FNP FINAL EXAM 2 QUESTIONS WITH
CORRECT ANSWERS GRADED A+ 2026
A school age child comes to the clinic for evaluation of excessive bruising. The primary
care pediatric nurse practitioner notes a history of an upper respiratory infection 2
weeks prior. The physical exam is negative for hepatosplenomegaly and
lymphadenopathy. Blood work reveals a platelet count of 60,000/mm3 with normal PT
and aPTT. How will the nurse practitioner manage this child's condition? ANSWER >>
Teach to avoid NSAIDS and contact sports
1
, The family nurse practitioner sees a 12-month-old infant who is being fed goats milk and
vegetarian diet. The child is pale and has a beefy-red, sore tongue and oral mucous
membrane. Which tests will the nurse practitioner order to evaluate this childs
condition? ANSWER >> RBC folate, iron and B12 levels
Which types of lymphomas typically have an aggressive presentation? ANSWER >>
Diffuse large-B cell lymphoma
The family nurse practitioner reviews hematology reports on a child with beta-
thalassemia minor and notes an Hgb level of 8 g/dL. What will the nurse practitioner do?
ANSWER >> Evaluate serum ferritin
A patient reports a neck mass that has been present off and on for 5 to 6 weeks which
varies in size. The provider palpates a lymph node measuring 1.25cm. which test will
the provider proper histologic diagnosis for this patient? ANSWER >> Lymph node
biopsy
A woman who is currently pregnant reports that she has had three previous
pregnancies: twins delivered at 35 weeks, gestation (both living), one at 38 weeks
gestation (living), and one miscarriage at 16 weeks gestation. How will this be recorded
as her G/TPAL in her electronic medical record? ANSWER >> G4P:1113
A female patient has lower abdominal pain, nausea, and vomiting and reports missing a
period 3 weeks prior. The patient reports using an intrauterine device for contraception.
A serum B-hCG is 1500 mIU/mL. what will the provider do, based on these findings?
ANSWER >> Perform a transvaginal ultrasound
The primary care pediatric nurse practitioner is examining a 5-year-old child who has
had recurrent fevers, bone pain, and a recent loss of weight. The physical exam reveals
scattered petechiae, lymphadenopathy, and bruising. A complete blood count shows
thrombocytopenia, anemia, and an elevated white cell blood count. The nurse
practitioner will refer this child to specialist for thrombocytopenia, anemia, and an
elevated white cell blood count. The nurse practitioner will refer this child to specialist
for: ANSWER >> Bone marrow biopsy
2
CORRECT ANSWERS GRADED A+ 2026
A school age child comes to the clinic for evaluation of excessive bruising. The primary
care pediatric nurse practitioner notes a history of an upper respiratory infection 2
weeks prior. The physical exam is negative for hepatosplenomegaly and
lymphadenopathy. Blood work reveals a platelet count of 60,000/mm3 with normal PT
and aPTT. How will the nurse practitioner manage this child's condition? ANSWER >>
Teach to avoid NSAIDS and contact sports
1
, The family nurse practitioner sees a 12-month-old infant who is being fed goats milk and
vegetarian diet. The child is pale and has a beefy-red, sore tongue and oral mucous
membrane. Which tests will the nurse practitioner order to evaluate this childs
condition? ANSWER >> RBC folate, iron and B12 levels
Which types of lymphomas typically have an aggressive presentation? ANSWER >>
Diffuse large-B cell lymphoma
The family nurse practitioner reviews hematology reports on a child with beta-
thalassemia minor and notes an Hgb level of 8 g/dL. What will the nurse practitioner do?
ANSWER >> Evaluate serum ferritin
A patient reports a neck mass that has been present off and on for 5 to 6 weeks which
varies in size. The provider palpates a lymph node measuring 1.25cm. which test will
the provider proper histologic diagnosis for this patient? ANSWER >> Lymph node
biopsy
A woman who is currently pregnant reports that she has had three previous
pregnancies: twins delivered at 35 weeks, gestation (both living), one at 38 weeks
gestation (living), and one miscarriage at 16 weeks gestation. How will this be recorded
as her G/TPAL in her electronic medical record? ANSWER >> G4P:1113
A female patient has lower abdominal pain, nausea, and vomiting and reports missing a
period 3 weeks prior. The patient reports using an intrauterine device for contraception.
A serum B-hCG is 1500 mIU/mL. what will the provider do, based on these findings?
ANSWER >> Perform a transvaginal ultrasound
The primary care pediatric nurse practitioner is examining a 5-year-old child who has
had recurrent fevers, bone pain, and a recent loss of weight. The physical exam reveals
scattered petechiae, lymphadenopathy, and bruising. A complete blood count shows
thrombocytopenia, anemia, and an elevated white cell blood count. The nurse
practitioner will refer this child to specialist for thrombocytopenia, anemia, and an
elevated white cell blood count. The nurse practitioner will refer this child to specialist
for: ANSWER >> Bone marrow biopsy
2
