FNP 654 FAMILY PRIMARY CARE II EXAM
SCRIPT FINAL PAPER 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉A 12-year-old child is brought to the clinic with joint pain, a 3-
week history of low-grade fever, and a facial rash. The primary care
nurse practitioner palpates an enlarged liver 2 cm below the
subcostal margin along with diffuse lymphadenopathy. An ANA test
is positive. Which test may be ordered to confirm a diagnosis of SLE?
Answer: Anti-double-strand DNA antibodies
◉A patient with systemic lupus erythematosus (SLE) develops end-
stage renal disease. Because of the underlying SLE, what treatment
is recommended for this patient? Answer: Kidney Transplantation
◉The primary care nurse practitioner is reviewing the
rheumatology plan of care for a child who is diagnosed with SLE.
Besides reinforcing information about prescribed medications, what
will the nurse practitioner teach the family to help minimize flaring
of episodes? Answer: Use UVA and UVB sunscreen daily
, ◉Which are symptoms of rheumatoid arthritis that distinguish it
from osteoarthritis? Answer: Symmetric tender, swollen joints
◉You would prescribe benzoyl peroxide plus clindamycin to a teen
with: Answer: Lesions with nodules and some scarring
◉A primary care provider is performing a Tzanck test to evaluate
possible herpes simplex lesions. To attain accurate results, the
provider will: Answer: remove the top of the vesicles and obtain
fluid from the lesions.
◉Why are OCP's used to manage acne? Answer: They inhibit
androgens which contribute to acne.
◉A patient has sustained a human bite on his hand during a fist
fight. Which is especially concerning with this type of bite injury?
Answer: Potential septic arthritis or osteomyelitis
◉To treat an adolescent female with oral contraceptives for acne,
what are you using? Answer: Combined
◉When examining a patient's skin, a practitioner uses dermoscopy
in order to: Select all that apply. Answer: assess changes in
pigmentation throughout various lesions, determine whether lesion
SCRIPT FINAL PAPER 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉A 12-year-old child is brought to the clinic with joint pain, a 3-
week history of low-grade fever, and a facial rash. The primary care
nurse practitioner palpates an enlarged liver 2 cm below the
subcostal margin along with diffuse lymphadenopathy. An ANA test
is positive. Which test may be ordered to confirm a diagnosis of SLE?
Answer: Anti-double-strand DNA antibodies
◉A patient with systemic lupus erythematosus (SLE) develops end-
stage renal disease. Because of the underlying SLE, what treatment
is recommended for this patient? Answer: Kidney Transplantation
◉The primary care nurse practitioner is reviewing the
rheumatology plan of care for a child who is diagnosed with SLE.
Besides reinforcing information about prescribed medications, what
will the nurse practitioner teach the family to help minimize flaring
of episodes? Answer: Use UVA and UVB sunscreen daily
, ◉Which are symptoms of rheumatoid arthritis that distinguish it
from osteoarthritis? Answer: Symmetric tender, swollen joints
◉You would prescribe benzoyl peroxide plus clindamycin to a teen
with: Answer: Lesions with nodules and some scarring
◉A primary care provider is performing a Tzanck test to evaluate
possible herpes simplex lesions. To attain accurate results, the
provider will: Answer: remove the top of the vesicles and obtain
fluid from the lesions.
◉Why are OCP's used to manage acne? Answer: They inhibit
androgens which contribute to acne.
◉A patient has sustained a human bite on his hand during a fist
fight. Which is especially concerning with this type of bite injury?
Answer: Potential septic arthritis or osteomyelitis
◉To treat an adolescent female with oral contraceptives for acne,
what are you using? Answer: Combined
◉When examining a patient's skin, a practitioner uses dermoscopy
in order to: Select all that apply. Answer: assess changes in
pigmentation throughout various lesions, determine whether lesion
