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

NURS 5433 FNP II Final Exam Review( df df df df df df df




2026/2027)(PDF)|Family Nursing | U df df df df df df




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NURS 5433 FNP II Final Exam Review
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Select the best answer. Each question is worth 1 point.
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Section 1: Cardiovasculardf df




1. A 58-year-
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old male with hypertension and DM type 2 presents with substernal chest pressure radiating to the
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jaw, occurring at rest for 15 minutes. ECG shows ST depression in leads V3-
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V5. What is the most appropriate next step?
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 A) Aspirin 325 mg and discharge with cardiology referral
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 B) Aspirin, nitroglycerin, and admit for high-risk unstable angina
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 C) Code STEMI protocol for immediate cath lab
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 D) Chest X-ray and stress test in clinic
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2. Which medication has been shown to reduce mortality in chronic systolic HF (HFrEF) and should be
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initiated as first-line therapy? df df df




 A) Furosemide df




 B) Digoxin df




 C) Sacubitril/valsartan (ARNI)
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 D) Metoprolol tartratedf df




3. A 72-year-
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old with hypertension develops angioedema after starting lisinopril. Which drug class should be used
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next?
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 A) Beta-blocker df




 B) ARB (e.g., losartan)
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 C) Direct renin inhibitor
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 D) Thiazide diuretic df df

, Section 2: Respiratory df df




4. A 45-year- df




old with asthma has used her albuterol inhaler daily for 2 months and wakes up at night with coug
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h. What is the most appropriate step-up therapy?
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 A) Add oral montelukast
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 B) Add low-dose ICS (e.g., fluticasone)
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 C) Switch to LABA alone
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 D) Increase albuterol to 4 puffs QID
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5. Which finding on chest X-ray is most suggestive of community-
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acquired pneumonia (CAP) in an elderly patient?
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 A) Hyperlucent lung fields
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 B) Air bronchograms with lobar consolidation
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 C) Blunted costophrenic angle
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 D) Widened mediastinum
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6. A 30-year- df




old with acute dyspnea, tachycardia, and hypoxia after long flight has clear lungs and a swollen left le
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g. What is the most appropriate next test?
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 A) D-dimer df




 B) CT pulmonary angiography
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 C) Lower extremity venous duplex
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 D) Chest X-ray df df




Section 3: Endocrine df df




7. A 55-year- df




old obese female with A1c 7.8% on metformin 2000 mg/day needs a second agent. She has CKD sta
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ge 3 (eGFR 42). Which is preferred?
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 A) Pioglitazonedf




 B) Empagliflozin (SGLT2 inhibitor)
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 C) Glipizide df




 D) Saxagliptin (DPP-4 inhibitor)
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8. A patient on levothyroxine for Hashimoto’s has fatigue and TSH of 8.5. What should you ass
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ess first? df g




 A) Free T4 level
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