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FNP Final Exam Questions and Answers: Latest 2024-2025 Versions A, B & C, Exams of Nursing

A comprehensive set of multiple-choice questions and answers covering various topics related to family nurse practitioner (fnp) final exams. It includes questions on child development, mental health, neurological disorders, and more. Designed to help students prepare for their fnp final exams by providing practice questions and detailed explanations for each answer.

Typology: Exams

2024/2025

Available from 01/09/2025

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Examiner2025 🇺🇸

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Download FNP Final Exam Questions and Answers: Latest 2024-2025 Versions A, B & C and more Exams Nursing in PDF only on Docsity!

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FNP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM

VERSIONS A, B & C COMPLETE 400 QUESTIONS AND

CORRECT DETAILED ANSWERS ALREADY GRADED A+

FNP FINAL EXAM A 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? 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. - ANSWER✔✔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

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d. Separation anxiety disorder (SAD) - ANSWER✔✔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. - ANSWER✔✔a. Ask the mother about the child's relationship with the father. 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 - ANSWER✔✔b. Cognitive behavioral therapy

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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. - ANSWER✔✔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 - ANSWER✔✔b. Prescribe oral prednisolone

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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? a. Ability to manage social situations b. Body image and eating habits c. Headaches and bowel habits d. Occupational performance - ANSWER✔✔c. Headaches and bowel habits 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? a. Bowel and bladder function will eventually be lost b. Positive-pressure ventilation can prolong life. c. Preventing malnutrition is a key element in care. d. The nerves affecting sensation will die initially. - ANSWER✔✔c. Preventing malnutrition is a key element in care. What is recommended to prevent ophthalmic complications in patients with Bell's palsy?

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a. Acupuncture b. Lubricating eye drops c. Patching of the eye d. Sunglasses - ANSWER✔✔b. Lubricating eye drops A patient with dementia experiences agitation and visual hallucinations and is given haloperidol with a subsequent worsening of symptoms. Based on this response, what is the likely cause of this patient's symptoms? a. Alzheimer's disease b. Lewy body dementia c. Pseudodementia d. Vascular neurocognitive disorder - ANSWER✔✔b. Lewy body dementia A patient with Alzheimer's disease (AD) is taking donepezil to treat cognitive symptoms. The patient's son reports noting increased social withdrawal and sleep impairment. What is the initial step to manage these symptoms? a. Encourage activity and exercise b. Prescribe a selective serotonin reuptake inhibitor

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c. Recommend risperidone d. Referral to a neurologist for evaluation - ANSWER✔✔a. Encourage activity and exercise What is an important purpose of conducting an interview prior to beginning neuropsychological testing on an older adult suspected of having dementia? a. To assess the patient's ability to cooperate with the testing b. To determine the patient's degree of dementia c. To evaluate the patient's feelings about family members' concerns d. To find out whether a referral to a specialist is needed - ANSWER✔✔a. To assess the patient's ability to cooperate with the testing 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 - ANSWER✔✔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

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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 - ANSWER✔✔c. Rizatriptan Which medication is NOT useful in treating tension-type headaches? a. Antiemetics b. Lithium c. Muscle relaxants d. NSAIDse. Oxygen - ANSWER✔✔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 - ANSWER✔✔b. Magnetic resonance imaging

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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 - ANSWER✔✔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 - ANSWER✔✔c. Hyperphonia Which drug is used to treat patients with focal epilepsy and complex partial seizures? a. Carbamazepine b. Ethosuximide

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c. Lamotrigine d. Topiramate - ANSWER✔✔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 - ANSWER✔✔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. D. Suggest putting the child in another day care center to ameliorate the problems - ANSWER✔✔B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.

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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? A. Anorexia nervosa B. Bulimia nervosa C. Depression D. Substance abuse - ANSWER✔✔A. Anorexia nervosa During a well child examination on a 4monthold infant, the primary care pediatric 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." - ANSWER✔✔b. "I let my baby cry a while to learn to be patient." The primary care pediatric nurse practitioner attempts to learn more about the emotional health of an 18monthold child through which assessment strategy?

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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 - ANSWER✔✔d. Observation of the child with caretakers in structured and unstructured situations An elderly patient has symptoms of depression and the patient's daughter asks about possible Alzheimer's disease since there is a family history of this disease. A screening evaluation shows no memory loss. What is the initial step in managing this patient? a. Order brain imaging studies such as CT or MRI b. Perform genetic testing to identify true risk c. Prescribe a trial of an antidepressant medication d. Recommend a trial of a cholinesterase inhibitor drug - ANSWER✔✔c. Prescribe a trial of an antidepressant medication A patient being treated with for caner has had chemotherapy within the past two weeks and comes to the primary care clinic with a fever of 38.5. What is the initial action? a. Order blood and urine cultures b. Obtain a STAT CBC with diff

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c. Prescribe empiric antibiotics d. Order a chest radiograph - ANSWER✔✔b. Obtain a STAT CBC with diff Which of the following is NOT considered an oncologic emergency in a patient with cancer requiring urgent referral to an oncologist? a. SIADH b. Superior vena cava syndrome c. Bone marrow suppression d. Tumor lysis syndrome - ANSWER✔✔c. Bone marrow suppression

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Which laboratory values representing parathyroid hormone (PTH) and serum calcium are consistent with a diagnosis of primary hyperparathyroidism? a. Appropriately high PTH along with hypocalcemia b. Inappropriate secretion of PTH along with hypercalcemia c. Appropriately increased PTH and low or normal serum calcium d. Prolonged inappropriate secretion of PTH with subsequent hypercalcemia - ANSWER✔✔b. Inappropriate secretion of PTH along with hypercalcemia A patient is diagnosed with osteoporosis. What is the recommended treatment once the diagnosis is made? a. Estrogen replacement b. Calcium and vitamin D c. Yoga and weight bearing exercises d. Bisphosphonate therapy - ANSWER✔✔d. Bisphosphonate therapy The primary care provider is assessing a 45-year-old postmenopausal woman who has a family history of osteoporosis. Which test will be most useful to screen for this disease?

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a. Bone specific alkaline phosphate b. Bone densitometry of the hip and posteroanterior lumbar spine c. Plain radiographs of the hips and lumbar and thoracic spine d. Serum calcium and serum 25-hydroxyvitamin D - ANSWER✔✔b. Bone densitometry of the hip and posteroanterior lumbar spine A patient with normal renal function has a potassium level of 6.0 mEq/L. Which underlying cause is possible in this patient? a. Adrenocortical deficiency b. Malabsorption syndrome c. Alcoholism d. Hypertension - ANSWER✔✔a. Adrenocortical deficiency A patient with cancer is expected to require long-term pain medication to manage cancer pain. Which agent will be best for this patient? a. Naloxone b. Ibuprofen c. Meperidine

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d. Morphine - ANSWER✔✔d. Morphine A woman has stopped having menstrual periods has vasomotor symptoms but does not want to use HRT. What measure will the provider recommend? a. Increase caffeine intake b. Keeping the house cold c. Trying herbal remedies d. Keeping the house cool, use of personal fans e. Having a glass of wine or two each evening - ANSWER✔✔d. Keeping the house cool, use of personal fans A woman who is taking oral contraceptives to prevent pregnancy calls the provider to report forgetting to take the pills for 4 days. She has not had sex. What will the provider recommend? a. Use a morning after pill today and resume the OCP's b. Resume the pills and use a back up method the remainder of the cycle c. Stop the OCP and use alternative method and resume OCP at the next cycle d. Take 2 pills daily for 4 days and use an alternate method for 4 days - ANSWER✔✔b. Resume the pills and use a back up method the remainder of the cycle

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An adolescent female reports moderate dysmenorrhea with periods and tells the provider that 400mg of ibuprofen Q6-8 hours does not control her pain. What will the provider recommend? a. Using extended-release naproxen 500 mg Q b. Increasing the ibuprofen does to 600 to 800 mg Q 6-8 hours c. Taking extra strength Tylenol 1000mg Q4-6 hours d. Taking naproxen 500 mg initially and then 250 mg Q6-8 hours - ANSWER✔✔d. Taking naproxen 500 mg initially and then 250 mg Q6-8 hours An obsess adolescent female patient reports irregular periods and excessive acne. The provider notes an increased amount of hair on her upper back, shoulders, and upper abdomen. What will the provider do? a. Counsel her about diet, exercise, and weight loss b. Consider treatment with oral contraceptives c. Refer to endocrinologist for evaluation d. Recommend cosmetic laser hair removal - ANSWER✔✔c. Refer to endocrinologist for evaluation 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?

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a. Tell her she has developed early menopause b. Evaluate for various causes of amenorrhea c. Reassure her that this can be normal d. Tell her that this is likely perimenopause - ANSWER✔✔b. Evaluate for various causes of amenorrhea A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once confirmatory tests are performed, what is the possible treatment for this patient? a. Mineralocorticoid replacement b. Antihypertensive therapy c. Pituitary tumor resection d. Oral hydrocortisone - ANSWER✔✔c. Pituitary tumor resection What is the purpose of radiation treatment prior to surgical resection of a tumor? a. To minimize local recurrence b. To debulk the tumor mass

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c. To reduce pain and bleeding To prevent metastases - ANSWER✔✔b. To debulk the tumor mass A 40-year-old patient with primary hyperparathyroidism has increased serum calcium 0. mg/dL above the normal without signs of nephrolithiasis. What is the recommended treatment for this patient? a. Annual monitoring of calcium, creatinine, and bone density b. Avoidance of weight bearing exercises c. Decreasing calcium and vitamin D intake until values are normal Parathyroidectomy - ANSWER✔✔a. Annual monitoring of calcium, creatinine, and bone density A patient has new-onset hypertension with a systolic BP of 180 mm Hg. Which test will the provider order to diagnose this patient? a. ACTH suppression testing b. Cortisol excretion studies c. Fractionated metanephrine levels Adrenal antibody tests - ANSWER✔✔c. Fractionated metanephrine levels

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A woman has history of migraines with aura and request oral contraception to prevent pregnancy. Which type of contraceptive will the provider recommend? a. Transdermal combination patch b. Combination oral contraceptive c. Progestin-only contraception d. Contraceptive implant - ANSWER✔✔c. Progestin-only contraception A patient has unexplained weight loss and the provider notes increased skin pigmentation on light exposed skin folds along with darkened palmar creases. Which laboratory test will the provider NOT order? a. Serum cortisol b. TB skin testing c. Serum electrolytes d. Serum ACTH - ANSWER✔✔a. Serum cortisol A patient has carpal spasm when a blood pressure cuff is inflated. Which diagnostic testing will the provider consider evaluating the cause of this finding? A. Magnesium and vitamin D

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B. Calcitriol level C. C-reactive protein Protein electrophoresis - ANSWER✔✔A. Magnesium and vitamin D A patient has a low serum calcium associated with low albumin. What is the recommended treatment for this patient? a. Thiazide diuretics and sodium restriction b. Correction of other serum electrolytes c. Calcium supplementation only d. Vitamin D and calcium supplementation - ANSWER✔✔b. Correction of other serum electrolytes What is the most important role of the primary care provider in cancer management? a. Performing regular screenings to detect cancer b. Referring patients for genetic testing to identify those at risk c. Counseling about healthy practices to reduce risk factors d. Teaching patients about cancer management once diagnosed - ANSWER✔✔c. Counseling about healthy practices to reduce risk factors

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A patient with breast cancer has been symptom free for 6 months and reports a new onset of lower back pain rated an 8/10. What is most important when evaluating this patients pain? a. Prescribing a trial or oral opioid medication b. Evaluating the possibility of drug seeking behavior c. Obtaining an MRI of the spinal cord d. Referring the patient to the oncologist - ANSWER✔✔c. Obtaining an MRI of the spinal cord When should palliative care be initiated by a PCP? a. When an interdisciplinary team is formed to manage a disease b. After an ill patient asks for hospice c. As part of routine health maintenance d. When a patient is diagnosed with a serious disease - ANSWER✔✔c. As part of routine health maintenance A patient has bone pain and laboratory testing reveals an elevated alkaline phosphatase (SAP). Which test can help distinguish Paget's rom malignant bone disease?

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a. Bone marrow biopsy b. Bone density c. Bone scan d. Bone radiograph - ANSWER✔✔d. Bone radiograph The PCP is evaluating a 10-year-old child who is describing shooting pain in both legs associated with aching, tingling, and burning. The child id unable to pinpoint specific locations for the pain. Which type of pain does the provider suspect? a. Neuropathic pain b. Chronic pain c. Somatic pain d. Visceral pain - ANSWER✔✔a. Neuropathic pain Which underlying causes are related to chronic pelvic pain in women? a. Age under 25 years b. Recurrent pneumonia c. Interstitial cystitis

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d. Hepatitis e. Menopause - ANSWER✔✔c. Interstitial cystitis What is a possible cause of decreased arousal, libido, and orgasm in postmenopausal women? a. Low estrogen levels b. Diminished testosterone c. Uterine prolapse d. Endometriosis - ANSWER✔✔b. Diminished testosterone A female patient is identified as having the BRCA mutation and she asks which intervention will reduce the risk of breast cancer the most? What will the provider tell her? a. Prophylactic mastectomy and oophorectomy b. Early childbearing and breastfeeding c. Clinical breast examination every 6 months Breast MRI - ANSWER✔✔a. Prophylactic mastectomy and oophorectomy 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?

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a. Education about long term dyspareunia b. Teaching about reproductive sequelae c. Weekly follow-up monitoring d. Administration of antibiotics - ANSWER✔✔c. Weekly follow-up monitoring An asymptomatic female learns that her boyfriend has gonorrhea and asks about antibiotics. What will the provider recommend? a. Amoxicillin-clavulanate for 10 days b. Cultures and treatment if symptoms appear c. Trimethoprim-sulfamethoxazole d. Empiric ceftriaxone and azithromycin - ANSWER✔✔d. Empiric ceftriaxone and azithromycin 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? a. Considering testosterone hormone replacement therapy b. Prescribing an oral phosphodiesterase type 5 inhibitor

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c. Evaluating the patient for cardiovascular disease d. Referring the patient for psychotherapy and counseling - ANSWER✔✔c. Evaluating the patient for cardiovascular disease A previously healthy 22-year-old female reports pain in the rectovaginal area that occurs with sexual intercourse. What is the most likely cause of this patient's discomfort? a. Inadequate lubrication b. Atherosclerosis c. Psychologic issues d. Endometriosis - ANSWER✔✔d. Endometriosis During a well-baby exam on a 9-month-old infant, the parent reports that the baby always uses the left hand to pick up objects and asks if the baby will be left-handed. What will the primary care pediatric nurse practioner do? a. Perform a careful assessment of fine and ross motor skills b. Tell the parent a hand preference usually develops between 6 and 12 months c. Teach the parent to encourage the infant to use both hands d. Explain that it is too soon to tell which hand the infant will prefer later - ANSWER✔✔a. Perform a careful assessment of fine and ross motor skills