FNP 654 Final Exam 654 Latest Update 2023- 2024 150 Questions and Verified Correct Answers Guaranteed Success A 2 day old infant presents to the clinic, with the mother, for a well child check. The FNP touches the patient's skin and finds that there is an increase jaundice coloration to the child. The patients mother was O- and the child was born AB +. What condition is the
FNP most worried about with this patient? - CORRECT ANSWER: Neonatal
hyperbilirubinemia
A 4 year old caucasion male presents to the clinic with his mother. The patients mother states that the child has had a continuous fever 101.5 F that is worse at night for the last 2.5 weeks. The patients mother denies any cough or other symptoms of illness. The mother states that he does not have the energy to play the games that he normally plays. What condition should the family nurse practioner worry about with this patient? -
CORRECT ANSWER: Acute lymphoblastic leukemia
A 4-month-old infant has a history of reddened, dry, itchy skin. The family nurse practitioner notes fine papules on the extensor aspect of the infant's arms, anterior thighs, and lateral aspects of the cheeks. What is the initial treatment? - CORRECT
ANSWER: Moisturizers
A 5 year old African American female presents to the clinic with her mother. The mother states that she is concerned that the child is "developing too soon". After beginning the physical assessment, the FNP discovers that the patient is at Tanner Stage II. Which of the following is not a differential diagnosis for the FNP to consider? -
CORRECT ANSWER: Acute lymphoblastic leukemia
A 6 year old female has had a recent growth spurt, and an exam reveals breast and pubic hair development. Her bone age is determined to be 8 years. What will the FNP
do next? - CORRECT ANSWER: Refer the child to a pediatric endocrinologist for
management
A 6 year old female has had a recent growth spurt, and an exam reveals breast and pubic hair development. Her bone age is determined to be 8 years. What will the FNP
do next? - CORRECT ANSWER: Refer the child to a pediatric endocrinologist for
management
A 6-year-old female patient presents with fear of riding in a car following involvement in a motor vehicle accident 8 weeks ago. Which of the following symptoms would not be
seen in post-traumatic stress disorder - CORRECT ANSWER: Hypersomnolence
A 13-year-old adolescent is seen with attention and concentration difficulties accompanied by a drop in school grades. During the history, you find he has multiple electronic devices in his bedroom, including computer, gaming system, and TV. You 1 / 2
determine education is needed regarding bedtime behavior. This teaching is known as -
CORRECT ANSWER: Sleep Hygiene
A 15 year old female presents to the clinic with cerebral palsy. Due to her inability to ambulate, the family nurse practitioner should evaluate the child for possible deficiencies in which of the following nutrients? - CORRECT ANSWER: Ca and vitamin D
A 15 year old male presents to the clinic with complaints of enlarged breasts. The patient is very self conscious about this and "would like it go away". The patient is not overweight. Which of the following questions would the family nurse practitioner not want to include in the history of the patient? - CORRECT ANSWER: Do you drink coffee
A 16 year old child who has had a single nonfebrile seizure has a normal neurologic exam. Which one of the following diagnostic tests is indicated - CORRECT ANSWER: EEG
A 16-year-old adolescent presents with a persistent lack of energy, anhedonia, depressed mood, and decreased appetite for the past four months. Which of the following components is most important in the assessment of the cause of the patient's
symptoms. - CORRECT ANSWER: Verify if the patient has an suicidal ideation
A 20 year old female presents to the clinic with complaints of fatigue and facial hair growth. Upon examination, the FNP notices that the patient has a moon face appearance with truncal obesity. The patient does admit to being on steroids frequently for her asthma. Which of the following conditions does the FNP believe that the patient
has? - CORRECT ANSWER: Cushings
A 20 year old female presents to the clinic with complaints of fatigue and facial hair growth. Upon examination, the FNP notices that the patient has a moon face appearance with truncal obesity. The patient does admit to being on steroids frequently for her asthma. Which of the following conditions does the FNP believe that the patient?
- CORRECT ANSWER: Cushings syndrome
A 23 year old woman has symptoms of fatigue and is not feeling well. She appears well and the physical exam is normal, but her hemoglobin is 9.8 with a mean corpuscular volume of 76. Her family history is positive for thalassemia. She also mentions a history fo heavy menses. Which of the following would be most helpful in distinguishing
thalassemia from oe of pure iron deficiency anemia? - CORRECT ANSWER: Serum
ferritin determination
A 25 year old female states that she has been feeling more irritable and worries constantly about her children, who recently started school. She also worries about her father, who was recently diagnosed with high blood pressure. She is concerned that her husband might leave her because they have been fighting more often than usual. She appears restless and frequently fidgets, wringing her hands while speaking. She adds
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