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FNP 652
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FNP 652
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FNP 652 FINAL EXAM QUESTION BANK WITH
STUDY GUIDE LATEST UPDATE THIS YEAR WITH
OVER 350 QUESTIONS AND CORRECT ANSWERS
JUST RELEASED
FNP 652 FINAL EXAM A
VERSION 1
A patient reports tooth pain in a lower molar and the provider notes a mobile tooth with
erythema and edema of the surrounding tissues without discharge. Which is the initial course
of action by the provider?
A. Perform an incision and drainage of the edematous tissue.
B. Prescribe amoxicillin and refer to a dentist in 2 to 3 days.
C. Recommend an oral antiseptic rinse and follow up in 1 week.
D. Refer to an oral surgeon for emergency surgery.
Ans: B- The primary care provider may prescribe antibiotics, especially if the surrounding tissues
are infected. Patients should follow up with a dentist in 2 to 3 days. The primary care provider
generally does not perform an I&D; this should be done by the dentist. Follow-up should be
with a dentist in 2 to 3 days, not 1 week.
A patient complains of otalgia and difficulty hearing from one ear. The provider performs an
otoscopic exam and notes a dark brown mass in the lower portion of the external canal
blocking the patient's tympanic membrane. What is the initial action?
A. Ask the patient about previous problems with that ear.
B. Use a curette to dislodge the mass.
C. Irrigate the canal with normal saline.
D. Prescribe a ceruminolytic agent for that ear.
1
,Page 2 of 158
Ans: A
Before attempting to remove impacted cerumen, the provider must determine whether the
tympanic membrane (TM) is intact and should ask about pressure equalizing ear tubes, a
history of ruptured TM, and previous ear surgeries. Once the TM is determined to be intact, the
other methods may be attempted, although the curette should only be used if the mass is in
the lateral third of the ear canal.
A 5yearold child is hit in the face with a baseball bat and is brought to the clinic by a parent.
An exam reveals three avulsed front teeth. Radiologic studiesare negative for facial fractures.
What is the recommended treatment?
A. Remove the teeth, place them in saline, and refer the child to a dentist
B. Prescribe tetracycline 4.4mg/kg twice daily for 7 to 10 days.
C. Refer the child to a dentist for reimplantation of the avulsed teeth.
D. Refer the child to a dentist immediately for further evaluation.
Ans: D
Refer the child to a dentist immediately
The primary care pediatric nurse practitioner is treating an infant with lacrimal duct
obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment with
topical antibiotics along with massage and frequent cleansing of secretions, the infant's
symptoms have not improved. Which action is correct?
A. Refer to an ophthalmologist.
B. Perform massage more frequently.
C. Recommend hot compresses.
D. Prescribe an oral antibiotic.
A. Refer to an ophthalmologist.
2
,Page 3 of 158
A preschool age child is seen in the clinic after waking up with a temperature of 102.2F,
swelling and erythema of the upper lid of one eye, and moderate pain when looking from
side to side. Which course of treatment is correct? A. Order warm compresses 4 times daily
for 5 days.
B. Prescribe 10-to-14-day course of oral antibiotics.
C. Admit to the hospital for intravenous antibiotics.
D. Obtain a lumbar puncture and blood culture.
C. Admit to the hospital for intravenous antibiotics.
A toddler exhibits exotropia of the right eye during a cover uncover screen. The primary care
pediatric nurse practitioner will refer to a pediatric ophthalmologist to initiate which
treatment?
A. Occluding the affected eye for 6 hours per day.
B. Pathing of the unaffected eye for 2 hours each day.
C. Corrective lenses.
D. Botulinum toxin injection
B. Pathing of the unaffected eye for 2 hours each day.
A primary care provider may suspect cataract formation in a patient with which finding?
A. Asymmetric red reflex
B. Corneal opacification
C. Excessive tearing
D. Injection of conjunctiva
Ans: A
As asymmetric red reflex may be a finding in a patient with cataracts. Corneal opacification,
excessive tearing, and corneal injection are not symptoms of cataracts.
3
, Page 4 of 158
Which are risk factors for development of cataracts? (Select all that apply.)
A. Advancing age
B. Cholesterol
C. Conjunctivitis
D. Smoking
E. Ultraviolet light
Ans: A, D, E
Most older adults will develop cataracts. Smoking and UV light exposure hasten the
development of cataracts. Cholesterol and conjunctivitis are not risk factors.
A child complains of itching in both ears and is having trouble hearing. The primary care
pediatric nurse practitioner notes periauricular edema and marked swelling of the external
auditory canal and elicits severe pain when manipulating the external ear structures. Which is
an appropriate intervention?
A. Obtain a culture of the external auditory canal.
B. Order otoptopical antibiotic/corticosteroid drops.
C. Prescribe oral amoxicillin clavulanate.
D. Refer the child to an otolaryngologist.
B. Order otoptopical antibiotic/corticosteroid drops.
A child with a history of otitis externa asks about ways to prevent this condition. What will
the primary care nurse practitioner recommend?
A. Cleaning ear canals well after swimming.
B. Drying the ear canal with a hair dryer.
C. Swimming only in chlorinated pools.
D. Using cerumenolytic agents.
B. Drying the ear canal with a hair dryer.
4
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