FNP 654 FINAL EXAM |200+ QUESTIONS AND
05/13/2026
ANSWERS|LATEST VERSION 2025-2026
FNP 654 FINAL EXAM |200+ QUESTIONS AND ANSWERS|LATEST
VERSION 2025-2026|NEWEST GRADED A+, Exams of Nursing
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have symptoms that
include asymmetric weakness in the arms and difficulty walking. The neurologist recognizes these
symptoms as characteristic of involvement of which portion of the nervous system?
Lower motor neurons
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?
Preventing malnutrition is a key element in care.
Which symptoms may occur with Bell's palsy?
Select all that apply.
Alteration in taste, Drooling, Tinnitus
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with drooping and
tearing in one eye. The patient has a history of a recent viral illness, but is otherwise healthy. During the
exam, the provider notes that there is unilateral full face paralysis on the right side. What is the initial
intervention for this patient?
Prescribe oral prednisolone
What is recommended to prevent ophthalmic complications in patients with Bell's palsy?
Lubricating eye drops
5/13/2026
1
, FNP 654 FINAL EXAM |200+ QUESTIONS AND
05/13/2026
ANSWERS|LATEST VERSION 2025-2026
A patient reports a recurrent sensation of spinning associated with nausea and vomiting. Which test will
the provider order to confirm a diagnosis for this patient?
The Hallpike-Dix positioning maneuver
An elderly patient reports sensations of being off balance when walking, but does not experience
dizziness. The provider will refer this patient to which specialist for further evaluation?
Neurologist
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome in a patient who is
developing muscle weakness and paresthesias?
Lumbar puncture
Which monitoring parameters are necessary when caring for a patient with Guillain-Barre syndrome?
Select all that apply.
Bladder scans
Cardiac telemetry
Fever
Vital capacity measures
Following an upper respiratory infection, a patient begins to develop ataxia and distal paresthesias,
along with oculomotor symptoms and double vision. Based on these presenting symptoms which type of
GBS does this patient have?
Miller Fisher syndrome (MFS)
5/13/2026
2
, FNP 654 FINAL EXAM |200+ QUESTIONS AND
05/13/2026
ANSWERS|LATEST VERSION 2025-2026
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is effective
for a majority of patients with cluster headaches?
Oxygen
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?
Rizatriptan
Which medications may be useful in treating tension-type headache?
Select all that apply.
Antiemetics
Muscle relaxants
NSAIDs
A provider suspects that a patient has bacterial meningitis. When should antibiotics be given?
Prior to obtaining a CT scan or lumbar puncture
A patient is brought to the emergency department with fever, lethargy, and headache without
meningeal signs. The examination reveals hypotension and lethargy and the examiner notes petechiae
on the patient's trunk. What do these findings indicate?
A poor prognosis
5/13/2026
3
, FNP 654 FINAL EXAM |200+ QUESTIONS AND
05/13/2026
ANSWERS|LATEST VERSION 2025-2026
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each about 2
months apart. Which diagnostic testing will the provider order initially?
Magnetic resonance imaging
A patient diagnosed with multiple sclerosis and begins disease modulating therapy drugs. As part of the
counseling about this therapy, the provider will tell the patient that this regimen will
reduce the exacerbation rate.
A patient who has a seizure disorder and who takes levetiracetam is brought to an emergency
department with a seizure which has persisted for15 minutes and which immediately followed another
15 minute seizure. What is the priority action for this patient?
Administer lorazepam and monitor cardiorespiratory status
A patient with a seizure disorder has seizures which begin with eye twitching and occasionally visual
hallucinations. Which site in the brain is the seizure focus?
Occipital
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
Carbamazepine
A patient reports paroxysms of burning, shock-like pain on both sides of the face usually triggered by
chewing or talking. The provider suspects trigeminal neuralgia. Based on these presenting symptoms,
what testing is indicated?
5/13/2026
Magnetic resonance imaging
4
05/13/2026
ANSWERS|LATEST VERSION 2025-2026
FNP 654 FINAL EXAM |200+ QUESTIONS AND ANSWERS|LATEST
VERSION 2025-2026|NEWEST GRADED A+, Exams of Nursing
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have symptoms that
include asymmetric weakness in the arms and difficulty walking. The neurologist recognizes these
symptoms as characteristic of involvement of which portion of the nervous system?
Lower motor neurons
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?
Preventing malnutrition is a key element in care.
Which symptoms may occur with Bell's palsy?
Select all that apply.
Alteration in taste, Drooling, Tinnitus
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with drooping and
tearing in one eye. The patient has a history of a recent viral illness, but is otherwise healthy. During the
exam, the provider notes that there is unilateral full face paralysis on the right side. What is the initial
intervention for this patient?
Prescribe oral prednisolone
What is recommended to prevent ophthalmic complications in patients with Bell's palsy?
Lubricating eye drops
5/13/2026
1
, FNP 654 FINAL EXAM |200+ QUESTIONS AND
05/13/2026
ANSWERS|LATEST VERSION 2025-2026
A patient reports a recurrent sensation of spinning associated with nausea and vomiting. Which test will
the provider order to confirm a diagnosis for this patient?
The Hallpike-Dix positioning maneuver
An elderly patient reports sensations of being off balance when walking, but does not experience
dizziness. The provider will refer this patient to which specialist for further evaluation?
Neurologist
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome in a patient who is
developing muscle weakness and paresthesias?
Lumbar puncture
Which monitoring parameters are necessary when caring for a patient with Guillain-Barre syndrome?
Select all that apply.
Bladder scans
Cardiac telemetry
Fever
Vital capacity measures
Following an upper respiratory infection, a patient begins to develop ataxia and distal paresthesias,
along with oculomotor symptoms and double vision. Based on these presenting symptoms which type of
GBS does this patient have?
Miller Fisher syndrome (MFS)
5/13/2026
2
, FNP 654 FINAL EXAM |200+ QUESTIONS AND
05/13/2026
ANSWERS|LATEST VERSION 2025-2026
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is effective
for a majority of patients with cluster headaches?
Oxygen
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?
Rizatriptan
Which medications may be useful in treating tension-type headache?
Select all that apply.
Antiemetics
Muscle relaxants
NSAIDs
A provider suspects that a patient has bacterial meningitis. When should antibiotics be given?
Prior to obtaining a CT scan or lumbar puncture
A patient is brought to the emergency department with fever, lethargy, and headache without
meningeal signs. The examination reveals hypotension and lethargy and the examiner notes petechiae
on the patient's trunk. What do these findings indicate?
A poor prognosis
5/13/2026
3
, FNP 654 FINAL EXAM |200+ QUESTIONS AND
05/13/2026
ANSWERS|LATEST VERSION 2025-2026
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each about 2
months apart. Which diagnostic testing will the provider order initially?
Magnetic resonance imaging
A patient diagnosed with multiple sclerosis and begins disease modulating therapy drugs. As part of the
counseling about this therapy, the provider will tell the patient that this regimen will
reduce the exacerbation rate.
A patient who has a seizure disorder and who takes levetiracetam is brought to an emergency
department with a seizure which has persisted for15 minutes and which immediately followed another
15 minute seizure. What is the priority action for this patient?
Administer lorazepam and monitor cardiorespiratory status
A patient with a seizure disorder has seizures which begin with eye twitching and occasionally visual
hallucinations. Which site in the brain is the seizure focus?
Occipital
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
Carbamazepine
A patient reports paroxysms of burning, shock-like pain on both sides of the face usually triggered by
chewing or talking. The provider suspects trigeminal neuralgia. Based on these presenting symptoms,
what testing is indicated?
5/13/2026
Magnetic resonance imaging
4
