FNP 654 FINAL EXAM Questions Solved with 100% Correct Answers
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Course
FNP 654
Institution
FNP 654
A middle-school-age child is skipping school frequently and getting poor grades since
the child's father was killed while deployed in the military. How will the primary care
nurse practitioner manage this situation? - Answer Refer the child to a mental health
specialist for evaluation and treatm...
FNP 654 FINAL EXAM Questions Solved with
100% Correct Answers
A middle-school-age child is skipping school frequently and getting poor grades since
the child's father was killed while deployed in the military. How will the primary care
nurse practitioner manage this situation? - Answer Refer the child to a mental health
specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased serum calcium
0.5 mg/dL above normal without signs of nephrolithiasis. What is the recommended
treatment for this patient? - Answer Annual monitoring of calcium, creatinine, and bone
density
What is true about HPV infection in women? - Answer Most HPV lesions will resolve
spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the recommended treatment
once the diagnosis is made? - Answer Bisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she describes as sharp and
burning and localized to one area. A breast examination reveals no dimpling, discharge,
or masses. Which diagnostic test will the provider order? - Answer Bilateral
mammography
An adolescent female has amenorrhea. The provider notes short stature, neck webbing,
and a pigeon chest deformity. Based on these symptoms, what is the underlying
disorder causing this patient's amenorrhea? - Answer Turner's syndrome
A young female has a Pap test which reveals atypical squamous cells of undetermined
significance. What will the next step be in managing this patient? - Answer Repeat
cytology in 12 months
,Which drug is used to treat patients with focal epilepsy and complex partial seizures? -
Answer Carbamazepine
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? - Answer
Prescribe oral prednisolone
A primary care provider suspects Parkinson's disease (PD) in a 70-year-old patient.
Which tests may be performed to diagnose this disorder? - Answer Presence of 2
cardinal signs which improve with levodopa
A toddler has begun hitting and biting other children at a day care center and is
exhibiting temper tantrums and bad language at home. The parent reports that these
behaviors began shortly after a sibling was born. What will the primary care nurse
practitioner do? - Answer Engage the parent in positive parenting strategies to facilitate
appropriate child coping.
A 69-year-old patient with cancer is reluctant to take an opioid agonist medication
because of the side effects. What will the primary care provider recommend? - Answer
Taking a stool softener with the opioid
Which is a risk factor for pelvic inflammatory disease? - Answer Vaginal douching
A 67-year-old female patient reports vulvar pruritus and dyspareunia. The provider
notes white papules on the vulva with thinning of the epithelium. What condition does
the provider suspect? - Answer Lichen sclerosis
, A woman who has just weaned her infant from breastfeeding develops signs of mastitis
and is treated with antibiotics. At a follow up visit, the provider notes marked breast
edema and erythema of the affected breast. What will the provider do next? - Answer
Refer the patient for an immediate biopsy
An 18-year-old sexually active young female reports vaginal discharge and moderate
vulvovaginal irritation. The examination reveals a white, non-inflammatory discharge
adhering to the vaginal walls, clue cells on microscopic examination and a positive KOH
whiff test. What will the provider do next? - Answer Prescribe metronidazole 500 mg for
7 days
A female patient is identified as having the BRCA mutation and she asks which
intervention will reduce her risk of breast cancer the most? What will the provider tell
her? - Answer Prophylactic mastectomy and oophorectomy
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: - Answer reduce the exacerbation rate
Which is true about hypoactive sexual desire in older men? - Answer Men with
hypoactive sexual desire may have normal excitement and orgasm.
A patient with breast cancer has been symptom-free for 6 months and reports a new
onset of lower back pain rated as an 8 on a 1 to 10 pain rating scale to the primary
provider. What is most important when evaluating this patient's pain? - Answer
Obtaining an MRI of the spinal cord
A 16-year-old patient with primary dysmenorrhea has taken NSAIDs and COX-2
inhibitors without getting relief from symptoms. What will the provider suggest? -
Answer A combined oral contraceptive
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