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

NURS 5433 FNP II Final Exam Review vt vt vt vt vt vt




(2026/2027)(PDF)|Family Nursing |
vt vt vt vt vt vt




UTA
vt




NURS 5433 FNP II Final Exam Review
vt vt vt vt vt vt




Select the best answer. Each question is worth 1 point.
vt vt vt vt vt vt vt vt vt




Section 1: Cardiovascular
vt vt




1. A 58-year-old male with hypertension and DM type 2 presents with substernal chest pressure
vt vt vt vt vt vt vt vt vt vt vt vt vt




radiating to the jaw, occurring at rest for 15 minutes. ECG shows ST depression in leads V3-V5.
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt




What is the most appropriate next step?
vt vt vt vt vt vt vt




• A) Aspirin 325 mg and discharge with cardiology referral
vt vt vt vt vt vt vt vt




• B) Aspirin, nitroglycerin, and admit for high-risk unstable angina
vt vt vt vt vt vt vt vt




• C) Code STEMI protocol for immediate cath lab
vt vt vt vt vt vt vt




• D) Chest X-ray and stress test in clinic
vt vt vt vt vt vt vt




2. Which medication has been shown to reduce mortality in chronic systolic HF (HFrEF) and should
vt vt vt vt vt vt vt vt vt vt vt vt vt vt




be initiated as first-line therapy?
vt vt vt vt vt




• A) Furosemide vt




• B) Digoxin vt




• C) Sacubitril/valsartan (ARNI)
vt vt




• D) Metoprolol tartrate
vt vt




3. A 72-year-old with hypertension develops angioedema after starting lisinopril. Which drug class
vt vt vt vt vt vt vt vt vt vt vt




should be used next?
vt vt vt vt




• A) Beta-blocker vt




• B) ARB (e.g., losartan)
vt vt vt




• C) Direct renin inhibitor
vt vt vt




• D) Thiazide diureticvt vt

, Section 2: Respiratory vt vt




4. A 45-year-old with asthma has used her albuterol inhaler daily for 2 months and wakes up at
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt




night with cough. What is the most appropriate step-up therapy?
vt vt vt vt vt vt vt vt vt vt




• A) Add oral montelukast
vt vt vt




• B) Add low-dose ICS (e.g., fluticasone)
vt vt vt vt vt




• C) Switch to LABA alone
vt vt vt vt




• D) Increase albuterol to 4 puffs QID
vt vt vt vt vt vt




5. Which finding on chest X-ray is most suggestive of community-acquired pneumonia (CAP) in an
vt vt vt vt vt vt vt vt vt vt vt vt vt




elderly patient?
vt vt




• A) Hyperlucent lung fields
vt vt vt




• B) Air bronchograms with lobar consolidation
vt vt vt vt vt




• C) Blunted costophrenic angle
vt vt vt




• D) Widened mediastinum
vt vt




6. A 30-year-old with acute dyspnea, tachycardia, and hypoxia after long flight has clear lungs and a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt




swollen left leg. What is the most appropriate next test?
vt vt vt vt vt vt vt vt vt vt




• A) D-dimer vt




• B) CT pulmonary angiography
vt vt vt




• C) Lower extremity venous duplex
vt vt vt vt




• D) Chest X-ray vt vt




Section 3: Endocrine vt vt




7. A 55-year-old obese female with A1c 7.8% on metformin 2000 mg/day needs a second agent.
vt vt vt vt vt vt vt vt vt vt vt vt vt vt




She has CKD stage 3 (eGFR 42). Which is preferred?
vt vt vt vt vt vt vt vt vt vt




• A) Pioglitazone vt




• B) Empagliflozin (SGLT2 inhibitor)
vt vt vt




• C) Glipizidevt




• D) Saxagliptin (DPP-4 inhibitor)
vt vt vt




8. A patient on levothyroxine for Hashimoto’s has fatigue and TSH of 8.5. What should you
vt g g
vt vt g g
vt vt g g
vt g
vt g
vt vt g g
vt g
vt g
vt g
vt g
vt




assess first?
g
vt vt g




• A) Free T4 levelvt g g
vt g
vt