FNP 652 FINAL EXAM NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+|BRAND NEW!!
A preschool age child who attend daycare has a 2 day history of matted eyelids in
the morning and burning and itching of the eyes. The primary care NP notes
yellow-green purulent discharge from both eyes, conjunctival erythema and mild
URI symptoms. Which action is correct? - CORRECT ANSWER ✔✔- Prescribe
topical antibiotic drops
An 18-month-old child with no previous history of otitis media awoke during the
night with right ear pain. The primary care NP notes an axillary temperature of
100.5 and an erythematous, bulging TM. A tympanogram reveals a peak of +15-
mm H2O. What is the recommended treatment for this child? - CORRECT
ANSWER ✔✔- An analgesic medication and watchful waiting
A patient complains of otalgia and difficulty hearing from one ear. The provider
performs an otoscopic exam and notes a dark brown mass in the lower portion of
the external canal blocking the patient's TM. What is the initial action? - CORRECT
ANSWER ✔✔- Ask the patient about previous problems with the ear
The primary care NP is treating an infant with lacrimal duct obstruction who has
developed bacterial conjunctivitis. After 2 weeks of treatment with topical
antibiotics along with massage and frequent cleaning of secretions, the infant's
symptoms have not improved. Which action is correct? - CORRECT ANSWER ✔✔-
Refer to an ophthalmologist
1|Page
,A patient has a chronic swelling of the parotid gland that is unresponsive to
antibiotics and which has not increased in size. Which diagnostic test is indicated?
- CORRECT ANSWER ✔✔- Fine needle aspiration
During a well-child exam on a 4-year-old child, the primary care NP notes that the
clinic nurse recorded 20/50 for the child's vision and noted that the child has
difficulty cooperating with the exam. What will the NP recommend? - CORRECT
ANSWER ✔✔- Test the child's vision in 1 month
Causes of cough, not related to pulmonary issues - CORRECT ANSWER ✔✔-
Allergies, GERD, medications (lisinopril)
The primary care NP is providing nutritional counseling for a 9-year-old female
whose weight is at the 95th percentile for her age. What is the goal for this
patient? - CORRECT ANSWER ✔✔- Maintenance of her current weight
The primary care NP is performing a well child examination on a 12-year-old child
who was diagnosed with type 1 DM at age 9. The child had a lipid screen at age 10
with an LDL cholesterol <100mg/dL. What will the NP recommend as part of
ongoing management for this child? - CORRECT ANSWER ✔✔- Comprehensive
ophthalmologic exams
The primary care NP is reviewing lab work and diabetes management with a
school-aged child whose HbA1C is 7.6% who reports usual blood sugars before
meals as being 80-90mg/dL. The NP will consult with the child's endocrinologist to
consider which therapy? - CORRECT ANSWER ✔✔- Continuous glucose monitoring
The primary care NP notes a musty odor when examining a newborn at a 2-week
checkup. What will the NP suspect? - CORRECT ANSWER ✔✔- Phenylketonuria
2|Page
,A patient who is obese has recurrent UTIs and reports feeling tired most of the
time. What initial diagnostic test will the provider order in the clinic at this visit? -
CORRECT ANSWER ✔✔- HbA1C
A patient who has diabetes has a blood pressure of 140/90 and albuminuria.
Which initial action by the primary care NP is indicated for management of this
patient? - CORRECT ANSWER ✔✔- Consulting with a nephrologist
The primary care NP is performing a well-child examination on a 2-year-old child
with a history of intrauterine growth retardation whose height remains less than
the 3rd percentile on a WHO growth chart. What will the NP do? - CORRECT
ANSWER ✔✔- Refer the child to a pediatric endocrinologist
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care NP notes vomiting, poor feeding, lethargy, and mild dehydration.
Which action is correct? - CORRECT ANSWER ✔✔- Refer the infant to the ED for
fluids, dextrose, and steroids
A patient with T2DM becomes insulin dependent after a year of therapy with oral
diabetes medication. When explaining this change in therapy, the provider will
tell the patient: - CORRECT ANSWER ✔✔- This is because of the natural
progression of the disease
A 16-year-old female whose BMI is at the 90th percentile reports irregular
periods. The primary care NP notes widespread acne on her face and back and an
abnormal distribution of facial hair. The NP will evaluate her further based on a
suspicion of which diagnosis? - CORRECT ANSWER ✔✔- PCOS
3|Page
, A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation. The
provider notes that the patient appears confused and irritable and is sweating
and shaking. What intervention will the provider expect to perform once the POC
blood glucose is known? - CORRECT ANSWER ✔✔- Giving a rapid acting
carbohydrate
A 15-year-old child has a recent history of increased thirst and frequent urination.
The child's weight has been in the 95th percentile for several years. A dipstick UA
is positive for glucose, and random plasma glucose is 350mg/dL. Which test will
the primary care NP order to determine the type of diabetes in this child? -
CORRECT ANSWER ✔✔- Pancreatic antibodies
A patient has thyroid nodules and the provider suspects thyroid cancer. To
evaluate thyroid nodules for potential malignancy, which test is performed? -
CORRECT ANSWER ✔✔- Thyroid ultrasound
A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic
by a parent. An exam reveals three avulsed front teeth. Radiologic studies are
negative for facial fractures. What is the recommended treatment? - CORRECT
ANSWER ✔✔- Refer the child to the dentist immediately for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for
acute otitis media is seen for follow-up. The primary care nurse practitioner notes
dull-gray tympanic membranes with a visible air-fluid level. The child is afebrile
and without pain. What is the next course of action? - CORRECT ANSWER ✔✔-
Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What
will the primary care nurse practitioner recommend to promote dental health in
this child? - CORRECT ANSWER ✔✔- Daily chlorhexidine gluconate
4|Page
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+|BRAND NEW!!
A preschool age child who attend daycare has a 2 day history of matted eyelids in
the morning and burning and itching of the eyes. The primary care NP notes
yellow-green purulent discharge from both eyes, conjunctival erythema and mild
URI symptoms. Which action is correct? - CORRECT ANSWER ✔✔- Prescribe
topical antibiotic drops
An 18-month-old child with no previous history of otitis media awoke during the
night with right ear pain. The primary care NP notes an axillary temperature of
100.5 and an erythematous, bulging TM. A tympanogram reveals a peak of +15-
mm H2O. What is the recommended treatment for this child? - CORRECT
ANSWER ✔✔- An analgesic medication and watchful waiting
A patient complains of otalgia and difficulty hearing from one ear. The provider
performs an otoscopic exam and notes a dark brown mass in the lower portion of
the external canal blocking the patient's TM. What is the initial action? - CORRECT
ANSWER ✔✔- Ask the patient about previous problems with the ear
The primary care NP is treating an infant with lacrimal duct obstruction who has
developed bacterial conjunctivitis. After 2 weeks of treatment with topical
antibiotics along with massage and frequent cleaning of secretions, the infant's
symptoms have not improved. Which action is correct? - CORRECT ANSWER ✔✔-
Refer to an ophthalmologist
1|Page
,A patient has a chronic swelling of the parotid gland that is unresponsive to
antibiotics and which has not increased in size. Which diagnostic test is indicated?
- CORRECT ANSWER ✔✔- Fine needle aspiration
During a well-child exam on a 4-year-old child, the primary care NP notes that the
clinic nurse recorded 20/50 for the child's vision and noted that the child has
difficulty cooperating with the exam. What will the NP recommend? - CORRECT
ANSWER ✔✔- Test the child's vision in 1 month
Causes of cough, not related to pulmonary issues - CORRECT ANSWER ✔✔-
Allergies, GERD, medications (lisinopril)
The primary care NP is providing nutritional counseling for a 9-year-old female
whose weight is at the 95th percentile for her age. What is the goal for this
patient? - CORRECT ANSWER ✔✔- Maintenance of her current weight
The primary care NP is performing a well child examination on a 12-year-old child
who was diagnosed with type 1 DM at age 9. The child had a lipid screen at age 10
with an LDL cholesterol <100mg/dL. What will the NP recommend as part of
ongoing management for this child? - CORRECT ANSWER ✔✔- Comprehensive
ophthalmologic exams
The primary care NP is reviewing lab work and diabetes management with a
school-aged child whose HbA1C is 7.6% who reports usual blood sugars before
meals as being 80-90mg/dL. The NP will consult with the child's endocrinologist to
consider which therapy? - CORRECT ANSWER ✔✔- Continuous glucose monitoring
The primary care NP notes a musty odor when examining a newborn at a 2-week
checkup. What will the NP suspect? - CORRECT ANSWER ✔✔- Phenylketonuria
2|Page
,A patient who is obese has recurrent UTIs and reports feeling tired most of the
time. What initial diagnostic test will the provider order in the clinic at this visit? -
CORRECT ANSWER ✔✔- HbA1C
A patient who has diabetes has a blood pressure of 140/90 and albuminuria.
Which initial action by the primary care NP is indicated for management of this
patient? - CORRECT ANSWER ✔✔- Consulting with a nephrologist
The primary care NP is performing a well-child examination on a 2-year-old child
with a history of intrauterine growth retardation whose height remains less than
the 3rd percentile on a WHO growth chart. What will the NP do? - CORRECT
ANSWER ✔✔- Refer the child to a pediatric endocrinologist
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care NP notes vomiting, poor feeding, lethargy, and mild dehydration.
Which action is correct? - CORRECT ANSWER ✔✔- Refer the infant to the ED for
fluids, dextrose, and steroids
A patient with T2DM becomes insulin dependent after a year of therapy with oral
diabetes medication. When explaining this change in therapy, the provider will
tell the patient: - CORRECT ANSWER ✔✔- This is because of the natural
progression of the disease
A 16-year-old female whose BMI is at the 90th percentile reports irregular
periods. The primary care NP notes widespread acne on her face and back and an
abnormal distribution of facial hair. The NP will evaluate her further based on a
suspicion of which diagnosis? - CORRECT ANSWER ✔✔- PCOS
3|Page
, A patient recently diagnosed with T1DM is in clinic for a follow-up evaluation. The
provider notes that the patient appears confused and irritable and is sweating
and shaking. What intervention will the provider expect to perform once the POC
blood glucose is known? - CORRECT ANSWER ✔✔- Giving a rapid acting
carbohydrate
A 15-year-old child has a recent history of increased thirst and frequent urination.
The child's weight has been in the 95th percentile for several years. A dipstick UA
is positive for glucose, and random plasma glucose is 350mg/dL. Which test will
the primary care NP order to determine the type of diabetes in this child? -
CORRECT ANSWER ✔✔- Pancreatic antibodies
A patient has thyroid nodules and the provider suspects thyroid cancer. To
evaluate thyroid nodules for potential malignancy, which test is performed? -
CORRECT ANSWER ✔✔- Thyroid ultrasound
A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic
by a parent. An exam reveals three avulsed front teeth. Radiologic studies are
negative for facial fractures. What is the recommended treatment? - CORRECT
ANSWER ✔✔- Refer the child to the dentist immediately for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for
acute otitis media is seen for follow-up. The primary care nurse practitioner notes
dull-gray tympanic membranes with a visible air-fluid level. The child is afebrile
and without pain. What is the next course of action? - CORRECT ANSWER ✔✔-
Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube. What
will the primary care nurse practitioner recommend to promote dental health in
this child? - CORRECT ANSWER ✔✔- Daily chlorhexidine gluconate
4|Page
