormone substitute remedy
b. Prescribing an oral phosphodiesterase kind five inhibitor
c. Evaluating the affected person for cardiovascular sickness
d. Referring the patient for psychotherapy and counseling - ANS-c. Evaluating the patient for
cardiovascular disease
A 60-12 months-antique woman affected person has these days lost weight and an exam
well-knownshows a beefy-crimson, sore tongue, with no neurological findings. Based on
these clinical findings, what will the company expect inside the lab facts?
A. Normal methylmalonic acid degree
b. Leukopenia and thrombocytopenia
c. Decreased homocysteine ranges
d. Low hemoglobin and improved MCV - ANS-d. Low hemoglobin and multiplied MCV
A 60-yr-old affected person reports a new onset of bilateral shoulder ache with morning
stiffness lasting approximately 1 hour. Which will NOT be included in initial diagnostic testing
for this affected person?
A. Antinuclear antibodies
b. Erythrocyte sedimentation charge (ESR) and C-reactive protein (CRP)
c. Liver characteristic tests (LFTs)
A 12-12 months-antique is brought to the clinic with joint ache, a three-week history of
low-grade fever, and a facial rash. The NP palpates an enlarged liver 2cm beneath the
subcostal margin in conjunction with diffuse lymphadenopathy. An ANA take a look at is
fantastic. Which check can be ordered to confirm a prognosis of SLE?
A. Anti-La antibodies
b. Anti-RO antibodies
c. Anti-Sm antibodies
d. Anti-double strand DNA antibodies - ANS-d. Anti-double strand DNA antibodies
A thirteen 12 months vintage baby has exhibited signs of mild melancholy for several weeks.
The discern reports feeling relieved that the symptoms have surpassed but involved that the
child now appears to have boundless electricity and an inability to sit nonetheless. What will
the number one care pediatric nurse practitioner do?
A. Administer an ADHD diagnostic scale and remember an ADHD medicinal drug.
B. Consult with a baby psychiatrist to prescribe an antidepressant remedy.
C. Reassure the determine that this conduct is common after moderate depressive signs
D. Refer the kid to a baby psychiatrist for evaluation of bipolar sickness. - ANS-D. Refer the
kid to a toddler psychiatrist for assessment of bipolar disease.
A 14yearold woman involves the clinic with amenorrhea for three months. A being pregnant
check is poor. The adolescent's body weight is at 82% of anticipated for height and age. The
mother reviews that her daughter frequently throws up and refuses to consume maximum
meals. Which circumstance does the primary care pediatric nurse practitioner suspect?
A. Anorexia nervosa
B. Bulimia nervosa
C. Depression
D. Substance abuse - ANS-A. Anorexia nervosa
A 16-yr-vintage lady has primary amenorrhea. A pregnancy test is poor. Further testing
exhibits a ordinary TSH and an expanded prolactin degree. Which take a look at will the
issuer order subsequent?
A. Progesterone undertaking check
b. MRI
c. Serum dehydroepiandrosterone
d. Clomiphene mission check - ANS-b. MRI
A 16-year-antique patient with number one dysmenorrhea has taken NSAID's and COX-2
inhibitors without getting remedy from signs and symptoms. What will the provider
recommend?
,A. A blended oral contraceptive
b. Counsel the patient to use heat compresses
c. IUD
d. Narcotic analgesics as wished - ANS-a. A blended oral contraceptive
A sixteen-year-antique sexually lively woman has signs of PID with fever. Cultures are
pending. For outpatient remedy, what will the provider order?
A. Clindamycin and gentamycin
b. Cefotetan and doxycycline
c. Ampicillin and doxycycline
d. Rocephin, doxycycline, and metronidazole - ANS-d. Rocephin, doxycycline, and
metronidazole
A 17-12 months-antique affected person has passed through surgical incision and drainage
of a Bartholin's gland cyst with insertion of a drain. What is an critical factor of care for this
patient?
A. Education approximately long term dyspareunia
b. Teaching approximately reproductive sequelae
c. Weekly follow-up tracking
d. Administration of antibiotics - ANS-c. Weekly follow-up monitoring
A 30-year-old male affected person has a high-quality leukocyte esterase and nitrites on a
random urine dipstick all through a nicely patient examination. What kind of urinary tract
contamination does this constitute?
A. Unresolved
b. Uncomplicated
c. Isolation
d. Complicated - ANS-d. Complicated
A 35-year-vintage affected person reviews abruptly experiencing an asymmetric smile
together with drooping and tearing in one eye. The affected person has a history of a latest
viral contamination however is otherwise healthy. During the exam, the company notes that
there may be unilateral complete-face paralysis on the proper aspect. What is the
preliminary intervention for this affected person?
A. Perform confirmatory diagnostic assessments
b. Prescribe oral prednisolone
c. Recommend carrying an eye patch
d. Refer the affected person to a neurologist - ANS-b. Prescribe oral prednisolone
A 35-year-antique woman without a preceding records of dysmenorrhea reviews decrease
pelvic ache and irregular bleeding between periods. What is the preliminary motion in
handling this patient?
A. Ordering a CBC, erythrocyte sedimentation price, and cultures
, b. Performing an belly, pelvic, and rectovaginal exam
c. Obtaining a pelvic ultrasound with saline infusion
d. Prescribing a trial of NSAID's - ANS-b. Performing an stomach, pelvic, and rectovaginal
exam
A 40-yr-vintage patient with number one hyperparathyroidism has multiplied serum calcium
zero.Five mg/dL above the normal with out signs and symptoms of nephrolithiasis. What is
the encouraged remedy for this affected person?
A. Annual tracking of calcium, creatinine, and bone density
b. Avoidance of weight bearing sporting events
c. Decreasing calcium and nutrition D intake till values are regular
Parathyroidectomy - ANS-a. Annual tracking of calcium, creatinine, and bone density
A 45-year-antique woman has long gone a hundred and twenty days with out a menstrual
duration. A pregnancy check is bad. What will the provider do based totally in this symptom?
A. Tell her she has developed early menopause
b. Evaluate for various causes of amenorrhea
c. Reassure her that this may be regular
d. Tell her that that is possibly perimenopause - ANS-b. Evaluate for numerous causes of
amenorrhea
A 50-12 months-vintage man reports having erectile disorder. What is an important reaction
by using the issuer whilst developing a plan of take care of this affected person?
A. Considering testosterone hormone substitute remedy
b. Prescribing an oral phosphodiesterase kind five inhibitor
c. Evaluating the affected person for cardiovascular sickness
d. Referring the patient for psychotherapy and counseling - ANS-c. Evaluating the patient for
cardiovascular disease
A 60-12 months-antique woman affected person has these days lost weight and an exam
well-knownshows a beefy-crimson, sore tongue, with no neurological findings. Based on
these clinical findings, what will the company expect inside the lab facts?
A. Normal methylmalonic acid degree
b. Leukopenia and thrombocytopenia
c. Decreased homocysteine ranges
d. Low hemoglobin and improved MCV - ANS-d. Low hemoglobin and multiplied MCV
A 60-yr-old affected person reports a new onset of bilateral shoulder ache with morning
stiffness lasting approximately 1 hour. Which will NOT be included in initial diagnostic testing
for this affected person?
A. Antinuclear antibodies
b. Erythrocyte sedimentation charge (ESR) and C-reactive protein (CRP)
c. Liver characteristic tests (LFTs)
