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NURS 5433 – FNP II Family Nursing – Final Exam Review (2026/2027) – UTA

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This document contains a final exam review for NURS 5433 FNP II Family Nursing for the 2026/2027 academic period at UTA. It covers key family nurse practitioner concepts including patient assessment, diagnosis, treatment planning, pharmacology considerations, preventive care, and evidence-based management of common health conditions across the lifespan. The material is designed to support exam preparation and reinforce understanding of advanced family nursing principles through structured review and practice-based learning. It is useful for self-study, revision, and strengthening clinical reasoning and patient-centered care skills.

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NURS 5433 FNP II FINAL EXAM
REVIEW WITH 100% CORRECT
ANSWERS GRADED A+ (2026)
(PDF) | FAMILY NURSING | UTA
gram positive bacteria - answer-staph

strep

enterococcus

- everything else is gram negative



penicillins - answer-MOA: inhibit bacterial wall synthesis by binding to and activating
enzymes that are essential for cell wall function



effective against gram positive bacteria

- strep throat

- ear infections

- syphillis



cephalosporins - answer-MOA: inhibit cell wall synthesis



broad spectrum, effective against pos and neg bacteria, later generations are more
effective against gram neg



treat respiratory infections, UTIs, skin infections, bacterial meningitis, pneumonia



cephalosporin generations - answer-1 - cephalexin

2 - cefuroxime

3 - ceftriaxone

,4 - cefepime



macrolides - answer-MOA: inhibit bacterial protein synthesis



effective against primarily gram pos but some gram neg



erythromycin, azithromycin, clarithromycin



treat respiratory infections, bronchitis, pna, skin infections, STIs



flouroquinolones - answer-MOA: inhibit bacterial DNA synthesis



broad spectrum +/-



ciprofloxacin, levofloxacin, moxifloxacin



UTIs, GI infections, respiratory infections, skin infections



Risk of tendon rupture! Last resort abx



tetracyclines - answer-MOA: inhibit bacterial synthesis



broad spectrum +/-



tetracycline, doxycycline, minocycline



acne, respiratory infections, lyme, rocky mountain spotted fever, STIs

,don't use in kids <8 y.o. unless RMSF



aminoglycosides - answer-MOA: inhibit bacterial protein synthesis



gram negative bacteria



tobramicin, gentamicin, amikacin



treat sepsis, pna, UTIs, often in combo with another med



risk of ototoxicity, nephrotoxicity, neuromuscular blockade



sulfonamides - answer-MOA: inhibits synthesis of folic acid in bacteria



gram + and some gram neg



bactrim, sulfamethoxazole



UTIs, ear infections, PNA



Live attenuated vaccines - answer-MMR, varicella, nasal flu, rotavirus, yellow fever,
smallpox



can cause fever and rash - normal!



must be given on the same day or at least 4 weeks apart, too close together can
interfere with effectiveness



AVOID in pregnancy and immunocompromised

, do not give before 1 year old



When do you start giving flu vaccine? - answer-6 months old



Do you vaccinate if the child is ill or febrile? - answer-Yes



kawasaki disease - answer-acute inflammatory condition that affects kids <5 y.o,
inflammation of blood vessels, can lead to heart problems



s/s:

fever >5 days

conjunctivitis

strawberry tongue

cracked lips, erythema in oral cavity

rash

edema and erythema of hands, feet

peeling fingertips

cervical lymphadenopathy

irritability



Tx: IVIG 2g/kg and high dose aspirin



Refer to Cardiology



diagnostic criteria of kawasakis - answer-5 days of fever plus 4 of the following:

- bilateral conjunctival injection

- polymorphic rash

- cervical lymphadenopathy

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