FNP 654 (Family Nurse Practitioner)
– GCU(Grand Canyon University)
[Family Primary Care II]
Review
Questions with 100% Correct
Certified Solutions
Newest 2025
, Final Exam FNP 654 (Family Nurse
Practitioner) – GCU Review Questions
with 100% Correct Certified Solutions
Newest 2025
A 2 day old infant presents to the clinic, with the mother, for a well
child check. The FNP touches the patient's skin and finds that there is
an increase jaundice coloration to the child. The patients mother was
O- and the child was born AB +. What condition is the FNP most
worried about with this patient? --- correct answers ---Neonatal
hyperbilirubinemia
The family nurse practitioner evaluates a 5 year old child who
presents with pallor and obtains lab revealing a hemoglobin of 8.5
g/dl and a hematocrit of 31%. How will the nurse practitioner manage
this patient. --- correct answers ---Prescribe elemental iron and
recheck labs in 1 month
The family nurse practitioner provides primary care for a 30 onth old
child with sickle cell anemia who has had one dose of 23-valent
pneumococcal vaccine. Which of the following actions is appropriate
,for health maintenance in this child? --- correct answers ---
Administer an initial meningococcal vaccine
A 61 year old female presents with headaches, epistaxis, and plethora
of the hands and face. On physical exam, the family nurse practitioner
notes splenomegaly. The patients laboratory studies reveal increased
red blood cells and increased platelet count. She is otherwise in good
health. What is the most likely diagnosis? --- correct answers ---
Polycythemia vera
The family nurse practitioner is taking care of a 75 year old Vietnam
veteran who had been xposed to Agent Orange and is now presenting
with new complaints of fatigue and night sweats. The patient's
previous visits and labs have been unremarkable. However, the family
nurse practitioner reviews the patients most recent lab work and
notices that the WBCs are increased. The faily nurse practitioner
suspects leukemia. Which type of leukemia is most likely in this
patient? --- correct answers ---Acute myeloid leukemia
A 50 year old male presents to the clinic with complaints of lower
back pain without any known injury. The family nurse practitioner
orders an x ray, which shows multiple lytic lesions present in his
lumbar spine. What condition does the family nurse practitioner think
the patient might have? --- correct answers ---Multiple myeloma
, The family nurse practitioner examines a 5 year old child who has had
recurrent fevers, bone pain, and a recent loss of weight. The physical
exam reveals scattered petechia, lymphadenopathy, and bruising. A
complete blood count shows thrombocytopenia, anemia, and an
elevated white cell blood count. The family nurse practitioner will
refer this child to a specialist for which of the following? --- correct
answers ---Bone marrow biopsy
A 23 year old woman has symptoms of fatigue and is not feeling well.
She appears well and the physical exam is normal, but her hemoglobin
is 9.8 with a mean corpuscular volume of 76. Her family history is
positive for thalassemia. She also mentions a history fo heavy menses.
Which of the following would be most helpful in distinguishing
thalassemia from oe of pure iron deficiency anemia? --- correct
answers ---Serum ferritin determination
A 67 year old man presents with faigue. His hemoglobin value is 9.2.
The blood film show hypochromic microcytic cells. His serum iron is
decreased, TIBC is increased, and ferritin is decreased. What is the
most likely diagnosis? --- correct answers ---Iron deficiency anemia
You are taking care of an 80 year old male with COPD and diabetes.
His most recent lab work indicates that he is anemic Based on his