FNP 654 FAMILY PRIMARY CARE II EXAM
STUDY GUIDE 2026 FULL QUESTIONS AND
ANSWERS GRADED A+
◉A 50-year-old man reports having erectile dysfunction. What is an
important response by the provider when developing a plan of care
for this patient? Answer: Evaluating the patient for cardiovascular
disease
◉What is the benefit of using a liquid-based medium when
performing a Pap test? Answer: It allows HPV, gonorrhea, and
chlamydia testing with the same specimen.
◉A woman who has stopped having menstrual periods has
vasomotor symptoms, but does not want to use hormone
replacement therapy. What measures will the provider recommend?
(Mark all that apply) Answer: Engaging in regular exercise, Keeping
the house cool, Avoiding caffeine
◉What is the purpose of radiation treatment prior to surgical
resection of a tumor? Answer: To debulk the tumor mass
,◉A 45-year-old woman has gone 120 days without a menstrual
period. A pregnancy test is negative. What will the provider do,
based on this symptom? Answer: Evaluate for various causes of
amenorrhea
◉A patient with dementia experiences agitation and visual
hallucinations and is given haloperidol with a subsequent worsening
of symptoms. Based on this response, what is the likely cause of this
patient's symptoms? Answer: Lewy Body Dementia
◉An adolescent is diagnosed with major depression, and the mental
health specialist has prescribed fluoxetine. What other treatment is
important to protect against suicide risk? Answer: Cognitive-
behavioral therapy
◉The parent of a 4-year-old child reports that the child seems to be
having trouble adjusting to a new day care and reportedly is always
engaging in solitary play when the parent arrives to pick up the
child. What will the primary care nurse practitioner do? Answer:
Ask the parent if the child is slow to warm up to other new
situations.
◉A patient reports two episodes of visual disturbances and eve pain
that lasted 1 to 2 days each about 2 months apart. Which diagnostic
testing will the provider order initially? Answer: Magnetic
resonance imaging
,◉The parent of a school-age child reports that the child becomes
frustrated when unable to perform tasks well and often has temper
tantrums and difficulty sleeping. Which disorder may be considered
in this child? Answer: Generalized anxiety disorder (GAD)
◉The spouse of a patient newly-diagnosed with amyotrophic lateral
sclerosis (ALS) asks about long-term care. What will the provider
include when teaching the family about this disease? Answer:
Preventing malnutrition is a key element in care.
◉A patient has recurrent cluster headaches and asks about abortive
therapy. Which therapy is effective for a majority of patients with
cluster headaches? Answer: Oxygen
◉An elderly patient has symptoms of depression and the patient's
daughter asks about possible Alzheimer's disease since there is a
family history of this disease. A screening evaluation shows no
memory loss. What is the initial step in managing this patient?
Answer: Prescribe a trial of an antidepressant medication.
◉Which medication is NOT useful in treating tension-type
headache? Answer: Lithium
, ◉A patient reports recurrent headaches occurring 1 or 2 times per
month that generally occur with weather changes or when sleep
patterns are disrupted and describes them as severe, with throbbing
on one side of the head and sometimes accompanied by nausea.
What is the recommended treatment for this type of headache?
Answer: Rizatriptan
◉All of the following are common symptoms seen in patients with
Parkinson's disease except: Answer: Hyperphonia
◉A patient with Parkinson's disease (PD) has been taking
carbidopa-levodopa (Sinemet) with good results, but develops
increased dyskinesia. Which drug will be added to this patient's
regimen to help control this symptom? Answer: Amantadine
◉What is recommended to prevent ophthalmic complications in
patients with Bell's palsy? Answer: Lubricating eye drops
◉A 13-year-old child has exhibited symptoms of mild depression for
several weeks. The parent reports feeling relieved that the
symptoms have passed but concerned that the child now seems to
have boundless energy and an inability to sit still. What will the
primary care nurse practitioner do? Answer: Refer the child to a
child psychiatrist for evaluation of bipolar disorder.
STUDY GUIDE 2026 FULL QUESTIONS AND
ANSWERS GRADED A+
◉A 50-year-old man reports having erectile dysfunction. What is an
important response by the provider when developing a plan of care
for this patient? Answer: Evaluating the patient for cardiovascular
disease
◉What is the benefit of using a liquid-based medium when
performing a Pap test? Answer: It allows HPV, gonorrhea, and
chlamydia testing with the same specimen.
◉A woman who has stopped having menstrual periods has
vasomotor symptoms, but does not want to use hormone
replacement therapy. What measures will the provider recommend?
(Mark all that apply) Answer: Engaging in regular exercise, Keeping
the house cool, Avoiding caffeine
◉What is the purpose of radiation treatment prior to surgical
resection of a tumor? Answer: To debulk the tumor mass
,◉A 45-year-old woman has gone 120 days without a menstrual
period. A pregnancy test is negative. What will the provider do,
based on this symptom? Answer: Evaluate for various causes of
amenorrhea
◉A patient with dementia experiences agitation and visual
hallucinations and is given haloperidol with a subsequent worsening
of symptoms. Based on this response, what is the likely cause of this
patient's symptoms? Answer: Lewy Body Dementia
◉An adolescent is diagnosed with major depression, and the mental
health specialist has prescribed fluoxetine. What other treatment is
important to protect against suicide risk? Answer: Cognitive-
behavioral therapy
◉The parent of a 4-year-old child reports that the child seems to be
having trouble adjusting to a new day care and reportedly is always
engaging in solitary play when the parent arrives to pick up the
child. What will the primary care nurse practitioner do? Answer:
Ask the parent if the child is slow to warm up to other new
situations.
◉A patient reports two episodes of visual disturbances and eve pain
that lasted 1 to 2 days each about 2 months apart. Which diagnostic
testing will the provider order initially? Answer: Magnetic
resonance imaging
,◉The parent of a school-age child reports that the child becomes
frustrated when unable to perform tasks well and often has temper
tantrums and difficulty sleeping. Which disorder may be considered
in this child? Answer: Generalized anxiety disorder (GAD)
◉The spouse of a patient newly-diagnosed with amyotrophic lateral
sclerosis (ALS) asks about long-term care. What will the provider
include when teaching the family about this disease? Answer:
Preventing malnutrition is a key element in care.
◉A patient has recurrent cluster headaches and asks about abortive
therapy. Which therapy is effective for a majority of patients with
cluster headaches? Answer: Oxygen
◉An elderly patient has symptoms of depression and the patient's
daughter asks about possible Alzheimer's disease since there is a
family history of this disease. A screening evaluation shows no
memory loss. What is the initial step in managing this patient?
Answer: Prescribe a trial of an antidepressant medication.
◉Which medication is NOT useful in treating tension-type
headache? Answer: Lithium
, ◉A patient reports recurrent headaches occurring 1 or 2 times per
month that generally occur with weather changes or when sleep
patterns are disrupted and describes them as severe, with throbbing
on one side of the head and sometimes accompanied by nausea.
What is the recommended treatment for this type of headache?
Answer: Rizatriptan
◉All of the following are common symptoms seen in patients with
Parkinson's disease except: Answer: Hyperphonia
◉A patient with Parkinson's disease (PD) has been taking
carbidopa-levodopa (Sinemet) with good results, but develops
increased dyskinesia. Which drug will be added to this patient's
regimen to help control this symptom? Answer: Amantadine
◉What is recommended to prevent ophthalmic complications in
patients with Bell's palsy? Answer: Lubricating eye drops
◉A 13-year-old child has exhibited symptoms of mild depression for
several weeks. The parent reports feeling relieved that the
symptoms have passed but concerned that the child now seems to
have boundless energy and an inability to sit still. What will the
primary care nurse practitioner do? Answer: Refer the child to a
child psychiatrist for evaluation of bipolar disorder.
