NURS 5432 Family Nurse Practitioner I Midterm Exa… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NURS 5432 Family Nurse Practitioner I Midterm Exam
2026/2027 |UTA
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NURS 5432 Family Nurse Practitioner I Midterm Exa… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 55-year-old male with a history of COPD presents with a blood pressure of 152/94 mmHg
on two separate occasions. According to JNC 8 guidelines, which of the following is the
most appropriate initial pharmacological intervention?
A. Propranolol
B. Chlorthalidone
C. Amlodipine
D. Lisinopril
Answer: D
Rationale: For non-black patients with or without diabetes, initial treatment includes ACE inhibitors
(like Lisinopril), ARBs, CCBs, or Thiazides. However, in patients with respiratory comorbidities or those
requiring renal protection, ACE inhibitors are often preferred, whereas non-selective beta-blockers like
Propranolol are contraindicated in COPD. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities.
2. Which physical examination finding is most indicative of acute cholecystitis?
A. McBurney’s Point tenderness
B. CVA tenderness
C. Positive Rovsing’s Sign
D. Positive Murphy’s Sign
Answer: D
Rationale: Murphy’s sign (inspiratory arrest upon deep palpation of the RUQ) is highly suggestive of
cholecystitis. McBurney’s and Rovsing’s signs are related to appendicitis, and CVA tenderness relates
to pyelonephritis. Knowing the reason behind the correct answer makes it easier to rule out the wrong
options quickly. Look for the choice that protects the client and matches the priority need.
Understanding this helps the nurse notice early warning signs and act before the problem gets worse.
Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 2
, NURS 5432 Family Nurse Practitioner I Midterm Exa… 2026/2027 • Verified • Assured Grade A+
3. A patient presents with a ‘herald patch’ followed by a Christmas-tree distribution of
smaller maculopapular lesions on the trunk. What is the most likely diagnosis?
A. Pityriasis Rosea
B. Psoriasis
C. Tinea Corporis
D. Secondary Syphilis
Answer: A
Rationale: Pityriasis Rosea is characterized by a single herald patch followed by a generalized
eruption in a Christmas-tree pattern. It is self-limiting and usually viral in origin. Knowing the reason
behind the correct answer makes it easier to rule out the wrong options quickly. Look for the choice
that protects the client and matches the priority need. Understanding this helps the nurse notice early
warning signs and act before the problem gets worse. Early action often prevents bigger complications
for the client.
4. In the interpretation of Hepatitis B serology, which marker indicates immunity solely
through vaccination?
A. Positive HBsAg and Positive Anti-HBc
B. Positive Anti-HBs only
C. Positive Anti-HBs and Positive Anti-HBc
D. Positive HBeAg
Answer: B
Rationale: A positive Anti-HBs (Hepatitis B surface antibody) with a negative Anti-HBc (core antibody)
indicates immunity acquired through vaccination. Positive Anti-HBc indicates a history of natural
infection. This is important because the nurse must choose the action that keeps the client safest while
still meeting their basic needs. Always think about safety first when answering these questions. In
practice, this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and
clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NURS 5432 Family Nurse Practitioner I Midterm Exam
2026/2027 |UTA
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NURS 5432 Family Nurse Practitioner I Midterm Exa… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 55-year-old male with a history of COPD presents with a blood pressure of 152/94 mmHg
on two separate occasions. According to JNC 8 guidelines, which of the following is the
most appropriate initial pharmacological intervention?
A. Propranolol
B. Chlorthalidone
C. Amlodipine
D. Lisinopril
Answer: D
Rationale: For non-black patients with or without diabetes, initial treatment includes ACE inhibitors
(like Lisinopril), ARBs, CCBs, or Thiazides. However, in patients with respiratory comorbidities or those
requiring renal protection, ACE inhibitors are often preferred, whereas non-selective beta-blockers like
Propranolol are contraindicated in COPD. Exam questions often test whether you can pick the most
practical and safe choice for the client in real situations. Focus on what the nurse can actually do right
now. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities.
2. Which physical examination finding is most indicative of acute cholecystitis?
A. McBurney’s Point tenderness
B. CVA tenderness
C. Positive Rovsing’s Sign
D. Positive Murphy’s Sign
Answer: D
Rationale: Murphy’s sign (inspiratory arrest upon deep palpation of the RUQ) is highly suggestive of
cholecystitis. McBurney’s and Rovsing’s signs are related to appendicitis, and CVA tenderness relates
to pyelonephritis. Knowing the reason behind the correct answer makes it easier to rule out the wrong
options quickly. Look for the choice that protects the client and matches the priority need.
Understanding this helps the nurse notice early warning signs and act before the problem gets worse.
Early action often prevents bigger complications for the client.
Exam (Elaborations) • Detailed Rationales Page 2
, NURS 5432 Family Nurse Practitioner I Midterm Exa… 2026/2027 • Verified • Assured Grade A+
3. A patient presents with a ‘herald patch’ followed by a Christmas-tree distribution of
smaller maculopapular lesions on the trunk. What is the most likely diagnosis?
A. Pityriasis Rosea
B. Psoriasis
C. Tinea Corporis
D. Secondary Syphilis
Answer: A
Rationale: Pityriasis Rosea is characterized by a single herald patch followed by a generalized
eruption in a Christmas-tree pattern. It is self-limiting and usually viral in origin. Knowing the reason
behind the correct answer makes it easier to rule out the wrong options quickly. Look for the choice
that protects the client and matches the priority need. Understanding this helps the nurse notice early
warning signs and act before the problem gets worse. Early action often prevents bigger complications
for the client.
4. In the interpretation of Hepatitis B serology, which marker indicates immunity solely
through vaccination?
A. Positive HBsAg and Positive Anti-HBc
B. Positive Anti-HBs only
C. Positive Anti-HBs and Positive Anti-HBc
D. Positive HBeAg
Answer: B
Rationale: A positive Anti-HBs (Hepatitis B surface antibody) with a negative Anti-HBc (core antibody)
indicates immunity acquired through vaccination. Positive Anti-HBc indicates a history of natural
infection. This is important because the nurse must choose the action that keeps the client safest while
still meeting their basic needs. Always think about safety first when answering these questions. In
practice, this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and
clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 3
