FNP FINAL EXAM QUESTIONS WITH CORRECT
VERIFIED ANSWERS LATEST UPDATE
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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?
a. Assessment of peripheral reflexes
b. Evaluation of speech
c. Examination of the optic fundi
d. Testing for memory loss - ANS ✓c. Examination of the optic fundi
A toddler has begun hitting and biting other children at a day care centre
and is exhibiting temper tantrums and bad language at home. The parent
reports that these behaviours began shortly after a sibling was born. What
will the primary care paediatric nurse practitioner do?
A. Advise the parent that the child is exhibiting early symptoms of ADHD.
B. Engage the parent in positive parenting strategies to facilitate
appropriate child coping.
C. Recommend evaluating the child for conduct or oppositional defiant
disorder.
D. Suggest putting the child in another day care centre to ameliorate the
problems - ANS ✓B. Engage the parent in positive parenting strategies to
facilitate appropriate child coping.
A 14yearold female comes to the clinic with amenorrhea for 3 months. A
pregnancy test is negative. The adolescent's body weight is at 82% of
expected for height and age. The mother reports that her daughter often
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throws up and refuses to eat most foods. Which condition does the primary
care paediatric nurse practitioner suspect?
A. Anorexia nervosa
B. Bulimia nervosa
C. Depression
D. Substance abuse - ANS ✓A. Anorexia nervosa
During a well child examination on a 4monthold infant, the primary care
paediatric nurse practitioner evaluates mental health issues. Which
statement by the parent indicates a potential problem with the parent
infant relationship?
a. "I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises." - ANS ✓b. "I let my baby cry
a while to learn to be patient."
The primary care paediatric nurse practitioner attempts to learn more
about the emotional health of an 18monthold child through which
assessment strategy?
a. Asking the child to tell a story using dolls and other props
b. Asking the child to draw a picture of him or herself and other family
members
c. Interviewing the child separately from caretakers and parents
d. Observation of the child with caretakers in structured and unstructured
situations - ANS ✓d. Observation of the child with caretakers in structured and
unstructured situations
The parent of a 4 year old child reports that the child seems to be having
trouble adjusting to a new day care and reportedly is always engaging in
solitary play when the parent arrives to pick up the child. What will the
primary care pediatric nurse practitioner do?
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a. Ask the parent if the child is slow to warm up to other new situations.
b. Reassure the parent that parallel play is common among preschool age
children.
c. Recommend that the parent spend time encouraging the child to play
with others.
d. Suggest that the day care center may be neglecting the child. - ANS ✓a.
Ask the parent if the child is slow to warm up to other new situations.
The parent of a school age child reports that the child becomes frustrated
when unable to perform tasks well and often has temper tantrums and
difficulty sleeping. Which disorder may be considered in this child?
a. Generalized anxiety disorder (GAD)
b. obsessive-compulsive disorder (OCD)
c. Pediatric autoimmune neuropsychiatric disorder associated with
streptococcal infection (PANDAS)
d. Separation anxiety disorder (SAD) - ANS ✓a. Generalized anxiety disorder
(GAD)
A newly divorced mother of a toddler reports that the child began having
difficulty sleeping and nightmares along with exhibiting angry outbursts
and tantrums 2 months prior. The primary care pediatric nurse
practitioner learns that the child refuses to play with usual playmates and
often spends time sitting quietly. What will the nurse practitioner do
initially?
a. Ask the mother about the child's relationship with the father.
b. Consult with a child psychiatrist to prescribe medications.
c. Recommend cognitive behavioral or psychodynamic therapy.
d. Refer the family to a child behavioral specialist for counseling. - ANS ✓a.
Ask the mother about the child's relationship with the father.
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An adolescent is diagnosed with major depression, and the mental health
specialist has prescribed fluoxetine. What other treatment is important to
protect against suicide risk?
a. Addition of risperidone therapy
b. Cognitive behavioral therapy
c. Family therapy
d. Hospitalization - ANS ✓b. Cognitive behavioral therapy
A 13 year old child has exhibited symptoms of mild depression for several
weeks. The parent reports feeling relieved that the symptoms have passed
but concerned that the child now seems to have boundless energy and an
inability to sit still. What will the primary care pediatric nurse practitioner
do?
A. Administer an ADHD diagnostic scale and consider an ADHD medication.
B. Consult with a child psychiatrist to prescribe an antidepressant
medication.
C. Reassure the parent that this behavior is common after mild depressive
symptoms
D. Refer the child to a child psychiatrist for evaluation of bipolar disorder. -
ANS ✓D. Refer the child to a child psychiatrist for evaluation of bipolar disorder.
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?
a. Perform confirmatory diagnostic tests
b. Prescribe oral prednisolone
c. Recommend wearing an eye patch
d. Refer the patient to a neurologist - ANS ✓b. Prescribe oral prednisolone
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