FNP 652 FINAL EXAM 2026 GRADED A+ SPRING-SUMMER TERM LATEST GRAND CANYON UNIVERSITY (GCU)

FNP 652 FINAL EXAM 2026 GRADED A+
SPRING-SUMMER TERM LATEST GRAND
CANYON UNIVERSITY (GCU)

FNP 652 Final Exam (GCU) Spring-Summer 2026

Question 1
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 80-90 mg/dL. The NP will consult with the
child's endocrinologist to consider which therapy?

• A. Metformin
• B. Continuous glucose monitoring
• C. Insulin pump therapy
• D. Dietary changes only

Correct ,,,,answer,,,,: B – *The HbA1C of 7.6% is above target despite
normal pre-meal blood glucose readings, suggesting possible undetected
hyperglycemia at other times (postprandial or nocturnal). Continuous
glucose monitoring (CGM) helps identify glycemic patterns not captured
by intermittent fingersticks and is recommended when there is a
discrepancy between SMBG and HbA1C .*




Question 2
The primary care NP notes a musty odor when examining a newborn at a
2-week checkup. What will the NP suspect?

, • A. Galactosemia
• B. Maple syrup urine disease
• C. Phenylketonuria (PKU)
• D. Cystic fibrosis

Correct ,,,,answer,,,,: C – A musty or "mousy" odor in a newborn is
characteristic of Phenylketonuria (PKU), an inborn error of metabolism
caused by deficiency of phenylalanine hydroxylase. This odor results
from accumulation of phenylalanine and its metabolites .




Question 3
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?

• A. Urinalysis with culture
• B. Complete blood count
• C. HbA1C
• D. Thyroid function tests

Correct ,,,,answer,,,,: C – Obesity, recurrent infections, and fatigue are
red flags for Type 2 diabetes mellitus. HbA1C is an appropriate initial
screening test to assess glycemic control and diagnose diabetes .




Question 4
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?

• A. Prescribe a thiazide diuretic
• B. Consult with a nephrologist
• C. Increase insulin dosage
• D. Start an ACE inhibitor

Correct ,,,,answer,,,,: B – The combination of hypertension and
albuminuria in a diabetic patient indicates diabetic kidney disease.
Consultation with a nephrologist is indicated for further evaluation and
management. While ACE inhibitors are first-line for diabetic
nephropathy, nephrology referral ensures optimal renal protective
therapy .




Question 5
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?

• A. Reassure the parents that growth will catch up
• B. Order a bone age X-ray
• C. Refer the child to a pediatric endocrinologist
• D. Prescribe growth hormone

Correct ,,,,answer,,,,: C – Persistent growth failure (height <3rd
percentile) at age 2 years in a child with history of IUGR warrants
referral to pediatric endocrinology for evaluation of growth hormone
deficiency or other endocrine disorders .

, Question 6
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?

• A. Prescribe oral hydrocortisone
• B. Increase the infant's fludrocortisone dose
• C. Refer the infant to the ED for fluids, dextrose, and steroids
• D. Recommend outpatient follow-up in 1 week

Correct ,,,,answer,,,,: C – Vomiting, poor feeding, lethargy, and
dehydration in an infant with CAH suggest an adrenal crisis. This is a
medical emergency requiring immediate ED referral for IV fluids,
dextrose, and parenteral steroids .




Question 7
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:

• A. "You did not follow your diet correctly"
• B. "This is because of the natural progression of the disease"
• C. "The oral medications stopped working because of antibodies"
• D. "You will need insulin for the rest of your life"

Correct ,,,,answer,,,,: B – *Type 2 diabetes is a progressive disease
characterized by declining beta-cell function over time. Many patients