NURS 5433 MIDTERM FNP II Midterm Exam Bank
(2026/2027), Questions & Answers (Verified Answers)
With Detailed Rationales || Complete A+ Guide - UTA
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Welcome to the NURS 5433 FNP II Midterm Exam Question Bank for the Spring 2026/2027 academic
year. This guide is tailored for students in the University of Texas at Arlington (UTA) Accelerated Online
FNP Program. It includes 200 high-yield, most-tested questions with verified answers and detailed
rationales to help you master advanced clinical concepts.
Exam Overview
• Course: NURS 5433 – Family Nurse Practitioner II
• Institution: University of Texas at Arlington (UTA)
• Semester: Spring
• Format: The midterm typically includes 100–150 multiple-choice questions covering advanced
primary care, health promotion, disease prevention, chronic care management, and family
assessment.
• Key Topics: Cardiovascular disorders, respiratory conditions, endocrine and metabolic diseases,
neurological disorders, women’s health, pediatrics, geriatrics, and evidence-based practice.
Use this question bank to test your knowledge, identify weak areas, and build confidence before the
exam.
Part 1: Family Assessment & Dynamics (Q1–30)
1. Which tool is commonly used to map family relationships and health history?
A) Pain scale
B) Genogram
C) Glasgow Coma Scale
D) Braden Scale
Answer: B
Rationale: A genogram visually represents family members, relationships, and medical history to
identify patterns of health or illness.
2. Which framework assesses family functioning and interactions across multiple systems?
A) Maslow’s Hierarchy
B) Calgary Family Assessment Model (CFAM)
C) Erikson’s Psychosocial Stages
D) Piaget’s Cognitive Theory
Answer: B
Rationale: CFAM provides a comprehensive framework for evaluating family structure, development,
and function, guiding family nursing interventions.
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3. During a family assessment, the nurse notes that a mother consistently speaks for her adolescent
child. This communication pattern is best described as:
A) Disengaged
B) Enmeshed
C) Peripheral
D) Chaotic
Answer: B
Rationale: An enmeshed family pattern lacks clear boundaries, often resulting in one member
speaking for another and inhibiting individual autonomy.
4. A family with a child newly diagnosed with type 1 diabetes is struggling to adjust meal schedules
and insulin administration. According to the Family Stress Theory, this stage is called:
A) Crisis
B) Disorganization
C) Recovery
D) Reorganization
Answer: B
Rationale: During disorganization, families experience disruption of normal routines as they attempt
to manage a new stressor.
5. The nurse uses a ____ to assess family coping and problem-solving abilities over time.
A) Ecomap
B) Family timeline
C) Genogram
D) Sociogram
Answer: B
Rationale: A family timeline records significant events and transitions, helping identify patterns of
coping and adaptation.
6. Which statement best reflects the principle of “family-centered care”?
A) The healthcare provider makes all decisions for the family.
B) The family is viewed as the constant in the child’s life and is actively involved in care.
C) Family input is optional and not essential to care planning.
D) Families are expected to follow all provider recommendations without question.
Answer: B
Rationale: Family-centered care recognizes the family as the primary source of support and partners
with them in decision-making.
7. A family with a parent who has chronic obstructive pulmonary disease (COPD) reports that the
parent refuses to use oxygen at home, causing conflict. The nurse’s first action should be to:
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A) Require the parent to use oxygen.
B) Explore the parent’s beliefs and concerns about oxygen therapy.
C) Call adult protective services.
D) Restrict family visits until compliance improves.
Answer: B
Rationale: Understanding the patient’s perspective and barriers to adherence is essential before
developing a mutually acceptable care plan.
8. Which of the following is a key component of a family health history assessment?
A) Only first-degree relatives
B) Three generations of relatives with age, health conditions, and cause of death
C) Only maternal lineage
D) Only paternal lineage
Answer: B
Rationale: A comprehensive family health history includes at least three generations to identify
genetic and environmental risks.
9. An ecomap is used to:
A) Visually represent the family’s connections and interactions with external systems.
B) Map genetic inheritance patterns.
C) Outline family rituals and traditions.
D) Document daily health behaviors.
Answer: A
Rationale: An ecomap illustrates the family’s relationships with community resources, social
supports, and stressors.
10. According to the Family Life Cycle framework, the developmental task for a family with adolescent
children is to:
A) Establish a mutually satisfying marriage.
B) Allow the adolescent to increase independence while maintaining family support.
C) Adjust to retirement and aging.
D) Manage the arrival of a new child.
Answer: B
Rationale: During this stage, families must balance fostering adolescent autonomy with continued
guidance and support.
11. The nurse is assessing a family’s ability to manage a chronic illness. Which question is most
effective for evaluating family resilience?
A) “Does anyone in the family have a mental health diagnosis?”
B) “Can you describe a difficult situation your family has overcome and how you did it?”
C) “How much money does your family earn each month?”
D) “Who is the primary breadwinner?”