FNP 654 FINAL EXAM Preparation
FNP 654 FINAL EXAM PREPARATION FOR 2025/2026
COMPLETE 400 QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+||BRAND NEW!!
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
1|Page
, FNP 654 FINAL EXAM Preparation
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
reduce the exacerbation rate.
A patient who has a seizure disorder and who takes levetiracetam is brought to an
emergency department with a seizure which has persisted for15 minutes and
which immediately followed another 15 minute seizure. What is the priority
action for this patient?
Administer lorazepam and monitor cardiorespiratory status
A patient with a seizure disorder has seizures which begin with eye twitching and
occasionally visual hallucinations. Which site in the brain is the seizure focus?
Occipital
Which drug is used to treat patients with focal epilepsy and complex partial
seizures?
Carbamazepine
2|Page
, FNP 654 FINAL EXAM Preparation
A patient reports paroxysms of burning, shock-like pain on both sides of the face
usually triggered by chewing or talking. The provider suspects trigeminal
neuralgia. Based on these presenting symptoms, what testing is indicated?
Magnetic resonance imaging
A patient with trigeminal neuralgia has tried several medication regimens to
control pain without success. What is the next step in management for this
condition?
Referral to a neurosurgeon
A patient is diagnosed with trigeminal neuralgia and reports having paroxysms
several times each day. What is the initial treatment for this patient?
A high dose of carbamazepine with subsequent titration downward
A patient develops a gait disorder and the patient's spouse reports noticing recent
personality changes. The provider suspects a brain lesion. Which evaluation is
especially important in the initial physical examination?
Examination of the optic fundi
Which is the preferred treatment for primary brain tumors?
Surgical resection
A patient is diagnosed with panic disorder and begins taking a selective serotonin
reuptake inhibitor medication. Six weeks later, the patient reports little relief from
symptoms. What will the provider do next to manage this patient?
Refer to a mental health provider
3|Page
, FNP 654 FINAL EXAM Preparation
Which medication are useful in treating both obsessive-compulsive disorder and
PTSD?
Select all that apply.
Selective serotonin reuptake inhibitors
Serotonin-norepinephrine reuptake inhibitors
Tricyclic antidepressants
A patient reports symptoms of restlessness, fatigue, and difficulty concentrating.
The provider determines that these symptoms occur in relation to many events
and concerns. What other things will the provider question this patient about?
Headaches and bowel habits
A patient is seen in clinic 2 weeks after the death of a parent. The patient reports
feelings of sadness and hopelessness and a feeling that the parent is still present,
even to the point of hearing the parent's voice at times. What will the provider
determine from these findings?
These are normal grief responses.
A college student is brought to clinic by a parent who is concerned about
increasingly bizarre behavior and poor school performance. The provider notes
difficulty engaging the patient in an organized conversation. The patient denies
any concerns about behavior. What will the provider do initially to manage this
patient's symptoms?
Begin treatment with lithium or lamotrigine
4|Page
FNP 654 FINAL EXAM PREPARATION FOR 2025/2026
COMPLETE 400 QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+||BRAND NEW!!
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
1|Page
, FNP 654 FINAL EXAM Preparation
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
reduce the exacerbation rate.
A patient who has a seizure disorder and who takes levetiracetam is brought to an
emergency department with a seizure which has persisted for15 minutes and
which immediately followed another 15 minute seizure. What is the priority
action for this patient?
Administer lorazepam and monitor cardiorespiratory status
A patient with a seizure disorder has seizures which begin with eye twitching and
occasionally visual hallucinations. Which site in the brain is the seizure focus?
Occipital
Which drug is used to treat patients with focal epilepsy and complex partial
seizures?
Carbamazepine
2|Page
, FNP 654 FINAL EXAM Preparation
A patient reports paroxysms of burning, shock-like pain on both sides of the face
usually triggered by chewing or talking. The provider suspects trigeminal
neuralgia. Based on these presenting symptoms, what testing is indicated?
Magnetic resonance imaging
A patient with trigeminal neuralgia has tried several medication regimens to
control pain without success. What is the next step in management for this
condition?
Referral to a neurosurgeon
A patient is diagnosed with trigeminal neuralgia and reports having paroxysms
several times each day. What is the initial treatment for this patient?
A high dose of carbamazepine with subsequent titration downward
A patient develops a gait disorder and the patient's spouse reports noticing recent
personality changes. The provider suspects a brain lesion. Which evaluation is
especially important in the initial physical examination?
Examination of the optic fundi
Which is the preferred treatment for primary brain tumors?
Surgical resection
A patient is diagnosed with panic disorder and begins taking a selective serotonin
reuptake inhibitor medication. Six weeks later, the patient reports little relief from
symptoms. What will the provider do next to manage this patient?
Refer to a mental health provider
3|Page
, FNP 654 FINAL EXAM Preparation
Which medication are useful in treating both obsessive-compulsive disorder and
PTSD?
Select all that apply.
Selective serotonin reuptake inhibitors
Serotonin-norepinephrine reuptake inhibitors
Tricyclic antidepressants
A patient reports symptoms of restlessness, fatigue, and difficulty concentrating.
The provider determines that these symptoms occur in relation to many events
and concerns. What other things will the provider question this patient about?
Headaches and bowel habits
A patient is seen in clinic 2 weeks after the death of a parent. The patient reports
feelings of sadness and hopelessness and a feeling that the parent is still present,
even to the point of hearing the parent's voice at times. What will the provider
determine from these findings?
These are normal grief responses.
A college student is brought to clinic by a parent who is concerned about
increasingly bizarre behavior and poor school performance. The provider notes
difficulty engaging the patient in an organized conversation. The patient denies
any concerns about behavior. What will the provider do initially to manage this
patient's symptoms?
Begin treatment with lithium or lamotrigine
4|Page
