NURS 5432 ADVANCED FAMILY
NURSING PRACTICE FINAL EXAM
PREP QUESTIONS AND ANSWERS
1. A 65-year-old male with a history of hypertension and chronic kidney disease (Stage 3)
presents for a follow-up. According to the current clinical guidelines, what is the
recommended target blood pressure for this patient?
A. < 130/80 mmHg
B. < 120/80 mmHg
C. < 140/90 mmHg
D. < 150/90 mmHg
Answer: A
Conceptual Explanation: Current ACC/AHA guidelines recommend a target blood
pressure of less than 130/80 mmHg for patients with chronic kidney disease to reduce the
risk of progression and cardiovascular events.
,2. Which of the following is considered a primary contraindication for the use of Metformin in
a patient with Type 2 Diabetes?
A. Body Mass Index (BMI) greater than 35
B. Glomerular Filtration Rate (eGFR) less than 30 mL/min/1.73m2
C. History of gestational diabetes
D. Age greater than 75 years
Answer: B
Conceptual Explanation: Metformin is contraindicated in patients with an eGFR less than
30 mL/min/1.73m2 due to the increased risk of lactic acidosis.
3. A 4-year-old child presents with a sudden onset of high fever, sore throat, and drooling.
The child appears anxious and is leaning forward in a ‘tripod position.’ What is the most likely
diagnosis?
A. Acute Epiglottitis
B. Croup (Laryngotracheobronchitis)
C. Bacterial Tracheitis
D. Peritonsillar Abscess
Answer: A
, Conceptual Explanation: The classic presentation of epiglottitis includes high fever,
drooling, and the tripod position. This is a medical emergency often caused by
Haemophilus influenzae type b.
4. In the management of a patient with Chronic Obstructive Pulmonary Disease (COPD),
which medication class is the cornerstone for reducing exacerbations in patients classified as
Group C or D?
A. Short-acting beta-agonists (SABA)
B. Oral leukotriene modifiers
C. Inhaled corticosteroids (ICS) monotherapy
D. Long-acting muscarinic antagonists (LAMA)
Answer: D
Conceptual Explanation: LAMAs are superior to LABAs in reducing exacerbation rates
and are the preferred initial therapy for patients in high-risk groups (C and D) according to
GOLD guidelines.
5. A 28-year-old female at 10 weeks gestation presents with a urinary tract infection. Which
of the following antibiotics is generally considered safe to prescribe during the first trimester?
A. Nitrofurantoin
B. Trimethoprim-Sulfamethoxazole
C. Ciprofloxacin
NURSING PRACTICE FINAL EXAM
PREP QUESTIONS AND ANSWERS
1. A 65-year-old male with a history of hypertension and chronic kidney disease (Stage 3)
presents for a follow-up. According to the current clinical guidelines, what is the
recommended target blood pressure for this patient?
A. < 130/80 mmHg
B. < 120/80 mmHg
C. < 140/90 mmHg
D. < 150/90 mmHg
Answer: A
Conceptual Explanation: Current ACC/AHA guidelines recommend a target blood
pressure of less than 130/80 mmHg for patients with chronic kidney disease to reduce the
risk of progression and cardiovascular events.
,2. Which of the following is considered a primary contraindication for the use of Metformin in
a patient with Type 2 Diabetes?
A. Body Mass Index (BMI) greater than 35
B. Glomerular Filtration Rate (eGFR) less than 30 mL/min/1.73m2
C. History of gestational diabetes
D. Age greater than 75 years
Answer: B
Conceptual Explanation: Metformin is contraindicated in patients with an eGFR less than
30 mL/min/1.73m2 due to the increased risk of lactic acidosis.
3. A 4-year-old child presents with a sudden onset of high fever, sore throat, and drooling.
The child appears anxious and is leaning forward in a ‘tripod position.’ What is the most likely
diagnosis?
A. Acute Epiglottitis
B. Croup (Laryngotracheobronchitis)
C. Bacterial Tracheitis
D. Peritonsillar Abscess
Answer: A
, Conceptual Explanation: The classic presentation of epiglottitis includes high fever,
drooling, and the tripod position. This is a medical emergency often caused by
Haemophilus influenzae type b.
4. In the management of a patient with Chronic Obstructive Pulmonary Disease (COPD),
which medication class is the cornerstone for reducing exacerbations in patients classified as
Group C or D?
A. Short-acting beta-agonists (SABA)
B. Oral leukotriene modifiers
C. Inhaled corticosteroids (ICS) monotherapy
D. Long-acting muscarinic antagonists (LAMA)
Answer: D
Conceptual Explanation: LAMAs are superior to LABAs in reducing exacerbation rates
and are the preferred initial therapy for patients in high-risk groups (C and D) according to
GOLD guidelines.
5. A 28-year-old female at 10 weeks gestation presents with a urinary tract infection. Which
of the following antibiotics is generally considered safe to prescribe during the first trimester?
A. Nitrofurantoin
B. Trimethoprim-Sulfamethoxazole
C. Ciprofloxacin
