1
NURS 5434 FAMILY 3- FINAL EXAM QUESTIONS
AND ANSWERS 2026-27 NEWEST UPDATE
• Which patient presentation is most consistent with the diagnosis of
depression?
A. recurrent diarrhea and cramping
B. difficulty initiating sleep
C. diminished cognitive ability
D. consistent early morning wakening
• JNC 8 74 y/o
male 150/90
• Pharmacological intervention in an anxiety disorder should be:
A. generally given for about 4 to 6 months.
B. continued for at least 6 months after remission is achieved.
C. continued indefinitely with a first diagnosis of the condition.
D. titrated to a highest dose recommended after symptom relief is achieved.
• BP in the range of 158-162 several times in the last wk. On Lisinopril and CCB
for 3 weeks now. Best course of action now?
HCTZ
• 4 categories for which a statin is recommended includes all of the following
EXCEPT a. LDL ?
b. diabetes
c. comorbid HTN
• A sedentary obese woman is dx with HTN….diet, exercise, and pills. What is the
least helpful response to her?
a. taking your meds when you brush your teeth (something like that)
b. you really need to get with it and improve your health
, 1
c. tell me what you feel will get in your way with improving your health
d. can you start with reducing salty foods in your diet?
• You dx depression in your pt. Explain the following to her about SS medication.
a. the full effect of the med may take 4-5 wks to eval (4-6 weeks in meds lecture)
b. we won’t know how effective this med is for at least 3 months
• A screening colonoscopy should be done beginning at age
a. 50 and every 10 yrs
• Mr. Smith, a 62-year-old mechanic with type 2 diabetes, is seen for routine
follow-up. He is currently on glyburide 10 mg twice daily, metformin 850 mg twice
daily, and rosiglitazone 4 mg once daily. His A1C at this appointment is 8.6%, and
it has steadily increased over the last 2 visits. Review of his log reveals fasting
glucose levels of 160-220 mg/dL and 2-hour postprandial values between 160 and
200 mg/dL. Which one of the following methods will best help Mr. Smith improve
his glycemic control?
Add 1 injection of 10 U of insulin glargine at night to the current regimen and
adjust to target
fasting blood glucose levels
• You examine a 78-year-old woman with long-standing, poorly controlled
hypertension. When evaluating her for hypertensive target organ damage, you
look for evidence of: A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders.
• Which of the following is a high intensity statin therapy
Rosuvastatin 20-40
• Depression is more common if there is a family history True
• Clinicians are greatly concerned with liver disease in
patients taking statins
Check ALT (alanine aminotransferase) at baseline. Repeat only if symptoms of
hepatotoxicity occur (from prescriber’s letter in module)
With the use of a lipid-lowering resin, which of the following enzymes should be
periodically monitored?
A. ALP
B. LDH
, 2
C. AST
D. No particular monitoring is recommended.
• Drug category most likely to cause hypoglycemia Sulfonylureas
• In 2016 caring for patients who are candidates for statin therapy our
most important guideline. Decreasing global risk, not a specific LDL target
(from prescriber’s letter in module)
• Components of tobacco use
cessation Ask, Advise, Assess, Assist,
Arrange Model
• USPT screen all the following sexually active women EXCEPT A woman in a
mutually monogamous relationship
• Metabolic syndrome significantly increased risk for: Cardiovascular disease
• When prescribing a meal plan for a type II diabetic advise the
patient that the macronutrient that provides post prandial
hyperglycemia: Carbohydrates
• In the person with hypertension, which of the following would likely yield
the greatest potential reduction in BP in a patient with a BMI of 30
kg/m2?
A. 10-kg (22-lb) weight loss
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day C.
regular aerobic physical activity, such as 30 minutes of brisk
walking most days of the week D. moderation of alcohol
consumption
• A middle-aged woman who has taken therapeutic dose of lorazepam for
the past 6 years wishes to stop taking the medication. You advise her that:
NURS 5434 FAMILY 3- FINAL EXAM QUESTIONS
AND ANSWERS 2026-27 NEWEST UPDATE
• Which patient presentation is most consistent with the diagnosis of
depression?
A. recurrent diarrhea and cramping
B. difficulty initiating sleep
C. diminished cognitive ability
D. consistent early morning wakening
• JNC 8 74 y/o
male 150/90
• Pharmacological intervention in an anxiety disorder should be:
A. generally given for about 4 to 6 months.
B. continued for at least 6 months after remission is achieved.
C. continued indefinitely with a first diagnosis of the condition.
D. titrated to a highest dose recommended after symptom relief is achieved.
• BP in the range of 158-162 several times in the last wk. On Lisinopril and CCB
for 3 weeks now. Best course of action now?
HCTZ
• 4 categories for which a statin is recommended includes all of the following
EXCEPT a. LDL ?
b. diabetes
c. comorbid HTN
• A sedentary obese woman is dx with HTN….diet, exercise, and pills. What is the
least helpful response to her?
a. taking your meds when you brush your teeth (something like that)
b. you really need to get with it and improve your health
, 1
c. tell me what you feel will get in your way with improving your health
d. can you start with reducing salty foods in your diet?
• You dx depression in your pt. Explain the following to her about SS medication.
a. the full effect of the med may take 4-5 wks to eval (4-6 weeks in meds lecture)
b. we won’t know how effective this med is for at least 3 months
• A screening colonoscopy should be done beginning at age
a. 50 and every 10 yrs
• Mr. Smith, a 62-year-old mechanic with type 2 diabetes, is seen for routine
follow-up. He is currently on glyburide 10 mg twice daily, metformin 850 mg twice
daily, and rosiglitazone 4 mg once daily. His A1C at this appointment is 8.6%, and
it has steadily increased over the last 2 visits. Review of his log reveals fasting
glucose levels of 160-220 mg/dL and 2-hour postprandial values between 160 and
200 mg/dL. Which one of the following methods will best help Mr. Smith improve
his glycemic control?
Add 1 injection of 10 U of insulin glargine at night to the current regimen and
adjust to target
fasting blood glucose levels
• You examine a 78-year-old woman with long-standing, poorly controlled
hypertension. When evaluating her for hypertensive target organ damage, you
look for evidence of: A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders.
• Which of the following is a high intensity statin therapy
Rosuvastatin 20-40
• Depression is more common if there is a family history True
• Clinicians are greatly concerned with liver disease in
patients taking statins
Check ALT (alanine aminotransferase) at baseline. Repeat only if symptoms of
hepatotoxicity occur (from prescriber’s letter in module)
With the use of a lipid-lowering resin, which of the following enzymes should be
periodically monitored?
A. ALP
B. LDH
, 2
C. AST
D. No particular monitoring is recommended.
• Drug category most likely to cause hypoglycemia Sulfonylureas
• In 2016 caring for patients who are candidates for statin therapy our
most important guideline. Decreasing global risk, not a specific LDL target
(from prescriber’s letter in module)
• Components of tobacco use
cessation Ask, Advise, Assess, Assist,
Arrange Model
• USPT screen all the following sexually active women EXCEPT A woman in a
mutually monogamous relationship
• Metabolic syndrome significantly increased risk for: Cardiovascular disease
• When prescribing a meal plan for a type II diabetic advise the
patient that the macronutrient that provides post prandial
hyperglycemia: Carbohydrates
• In the person with hypertension, which of the following would likely yield
the greatest potential reduction in BP in a patient with a BMI of 30
kg/m2?
A. 10-kg (22-lb) weight loss
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day C.
regular aerobic physical activity, such as 30 minutes of brisk
walking most days of the week D. moderation of alcohol
consumption
• A middle-aged woman who has taken therapeutic dose of lorazepam for
the past 6 years wishes to stop taking the medication. You advise her that:
