NURS 5433 FINAL EXAM FAMILY II
FNP 2 UTA Actual Exam 2026/2027 –
200 Complete Exam-Style Questions |
100% Verified Answers– Pass
Guaranteed – A+ Graded
Section 1: Pharmacology & Medication Management
Question 1:
A patient is prescribed a medication eliminated primarily by the kidneys.
Which change would most likely require a dosage adjustment?
A) Increased age
B) History of heavy alcohol use
C) Elevated liver enzymes
D) Presence of a urinary tract infection
Answer: A) Increased age
Rationale: Kidney function declines with age. Drug elimination via the
kidneys means decreased renal clearance in older or renally impaired
patients requires a dosage adjustment to prevent toxicity. The liver, alcohol
history, or a UTI are not primary concerns for renally eliminated drugs.
Question 2:
Which is the primary mechanism of action for Penicillins?
A) Inhibiting bacterial protein synthesis
B) Inhibiting bacterial DNA synthesis
C) Inhibiting bacterial cell wall synthesis
D) Disrupting bacterial cell membrane integrity
,Answer: C) Inhibiting bacterial cell wall synthesis
Rationale: Penicillins inhibit bacterial cell wall synthesis by binding to and
activating enzymes essential for cell wall function. This makes them
particularly effective against gram-positive bacteria.
Question 3:
The most serious adverse effect of ACE inhibitors requiring immediate
discontinuation is:
A) Dry cough
B) Angioedema
C) Hypotension
D) Hyperkalemia
Answer: B) Angioedema
Rationale: Angioedema, a rapid swelling of deep dermal, subcutaneous, or
mucosal tissue, is a potentially life-threatening reaction to ACE inhibitors.
While a dry cough is a common side effect, it does not necessitate
immediate discontinuation unless severe.
Question 4:
A patient newly prescribed warfarin should be warned about increasing
intake of which food?
A) Grapefruit juice
B) Dark green, leafy vegetables
C) Dairy products
D) Complex carbohydrates
Answer: B) Dark green, leafy vegetables
Rationale: Dark green vegetables are high in Vitamin K, which directly
antagonizes the effects of warfarin. Patients should maintain consistent
intake to keep the INR stable.
Section 2: Diabetes & Metabolic Syndrome
Question 5:
A patient presents with a suspected UTI. Which first-line antibiotic is most
,appropriate for an uncomplicated UTI in a non-pregnant female?
A) Ciprofloxacin
B) Nitrofurantoin
C) Azithromycin
D) Cephalexin
Answer: B) Nitrofurantoin
Rationale: According to IDSA guidelines, nitrofurantoin is a first-line agent
for uncomplicated cystitis due to its narrow spectrum and low resistance
rates. Fluoroquinolones (e.g., ciprofloxacin) are reserved for more
complicated cases.
Question 6:
What is the level of the Random Blood Glucose for someone diagnosed
with diabetes?
A) Greater than or equal to 100 mg/dL
B) Greater than or equal to 126 mg/dL
C) Greater than or equal to 140 mg/dL
D) Greater than or equal to 200 mg/dL
Answer: D) Greater than or equal to 200 mg/dL
Question 7:
When diagnosing Metabolic Syndrome how many of the 5 criteria are
required?
Answer: 3 or more of the 5 criteria
Question 8:
Diagnostic Criteria for Metabolic Syndrome: Waist Circumference (men) ___
inches
Answer: 40 men
Section 3: Musculoskeletal & Neurological Assessment
Question 9:
The Finkelstein Test is associated with which of the following
musculoskeletal issues?
, A) Carpal Tunnel
B) Epicondylitis
C) ACL injury
D) De Quervains Tenosynovitis
Answer: D) De Quervains Tenosynovitis
Question 10:
What are the three special tests done to test for an ACL Injury?
Answer: Lachman Test, Pivot Shift Test, Anterior Drawer Test
Question 11:
Carpal Tunnel is compression of which nerve?
Answer: Median nerve
Question 12:
Patient is taking Alendronate to treat her osteoporosis. Which of the
following patient education should be given to avoid side effects?
A) Lay down for 30-60 mins after taking the med
B) Sit up for 30-60 mins after taking the med
C) It's important to take a "drug holiday" from the medication and you can
do so whenever you feel it's necessary
D) Take this medication with an NSAID to avoid pain
Answer: B) Sit up for 30-60 mins after taking the med
Question 13:
In the context of family nursing, what is the primary focus of family nursing
competencies?
A) Diagnosing and treating individual family members' illnesses
B) Focusing nursing practice on the family's strengths and supporting
family and individual growth
C) Primarily addressing the financial and economic needs of the family unit
D) Ensuring all family members adhere to prescribed medical treatments
Answer: B) Focusing nursing practice on the family's strengths and
supporting family and individual growth
FNP 2 UTA Actual Exam 2026/2027 –
200 Complete Exam-Style Questions |
100% Verified Answers– Pass
Guaranteed – A+ Graded
Section 1: Pharmacology & Medication Management
Question 1:
A patient is prescribed a medication eliminated primarily by the kidneys.
Which change would most likely require a dosage adjustment?
A) Increased age
B) History of heavy alcohol use
C) Elevated liver enzymes
D) Presence of a urinary tract infection
Answer: A) Increased age
Rationale: Kidney function declines with age. Drug elimination via the
kidneys means decreased renal clearance in older or renally impaired
patients requires a dosage adjustment to prevent toxicity. The liver, alcohol
history, or a UTI are not primary concerns for renally eliminated drugs.
Question 2:
Which is the primary mechanism of action for Penicillins?
A) Inhibiting bacterial protein synthesis
B) Inhibiting bacterial DNA synthesis
C) Inhibiting bacterial cell wall synthesis
D) Disrupting bacterial cell membrane integrity
,Answer: C) Inhibiting bacterial cell wall synthesis
Rationale: Penicillins inhibit bacterial cell wall synthesis by binding to and
activating enzymes essential for cell wall function. This makes them
particularly effective against gram-positive bacteria.
Question 3:
The most serious adverse effect of ACE inhibitors requiring immediate
discontinuation is:
A) Dry cough
B) Angioedema
C) Hypotension
D) Hyperkalemia
Answer: B) Angioedema
Rationale: Angioedema, a rapid swelling of deep dermal, subcutaneous, or
mucosal tissue, is a potentially life-threatening reaction to ACE inhibitors.
While a dry cough is a common side effect, it does not necessitate
immediate discontinuation unless severe.
Question 4:
A patient newly prescribed warfarin should be warned about increasing
intake of which food?
A) Grapefruit juice
B) Dark green, leafy vegetables
C) Dairy products
D) Complex carbohydrates
Answer: B) Dark green, leafy vegetables
Rationale: Dark green vegetables are high in Vitamin K, which directly
antagonizes the effects of warfarin. Patients should maintain consistent
intake to keep the INR stable.
Section 2: Diabetes & Metabolic Syndrome
Question 5:
A patient presents with a suspected UTI. Which first-line antibiotic is most
,appropriate for an uncomplicated UTI in a non-pregnant female?
A) Ciprofloxacin
B) Nitrofurantoin
C) Azithromycin
D) Cephalexin
Answer: B) Nitrofurantoin
Rationale: According to IDSA guidelines, nitrofurantoin is a first-line agent
for uncomplicated cystitis due to its narrow spectrum and low resistance
rates. Fluoroquinolones (e.g., ciprofloxacin) are reserved for more
complicated cases.
Question 6:
What is the level of the Random Blood Glucose for someone diagnosed
with diabetes?
A) Greater than or equal to 100 mg/dL
B) Greater than or equal to 126 mg/dL
C) Greater than or equal to 140 mg/dL
D) Greater than or equal to 200 mg/dL
Answer: D) Greater than or equal to 200 mg/dL
Question 7:
When diagnosing Metabolic Syndrome how many of the 5 criteria are
required?
Answer: 3 or more of the 5 criteria
Question 8:
Diagnostic Criteria for Metabolic Syndrome: Waist Circumference (men) ___
inches
Answer: 40 men
Section 3: Musculoskeletal & Neurological Assessment
Question 9:
The Finkelstein Test is associated with which of the following
musculoskeletal issues?
, A) Carpal Tunnel
B) Epicondylitis
C) ACL injury
D) De Quervains Tenosynovitis
Answer: D) De Quervains Tenosynovitis
Question 10:
What are the three special tests done to test for an ACL Injury?
Answer: Lachman Test, Pivot Shift Test, Anterior Drawer Test
Question 11:
Carpal Tunnel is compression of which nerve?
Answer: Median nerve
Question 12:
Patient is taking Alendronate to treat her osteoporosis. Which of the
following patient education should be given to avoid side effects?
A) Lay down for 30-60 mins after taking the med
B) Sit up for 30-60 mins after taking the med
C) It's important to take a "drug holiday" from the medication and you can
do so whenever you feel it's necessary
D) Take this medication with an NSAID to avoid pain
Answer: B) Sit up for 30-60 mins after taking the med
Question 13:
In the context of family nursing, what is the primary focus of family nursing
competencies?
A) Diagnosing and treating individual family members' illnesses
B) Focusing nursing practice on the family's strengths and supporting
family and individual growth
C) Primarily addressing the financial and economic needs of the family unit
D) Ensuring all family members adhere to prescribed medical treatments
Answer: B) Focusing nursing practice on the family's strengths and
supporting family and individual growth
