NURS 5433 FNP II PRACTICE TEST 2026
MATERNAL PEDIATRIC KNOWLEDGE BANK
REVIEW PAPER ANSWERS EXAMPREP A+
◉ Addison's disease.
Answer: primary adrenal insufficiency, damage to adrenal gland
causes decreased cortisol and aldosterone
1* caused by autoimmune, TB, HIV, CMV, fungal, tumors, congential
adrenal hyperplasia, hemorrhage
2* caused by pituitary dysfunction leading to decreased ACH and
adrenal atrophy, could be from chronic steroid use with abrupt
withdrawal
s/s: fatigue, weight loss, hypotension, salt craving,
hyperpigmentation in 1*
◉ addisonian crisis.
Answer: life threatening, cortisol deficiency, triggered by stress,
illness, steroid withdrawal
s/s: hypotension, shock, hyponatremia, hyperkalemia
,Tx: hydrocortisone, fluids, correct electrolytes, glucose
dx: electrolytes, serum ACH stimulation test, cortisol levels
◉ cushing's syndrome.
Answer: chronic excess cortisol, any cause
◉ cushing's disease.
Answer: pituitary adenoma causing increased ACTH and increased
cortisol
◉ Cushings.
Answer: s/s: moon face, buffalo hump, central obesity, HTN,
hyperglycemia, muscle weakness, purple striae, skin thinning, poor
wound healing, easy bruising
dx: 1st line tests
24 hour urinary free cortisol
low dose dexamethasone suppression test
tx: cushing's disease - transsphenoidal surgery to remove adenoma
,cushings syndrome: gradual taper of steroids
◉ risks of cushings if untreated.
Answer: osteoporosis
infections
severe hypertension
◉ hyperparathyroidism.
Answer: primary: increased PTH, increased calcium, decreased Phos
secondary: increased PTH, increased phos, normal or decreased
calcium
tx: parathyroidectomy
◉ hypoparathyroidsm.
Answer: decreased PTH, decreased calcium, increased phos
tx: calcium and vitamin D
◉ stepwise approach for managing asthma.
, Answer: Step 1: Intermittent asthma - As needed low dose ICS-
formoterol, sx less than 2x/month
Step 2: Mild Persistent - Daily low dose ICS and as needed ICS-
formoterol, sx 2x/month or more but less than daily
Step 3: Moderate Persistant - medium dose ICS and low dose ICS-
formoterol as needed, sx most days or waking up with asthma once a
week or more
Step 4: Severe Persistent - add on LAMA and refer out for
phenotyping, consider high dose ICS-formoterol, sx most days or
waking with asthma once a week or more with low lung function
◉ asthma.
Answer: chronic airway inflammation, wheezing, SOB, chest
tightness, cough, expiratory airflow limitation
◉ COPD.
Answer: persistent respiratory symptoms, airflow limitation d/t
airway and/or alveolar abnormalities
◉ pathophysiology of asthma.
MATERNAL PEDIATRIC KNOWLEDGE BANK
REVIEW PAPER ANSWERS EXAMPREP A+
◉ Addison's disease.
Answer: primary adrenal insufficiency, damage to adrenal gland
causes decreased cortisol and aldosterone
1* caused by autoimmune, TB, HIV, CMV, fungal, tumors, congential
adrenal hyperplasia, hemorrhage
2* caused by pituitary dysfunction leading to decreased ACH and
adrenal atrophy, could be from chronic steroid use with abrupt
withdrawal
s/s: fatigue, weight loss, hypotension, salt craving,
hyperpigmentation in 1*
◉ addisonian crisis.
Answer: life threatening, cortisol deficiency, triggered by stress,
illness, steroid withdrawal
s/s: hypotension, shock, hyponatremia, hyperkalemia
,Tx: hydrocortisone, fluids, correct electrolytes, glucose
dx: electrolytes, serum ACH stimulation test, cortisol levels
◉ cushing's syndrome.
Answer: chronic excess cortisol, any cause
◉ cushing's disease.
Answer: pituitary adenoma causing increased ACTH and increased
cortisol
◉ Cushings.
Answer: s/s: moon face, buffalo hump, central obesity, HTN,
hyperglycemia, muscle weakness, purple striae, skin thinning, poor
wound healing, easy bruising
dx: 1st line tests
24 hour urinary free cortisol
low dose dexamethasone suppression test
tx: cushing's disease - transsphenoidal surgery to remove adenoma
,cushings syndrome: gradual taper of steroids
◉ risks of cushings if untreated.
Answer: osteoporosis
infections
severe hypertension
◉ hyperparathyroidism.
Answer: primary: increased PTH, increased calcium, decreased Phos
secondary: increased PTH, increased phos, normal or decreased
calcium
tx: parathyroidectomy
◉ hypoparathyroidsm.
Answer: decreased PTH, decreased calcium, increased phos
tx: calcium and vitamin D
◉ stepwise approach for managing asthma.
, Answer: Step 1: Intermittent asthma - As needed low dose ICS-
formoterol, sx less than 2x/month
Step 2: Mild Persistent - Daily low dose ICS and as needed ICS-
formoterol, sx 2x/month or more but less than daily
Step 3: Moderate Persistant - medium dose ICS and low dose ICS-
formoterol as needed, sx most days or waking up with asthma once a
week or more
Step 4: Severe Persistent - add on LAMA and refer out for
phenotyping, consider high dose ICS-formoterol, sx most days or
waking with asthma once a week or more with low lung function
◉ asthma.
Answer: chronic airway inflammation, wheezing, SOB, chest
tightness, cough, expiratory airflow limitation
◉ COPD.
Answer: persistent respiratory symptoms, airflow limitation d/t
airway and/or alveolar abnormalities
◉ pathophysiology of asthma.
