Final Exam: FNP654 FNP 654

Final Exam: FNP654 / FNP 654

(Latest Update 2025 / 2026) Family Primary Care II Exam Review | Quizzes 1 – 4 | Questions & Verified Answers | 100% Correct | Grade A - GCU

Question:

A patient who is taking prednisolone 20 mg daily to treat polymyalgia rheumatica, reports blurred vision. What will the provider do?

Answer:

Refer to a rheumatologist immediately.

Question:

A child has a high fever, bilateral conjunctivitis, and a desquamating rash and is presumed to have a vasculitis disease. What is the likely treatment for this child?

Answer:

Aspirin and Intravenous immunoglobulin

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Question:

An adolescent female reports poor sleep, fatigue, muscle and joint paint, and anxiety lasting for several months. The primary care nurse practitioner notes point tenderness at several sites. What will the nurse practitioner do next?

Answer:

Refer the adolescent to a rheumatologist for further evaluation

Question:

The primary care nurse practitioner is managing care for a child who has JIA who has a positive ANA. Which specialty referral is critical for this child?

Answer:

Ophthalmology

Question:

A patient is diagnosed with ankylosing spondylitis and begins taking a COX-2 inhibitor with minimal pain and inflammation relief. What will the provider order initially to manage this patient's symptoms?

Answer:

Changing to a COX-1 inhibitor medication

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Question:

The primary care nurse practitioner examines a child who has had stiffness and warmth in the right knee and left ankle for 7 or 8 months but no back pain. The nurse practitioner will refer the child to a rheumatology specialist to evaluate for?

Answer:

Oligoarticular JIA

Question:

An 8-year-old child is diagnosed with systemic lupus erythematosus (SLE), and the child's parent asks if there is a cure. What will the primary care nurse practitioner tell the parent?

Answer:

Periods of remission may occur but there is no permanent cure

Question:

A child has a fever and arthralgia. The primary care nurse practitioner learns that the child had a sore throat 3 weeks prior and auscultates a murmur in the clinic. Which test will the nurse practitioner order?

Answer:

ASO Titer

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Question:

A homeless patient who has HIV infection has been on antiretroviral therapy (ART)for 18 months and has had normal CD4 counts and viral loads for past year. What will the provider recommend?

Answer:

Continue monitoring viral load and CD4 counts every 3-4 months

Question:

A 12-year-old child is brought to the clinic with joint pain, a 3-week history of low-grade fever, and a facial rash. The primary care nurse practitioner palpates an enlarged liver 2 cm below the subcostal margin along with diffuse lymphadenopathy. An ANA test is positive. Which test may be ordered to confirm a diagnosis of SLE?

Answer:

Anti-double-strand DNA antibodies

Question:

A patient with systemic lupus erythematosus (SLE) develops end-stage renal disease. Because of the underlying SLE, what treatment is recommended for this patient?

Answer:

Kidney Transplantation

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