FNP 654 Final Exam Latest Update 130 Questions and Verified Correct Answers Guaranteed Success A 12-year-old is brought to the clinic with joint pain, a 3-week history of low-grade fever, and a facial rash. The NP palpates an enlarged liver 2cm below the subcostal margin along with diffuse lymphadenopathy. An ANA test is positive. Which test may be ordered to confirm a diagnosis of SLE?
- Anti-La antibodies
- Anti-RO antibodies
- Anti-Sm antibodies
d. Anti-double strand DNA antibodies - CORRECT ANSWER: d. Anti-double strand
DNA antibodies
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?
- Administer an ADHD diagnostic scale and consider an ADHD medication.
- Consult with a child psychiatrist to prescribe an antidepressant medication.
- Reassure the parent that this behavior is common after mild depressive symptoms
- Refer the child to a child psychiatrist for evaluation of bipolar disorder. - CORRECT
ANSWER: D. Refer the child to a child psychiatrist for evaluation of bipolar disorder.
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 throws up and refuses to eat most foods.Which condition does the primary care pediatric nurse practitioner suspect?
- Anorexia nervosa
- Bulimia nervosa
- Depression
D. Substance abuse - CORRECT ANSWER: A. Anorexia nervosa
A 16-year-old female has primary amenorrhea. A pregnancy test is negative. Further testing reveals a normal TSH and an elevated prolactin level. Which test will the provider order next?
- Progesterone challenge test
- MRI
- Serum dehydroepiandrosterone
d. Clomiphene challenge test - CORRECT ANSWER: b. MRI
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A 16-year-old patient with primary dysmenorrhea has taken NSAID's and COX-2 inhibitors without getting relief from symptoms. What will the provider suggest?
- A combined oral contraceptive
- Counsel the patient to apply warm compresses
- IUD
d. Narcotic analgesics as needed - CORRECT ANSWER: a. A combined oral
contraceptive
A 16-year-old sexually active female has symptoms of PID with fever. Cultures are pending. For outpatient treatment, what will the provider order?
- Clindamycin and gentamycin
- Cefotetan and doxycycline
- Ampicillin and doxycycline
d. Rocephin, doxycycline, and metronidazole - CORRECT ANSWER: d. Rocephin,
doxycycline, and metronidazole
A 17-year-old patient has undergone surgical incision and drainage of a Bartholin's gland cyst with insertion of a drain. What is an important aspect of care for this patient?
- Education about long term dyspareunia
- Teaching about reproductive sequelae
- Weekly follow-up monitoring
- Administration of antibiotics - CORRECT ANSWER: c. Weekly follow-up monitoring
A 30-year-old male patient has a positive leukocyte esterase and nitrites on a random urine dipstick during a well patient exam. What type of urinary tract infection does this represent?
- Unresolved
- Uncomplicated
- Isolation
d. Complicated - CORRECT ANSWER: d. Complicated
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?
- Perform confirmatory diagnostic tests
- Prescribe oral prednisolone
- Recommend wearing an eye patch
d. Refer the patient to a neurologist - CORRECT ANSWER: b. Prescribe oral
prednisolone
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A 35-year-old woman without a previous history of dysmenorrhea reports lower pelvic pain and irregular bleeding between periods. What is the initial action in managing this patient?
- Ordering a CBC, erythrocyte sedimentation rate, and cultures
- Performing an abdominal, pelvic, and rectovaginal exam
- Obtaining a pelvic ultrasound with saline infusion
d. Prescribing a trial of NSAID's - CORRECT ANSWER: b. Performing an abdominal,
pelvic, and rectovaginal exam
A 40-year-old patient with primary hyperparathyroidism has increased serum calcium 0.5 mg/dL above the normal without signs of nephrolithiasis. What is the recommended treatment for this patient?
- Annual monitoring of calcium, creatinine, and bone density
- Avoidance of weight bearing exercises
- Decreasing calcium and vitamin D intake until values are normal
Parathyroidectomy - CORRECT ANSWER: a. Annual monitoring of calcium, creatinine, and bone density
A 45-year-old woman has gone 120 days without a menstrual period. A pregnancy test is negative. What will the provider do based on this symptom?
- Tell her she has developed early menopause
- Evaluate for various causes of amenorrhea
- Reassure her that this can be normal
d. Tell her that this is likely perimenopause - CORRECT ANSWER: b. Evaluate for
various causes of amenorrhea
A 50-year-old man reports having erectile dysfunction. What is an important response by the provider when developing a plan of care for this patient?
- Considering testosterone hormone replacement therapy
- Prescribing an oral phosphodiesterase type 5 inhibitor
- Evaluating the patient for cardiovascular disease
d. Referring the patient for psychotherapy and counseling - CORRECT ANSWER: c.
Evaluating the patient for cardiovascular disease
A 60-year-old female patient has recently lost weight and an exam reveals a beefy-red, sore tongue, with no neurological findings. Based on these clinical findings, what will the provider anticipate in the lab data?
- Normal methylmalonic acid level
- Leukopenia and thrombocytopenia
- Decreased homocysteine levels
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