FNP 654 FINAL EXAM |200 QUESTIONS AND
05/13/2026
ANSWERS|LATEST UPDATE 2025-2026
FNP 654 FINAL EXAM |200 QUESTIONS AND ANSWERS|LATEST
UPDATE 2025-2026|NEWEST GRADED A+, Exams of Nursing
The primary care nurse practitioner attempts to learn more about the emotional health of an 18-month-
old child through which assessment strategy?
Observation of the child with caretakers in structured and unstructured situation
What is an important purpose of conducting an interview prior to beginning neuropsychological testing
on an older adult suspected of having dementia?
To assess the patient's ability to cooperate with the testing
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-
exposed skin folds along with darkened palmar creases. Which laboratory test will the provider NOT
order?
Serum cortisol
A patient with cancer is expected to require long-term pain medication to manage cancer pain. Which
agent will be best for this patient?
Morphine
A 16-year-old female has primary amenorrhea. A pregnancy test is negative. Further testing reveals a
normal TSH and an elevated prolactin level. Which test will the provider order next?
Magnetic resonance imaging
5/13/2026
1
, FNP 654 FINAL EXAM |200 QUESTIONS AND
05/13/2026
ANSWERS|LATEST UPDATE 2025-2026
During a well-baby exam on a 9-month-old infant, the parent reports that the baby always uses the left
hand to pick up objects and asks if the baby will be left-handed. What will the primary care nurse
practitioner do?
Perform a careful assessment of fine and gross motor skills.
An asymptomatic female learns that her boyfriend has gonorrhea and asks about antibiotics. What will
the provider recommend?
Empiric ceftriaxone and azithromycin
A 16-year-old sexually active female has symptoms of PID with fever. Cultures are pending. For
outpatient treatment, what will the provider order?
Rocephin, doxycycline, and metronidazole
A 30-year-old male patient has a positive leukocyte esterase and nitrites on a random urine dipstick
during a well patient exam. What type of urinary tract infection does this represent?
Complicated
A woman who has had routine Pap tests all of her adult life has an abnormal Pap with low-grade
intraepithelial lesion. What will the provider tell her about this result?
Colposcopy with biopsy is necessary
A patient has bone pain and laboratory testing reveals an elevated serum alkaline phosphatase (SAP).
Which test can help distinguish Paget's from malignant bone disease?
5/13/2026
Bone radiograph
2
, FNP 654 FINAL EXAM |200 QUESTIONS AND
05/13/2026
ANSWERS|LATEST UPDATE 2025-2026
What is the most important role of the primary care provider in cancer management?
Counseling about healthy practices to reduce risk factors
A 35-year-old woman without a previous history of dysmenorrhea reports lower pelvic pain and
irregular bleeding between periods. What is the initial action in managing this patient?
Performing an abdominal, pelvic, and rectovaginal examination
A patient being treated for cancer has had chemotherapy within the past two weeks and comes to the
primary care clinic with a fever of 38.5° C. What is the initial action?
Obtain a STAT CBC with differential
What is a possible cause of decreased arousal, libido, and orgasm in a postmenopausal woman?
Diminished testosterone
A middle-school-age child is skipping school frequently and getting poor grades since the child's father
was killed while deployed in the military. How will the primary care nurse practitioner manage this
situation?
Refer the child to a mental health specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased serum calcium 0.5 mg/dL above
normal without signs of nephrolithiasis. What is the recommended treatment for this patient?
5/13/2026
Annual monitoring of calcium, creatinine, and bone density
3
, FNP 654 FINAL EXAM |200 QUESTIONS AND
05/13/2026
ANSWERS|LATEST UPDATE 2025-2026
What is true about HPV infection in women?
Most HPV lesions will resolve spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the recommended treatment once the
diagnosis is made?
Bisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she describes as sharp and burning and
localized to one area. A breast examination reveals no dimpling, discharge, or masses. Which diagnostic
test will the provider order?
Bilateral mammography
An adolescent female has amenorrhea. The provider notes short stature, neck webbing, and a pigeon
chest deformity. Based on these symptoms, what is the underlying disorder causing this patient's
amenorrhea?
Turner's syndrome
A young female has a Pap test which reveals atypical squamous cells of undetermined significance. What
will the next step be in managing this patient?
Repeat cytology in 12 months
5/13/2026
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
Carbamazepine
4
05/13/2026
ANSWERS|LATEST UPDATE 2025-2026
FNP 654 FINAL EXAM |200 QUESTIONS AND ANSWERS|LATEST
UPDATE 2025-2026|NEWEST GRADED A+, Exams of Nursing
The primary care nurse practitioner attempts to learn more about the emotional health of an 18-month-
old child through which assessment strategy?
Observation of the child with caretakers in structured and unstructured situation
What is an important purpose of conducting an interview prior to beginning neuropsychological testing
on an older adult suspected of having dementia?
To assess the patient's ability to cooperate with the testing
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-
exposed skin folds along with darkened palmar creases. Which laboratory test will the provider NOT
order?
Serum cortisol
A patient with cancer is expected to require long-term pain medication to manage cancer pain. Which
agent will be best for this patient?
Morphine
A 16-year-old female has primary amenorrhea. A pregnancy test is negative. Further testing reveals a
normal TSH and an elevated prolactin level. Which test will the provider order next?
Magnetic resonance imaging
5/13/2026
1
, FNP 654 FINAL EXAM |200 QUESTIONS AND
05/13/2026
ANSWERS|LATEST UPDATE 2025-2026
During a well-baby exam on a 9-month-old infant, the parent reports that the baby always uses the left
hand to pick up objects and asks if the baby will be left-handed. What will the primary care nurse
practitioner do?
Perform a careful assessment of fine and gross motor skills.
An asymptomatic female learns that her boyfriend has gonorrhea and asks about antibiotics. What will
the provider recommend?
Empiric ceftriaxone and azithromycin
A 16-year-old sexually active female has symptoms of PID with fever. Cultures are pending. For
outpatient treatment, what will the provider order?
Rocephin, doxycycline, and metronidazole
A 30-year-old male patient has a positive leukocyte esterase and nitrites on a random urine dipstick
during a well patient exam. What type of urinary tract infection does this represent?
Complicated
A woman who has had routine Pap tests all of her adult life has an abnormal Pap with low-grade
intraepithelial lesion. What will the provider tell her about this result?
Colposcopy with biopsy is necessary
A patient has bone pain and laboratory testing reveals an elevated serum alkaline phosphatase (SAP).
Which test can help distinguish Paget's from malignant bone disease?
5/13/2026
Bone radiograph
2
, FNP 654 FINAL EXAM |200 QUESTIONS AND
05/13/2026
ANSWERS|LATEST UPDATE 2025-2026
What is the most important role of the primary care provider in cancer management?
Counseling about healthy practices to reduce risk factors
A 35-year-old woman without a previous history of dysmenorrhea reports lower pelvic pain and
irregular bleeding between periods. What is the initial action in managing this patient?
Performing an abdominal, pelvic, and rectovaginal examination
A patient being treated for cancer has had chemotherapy within the past two weeks and comes to the
primary care clinic with a fever of 38.5° C. What is the initial action?
Obtain a STAT CBC with differential
What is a possible cause of decreased arousal, libido, and orgasm in a postmenopausal woman?
Diminished testosterone
A middle-school-age child is skipping school frequently and getting poor grades since the child's father
was killed while deployed in the military. How will the primary care nurse practitioner manage this
situation?
Refer the child to a mental health specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased serum calcium 0.5 mg/dL above
normal without signs of nephrolithiasis. What is the recommended treatment for this patient?
5/13/2026
Annual monitoring of calcium, creatinine, and bone density
3
, FNP 654 FINAL EXAM |200 QUESTIONS AND
05/13/2026
ANSWERS|LATEST UPDATE 2025-2026
What is true about HPV infection in women?
Most HPV lesions will resolve spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the recommended treatment once the
diagnosis is made?
Bisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she describes as sharp and burning and
localized to one area. A breast examination reveals no dimpling, discharge, or masses. Which diagnostic
test will the provider order?
Bilateral mammography
An adolescent female has amenorrhea. The provider notes short stature, neck webbing, and a pigeon
chest deformity. Based on these symptoms, what is the underlying disorder causing this patient's
amenorrhea?
Turner's syndrome
A young female has a Pap test which reveals atypical squamous cells of undetermined significance. What
will the next step be in managing this patient?
Repeat cytology in 12 months
5/13/2026
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
Carbamazepine
4
