FNP654 FAMILY PRIMARY CARE II FINAL
PREPARATION SHEET 2026 QUESTIONS
AND VERIFIED SOLUTIONS GUARANTEED
TO PASS
◉ 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? Answer:
Preventing malnutrition is a key element in care.
◉ Which symptoms may occur with Bell's palsy?
Select all that apply. Answer: 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? Answer:
Prescribe oral prednisolone
◉ What is recommended to prevent ophthalmic complications in
patients with Bell's palsy? Answer: Lubricating eye drops
◉ 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? Answer: 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? Answer: Neurologist
◉ Which diagnostic test helps confirm a diagnosis of Guillain-Barre
syndrome in a patient who is developing muscle weakness and
paresthesias? Answer: Lumbar puncture
◉ Which monitoring parameters are necessary when caring for a patient
with Guillain-Barre syndrome?
Select all that apply. Answer: 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? Answer: Miller Fisher syndrome (MFS)
◉ A patient has recurrent cluster headaches and asks about abortive
therapy. Which therapy is effective for a majority of patients with cluster
headaches? Answer: 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? Answer: Rizatriptan
◉ Which medications may be useful in treating tension-type headache?
Select all that apply. Answer: Antiemetics
Muscle relaxants
NSAIDs
◉ A provider suspects that a patient has bacterial meningitis. When
should antibiotics be given? Answer: 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? Answer: A poor
prognosis
◉ 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? Answer: 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 Answer: 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? Answer: 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? Answer: Occipital
◉ Which drug is used to treat patients with focal epilepsy and complex
partial seizures? Answer: 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? Answer: Magnetic resonance imaging
◉ A patient with trigeminal neuralgia has tried several medication
regimens to control pain without success. What is the next step in
management for this condition? Answer: Referral to a neurosurgeon
PREPARATION SHEET 2026 QUESTIONS
AND VERIFIED SOLUTIONS GUARANTEED
TO PASS
◉ 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? Answer:
Preventing malnutrition is a key element in care.
◉ Which symptoms may occur with Bell's palsy?
Select all that apply. Answer: 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? Answer:
Prescribe oral prednisolone
◉ What is recommended to prevent ophthalmic complications in
patients with Bell's palsy? Answer: Lubricating eye drops
◉ 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? Answer: 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? Answer: Neurologist
◉ Which diagnostic test helps confirm a diagnosis of Guillain-Barre
syndrome in a patient who is developing muscle weakness and
paresthesias? Answer: Lumbar puncture
◉ Which monitoring parameters are necessary when caring for a patient
with Guillain-Barre syndrome?
Select all that apply. Answer: 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? Answer: Miller Fisher syndrome (MFS)
◉ A patient has recurrent cluster headaches and asks about abortive
therapy. Which therapy is effective for a majority of patients with cluster
headaches? Answer: 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? Answer: Rizatriptan
◉ Which medications may be useful in treating tension-type headache?
Select all that apply. Answer: Antiemetics
Muscle relaxants
NSAIDs
◉ A provider suspects that a patient has bacterial meningitis. When
should antibiotics be given? Answer: 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? Answer: A poor
prognosis
◉ 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? Answer: 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 Answer: 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? Answer: 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? Answer: Occipital
◉ Which drug is used to treat patients with focal epilepsy and complex
partial seizures? Answer: 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? Answer: Magnetic resonance imaging
◉ A patient with trigeminal neuralgia has tried several medication
regimens to control pain without success. What is the next step in
management for this condition? Answer: Referral to a neurosurgeon
