FNP 654 FINAL EXAM Questions Solved with 100% Correct Answers
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Course
FNP 654
Institution
FNP 654
Which drug is used to treat patients with focal epilepsy and complex partial seizures? -
Answer Carbamazepine
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 pre...
FNP 654 FINAL EXAM Questions Solved with
100% Correct Answers
Which drug is used to treat patients with focal epilepsy and complex partial seizures? -
Answer Carbamazepine
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? - Answer 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? - Answer
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? - Answer 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? - Answer Examination of the optic fundi
Which is the preferred treatment for primary brain tumors? - Answer 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? - Answer Refer to a
mental health provider
,Which medication are useful in treating both obsessive-compulsive disorder and PTSD?
Select all that apply. - Answer 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? - Answer
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? - Answer 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? -
Answer Begin treatment with lithium or lamotrigine
A patient is seen frequently over a 9-month period with somatic complaints that are not
related to physical disease. The primary provider notes that the patient has had a 15%
weight loss in the previous 2 months and the patient reports difficulty sleeping. The
spouse tells the provider that the patient seems tired all the time and is irritable with
other family members. What will the provider do initially? - Answer Perform a suicide
risk assessment
A patient is brought to the emergency department who is experiencing disorientation,
confusion, and fever. The patient describes visual and auditory hallucinations. The
patient's spouse states that the patient had several drinks 12 hours prior to passing out.
,A blood alcohol level is 0.2%. What is the recommended treatment? - Answer
Benzodiazepines
A college student is brought to the emergency department by a roommate who is
concerned about symptoms of extreme restlessness, nausea, and vomiting. The
provider notes elevations of the pulse and blood pressure and pupillary dilation, along
with hyperactive bowel sounds. The provider suspects withdrawal from which
substance? - Answer Opioids
A 17-year-old male is brought to the clinic by a parent who is concerned that the patient
has become more isolated and withdrawn and expresses suspicions that his teachers
hate him and want him to fail. What will the provider tell this parent? - Answer The
adolescent should be evaluated by a psychiatrist.
A young male patient is reported to be more withdrawn from his peers than usual and
has dropped out of college and quit his job within the last 5 months. The parent is
concerned that the patient may have schizophrenia because a maternal uncle has the
disease. What will the provider do next? - Answer Ask about the patient's speech and
thinking patterns
Which are considered "negative" symptoms of schizophrenia?
Select all that apply. - Answer Impaired self care
Poor school performance
Withdrawing from peers
When prescribing medications to an 80-year-old patient, the provider will - Answer
consult the Beers list to help identify potentially problematic drugs.
An 80-year-old woman who lives alone is noted to have a recent weight loss of 5
pounds. She appears somewhat confused, according to her daughter, who is concerned
, that she is developing dementia. The provider learns that the woman still drives,
volunteers at the local hospital, and attends a book club with several friends once a
month. What is the initial step in evaluating this patient? - Answer Obtain a CBC, serum
electrolytes, BUN, and glucose
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have
symptoms that include asymmetric weakness in the arms and difficulty walking. The
neurologist recognizes these symptoms as characteristic of involvement of which
portion of the nervous system? - Answer Lower motor neurons
The spouse of a patient newly-diagnosed with amyotrophic lateral sclerosis (ALS) asks
about long-term care. What will the provider include when teaching the family about
this disease? - Answer Preventing malnutrition is a key element in care.
Which symptoms may occur with Bell's palsy?
Select all that apply. - Answer Alteration in taste, Drooling, Tinnitus
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
What is recommended to prevent ophthalmic complications in patients with Bell's
palsy? - Answer Lubricating eye drops
A patient reports a recurrent sensation of spinning associated with nausea and
vomiting. Which test will the provider order to confirm a diagnosis for this patient? -
Answer The Hallpike-Dix positioning maneuver
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