FNP 654 Family Primary Care II Final Exam version 2
latest Exam Complete with solution (Approved GCU
Exam)
A patient has recurrent cluster headaches and asks about abortive therapy. Which
therapy is effective for a majority of patients with cluster headaches?
a. Lithium
b. NSAIDs
c. Oxygen
d. Verapamil
C. Oxygen
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?
a. Gabapentin
b. Propranolol
c. Rizatriptan
d. Topiramate
,c. Rizatriptan
Which medication is NOT useful in treating tension-type headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen
b. Lithium
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?
a. Lumbar puncture
b. Magnetic resonance imaging
c. Optical Coherence Tomography
d. Visual evoked potential
b. Magnetic resonance imaging
A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa
(Sinemet) with good results but develops increased dyskinesia. Which drug will be
added to this patient's regimen to help control this symptom?
,a. Amantadine
b. Benztropine
c. Ropinirole
d. Tolcapone
a. Amantadine
All of the following are common symptoms seen in patients with Parkinson's
disease except:
a. Bradykinesia
b. Festination
c. Hyperphonia
d. Rigidity
e. Symmetric tremor
c. Hyperphonia
Which drug is used to treat patients with focal epilepsy and complex partial
seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
, d. Topiramate
a. Carbamazepine
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
c. Examination of the optic fundi
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
pediatric 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.
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