• NURS 5433 Final 09/14/2026
exam
Study guide NURS 5432 Family 1 midterm exam
module 1-7 midterm exam questions and
correct verified answers/ NURS 5432 midterm
exam newest prep test bank
A 15 year old female patient is brought to the clinic by her mother because she has not started menses.
Upon examination, the patient remains in Tanner stage I. Which of the following labs may be elevated
in this case?
a. Prolactin
b. H/H
c. Adosterone
d. Estrogen –
Correct Answer :a
P 1
, • NURS 5433 Final 09/14/2026
exam
If prolactin is elevated, order CT scan of sella turcica.
The best screening test for detecting and monitoring both hyperthyroidism and hypothyroidism is:
A) The total T3-4
B) Thyroid-stimulating hormone (TSH)
C) Thyroid profile
D) Palpation of the thyroid gland –
Correct Answer :B) Thyroid-stimulating hormone (TSH)
The best "screening" test of hypothyroidism and hyperthyroidism is the TSH. If this result is abnormal,
then further diagnostic tests should be performed.
A patient who recently returned from a vacation in Latin America complains of a severe headache and
stiff neck that are accompanied by a high fever for the past 12 hours. While examining the patient, the
nurse practitioner flexes both the patient's hips and legs and then tells the patient to straighten them
against resistance. The name of this test is:
A) Kernig's maneuver
B) Brudzinski's maneuver
C) Murphy's sign
D) Homan's sign - Correct Answer :A) Kernig's maneuver
P 2
, • NURS 5433 Final 09/14/2026
exam
Kernig's maneuver is performed by having the patient flex both hips and legs and then straighten the
legs against resistance, testing for meningitis. Flexion of hip/knees is a positive sign for meningitis.
Brudzinski's maneuver is performed by placing the patient's hands behind his head, and gently tucking
chin to chest. Murphy's sign is elicited by having the patient inspire with the tips of the examiner's
fingers placed on the right upper quadrant, at the liver border, under the ribs. Pain on inspiration is
suggestive of cholecystitis. Homan's sign is flexion of the foot, causing pain in the posterior calf area,
suggestive of a DVT.
Which of the following groups has been recommended to be screened for thyroid disease?
A) Women 50 years or older
B) Adolescent females
C) Elderly males
D) School-age children - Correct Answer :A) Women 50 years or older
Screening for thyroid disease is recommended for women 50 years of age and older.
A 65-year-old Hispanic woman has a history of type 2 diabetes. A routine urinalysis reveals a few
epithelial cells and is negative for leukocytes, nitrites, and protein. Which of the following would you
recommend next?
A) Order a urine for C&S
B) Order a 24-hour urine for microalbumin
C) Because it is negative, no further tests are necessary
D) Recommend a screening IVP (intravenous pyelogram) - Correct Answer :B) Order a 24-hour urine
for microalbumin
P 3
, • NURS 5433 Final 09/14/2026
exam
Epithelial cells are cells that are present on the inside lining of the organs. Few epithelial cells can be
normal; however, with her history of type 2 diabetes, a 24-hour urine for microalbumin should be
ordered to assess kidney function.
RhoGAM's mechanism of action is:
A) The destruction of Rh-positive fetal RBCs that are present in the mother's circulatory system
B) The destruction of maternal antibodies against Rh-positive fetal RBCs
C) The stimulation of maternal antibodies so that there is a decreased risk of hemolysis
D) The destruction of maternal antibodies against fetal RBCs –
Correct Answer :A) The destruction of Rh-positive fetal RBCs that are present in the mother's
cirulatory system
RhoGAM is given to mothers with Rh-negative blood when the fetus has Rh-positive blood. RhoGAM
protects the mother from developing antibodies by destroying the Rh-positive fetal RBCs in the
mother's blood system.
A chest radiograph shows an area of consolidation on the lower lobe. Which of the following conditions
is most likely?
A) Bacterial pneumonia
B) Acute bronchitis
C) COPD
D) Atypical pneumonia - Correct Answer :A) Bacterial pneumonia
Consolidation is visible on x-ray when bacterial pneumonia is present. Consolidation is not present in
the lungs with bronchitis, COPD, or atypical pneumonia.
P 4
exam
Study guide NURS 5432 Family 1 midterm exam
module 1-7 midterm exam questions and
correct verified answers/ NURS 5432 midterm
exam newest prep test bank
A 15 year old female patient is brought to the clinic by her mother because she has not started menses.
Upon examination, the patient remains in Tanner stage I. Which of the following labs may be elevated
in this case?
a. Prolactin
b. H/H
c. Adosterone
d. Estrogen –
Correct Answer :a
P 1
, • NURS 5433 Final 09/14/2026
exam
If prolactin is elevated, order CT scan of sella turcica.
The best screening test for detecting and monitoring both hyperthyroidism and hypothyroidism is:
A) The total T3-4
B) Thyroid-stimulating hormone (TSH)
C) Thyroid profile
D) Palpation of the thyroid gland –
Correct Answer :B) Thyroid-stimulating hormone (TSH)
The best "screening" test of hypothyroidism and hyperthyroidism is the TSH. If this result is abnormal,
then further diagnostic tests should be performed.
A patient who recently returned from a vacation in Latin America complains of a severe headache and
stiff neck that are accompanied by a high fever for the past 12 hours. While examining the patient, the
nurse practitioner flexes both the patient's hips and legs and then tells the patient to straighten them
against resistance. The name of this test is:
A) Kernig's maneuver
B) Brudzinski's maneuver
C) Murphy's sign
D) Homan's sign - Correct Answer :A) Kernig's maneuver
P 2
, • NURS 5433 Final 09/14/2026
exam
Kernig's maneuver is performed by having the patient flex both hips and legs and then straighten the
legs against resistance, testing for meningitis. Flexion of hip/knees is a positive sign for meningitis.
Brudzinski's maneuver is performed by placing the patient's hands behind his head, and gently tucking
chin to chest. Murphy's sign is elicited by having the patient inspire with the tips of the examiner's
fingers placed on the right upper quadrant, at the liver border, under the ribs. Pain on inspiration is
suggestive of cholecystitis. Homan's sign is flexion of the foot, causing pain in the posterior calf area,
suggestive of a DVT.
Which of the following groups has been recommended to be screened for thyroid disease?
A) Women 50 years or older
B) Adolescent females
C) Elderly males
D) School-age children - Correct Answer :A) Women 50 years or older
Screening for thyroid disease is recommended for women 50 years of age and older.
A 65-year-old Hispanic woman has a history of type 2 diabetes. A routine urinalysis reveals a few
epithelial cells and is negative for leukocytes, nitrites, and protein. Which of the following would you
recommend next?
A) Order a urine for C&S
B) Order a 24-hour urine for microalbumin
C) Because it is negative, no further tests are necessary
D) Recommend a screening IVP (intravenous pyelogram) - Correct Answer :B) Order a 24-hour urine
for microalbumin
P 3
, • NURS 5433 Final 09/14/2026
exam
Epithelial cells are cells that are present on the inside lining of the organs. Few epithelial cells can be
normal; however, with her history of type 2 diabetes, a 24-hour urine for microalbumin should be
ordered to assess kidney function.
RhoGAM's mechanism of action is:
A) The destruction of Rh-positive fetal RBCs that are present in the mother's circulatory system
B) The destruction of maternal antibodies against Rh-positive fetal RBCs
C) The stimulation of maternal antibodies so that there is a decreased risk of hemolysis
D) The destruction of maternal antibodies against fetal RBCs –
Correct Answer :A) The destruction of Rh-positive fetal RBCs that are present in the mother's
cirulatory system
RhoGAM is given to mothers with Rh-negative blood when the fetus has Rh-positive blood. RhoGAM
protects the mother from developing antibodies by destroying the Rh-positive fetal RBCs in the
mother's blood system.
A chest radiograph shows an area of consolidation on the lower lobe. Which of the following conditions
is most likely?
A) Bacterial pneumonia
B) Acute bronchitis
C) COPD
D) Atypical pneumonia - Correct Answer :A) Bacterial pneumonia
Consolidation is visible on x-ray when bacterial pneumonia is present. Consolidation is not present in
the lungs with bronchitis, COPD, or atypical pneumonia.
P 4
