FINAL EXAM: NURS 5433 FAMILY NURSE
PRACTITIONER II (FNP II), WITH
CORRECT /ACCURATE ANSWERS
AT THE UNIVERSITY OF TEXAS AT
ARLINGTON (UTA)
1. What percentage of β-cell function is typically lost at the diagnosis
of Type 2 diabetes?
A. 10%
B. 25%
C. 50%
D. 75%
,Correct Answer: C
Rationale: T2DM becomes clinically apparent after a long period of progressive β-cell decline, typically
around 50% loss.
2. A soccer player reports hearing a “pop” in her knee followed by
immediate swelling. Which finding most strongly suggests an ACL
tear?
A. Medial joint line tenderness
B. Knee “giving way” sensation
C. Pain with stair climbing
D. Clicking sound with extension
Correct Answer: B
Rationale: ACL rupture presents with instability, rapid effusion, and a popping sensation.
3. Which antibiotic is a second-generation cephalosporin?
A. Cefdinir
B. Ceftriaxone
C. Cefuroxime
D. Cefazolin
Correct Answer: C
Rationale: Cefuroxime is a second-generation cephalosporin with improved gram-negative coverage.
4. Which medication is a third-generation cephalosporin?
A. Cefaclor
B. Cefazolin
C. Cefuroxime
D. Ceftriaxone
Correct Answer: D
Rationale: Third-generation agents (e.g., ceftriaxone) have enhanced CNS penetration and gram-negative
activity.
, 5. A patient presents with sudden severe eye pain, halos around
lights, nausea, and a mid-dilated fixed pupil. What is the most likely
diagnosis?
A. Central retinal artery occlusion
B. Open-angle glaucoma
C. Conjunctivitis
D. Acute angle-closure glaucoma
Correct Answer: D
Rationale: Acute angle closure is an ophthalmic emergency requiring rapid reduction of IOP.
6. First-line treatment for acute angle-closure glaucoma includes:
A. Oral prednisone
B. Topical beta blocker only
C. IV mannitol + acetazolamide
D. Artificial tears
Correct Answer: C
Rationale: Emergency lowering of intraocular pressure with osmotic agents and carbonic anhydrase
inhibitors is required.
7. Aspirin decreases platelet aggregation by inhibiting:
A. COX-1
B. COX-2 only
C. Thrombin
D. Plasminogen activators
Correct Answer: A
Rationale: Aspirin irreversibly inhibits COX-1, reducing thromboxane A2.
8. Aspirin should be avoided in children with viral illness due to the
risk of:
A. Stevens-Johnson syndrome
B. Reye syndrome
PRACTITIONER II (FNP II), WITH
CORRECT /ACCURATE ANSWERS
AT THE UNIVERSITY OF TEXAS AT
ARLINGTON (UTA)
1. What percentage of β-cell function is typically lost at the diagnosis
of Type 2 diabetes?
A. 10%
B. 25%
C. 50%
D. 75%
,Correct Answer: C
Rationale: T2DM becomes clinically apparent after a long period of progressive β-cell decline, typically
around 50% loss.
2. A soccer player reports hearing a “pop” in her knee followed by
immediate swelling. Which finding most strongly suggests an ACL
tear?
A. Medial joint line tenderness
B. Knee “giving way” sensation
C. Pain with stair climbing
D. Clicking sound with extension
Correct Answer: B
Rationale: ACL rupture presents with instability, rapid effusion, and a popping sensation.
3. Which antibiotic is a second-generation cephalosporin?
A. Cefdinir
B. Ceftriaxone
C. Cefuroxime
D. Cefazolin
Correct Answer: C
Rationale: Cefuroxime is a second-generation cephalosporin with improved gram-negative coverage.
4. Which medication is a third-generation cephalosporin?
A. Cefaclor
B. Cefazolin
C. Cefuroxime
D. Ceftriaxone
Correct Answer: D
Rationale: Third-generation agents (e.g., ceftriaxone) have enhanced CNS penetration and gram-negative
activity.
, 5. A patient presents with sudden severe eye pain, halos around
lights, nausea, and a mid-dilated fixed pupil. What is the most likely
diagnosis?
A. Central retinal artery occlusion
B. Open-angle glaucoma
C. Conjunctivitis
D. Acute angle-closure glaucoma
Correct Answer: D
Rationale: Acute angle closure is an ophthalmic emergency requiring rapid reduction of IOP.
6. First-line treatment for acute angle-closure glaucoma includes:
A. Oral prednisone
B. Topical beta blocker only
C. IV mannitol + acetazolamide
D. Artificial tears
Correct Answer: C
Rationale: Emergency lowering of intraocular pressure with osmotic agents and carbonic anhydrase
inhibitors is required.
7. Aspirin decreases platelet aggregation by inhibiting:
A. COX-1
B. COX-2 only
C. Thrombin
D. Plasminogen activators
Correct Answer: A
Rationale: Aspirin irreversibly inhibits COX-1, reducing thromboxane A2.
8. Aspirin should be avoided in children with viral illness due to the
risk of:
A. Stevens-Johnson syndrome
B. Reye syndrome
