NURS 5432 FAMILY 1 FINAL EXAM -
UTA COMPREHENSIVE REVIEW
QUESTIONS AND ANSWERS
1. A 4-month-old infant is brought to the clinic for a routine check-up. The mother is
concerned because the infant cannot sit up without support. What is the most appropriate
response by the nurse practitioner?
A. Recommend immediate referral to a pediatric neurologist for developmental delay.
B. Suggest starting physical therapy to strengthen core muscles.
C. Inform the mother that sitting without support typically occurs around 6 to 7 months of
age.
D. Perform a Denver II Developmental Screening Test immediately to assess for gross
motor deficits.
Answer: C
Conceptual Explanation: Gross motor development milestones indicate that most infants
begin to sit with support at 4-5 months and sit independently without support by 6-7
months.
,2. Which of the following physical examination findings is most characteristic of a patient
with Acute Otitis Media (AOM)?
A. A translucent tympanic membrane with a visible cone of light.
B. Bulging of the tympanic membrane with decreased mobility on pneumatic otoscopy.
C. Retraction of the tympanic membrane with visible air-fluid levels.
D. Pain when pulling the pinna or tragus during the exam.
Answer: B
Conceptual Explanation: AOM is characterized by inflammation and fluid in the middle
ear, leading to a bulging, opaque, and immobile tympanic membrane. Pain with pinna
movement is associated with Otitis Externa.
3. According to the JNC 8 guidelines, what is the blood pressure goal for an 65-year-old
patient with no history of diabetes or chronic kidney disease?
A. <120/80 mmHg
B. <150/90 mmHg
C. <140/90 mmHg
D. <130/80 mmHg
Answer: B
, Conceptual Explanation: JNC 8 guidelines recommend a blood pressure goal of <150/90
mmHg for adults aged 60 years and older without DM or CKD, although newer ACC/AHA
guidelines suggest <130/80 for most.
4. A 55-year-old male with Type 2 Diabetes Mellitus has a serum creatinine of 1.8 mg/dL and
an eGFR of 28 mL/min/1.73m2. Which of the following is the most appropriate action
regarding his Metformin therapy?
A. Continue the current dose but monitor renal function monthly.
B. Reduce the Metformin dose by 50%.
C. Discontinue Metformin due to the risk of lactic acidosis.
D. Switch Metformin to an extended-release formulation.
Answer: C
Conceptual Explanation: Metformin is contraindicated in patients with an eGFR less than
30 mL/min/1.73m2 due to the significantly increased risk of lactic acidosis.
5. A 9-year-old child presents with symptoms of asthma that occur 3 days per week, with
nighttime awakenings 3 times per month. The FEV1 is 85% of predicted. How should this
patient’s asthma severity be classified?
A. Mild Persistent
B. Intermittent
C. Moderate Persistent
UTA COMPREHENSIVE REVIEW
QUESTIONS AND ANSWERS
1. A 4-month-old infant is brought to the clinic for a routine check-up. The mother is
concerned because the infant cannot sit up without support. What is the most appropriate
response by the nurse practitioner?
A. Recommend immediate referral to a pediatric neurologist for developmental delay.
B. Suggest starting physical therapy to strengthen core muscles.
C. Inform the mother that sitting without support typically occurs around 6 to 7 months of
age.
D. Perform a Denver II Developmental Screening Test immediately to assess for gross
motor deficits.
Answer: C
Conceptual Explanation: Gross motor development milestones indicate that most infants
begin to sit with support at 4-5 months and sit independently without support by 6-7
months.
,2. Which of the following physical examination findings is most characteristic of a patient
with Acute Otitis Media (AOM)?
A. A translucent tympanic membrane with a visible cone of light.
B. Bulging of the tympanic membrane with decreased mobility on pneumatic otoscopy.
C. Retraction of the tympanic membrane with visible air-fluid levels.
D. Pain when pulling the pinna or tragus during the exam.
Answer: B
Conceptual Explanation: AOM is characterized by inflammation and fluid in the middle
ear, leading to a bulging, opaque, and immobile tympanic membrane. Pain with pinna
movement is associated with Otitis Externa.
3. According to the JNC 8 guidelines, what is the blood pressure goal for an 65-year-old
patient with no history of diabetes or chronic kidney disease?
A. <120/80 mmHg
B. <150/90 mmHg
C. <140/90 mmHg
D. <130/80 mmHg
Answer: B
, Conceptual Explanation: JNC 8 guidelines recommend a blood pressure goal of <150/90
mmHg for adults aged 60 years and older without DM or CKD, although newer ACC/AHA
guidelines suggest <130/80 for most.
4. A 55-year-old male with Type 2 Diabetes Mellitus has a serum creatinine of 1.8 mg/dL and
an eGFR of 28 mL/min/1.73m2. Which of the following is the most appropriate action
regarding his Metformin therapy?
A. Continue the current dose but monitor renal function monthly.
B. Reduce the Metformin dose by 50%.
C. Discontinue Metformin due to the risk of lactic acidosis.
D. Switch Metformin to an extended-release formulation.
Answer: C
Conceptual Explanation: Metformin is contraindicated in patients with an eGFR less than
30 mL/min/1.73m2 due to the significantly increased risk of lactic acidosis.
5. A 9-year-old child presents with symptoms of asthma that occur 3 days per week, with
nighttime awakenings 3 times per month. The FEV1 is 85% of predicted. How should this
patient’s asthma severity be classified?
A. Mild Persistent
B. Intermittent
C. Moderate Persistent
