Final Exam: FNP654/ FNP 654 (Latest 2024/ 2025 Update)
Family Primary Care I Exam (GRADED A)
A major teaching point for patients diagnosed with epilepsy is
A patient with absence seizures may never have a driver's license
Which of the following mental health disorders is the most chronic disabling and economically
catastrophic medical disorder of the severe mental illnesses
Schizophrenia
Inattention and a sleep-wake cycle disturbance are hallmark symptoms of
Delirium
Which of the following tools may be used to evaluate a person's suicide risk
SAD Personas
A 13-year-old adolescent is seen with attention and concentration difficulties accompanied by a
drop in school grades. During the history, you find he has multiple electronic devices in his
bedroom, including computer, gaming system, and TV. You determine education is needed
regarding bedtime behavior. This teaching is known as
Sleep Hygiene
A 6-year-old female patient presents with fear of riding in a car following involvement in a motor
vehicle accident 8 weeks ago. Which of the following symptoms would not be seen in post-
traumatic stress disorder
Hypersomnolence
A 16-year-old adolescent presents with a persistent lack of energy, anhedonia, depressed mood,
and decreased appetite for the past four months. Which of the following components is most
important in the assessment of the cause of the patient's symptoms.
Verify if the patient has an suicidal ideation
Which cranial nerve is affected in a patient with a CVA who has difficulty chewing
Cranial Nerve V
FNP 654
,What antiplatelet agent is most widely used for secondary prevention of stroke
Aspirin
Which of the following antidepressant medications is the least likely to manifest discontinuation
symptoms
Fluoxetine
Which herbal preparation may cause delirium and should be avoided in the elderly
St Johns Wort
Based on your understanding of pediatric attachment behavior, when is the most likely age for
separation protest and stranger wariness to occur
7-12 months
About 90% of headaches are
Without pathological cause
A ratchet- like rhythmic contraction, especially in the hand, during passive stretching, is known
as cog wheeling
It is important for the clinician to discuss the long-term effects of sexual assault on survivors.
Which of the following is the most common long-term effect of sexual assault
PTSD
Which of the following persons fits the classic description of a patient with multiple sclerosis
(MS).
32 year old female
Polysomnography is a useful diagnostic test to evaluate for which of the following disorders?
Obstructive sleep apnea and restless leg syndrome
When administered at the beginning of an attack, oxygen therapy may help this kind of a
headache Cluster
Which of the following is a common side effect of the tricyclic class of antidepressants often
prescribed for neuropathic pain
FNP 654
, Dry mouth and dry eyes
A score of 20-25 on this test indicates early-stage Alzheimer's disease
MMSE
A 15 year old male presents to the clinic with complaints of enlarged breasts. The patient is very
self conscious about this and "would like it go away". The patient is not overweight. Which of
the following questions would the family nurse practitioner not want to include in the history of
the patient?
Do you drink coffee
Examples of how pain medicine specialists can aid in the end of life care include?
All of the above, Acupuncture, nerve ablation, spinal cordotomy
Which of the following routes of administration is the most vulnerable to "first-pass" hepatic
effects of pain medications?
Oral
Which of the following is a typical description of nociceptive pain
Sharp, aching, throbbing
The single most important supplemental therapy to consider when starting patients on opiods for
pain is
Laxatives for constipation
What is the goal of treatment for precocious puberty?
To obtain normal adult height
The Arizona Secretary of State registers all but which of the following documents on its website?
Last will and testament
A 6 year old female has had a recent growth spurt, and an exam reveals breast and pubic hair
development. Her bone age is determined to be 8 years. What will the FNP do next?
Refer the child to a pediatric endocrinologist for management
A 20 year old female presents to the clinic with complaints of fatigue and facial hair growth.
Upon examination, the FNP notices that the patient has a moon face appearance with truncal
FNP 654
Family Primary Care I Exam (GRADED A)
A major teaching point for patients diagnosed with epilepsy is
A patient with absence seizures may never have a driver's license
Which of the following mental health disorders is the most chronic disabling and economically
catastrophic medical disorder of the severe mental illnesses
Schizophrenia
Inattention and a sleep-wake cycle disturbance are hallmark symptoms of
Delirium
Which of the following tools may be used to evaluate a person's suicide risk
SAD Personas
A 13-year-old adolescent is seen with attention and concentration difficulties accompanied by a
drop in school grades. During the history, you find he has multiple electronic devices in his
bedroom, including computer, gaming system, and TV. You determine education is needed
regarding bedtime behavior. This teaching is known as
Sleep Hygiene
A 6-year-old female patient presents with fear of riding in a car following involvement in a motor
vehicle accident 8 weeks ago. Which of the following symptoms would not be seen in post-
traumatic stress disorder
Hypersomnolence
A 16-year-old adolescent presents with a persistent lack of energy, anhedonia, depressed mood,
and decreased appetite for the past four months. Which of the following components is most
important in the assessment of the cause of the patient's symptoms.
Verify if the patient has an suicidal ideation
Which cranial nerve is affected in a patient with a CVA who has difficulty chewing
Cranial Nerve V
FNP 654
,What antiplatelet agent is most widely used for secondary prevention of stroke
Aspirin
Which of the following antidepressant medications is the least likely to manifest discontinuation
symptoms
Fluoxetine
Which herbal preparation may cause delirium and should be avoided in the elderly
St Johns Wort
Based on your understanding of pediatric attachment behavior, when is the most likely age for
separation protest and stranger wariness to occur
7-12 months
About 90% of headaches are
Without pathological cause
A ratchet- like rhythmic contraction, especially in the hand, during passive stretching, is known
as cog wheeling
It is important for the clinician to discuss the long-term effects of sexual assault on survivors.
Which of the following is the most common long-term effect of sexual assault
PTSD
Which of the following persons fits the classic description of a patient with multiple sclerosis
(MS).
32 year old female
Polysomnography is a useful diagnostic test to evaluate for which of the following disorders?
Obstructive sleep apnea and restless leg syndrome
When administered at the beginning of an attack, oxygen therapy may help this kind of a
headache Cluster
Which of the following is a common side effect of the tricyclic class of antidepressants often
prescribed for neuropathic pain
FNP 654
, Dry mouth and dry eyes
A score of 20-25 on this test indicates early-stage Alzheimer's disease
MMSE
A 15 year old male presents to the clinic with complaints of enlarged breasts. The patient is very
self conscious about this and "would like it go away". The patient is not overweight. Which of
the following questions would the family nurse practitioner not want to include in the history of
the patient?
Do you drink coffee
Examples of how pain medicine specialists can aid in the end of life care include?
All of the above, Acupuncture, nerve ablation, spinal cordotomy
Which of the following routes of administration is the most vulnerable to "first-pass" hepatic
effects of pain medications?
Oral
Which of the following is a typical description of nociceptive pain
Sharp, aching, throbbing
The single most important supplemental therapy to consider when starting patients on opiods for
pain is
Laxatives for constipation
What is the goal of treatment for precocious puberty?
To obtain normal adult height
The Arizona Secretary of State registers all but which of the following documents on its website?
Last will and testament
A 6 year old female has had a recent growth spurt, and an exam reveals breast and pubic hair
development. Her bone age is determined to be 8 years. What will the FNP do next?
Refer the child to a pediatric endocrinologist for management
A 20 year old female presents to the clinic with complaints of fatigue and facial hair growth.
Upon examination, the FNP notices that the patient has a moon face appearance with truncal
FNP 654
