1|Page
FNP 652 FINAL EXAM VERSION 3 LATEST ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+
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? ......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? ......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? ......ANSWER......Daily
chlorhexidine gluconate
A primary care provider may suspect cataract formation in a patient
with which finding? ......ANSWER......Asymmetric red reflex
pg. 1
,2|Page
A patient has chronically dry eyes, sometimes with a foreign body
sensation, burning, and itching. A Schirmer test is abnormal. What is
the suspected cause of this patient's symptoms?
......ANSWER......Aqueous Deficiency
A teen who has otitis externa has severe swelling of the external
auditory canal that persists after 2 days of therapy with ototopical
antibiotic/corticosteroid drops. What is the next step in treatment for
this child? ......ANSWER......Insert a wick into the external auditory
canal
A patient reports tooth pain in a lower molar and the provider notes a
mobile tooth with erythema and edema of the surrounding tissues
without discharge. Which is the initial course of action by the
provider? ......ANSWER......Prescribe amoxicillin and refer to a dentist
in 2-3 days
An elderly patient has a permanent loss of the sense of smell and
diminished taste. What will be included in teaching this patient about
managing these symptoms? ......ANSWER......1. The importance of
installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover
screen. The primary nurse practitioner will refer to a pediatric
pg. 2
,3|Page
ophthalmologist to initiate which treatment?
......ANSWER......Patching of the unaffected eye for 2 hours each day
An adolescent has localized bleeding of the gums when brushing the
teeth. An exam of the mouth reveals the presence of plaque and
calculus on the teeth which are not loose. What will the primary care
nurse practitioner recommend? ......ANSWER......Consistently brushing
and flossing the teeth twice daily
A provider is recommending a cerumenolytic for a patient who has
chronic cerumen buildup. The provider notes that the patient has dry
skin in the ear canal. Which preparation is FDA approved for this use?
......ANSWER......Carbamide peroxide
A parent asks about ways to promote dental health in school-aged
children while on family vacation that are convenient while camping
and picnicking. What will the primary care nurse practitioner
recommend? ......ANSWER......Offering gum containing xylitol after
meals
A patient reports several episodes of acute vertigo, some lasting up to
an hour with associated nausea and vomiting. What is part of the
initial diagnostic workup for this patient? ......ANSWER......Audiogram
and MRI
pg. 3
, 4|Page
A teen with a history of otitis externa asks about ways to prevent this
condition. What will the primary care nurse practitioner recommend?
......ANSWER......Drying the ear canal with a hair dryer
A 7-month-old infant has had two prior acute ear infections and is
currently on the 10th day of therapy with amoxicillin-clavulanate after
a failed course of amoxicillin. The primary care nurse practitioner
notes marker middle ear effusion and erythema of the TM. The child is
irritable and has a temperature of 99.8. What is the next step in
management of this child's infection? ......ANSWER......Refer the child
to an otolayngologist
A patient reports painful swelling in the mouth with increased pain at
mealtimes. The provider notes a mass in the salivary gland region.
What is the likely cause of these symptoms?
......ANSWER......Sialolithiasis
A child complains of itching in both ears and is having trouble hearing.
The primary care nurse practitioner notes periauricular edema and
marked swelling of the external auditory canal and elicits severe pain
when manipulating the external ear structures. Which is an
appropriate intervention? ......ANSWER......Order ototopical
antibiotic/corticosteroid drops
During a well child assessment of an African American infant, the
primary care nurse practitioner notes a dark red-brown light reflex in
the left eye and a slightly brighter, red-orange light reflex in the right
pg. 4
FNP 652 FINAL EXAM VERSION 3 LATEST ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+
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? ......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? ......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? ......ANSWER......Daily
chlorhexidine gluconate
A primary care provider may suspect cataract formation in a patient
with which finding? ......ANSWER......Asymmetric red reflex
pg. 1
,2|Page
A patient has chronically dry eyes, sometimes with a foreign body
sensation, burning, and itching. A Schirmer test is abnormal. What is
the suspected cause of this patient's symptoms?
......ANSWER......Aqueous Deficiency
A teen who has otitis externa has severe swelling of the external
auditory canal that persists after 2 days of therapy with ototopical
antibiotic/corticosteroid drops. What is the next step in treatment for
this child? ......ANSWER......Insert a wick into the external auditory
canal
A patient reports tooth pain in a lower molar and the provider notes a
mobile tooth with erythema and edema of the surrounding tissues
without discharge. Which is the initial course of action by the
provider? ......ANSWER......Prescribe amoxicillin and refer to a dentist
in 2-3 days
An elderly patient has a permanent loss of the sense of smell and
diminished taste. What will be included in teaching this patient about
managing these symptoms? ......ANSWER......1. The importance of
installing smoke detectors
2. Putting dates on food in the fridge
3. Eating regular meals at scheduled times
A toddler exhibits exotropia of the right eye during a cover-uncover
screen. The primary nurse practitioner will refer to a pediatric
pg. 2
,3|Page
ophthalmologist to initiate which treatment?
......ANSWER......Patching of the unaffected eye for 2 hours each day
An adolescent has localized bleeding of the gums when brushing the
teeth. An exam of the mouth reveals the presence of plaque and
calculus on the teeth which are not loose. What will the primary care
nurse practitioner recommend? ......ANSWER......Consistently brushing
and flossing the teeth twice daily
A provider is recommending a cerumenolytic for a patient who has
chronic cerumen buildup. The provider notes that the patient has dry
skin in the ear canal. Which preparation is FDA approved for this use?
......ANSWER......Carbamide peroxide
A parent asks about ways to promote dental health in school-aged
children while on family vacation that are convenient while camping
and picnicking. What will the primary care nurse practitioner
recommend? ......ANSWER......Offering gum containing xylitol after
meals
A patient reports several episodes of acute vertigo, some lasting up to
an hour with associated nausea and vomiting. What is part of the
initial diagnostic workup for this patient? ......ANSWER......Audiogram
and MRI
pg. 3
, 4|Page
A teen with a history of otitis externa asks about ways to prevent this
condition. What will the primary care nurse practitioner recommend?
......ANSWER......Drying the ear canal with a hair dryer
A 7-month-old infant has had two prior acute ear infections and is
currently on the 10th day of therapy with amoxicillin-clavulanate after
a failed course of amoxicillin. The primary care nurse practitioner
notes marker middle ear effusion and erythema of the TM. The child is
irritable and has a temperature of 99.8. What is the next step in
management of this child's infection? ......ANSWER......Refer the child
to an otolayngologist
A patient reports painful swelling in the mouth with increased pain at
mealtimes. The provider notes a mass in the salivary gland region.
What is the likely cause of these symptoms?
......ANSWER......Sialolithiasis
A child complains of itching in both ears and is having trouble hearing.
The primary care nurse practitioner notes periauricular edema and
marked swelling of the external auditory canal and elicits severe pain
when manipulating the external ear structures. Which is an
appropriate intervention? ......ANSWER......Order ototopical
antibiotic/corticosteroid drops
During a well child assessment of an African American infant, the
primary care nurse practitioner notes a dark red-brown light reflex in
the left eye and a slightly brighter, red-orange light reflex in the right
pg. 4
