NURS 5433 Week 4 Midterm Exam Family II FNP Practice Test
Bank | UTA Actual Exam Style Questions & Verified Clinical
Rationales
Ace your high-stakes graduate nursing evaluation with this comprehensive NURS 5433
Family Nurse Practitioner II Week 4 midterm exam practice test bank tailored for the
University of Texas at Arlington. Master high-yield primary care clinical domains,
including evidence-based chronic disease management, advanced differential
diagnosis for adult and geriatric populations, complex multi-system disorders,
and prescriptive authority drug selections. Every verified question features a highly
detailed clinical rationale designed to sharpen your diagnostic reasoning skills, align
with UTA program metrics, and guarantee board certification readiness.
1. A 52-year-old client presents with greasy, scaly, crusted eyelids that stick
together in the morning. The nurse practitioner notes redness of the lid margins
with no vision change. Which condition is most likely?
A) Hordeolum
B) Chalazion
C) Blepharitis
D) Bacterial conjunctivitis
Rationale: Blepharitis is characterized by bilateral, symmetric inflammation of the eyelid
margins with scaling, crusting, and morning matting. It is often associated with seborrheic
dermatitis or rosacea. Hordeolum is a painful, localized abscess; chalazion is a painless,
firm nodule; conjunctivitis typically involves diffuse conjunctival injection with discharge.
,2. Which initial management is most appropriate for a client with blepharitis?
A) Oral doxycycline 100 mg BID for 10 days
B) Topical antibiotic ointment applied to the globe
C) Lid hygiene with warm compresses and diluted baby shampoo scrubs
D) Referral for incision and drainage
Rationale: First-line management of blepharitis is eyelid hygiene: warm compresses
followed by lid scrubs with dilute baby shampoo or commercial lid wipes. Oral antibiotics
(doxycycline) are reserved for resistant cases or rosacea-associated blepharitis. Incision
and drainage is not indicated.
3. A client presents with a painful, red, swollen nodule on the upper eyelid margin
that has been present for 2 days. What is the most likely diagnosis?
A) Chalazion
B) Hordeolum (sty)
C) Blepharitis
D) Dacryocystitis
Rationale: A hordeolum is an acute infection of the sebaceous glands of the eyelid,
presenting as a painful, red, swollen nodule. A chalazion is a painless, chronic
granulomatous inflammation. Dacryocystitis involves the lacrimal sac and presents with
tearing and medial canthal swelling.
,4. Which statement best differentiates a chalazion from a hordeolum?
A) A chalazion is painful and acute; a hordeolum is painless and chronic
B) A chalazion is painless and chronic; a hordeolum is painful and acute
C) Both are painful and require immediate incision and drainage
D) A chalazion is infectious; a hordeolum is sterile
Rationale: A chalazion is a painless, chronic lipogranuloma of the meibomian gland. A
hordeolum is an acute, painful bacterial infection. Treatment for chalazion includes warm
compresses; incision and drainage may be needed if persistent.
5. A client presents with a gritty, burning sensation in both eyes, watery discharge,
and a history of recent upper respiratory infection. Which type of conjunctivitis is
most likely?
A) Bacterial conjunctivitis
B) Viral conjunctivitis
C) Allergic conjunctivitis
D) Herpetic conjunctivitis
Rationale: Viral conjunctivitis typically follows a URI, presents with watery discharge, and
is highly contagious. Bacterial conjunctivitis presents with purulent discharge. Allergic
conjunctivitis presents with itching and bilateral involvement. Herpetic conjunctivitis
presents with unilateral vesicular lesions.
, 6. A client presents with profuse purulent discharge, matted eyelashes, and
unilateral conjunctival injection. Which management is most appropriate?
A) Topical antihistamine drops
B) Topical antibiotic drops such as erythromycin or polymyxin B
C) Oral acyclovir
D) Warm compresses only
Rationale: Bacterial conjunctivitis is characterized by purulent discharge and is treated
with topical antibiotics. Viral conjunctivitis is self-limiting. Allergic conjunctivitis is treated
with antihistamines. Herpetic conjunctivitis requires antiviral therapy.
7. A client presents with intense itching, bilateral conjunctival injection, and a
history of seasonal allergies. Which type of conjunctivitis is most likely?
A) Bacterial
B) Viral
C) Allergic
D) Herpetic
Rationale: Allergic conjunctivitis is characterized by intense itching, bilateral involvement,
and a history of atopy or seasonal allergies. Treatment includes topical antihistamines,
mast cell stabilizers, and avoidance of allergens.
Bank | UTA Actual Exam Style Questions & Verified Clinical
Rationales
Ace your high-stakes graduate nursing evaluation with this comprehensive NURS 5433
Family Nurse Practitioner II Week 4 midterm exam practice test bank tailored for the
University of Texas at Arlington. Master high-yield primary care clinical domains,
including evidence-based chronic disease management, advanced differential
diagnosis for adult and geriatric populations, complex multi-system disorders,
and prescriptive authority drug selections. Every verified question features a highly
detailed clinical rationale designed to sharpen your diagnostic reasoning skills, align
with UTA program metrics, and guarantee board certification readiness.
1. A 52-year-old client presents with greasy, scaly, crusted eyelids that stick
together in the morning. The nurse practitioner notes redness of the lid margins
with no vision change. Which condition is most likely?
A) Hordeolum
B) Chalazion
C) Blepharitis
D) Bacterial conjunctivitis
Rationale: Blepharitis is characterized by bilateral, symmetric inflammation of the eyelid
margins with scaling, crusting, and morning matting. It is often associated with seborrheic
dermatitis or rosacea. Hordeolum is a painful, localized abscess; chalazion is a painless,
firm nodule; conjunctivitis typically involves diffuse conjunctival injection with discharge.
,2. Which initial management is most appropriate for a client with blepharitis?
A) Oral doxycycline 100 mg BID for 10 days
B) Topical antibiotic ointment applied to the globe
C) Lid hygiene with warm compresses and diluted baby shampoo scrubs
D) Referral for incision and drainage
Rationale: First-line management of blepharitis is eyelid hygiene: warm compresses
followed by lid scrubs with dilute baby shampoo or commercial lid wipes. Oral antibiotics
(doxycycline) are reserved for resistant cases or rosacea-associated blepharitis. Incision
and drainage is not indicated.
3. A client presents with a painful, red, swollen nodule on the upper eyelid margin
that has been present for 2 days. What is the most likely diagnosis?
A) Chalazion
B) Hordeolum (sty)
C) Blepharitis
D) Dacryocystitis
Rationale: A hordeolum is an acute infection of the sebaceous glands of the eyelid,
presenting as a painful, red, swollen nodule. A chalazion is a painless, chronic
granulomatous inflammation. Dacryocystitis involves the lacrimal sac and presents with
tearing and medial canthal swelling.
,4. Which statement best differentiates a chalazion from a hordeolum?
A) A chalazion is painful and acute; a hordeolum is painless and chronic
B) A chalazion is painless and chronic; a hordeolum is painful and acute
C) Both are painful and require immediate incision and drainage
D) A chalazion is infectious; a hordeolum is sterile
Rationale: A chalazion is a painless, chronic lipogranuloma of the meibomian gland. A
hordeolum is an acute, painful bacterial infection. Treatment for chalazion includes warm
compresses; incision and drainage may be needed if persistent.
5. A client presents with a gritty, burning sensation in both eyes, watery discharge,
and a history of recent upper respiratory infection. Which type of conjunctivitis is
most likely?
A) Bacterial conjunctivitis
B) Viral conjunctivitis
C) Allergic conjunctivitis
D) Herpetic conjunctivitis
Rationale: Viral conjunctivitis typically follows a URI, presents with watery discharge, and
is highly contagious. Bacterial conjunctivitis presents with purulent discharge. Allergic
conjunctivitis presents with itching and bilateral involvement. Herpetic conjunctivitis
presents with unilateral vesicular lesions.
, 6. A client presents with profuse purulent discharge, matted eyelashes, and
unilateral conjunctival injection. Which management is most appropriate?
A) Topical antihistamine drops
B) Topical antibiotic drops such as erythromycin or polymyxin B
C) Oral acyclovir
D) Warm compresses only
Rationale: Bacterial conjunctivitis is characterized by purulent discharge and is treated
with topical antibiotics. Viral conjunctivitis is self-limiting. Allergic conjunctivitis is treated
with antihistamines. Herpetic conjunctivitis requires antiviral therapy.
7. A client presents with intense itching, bilateral conjunctival injection, and a
history of seasonal allergies. Which type of conjunctivitis is most likely?
A) Bacterial
B) Viral
C) Allergic
D) Herpetic
Rationale: Allergic conjunctivitis is characterized by intense itching, bilateral involvement,
and a history of atopy or seasonal allergies. Treatment includes topical antihistamines,
mast cell stabilizers, and avoidance of allergens.
