FNP 654 FINAL EXAM 2025-2026 ACTUAL SUMMER-
FALL EXAM GCU GRADED A (ANSWERED) 300Q&A
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is
effective for a majority of patients with cluster headaches?
Oxygen
A patient who has been exposed to poison ivy presents with inflammation and a vesicular rash
on one arm. The provider recommends a topical steroid, but the next day the patient calls to
report similar lesions appearing on the face. What will the provider tell this patient?
The vesicles may continue to develop for up to 2 weeks.
A patient who has recurrent, frequent genital herpes outbreaks asks about therapy to minimize
the episodes. What will the provider recommend as first-line treatment?
Acyclovir
A patient who has never had an outbreak of oral lesions reports a burning sensation on the oral
mucosa and then develops multiple painful round vesicles at the site. A Tzanck culture confirms
HSV-1 infection. What will the provider tell the patient about this condition?
The initial episode is usually the most severe.
A patient who has had lesions for several days is diagnosed with primary herpes labialis and
asks about using a topical medication. What will the provider tell this patient?
,Topical medications can have an impact on pain and discomfort.
A patient is taking a sulfonamide antibiotic and develops a rash that begins peeling. Which type
of rash is suspected?
Stevens-Johnson
A child is brought to a clinic with a sudden onset of rash after taking an antibiotic for 2 days.
The provider notes all over wheals with pruritis, which the parent reports seem to come and go.
Which action is correct?
Admit the child to the hospital for treatment and observation
Which types of medications are associated with urticarial type rashes?
Select all that apply.
Erythromycin
NSAIDs
Penicillins
A patient who has chronically dry skin who has been using emollients and moisturizers reports
an uneven diamond pattern and redness on the lower legs and arms. What will the provider
recommend?
Referral to a dermatologist
,When counseling a patient who has dry skin about ways to minimize exacerbations, what will
the provider include?
Select all that apply.
Eat soups and stews frequently
Take tepid-water baths
Use fragrance-free detergents
Which medication will the provider prescribe as first-line therapy to treat tinea capitis?
Oral griseofulvin
When collecting a specimen to determine a diagnosis of tinea corporis, the provider will scrape
which portion of the lesion?
The active, leading border
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
, Which medications may be useful in treating tension-type headache?
Select all that apply.
Antiemetics
Muscle relaxants
NSAIDs
A provider suspects that a patient has bacterial meningitis. When should antibiotics be given?
Prior to obtaining a CT scan or lumbar puncture
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
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each
about 2 months apart. Which diagnostic testing will the provider order initially?
Magnetic resonance imaging
A patient diagnosed with multiple sclerosis and begins disease modulating therapy drugs. As
part of the counseling about this therapy, the provider will tell the patient that this regimen will
FALL EXAM GCU GRADED A (ANSWERED) 300Q&A
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is
effective for a majority of patients with cluster headaches?
Oxygen
A patient who has been exposed to poison ivy presents with inflammation and a vesicular rash
on one arm. The provider recommends a topical steroid, but the next day the patient calls to
report similar lesions appearing on the face. What will the provider tell this patient?
The vesicles may continue to develop for up to 2 weeks.
A patient who has recurrent, frequent genital herpes outbreaks asks about therapy to minimize
the episodes. What will the provider recommend as first-line treatment?
Acyclovir
A patient who has never had an outbreak of oral lesions reports a burning sensation on the oral
mucosa and then develops multiple painful round vesicles at the site. A Tzanck culture confirms
HSV-1 infection. What will the provider tell the patient about this condition?
The initial episode is usually the most severe.
A patient who has had lesions for several days is diagnosed with primary herpes labialis and
asks about using a topical medication. What will the provider tell this patient?
,Topical medications can have an impact on pain and discomfort.
A patient is taking a sulfonamide antibiotic and develops a rash that begins peeling. Which type
of rash is suspected?
Stevens-Johnson
A child is brought to a clinic with a sudden onset of rash after taking an antibiotic for 2 days.
The provider notes all over wheals with pruritis, which the parent reports seem to come and go.
Which action is correct?
Admit the child to the hospital for treatment and observation
Which types of medications are associated with urticarial type rashes?
Select all that apply.
Erythromycin
NSAIDs
Penicillins
A patient who has chronically dry skin who has been using emollients and moisturizers reports
an uneven diamond pattern and redness on the lower legs and arms. What will the provider
recommend?
Referral to a dermatologist
,When counseling a patient who has dry skin about ways to minimize exacerbations, what will
the provider include?
Select all that apply.
Eat soups and stews frequently
Take tepid-water baths
Use fragrance-free detergents
Which medication will the provider prescribe as first-line therapy to treat tinea capitis?
Oral griseofulvin
When collecting a specimen to determine a diagnosis of tinea corporis, the provider will scrape
which portion of the lesion?
The active, leading border
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
, Which medications may be useful in treating tension-type headache?
Select all that apply.
Antiemetics
Muscle relaxants
NSAIDs
A provider suspects that a patient has bacterial meningitis. When should antibiotics be given?
Prior to obtaining a CT scan or lumbar puncture
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
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each
about 2 months apart. Which diagnostic testing will the provider order initially?
Magnetic resonance imaging
A patient diagnosed with multiple sclerosis and begins disease modulating therapy drugs. As
part of the counseling about this therapy, the provider will tell the patient that this regimen will
