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 primary care provider may suspect cataract formation in a patient with which
finding?
A. Asymmetric red reflex
B. Corneal opacification
C. Excessive tearing
D. Injection of conjunctiva
Ans: A
As asymmetric red reflex may be a finding in a patient with cataracts. Corneal
opacification, excessive tearing, and corneal injection are not symptoms of
cataracts.
Which are risk factors for development of cataracts? (Select all that apply.)
A. Advancing age
B. Cholesterol
C. Conjunctivitis
D. Smoking
E. Ultraviolet light
Ans: A, D, E
pg. 1
,2|Page
Most older adults will develop cataracts. Smoking and UV light exposure hasten
the development of cataracts. Cholesterol and conjunctivitis are not risk factors.
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?
A. Perform an incision and drainage of the edematous tissue.
B. Prescribe amoxicillin and refer to a dentist in 2 to 3 days.
C. Recommend an oral antiseptic rinse and follow up in 1 week.
D. Refer to an oral surgeon for emergency surgery.
Ans: B- The primary care provider may prescribe antibiotics, especially if the
surrounding tissues are infected. Patients should follow up with a dentist in 2 to
3 days. The primary care provider generally does not perform an I&D; this
should be done by the dentist. Follow-up should be with a dentist in 2 to 3 days,
not 1 week.
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 tympanic membrane. What is the
initial action?
A. Ask the patient about previous problems with that ear.
B. Use a curette to dislodge the mass.
C. Irrigate the canal with normal saline.
D. Prescribe a ceruminolytic agent for that ear.
Ans: A
pg. 2
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Before attempting to remove impacted cerumen, the provider must determine
whether the tympanic membrane (TM) is intact and should ask about pressure
equalizing ear tubes, a history of ruptured TM, and previous ear surgeries. Once
the TM is determined to be intact, the other methods may be attempted,
although the curette should only be used if the mass is in the lateral third of the
ear canal.
A 5yearold 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 studiesare
negative for facial fractures. What is the recommended treatment?
A. Remove the teeth, place them in saline, and refer the child to a dentist
B. Prescribe tetracycline 4.4mg/kg twice daily for 7 to 10 days.
C. Refer the child to a dentist for reimplantation of the avulsed teeth.
D. Refer the child to a dentist immediately for further evaluation.
Ans: D
Refer the child to a dentist immediately
The primary care pediatric nurse practitioner 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 cleansing of
secretions, the infant's symptoms have not improved. Which action is correct?
A. Refer to an ophthalmologist.
B. Perform massage more frequently.
C. Recommend hot compresses.
D. Prescribe an oral antibiotic.
pg. 3
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A. Refer to an ophthalmologist.
A preschool age child is seen in the clinic after waking up with a temperature of
102.2F, swelling and erythema of the upper lid of one eye, and moderate pain
when looking from side to side. Which course of treatment is correct? A. Order
warm compresses 4 times daily for 5 days.
B. Prescribe 10-to-14-day course of oral antibiotics.
C. Admit to the hospital for intravenous antibiotics.
D. Obtain a lumbar puncture and blood culture.
C. Admit to the hospital for intravenous antibiotics.
A toddler exhibits exotropia of the right eye during a cover uncover screen. The
primary care pediatric nurse practitioner will refer to a pediatric
ophthalmologist to initiate which treatment?
A. Occluding the affected eye for 6 hours per day.
B. Pathing of the unaffected eye for 2 hours each day.
C. Corrective lenses.
D. Botulinum toxin injection
B. Pathing of the unaffected eye for 2 hours each day.
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 primary care provider may suspect cataract formation in a patient with which
finding?
A. Asymmetric red reflex
B. Corneal opacification
C. Excessive tearing
D. Injection of conjunctiva
Ans: A
As asymmetric red reflex may be a finding in a patient with cataracts. Corneal
opacification, excessive tearing, and corneal injection are not symptoms of
cataracts.
Which are risk factors for development of cataracts? (Select all that apply.)
A. Advancing age
B. Cholesterol
C. Conjunctivitis
D. Smoking
E. Ultraviolet light
Ans: A, D, E
pg. 1
,2|Page
Most older adults will develop cataracts. Smoking and UV light exposure hasten
the development of cataracts. Cholesterol and conjunctivitis are not risk factors.
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?
A. Perform an incision and drainage of the edematous tissue.
B. Prescribe amoxicillin and refer to a dentist in 2 to 3 days.
C. Recommend an oral antiseptic rinse and follow up in 1 week.
D. Refer to an oral surgeon for emergency surgery.
Ans: B- The primary care provider may prescribe antibiotics, especially if the
surrounding tissues are infected. Patients should follow up with a dentist in 2 to
3 days. The primary care provider generally does not perform an I&D; this
should be done by the dentist. Follow-up should be with a dentist in 2 to 3 days,
not 1 week.
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 tympanic membrane. What is the
initial action?
A. Ask the patient about previous problems with that ear.
B. Use a curette to dislodge the mass.
C. Irrigate the canal with normal saline.
D. Prescribe a ceruminolytic agent for that ear.
Ans: A
pg. 2
,3|Page
Before attempting to remove impacted cerumen, the provider must determine
whether the tympanic membrane (TM) is intact and should ask about pressure
equalizing ear tubes, a history of ruptured TM, and previous ear surgeries. Once
the TM is determined to be intact, the other methods may be attempted,
although the curette should only be used if the mass is in the lateral third of the
ear canal.
A 5yearold 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 studiesare
negative for facial fractures. What is the recommended treatment?
A. Remove the teeth, place them in saline, and refer the child to a dentist
B. Prescribe tetracycline 4.4mg/kg twice daily for 7 to 10 days.
C. Refer the child to a dentist for reimplantation of the avulsed teeth.
D. Refer the child to a dentist immediately for further evaluation.
Ans: D
Refer the child to a dentist immediately
The primary care pediatric nurse practitioner 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 cleansing of
secretions, the infant's symptoms have not improved. Which action is correct?
A. Refer to an ophthalmologist.
B. Perform massage more frequently.
C. Recommend hot compresses.
D. Prescribe an oral antibiotic.
pg. 3
, 4|Page
A. Refer to an ophthalmologist.
A preschool age child is seen in the clinic after waking up with a temperature of
102.2F, swelling and erythema of the upper lid of one eye, and moderate pain
when looking from side to side. Which course of treatment is correct? A. Order
warm compresses 4 times daily for 5 days.
B. Prescribe 10-to-14-day course of oral antibiotics.
C. Admit to the hospital for intravenous antibiotics.
D. Obtain a lumbar puncture and blood culture.
C. Admit to the hospital for intravenous antibiotics.
A toddler exhibits exotropia of the right eye during a cover uncover screen. The
primary care pediatric nurse practitioner will refer to a pediatric
ophthalmologist to initiate which treatment?
A. Occluding the affected eye for 6 hours per day.
B. Pathing of the unaffected eye for 2 hours each day.
C. Corrective lenses.
D. Botulinum toxin injection
B. Pathing of the unaffected eye for 2 hours each day.
pg. 4
