NURS 5433
FNP II Final Exam Review
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
FNP Program
NURS 5433
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NURS 5433 FNP II Final Exam Review 2026/2027 UPDATE
1. A 4-week-old male presents with projectile, non-bilious vomiting after feeding. On physical
examination, a small, olive-shaped mass is palpable in the epigastrium. What is the most
likely diagnosis?
A. Gastroesophageal Reflux Disease
B. Intussusception
C. Hypertrophic Pyloric Stenosis
D. Duodenal Atresia
Answer: C
Rationale: Hypertrophic pyloric stenosis typically presents in infants between 3-6 weeks
of age with projectile non-bilious vomiting and a palpable olive-shaped mass in the right
upper quadrant or epigastrium.
2. Which of the following is a definitive contraindication for the use of combined oral
contraceptives (COCs) in a female patient?
A. History of dysmenorrhea
B. Controlled hypertension
C. Age 36 and smokes more than 15 cigarettes per day
D. Family history of ovarian cancer
, Answer: C
Rationale: The US Medical Eligibility Criteria (US MEC) states that women over age 35 who
smoke 15 or more cigarettes per day should not use COCs (Category 4) due to a high risk of
cardiovascular events and stroke.
3. A 4-year-old child presents with high fever for 6 days, strawberry tongue, bilateral
conjunctival injection without exudate, and erythema of the palms and soles. What is the
primary treatment to prevent coronary artery aneurysms?
A. High-dose Corticosteroids
B. Intravenous Immunoglobulin (IVIG) and high-dose Aspirin
C. Oral Amoxicillin
D. Acyclovir and supportive care
Answer: B
Rationale: Kawasaki disease requires prompt treatment with IVIG and high-dose aspirin to
reduce the risk of developing coronary artery abnormalities.
4. A 68-year-old patient with a history of heart failure with reduced ejection fraction (HFrEF)
presents for a follow-up. Which medication class is considered the cornerstone of therapy to
improve survival and decrease hospitalization?
A. Loop diuretics
B. Calcium channel blockers
FNP II Final Exam Review
Final Exam • Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
FNP Program
NURS 5433
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NURS 5433 FNP II Final Exam Review 2026/2027 UPDATE
1. A 4-week-old male presents with projectile, non-bilious vomiting after feeding. On physical
examination, a small, olive-shaped mass is palpable in the epigastrium. What is the most
likely diagnosis?
A. Gastroesophageal Reflux Disease
B. Intussusception
C. Hypertrophic Pyloric Stenosis
D. Duodenal Atresia
Answer: C
Rationale: Hypertrophic pyloric stenosis typically presents in infants between 3-6 weeks
of age with projectile non-bilious vomiting and a palpable olive-shaped mass in the right
upper quadrant or epigastrium.
2. Which of the following is a definitive contraindication for the use of combined oral
contraceptives (COCs) in a female patient?
A. History of dysmenorrhea
B. Controlled hypertension
C. Age 36 and smokes more than 15 cigarettes per day
D. Family history of ovarian cancer
, Answer: C
Rationale: The US Medical Eligibility Criteria (US MEC) states that women over age 35 who
smoke 15 or more cigarettes per day should not use COCs (Category 4) due to a high risk of
cardiovascular events and stroke.
3. A 4-year-old child presents with high fever for 6 days, strawberry tongue, bilateral
conjunctival injection without exudate, and erythema of the palms and soles. What is the
primary treatment to prevent coronary artery aneurysms?
A. High-dose Corticosteroids
B. Intravenous Immunoglobulin (IVIG) and high-dose Aspirin
C. Oral Amoxicillin
D. Acyclovir and supportive care
Answer: B
Rationale: Kawasaki disease requires prompt treatment with IVIG and high-dose aspirin to
reduce the risk of developing coronary artery abnormalities.
4. A 68-year-old patient with a history of heart failure with reduced ejection fraction (HFrEF)
presents for a follow-up. Which medication class is considered the cornerstone of therapy to
improve survival and decrease hospitalization?
A. Loop diuretics
B. Calcium channel blockers
