FNP 654 FINAL EXAM 315 Questions and Answers (2024-2025)
100% complete pass (Grand Canyon University)
Question 1
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have symptoms that
include asymmetric weakness in the arms and difficulty walking. The neurologist recognizes these
symptoms as characteristic of involvement of which portion of the nervous system?
Lower motor neurons
Question 2
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?
Preventing malnutrition is a key element in care.
Question 3
Which symptoms may occur with Bell's palsy? Select all that apply.
Alteration in taste, Drooling, Tinnitus
Question 4
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?
Prescribe oral prednisolone
Question 5
What is recommended to prevent ophthalmic complications in patients with Bell's palsy?
Lubricating eye drops
FNP 654 FINAL EXAM
,Question 6
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?
The Hallpike-Dix positioning maneuver
Question 7
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?
Neurologist
Question 8
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome in a patient who is
developing muscle weakness and paresthesias?
FNP 654 FINAL EXAM
,Lumbar puncture
Question 9
Which monitoring parameters are necessary when caring for a patient with Guillain-Barre syndrome?
Select all that apply.
Bladder scans Cardiac telemetry Fever
Vital capacity measures
Question 10
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?
Miller Fisher syndrome (MFS)
Question 11
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is effective
for a majority of patients with cluster headaches?
Oxygen
Question 12
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?
Rizatriptan
Question 13
Which medications may be useful in treating tension-type headache? Select all that apply.
Antiemetics Muscle relaxants NSAIDs
Question 14
FNP 654 FINAL EXAM
, A provider suspects that a patient has bacterial meningitis. When should antibiotics be given?
Prior to obtaining a CT scan or lumbar puncture
Question 15
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?
A poor prognosis
FNP 654 FINAL EXAM
100% complete pass (Grand Canyon University)
Question 1
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have symptoms that
include asymmetric weakness in the arms and difficulty walking. The neurologist recognizes these
symptoms as characteristic of involvement of which portion of the nervous system?
Lower motor neurons
Question 2
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?
Preventing malnutrition is a key element in care.
Question 3
Which symptoms may occur with Bell's palsy? Select all that apply.
Alteration in taste, Drooling, Tinnitus
Question 4
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?
Prescribe oral prednisolone
Question 5
What is recommended to prevent ophthalmic complications in patients with Bell's palsy?
Lubricating eye drops
FNP 654 FINAL EXAM
,Question 6
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?
The Hallpike-Dix positioning maneuver
Question 7
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?
Neurologist
Question 8
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome in a patient who is
developing muscle weakness and paresthesias?
FNP 654 FINAL EXAM
,Lumbar puncture
Question 9
Which monitoring parameters are necessary when caring for a patient with Guillain-Barre syndrome?
Select all that apply.
Bladder scans Cardiac telemetry Fever
Vital capacity measures
Question 10
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?
Miller Fisher syndrome (MFS)
Question 11
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is effective
for a majority of patients with cluster headaches?
Oxygen
Question 12
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?
Rizatriptan
Question 13
Which medications may be useful in treating tension-type headache? Select all that apply.
Antiemetics Muscle relaxants NSAIDs
Question 14
FNP 654 FINAL EXAM
, A provider suspects that a patient has bacterial meningitis. When should antibiotics be given?
Prior to obtaining a CT scan or lumbar puncture
Question 15
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?
A poor prognosis
FNP 654 FINAL EXAM
