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Study guide NURS 5432 Family 1 midterm exam
module 1-7 midterm exam questions and
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Laws governing nurse practitioner authority are determined by the:
A) Board of Nursing
B) State Legislature
C) American Nursing Association
D) State Medical Association - Correct Answer :A) Board of Nursing
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, • NURS 5433 Final 09/14/2026
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Each state has laws establishing a Board of Nursing that regulates the role of the nurse practitioner.
A 10-year-old male who was recently accepted into his school's soccer team has a history of exercise-
induced asthma. The child wants to know when he should take his albuterol inhaler. The nurse
practitioner would advise the patient:
A) Premedicate himself 20 minutes prior to starting exercise
B) Wait until he starts to exercise before using the inhaler
C) Premedicate 60 minutes before starting exercise
D) Wait until he finishes his exercise before using his inhaler –
Correct Answer :A) Premedicate himself 20 minutes prior to starting exercise
Exercise-induced asthma is best controlled by using the Proventil inhaler (bronchodilator)
approximately 20 minutes prior to exercise, to prevent vasospasm of the bronchioles and shortness of
breath with exercise. These bronchodilators usually last approximately 4 hours. They also work quickly
to open up the bronchioles if an acute attack/shortness of breath occurs
Atrophic macular degeneration of the aged (AMD) is the leading cause of blindness in the elderly in the
United States Which of the following statements is correct?
A) It is a slow or sudden painless loss of central vision
B) It is a slow or sudden painless loss of peripheral vision
C) It is an occlusion of the central retinal vein causing degeneration of the macular area
D) It is commonly caused by diabetic retinopathy –
Correct Answer :A) It is a slow or sudden painless loss of central vision
Macular degeneration causes the loss of central vision.
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A 12-year-old girl is complaining of a 2-week history of facial pressure that worsens when she bends
over. She complains of tooth pain in her upper molars on the right side of her face. On physical exam,
her lung and heart sounds are normal. Which of the following is the most likely diagnosis?
A) An acute dental abscess
B) Chronic sinusitis
C) Acute sinusitis
D) Severe allergic rhinitis –
Correct Answer :C) Acute sinusitis
Signs/symptoms of acute sinusitis includes headache, facial pain that worsens with bending over,
eye/ear pressure and pain, aching in upper jaw/teeth, reduced smell and taste, cough (especially at night
due to the nasal drainage), sore throat, bad breath, and fatigue.
Which of the following findings is associated with thyroid hypofunction?
A) Graves disease
B) Eye disorder
C) Thyroid storm
D) Myxedema - Correct Answer :D) Myxedema
Myxedema is a rare, and sometimes fatal, disease in which the thyroid is severely underactive and causes
life-threatening symptoms. These symptoms include low blood pressure, decreased breathing, decreased
body temperature, unresponsiveness, and even coma. Graves' disease, thyroid storm, and eye disorder
are seen with an overactive thyroid disease known as hyperthyroidism.
What is the best procedure for evaluating a corneal abrasion?
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, • NURS 5433 Final 09/14/2026
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A) Tonometry
B) Fluorescein stain
C) Visual field test
D) Funduscopy - Correct Answer :B) Fluorescein stain
Fluorescein stain is an eye stain used to detect abrasions or foreign objects in the cornea of the eye.
Orange dye (fluorescein) is used to stain the eye and a blue light is used to detect/visualize any foreign
bodies or abrasions in the eye. Visual field test assesses vision. Tonometry measures the pressure inside
the eye. The funduscopic exam is performed with an ophthalmoscope to visualize the inside of the eye.
You are examining a patient who has just been diagnosed with Bell's palsy. Bell's palsy is characterized
by all of the following except:
A) Drooling
B) Inability to swallow
C) Inability to close the eye on the affected side
D) Drooping of the corner of the mouth on the affected side –
Correct Answer :B) Inability to swallow
Bell's palsy affects cranial nerve VII, which affects the ability to smile, close the eye on the affected side;
drooping and drooling on the affected side can also occur. Swallowing is not affected by the facial nerve.
A new mother who is on her fourth day of breastfeeding complains to the nurse practitioner of very sore
breasts. The nurse practitioner would:
A) Recommend a decrease in the number of times she breastfeeds her infant per day
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