Final Exam: FNP654 FNP 654

Final Exam: FNP654 / FNP 654

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

Question:

The FNP providers primary care for a 30 month old child who has sickle cell anemia who has had one dose of 23-valent pneumococcal vaccine. Which is an appropriate action for health maintenance in this child?

Answer:

administer an initial meningococcal vaccine

Question:

The NP is examining a 5 year old child who has had recurrent fevers, bone pain and recent loss of weight. The physical exam reveals scattered petechiae, lymphadenopathy, and bruising. A CBC shows thrombocytopenia, anemia, and an elevated WBC count. The NP will refer this child to a specialist for

Answer:

bone marrow biopsy

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Question:

The FNP reviews hematology reports on a child with beta thalassemia minor and notes a Hgb level of 8g/dL. What will the NP do?

Answer:

evaluate serum ferritin

Question:

A female patient has lower abdominal pain, nausea, and vomiting and reports missing a period 3 weeks prior. The patient reports using an IUD for contraception. A serum b-hCG is 1500mIU/mL. What will the provider do based on these findings?

Answer:

perform a transvaginal ultrasound

Question:

The FNP performs a well baby examination on a 4 month old infant who is exclusively breastfed and whose mother plans to introduce only small amounts of fruits and vegetables in addition to breastfeeding. To ensure that the infant gets adequate amounts of iron, what will the NP recommend?

Answer:

elemental iron supplementation of 1mg/kg/day until cereals are added

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Question:

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

Answer:

Refer to a rheumatologist immediately

Question:

The primary care NP examines a child who has had stiffness and warmth in the right knee and left ankle for 7-8 months but no back pain. The NP will refer the child to a rheumatology specialist for evaluation of

Answer:

oligoarticular JIA

Question:

A patient is treated for a UTI and 3 weeks later presents with pain and swelling of one knee and in one hand along with inflammation in both eyes.What will the provider suspect as the cause of these symptoms?

Answer:

reactive arthritis

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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 the past year. What will the provider recommend

Answer:

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

Question:

A patient reports a history of recurrent lower back pain for 6 months. The patient describes the pain as a deep ache and stiffness that is worse upon wakening and improves after walking. Which assessment would NOT be helpful to make a clinical diagnosis of ankylosing spondylitis?

Answer:

Noting the degree of cervical kyphosis

Question:

The parents of a school age child who is diagnosed with oligoarticular JIA asks the primary care NP what exercises the child may do to help reduce symptoms. What will the NP recommend?

Answer:

swimming

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