Final Exam: FNP 654 / FNP654
(Latest 2025 / 2026) Family Primary Care II Exam | 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:
Increase the prednisolone dose to 60 mg daily
Question:
A patient is diagnosed with polymyalgia rheumatica with giant cell arteritis.Which dose of prednisolone will be given initially?
Answer:
60 mg daily
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Question:
Which are symptoms of rheumatoid arthritis that distinguish it from osteoarthritis?Select all that apply.
Answer:
Extra-articular inflammatory signs Morning stiffness of at least one hour Symmetric tender, swollen joints
Question:
A patient is diagnosed with rheumatoid arthritis after a review of systems, confirmatory lab tests, and synovial fluid analysis. What will the provide order initially to treat this patient?
Answer:
Disease-modifying anti-rheumatic drugs
Question:
A patient has swelling and tenderness in the small joints of both hands and reports several weeks of malaise and fatigue. A RF test is negative. What will the primary care provider do next?
Answer:
Order radiographic tests, a CBC, and acute-phase reactant levels
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Question:
A pregnant woman tests positive for HIV infection. What will the provider recommend?
Answer:
Treatment with highly active antiretroviral therapy
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 to 4 months
Question:
Which patients with documented HIV infection may be classified has having acquired immunodeficiency syndrome (AIDS)?Select all that apply.
Answer:
A patient with a CD4 cell count of 150/mm3 A patient with esophageal candidiasis A patient with tuberculosis
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Question:
A patient reports the sudden onset of pain, redness, and swelling in one knee joint along with a no fever. The provider elicits exquisite pain with manipulation of the joint and notes no decrease in pain when the joint is at rest. Which is the likely cause of this arthritis?
Answer:
Bacterial infection
Question:
An adolescent patient reports pain and swelling in various joints on the right side that comes and goes and occurs in the knee, elbow, wrist, and ankle. A physical examination reveals tenosynovitis and a maculopapular rash. Which diagnostic tests will be most helpful in determining a diagnosis in this patient?
Answer:
Cultures of the urethra, pharynx, cervix, and rectum
Question:
A patient has marked swelling of a shoulder joint with erythema and severe pain. The provider suspects a bacterial cause. Which culture will be most helpful to determine the cause of these symptoms?
Answer:
Synovial fluid culture
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