NURS 5433 FNP II Final Exam Review (2026/2027) (PDF) | Family
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Nursing | | Complete A+ Guide n1 n1 n1 n1 n1 n1
1. What contributes to urge incontinence?
n1 n1 n1 n1 n1
Answer: Detrusor overactivity
n1 n1
Explanation: Urge incontinence occurs when the muscle contracts involuntarily, causing a
n1 n1 n1 n1 n1 n1n1 n1 n1 n1 n1
n1 sudden, strong urge to urinate and often leakage before reaching a toilet.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Which of the following organisms is not the top 3 for bacterial conjunctivitis?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. Strep pneumoniae
n1 n1
b. Haemophilus influenzae
n1 n1
c. Pseudomonas
n1
d. Staphylococcus aureus
n1 n1
Answer: Pseudomonas
n1
Explanation: The top three bacterial causes of conjunctivitis are Strep. pneumoniae, H.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 influenzae, and Staph. aureus. Pseudomonas is less common in typical
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 community-acquired conjunctivitis, though it can occur in contact lens users or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 healthcare settings. n1
3. A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 that occurs intermittently throughout the year and is often accompanied by a rope like
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 eye discharge and clear nasal discharge. This is most consistent with
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Answer: Allergic conjunctivitis
n1 n1
Explanation: Bilateral itching, rope-like discharge, clear nasal discharge, and seasonal or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 perennial occurrence are classic features of allergic conjunctivitis, not bacterial or viral.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
,4. Anterior epistaxis is usually caused from
n1 n1 n1 n1 n1 n1
Answer: localized nasal mucosa trauma
n1 n1 n1 n1
Explanation: Most anterior nosebleeds result from digital trauma (nose picking) or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 dryness/irritation of Kiesselbach’s plexus. Hypertension and bleeding disorders are less
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 common direct causes. n1 n1
5. Ms Murphy is a 58 year old woman presenting with a sudden left sided headache
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 that is most painful in her left eye. Her vision is blurred, and the left pupil is slightly
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 dilated and poorly reactive. The left conjunctiva is markedly injected, and the eyeball
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 is firm. Vision screen with the Snellen chart is 20/30 OD; and 20/90 OS. The most
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 likely dx isn1 n1
Answer: angle-closure glaucoma
n1 n1
Explanation: Acute angle-closure glaucoma presents with sudden severe eye pain,
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 headache, blurred vision, a fixed/dilated pupil, conjunctival injection, firm globe (high
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 intraocular pressure), and asymmetric vision loss.
n1 n1 n1 n1 n1
6. Which of the following is most likely to be found on the funduscopic exam in a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 patient with untreated POAG?
n1 n1 n1
a. flame-shaped hemorrhages
n1 n1
b. excessive cupping of the optic disk
n1 n1 n1 n1 n1 n1
c. papilledema
n1
d. Arteriovenous nicking
n1 n1
Answer: excessive cupping of the optic disk
n1 n1 n1 n1 n1 n1
, Explanation: Primary open-angle glaucoma (POAG) causes progressive optic nerve damage
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 with characteristic enlargement of the optic cup (increased cup-to-disc ratio).
n1 n1 n1 n1 n1 n1 n1 n1 n1
7. A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 2mm pustule on the lateral border of the right eyelid margin. What is this most
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 consistent with? n1
a. Blepharitis
n1
b. Hordeolum
n1
c. cellulitis
n1
d. chalazion
n1
Answer: Hordeolum n1
Explanation: A small pustule at the eyelid margin (gland opening) is an external
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 hordeolum (stye), caused by acute staphylococcal infection of the eyelash follicle or Zeis
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 gland.
8. An independent risk factor for oral cancer is
n1 n1 n1 n1 n1 n1 n1 n1
Answer: human papillomavirus type 16
n1 n1 n1 n1
Explanation: HPV-16 is strongly associated with oropharyngeal cancers, independent of
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 tobacco/alcohol use, and is now considered a distinct risk factor.
n1 n1 n1 n1 n1 n1 n1 n1 n1
9. Which of the following is not the top 2 causative pathogens for otitis externa?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. Pseudomonas aeruginosa
n1 n1
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Nursing | | Complete A+ Guide n1 n1 n1 n1 n1 n1
1. What contributes to urge incontinence?
n1 n1 n1 n1 n1
Answer: Detrusor overactivity
n1 n1
Explanation: Urge incontinence occurs when the muscle contracts involuntarily, causing a
n1 n1 n1 n1 n1 n1n1 n1 n1 n1 n1
n1 sudden, strong urge to urinate and often leakage before reaching a toilet.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Which of the following organisms is not the top 3 for bacterial conjunctivitis?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. Strep pneumoniae
n1 n1
b. Haemophilus influenzae
n1 n1
c. Pseudomonas
n1
d. Staphylococcus aureus
n1 n1
Answer: Pseudomonas
n1
Explanation: The top three bacterial causes of conjunctivitis are Strep. pneumoniae, H.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 influenzae, and Staph. aureus. Pseudomonas is less common in typical
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 community-acquired conjunctivitis, though it can occur in contact lens users or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 healthcare settings. n1
3. A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 that occurs intermittently throughout the year and is often accompanied by a rope like
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 eye discharge and clear nasal discharge. This is most consistent with
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Answer: Allergic conjunctivitis
n1 n1
Explanation: Bilateral itching, rope-like discharge, clear nasal discharge, and seasonal or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 perennial occurrence are classic features of allergic conjunctivitis, not bacterial or viral.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
,4. Anterior epistaxis is usually caused from
n1 n1 n1 n1 n1 n1
Answer: localized nasal mucosa trauma
n1 n1 n1 n1
Explanation: Most anterior nosebleeds result from digital trauma (nose picking) or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 dryness/irritation of Kiesselbach’s plexus. Hypertension and bleeding disorders are less
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 common direct causes. n1 n1
5. Ms Murphy is a 58 year old woman presenting with a sudden left sided headache
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 that is most painful in her left eye. Her vision is blurred, and the left pupil is slightly
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 dilated and poorly reactive. The left conjunctiva is markedly injected, and the eyeball
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 is firm. Vision screen with the Snellen chart is 20/30 OD; and 20/90 OS. The most
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 likely dx isn1 n1
Answer: angle-closure glaucoma
n1 n1
Explanation: Acute angle-closure glaucoma presents with sudden severe eye pain,
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 headache, blurred vision, a fixed/dilated pupil, conjunctival injection, firm globe (high
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 intraocular pressure), and asymmetric vision loss.
n1 n1 n1 n1 n1
6. Which of the following is most likely to be found on the funduscopic exam in a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 patient with untreated POAG?
n1 n1 n1
a. flame-shaped hemorrhages
n1 n1
b. excessive cupping of the optic disk
n1 n1 n1 n1 n1 n1
c. papilledema
n1
d. Arteriovenous nicking
n1 n1
Answer: excessive cupping of the optic disk
n1 n1 n1 n1 n1 n1
, Explanation: Primary open-angle glaucoma (POAG) causes progressive optic nerve damage
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 with characteristic enlargement of the optic cup (increased cup-to-disc ratio).
n1 n1 n1 n1 n1 n1 n1 n1 n1
7. A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 2mm pustule on the lateral border of the right eyelid margin. What is this most
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 consistent with? n1
a. Blepharitis
n1
b. Hordeolum
n1
c. cellulitis
n1
d. chalazion
n1
Answer: Hordeolum n1
Explanation: A small pustule at the eyelid margin (gland opening) is an external
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 hordeolum (stye), caused by acute staphylococcal infection of the eyelash follicle or Zeis
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 gland.
8. An independent risk factor for oral cancer is
n1 n1 n1 n1 n1 n1 n1 n1
Answer: human papillomavirus type 16
n1 n1 n1 n1
Explanation: HPV-16 is strongly associated with oropharyngeal cancers, independent of
n1 n1 n1 n1 n1 n1 n1 n1 n1
n1 tobacco/alcohol use, and is now considered a distinct risk factor.
n1 n1 n1 n1 n1 n1 n1 n1 n1
9. Which of the following is not the top 2 causative pathogens for otitis externa?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. Pseudomonas aeruginosa
n1 n1