2027 UTA NURS 5338 FAMILY CLINICAL PRACTICE II EXAM –
COMPREHENSIVE PRACTICE QUESTIONS, ANSWERS & RATIONALES
Core Domains
• Family-centered primary care
• Health promotion and disease prevention
• Pediatric and adolescent assessment
• Women’s and men’s health
• Adult and geriatric chronic disease management
• Mental health screening and safety planning
• Infectious disease evaluation and stewardship
• Diagnostics, pharmacology, and referral decisions
• Evidence-informed practice, ethics, documentation, and professional standards
Introduction
This original practice assessment supports preparation for advanced family clinical practice. It evaluates comprehensive
history-taking, focused examination, differential reasoning, preventive care, chronic disease management, acute-risk
recognition, patient education, referral decisions, and care coordination across the lifespan. Scenario-based questions
emphasize family-centered communication, shared decision-making, culturally responsive care, safety-netting,
evidence-informed practice, and appropriate escalation. This resource is not an official University of Texas at Arlington
examination and does not contain verified or reproduced exam questions.
Question 1: A patient presents for a routine visit with several chronic conditions and a new symptom. What should the
clinician do first?
■ A. Clarify the chief concern and assess for urgent findings
B. Order every available test
C. Focus only on the longest-standing diagnosis
D. Provide routine education before assessment
■ RATIONALE: The visit should begin by clarifying the patient’s priorities and screening for instability or red flags.
Question 2: Which intervention best supports shared decision-making?
■ A. Discuss options, benefits, harms, and the patient’s values
B. Select treatment without patient input
C. Provide only technical terminology
D. Avoid discussing uncertainty
■ RATIONALE: Shared decision-making combines clinical evidence with the patient’s goals, preferences, and circumstances.
Question 3: An older adult taking multiple medications reports dizziness and two falls. What is the priority approach?
■ A. Perform medication reconciliation and assess orthostatic vital signs
B. Assume the falls are unavoidable aging
C. Add a sedative
D. Stop all medications without review
■ RATIONALE: Polypharmacy, hypotension, and adverse effects are common reversible contributors to falls and require
systematic assessment.
Question 4: Which finding in a child with respiratory symptoms requires urgent evaluation?
■ A. Retractions and altered level of consciousness
B. Mild rhinorrhea with normal breathing
C. Normal appetite
,D. Occasional sneezing only
■ RATIONALE: Retractions and altered consciousness may indicate respiratory failure and require immediate assessment.
Question 5: A patient with possible pregnancy presents with unilateral pelvic pain and syncope. What is the priority
concern?
■ A. Ectopic pregnancy
B. Uncomplicated dysmenorrhea
C. Stable menopause
D. Simple constipation
■ RATIONALE: Unilateral pain with syncope in possible pregnancy may reflect ruptured ectopic pregnancy and requires
emergency evaluation.
Question 6: Which symptom in a patient with urinary complaints requires prompt evaluation?
■ A. Acute urinary retention with severe suprapubic pain
B. Mild frequency after caffeine
C. Stable nocturia
D. Occasional urgency without pain
■ RATIONALE: Acute retention can cause significant discomfort, renal injury, and bladder complications.
Question 7: A patient expresses a specific suicide plan and access to the means. What is the priority?
■ A. Ensure immediate safety and arrange emergency psychiatric evaluation
B. Schedule a routine visit next month
C. Change the subject
D. Leave the patient alone
■ RATIONALE: A specific plan and access to means represent imminent risk requiring continuous safety measures and urgent
evaluation.
Question 8: Which outpatient practice best supports antimicrobial stewardship?
■ A. Use antibiotics only when bacterial infection is likely and select targeted therapy
B. Prescribe antibiotics for every upper-respiratory symptom
C. Use leftover medication
D. Continue therapy indefinitely
■ RATIONALE: Targeted prescribing reduces adverse effects, resistance, and unnecessary treatment.
Question 9: Which approach best improves control of hypertension over time?
■ A. Confirm adherence, assess barriers, and use home readings when appropriate
B. Change medications at every visit without assessment
C. Rely on one isolated reading
D. Avoid lifestyle discussion
■ RATIONALE: Long-term control depends on accurate assessment, adherence support, lifestyle counseling, and
individualized therapy.
Question 10: Which documentation is most clinically useful after a patient encounter?
■ A. Objective findings, assessment, plan, education, and follow-up instructions
B. Only the diagnosis code
C. A vague statement that the patient is fine
, D. Unverified assumptions
■ RATIONALE: Complete documentation supports continuity, communication, safety, and defensible clinical reasoning.
Question 11: A patient presents for a routine visit with several chronic conditions and a new symptom. What should
the clinician do first? What is the most appropriate next step?
A. Order every available test
■ B. Focus only on the longest-standing diagnosis
C. Provide routine education before assessment
D. Clarify the chief concern and assess for urgent findings
■ RATIONALE: The visit should begin by clarifying the patient’s priorities and screening for instability or red flags.
Question 12: Which intervention best supports shared decision-making? What is the most appropriate next step?
A. Select treatment without patient input
■ B. Provide only technical terminology
C. Avoid discussing uncertainty
D. Discuss options, benefits, harms, and the patient’s values
■ RATIONALE: Shared decision-making combines clinical evidence with the patient’s goals, preferences, and circumstances.
Question 13: An older adult taking multiple medications reports dizziness and two falls. What is the priority approach?
What is the most appropriate next step?
A. Assume the falls are unavoidable aging
■ B. Add a sedative
C. Stop all medications without review
D. Perform medication reconciliation and assess orthostatic vital signs
■ RATIONALE: Polypharmacy, hypotension, and adverse effects are common reversible contributors to falls and require
systematic assessment.
Question 14: Which finding in a child with respiratory symptoms requires urgent evaluation? What is the most
appropriate next step?
A. Mild rhinorrhea with normal breathing
■ B. Normal appetite
C. Occasional sneezing only
D. Retractions and altered level of consciousness
■ RATIONALE: Retractions and altered consciousness may indicate respiratory failure and require immediate assessment.
Question 15: A patient with possible pregnancy presents with unilateral pelvic pain and syncope. What is the priority
concern? What is the most appropriate next step?
A. Uncomplicated dysmenorrhea
■ B. Stable menopause
C. Simple constipation
D. Ectopic pregnancy
■ RATIONALE: Unilateral pain with syncope in possible pregnancy may reflect ruptured ectopic pregnancy and requires
emergency evaluation.
Question 16: Which symptom in a patient with urinary complaints requires prompt evaluation? What is the most
appropriate next step?
A. Mild frequency after caffeine
COMPREHENSIVE PRACTICE QUESTIONS, ANSWERS & RATIONALES
Core Domains
• Family-centered primary care
• Health promotion and disease prevention
• Pediatric and adolescent assessment
• Women’s and men’s health
• Adult and geriatric chronic disease management
• Mental health screening and safety planning
• Infectious disease evaluation and stewardship
• Diagnostics, pharmacology, and referral decisions
• Evidence-informed practice, ethics, documentation, and professional standards
Introduction
This original practice assessment supports preparation for advanced family clinical practice. It evaluates comprehensive
history-taking, focused examination, differential reasoning, preventive care, chronic disease management, acute-risk
recognition, patient education, referral decisions, and care coordination across the lifespan. Scenario-based questions
emphasize family-centered communication, shared decision-making, culturally responsive care, safety-netting,
evidence-informed practice, and appropriate escalation. This resource is not an official University of Texas at Arlington
examination and does not contain verified or reproduced exam questions.
Question 1: A patient presents for a routine visit with several chronic conditions and a new symptom. What should the
clinician do first?
■ A. Clarify the chief concern and assess for urgent findings
B. Order every available test
C. Focus only on the longest-standing diagnosis
D. Provide routine education before assessment
■ RATIONALE: The visit should begin by clarifying the patient’s priorities and screening for instability or red flags.
Question 2: Which intervention best supports shared decision-making?
■ A. Discuss options, benefits, harms, and the patient’s values
B. Select treatment without patient input
C. Provide only technical terminology
D. Avoid discussing uncertainty
■ RATIONALE: Shared decision-making combines clinical evidence with the patient’s goals, preferences, and circumstances.
Question 3: An older adult taking multiple medications reports dizziness and two falls. What is the priority approach?
■ A. Perform medication reconciliation and assess orthostatic vital signs
B. Assume the falls are unavoidable aging
C. Add a sedative
D. Stop all medications without review
■ RATIONALE: Polypharmacy, hypotension, and adverse effects are common reversible contributors to falls and require
systematic assessment.
Question 4: Which finding in a child with respiratory symptoms requires urgent evaluation?
■ A. Retractions and altered level of consciousness
B. Mild rhinorrhea with normal breathing
C. Normal appetite
,D. Occasional sneezing only
■ RATIONALE: Retractions and altered consciousness may indicate respiratory failure and require immediate assessment.
Question 5: A patient with possible pregnancy presents with unilateral pelvic pain and syncope. What is the priority
concern?
■ A. Ectopic pregnancy
B. Uncomplicated dysmenorrhea
C. Stable menopause
D. Simple constipation
■ RATIONALE: Unilateral pain with syncope in possible pregnancy may reflect ruptured ectopic pregnancy and requires
emergency evaluation.
Question 6: Which symptom in a patient with urinary complaints requires prompt evaluation?
■ A. Acute urinary retention with severe suprapubic pain
B. Mild frequency after caffeine
C. Stable nocturia
D. Occasional urgency without pain
■ RATIONALE: Acute retention can cause significant discomfort, renal injury, and bladder complications.
Question 7: A patient expresses a specific suicide plan and access to the means. What is the priority?
■ A. Ensure immediate safety and arrange emergency psychiatric evaluation
B. Schedule a routine visit next month
C. Change the subject
D. Leave the patient alone
■ RATIONALE: A specific plan and access to means represent imminent risk requiring continuous safety measures and urgent
evaluation.
Question 8: Which outpatient practice best supports antimicrobial stewardship?
■ A. Use antibiotics only when bacterial infection is likely and select targeted therapy
B. Prescribe antibiotics for every upper-respiratory symptom
C. Use leftover medication
D. Continue therapy indefinitely
■ RATIONALE: Targeted prescribing reduces adverse effects, resistance, and unnecessary treatment.
Question 9: Which approach best improves control of hypertension over time?
■ A. Confirm adherence, assess barriers, and use home readings when appropriate
B. Change medications at every visit without assessment
C. Rely on one isolated reading
D. Avoid lifestyle discussion
■ RATIONALE: Long-term control depends on accurate assessment, adherence support, lifestyle counseling, and
individualized therapy.
Question 10: Which documentation is most clinically useful after a patient encounter?
■ A. Objective findings, assessment, plan, education, and follow-up instructions
B. Only the diagnosis code
C. A vague statement that the patient is fine
, D. Unverified assumptions
■ RATIONALE: Complete documentation supports continuity, communication, safety, and defensible clinical reasoning.
Question 11: A patient presents for a routine visit with several chronic conditions and a new symptom. What should
the clinician do first? What is the most appropriate next step?
A. Order every available test
■ B. Focus only on the longest-standing diagnosis
C. Provide routine education before assessment
D. Clarify the chief concern and assess for urgent findings
■ RATIONALE: The visit should begin by clarifying the patient’s priorities and screening for instability or red flags.
Question 12: Which intervention best supports shared decision-making? What is the most appropriate next step?
A. Select treatment without patient input
■ B. Provide only technical terminology
C. Avoid discussing uncertainty
D. Discuss options, benefits, harms, and the patient’s values
■ RATIONALE: Shared decision-making combines clinical evidence with the patient’s goals, preferences, and circumstances.
Question 13: An older adult taking multiple medications reports dizziness and two falls. What is the priority approach?
What is the most appropriate next step?
A. Assume the falls are unavoidable aging
■ B. Add a sedative
C. Stop all medications without review
D. Perform medication reconciliation and assess orthostatic vital signs
■ RATIONALE: Polypharmacy, hypotension, and adverse effects are common reversible contributors to falls and require
systematic assessment.
Question 14: Which finding in a child with respiratory symptoms requires urgent evaluation? What is the most
appropriate next step?
A. Mild rhinorrhea with normal breathing
■ B. Normal appetite
C. Occasional sneezing only
D. Retractions and altered level of consciousness
■ RATIONALE: Retractions and altered consciousness may indicate respiratory failure and require immediate assessment.
Question 15: A patient with possible pregnancy presents with unilateral pelvic pain and syncope. What is the priority
concern? What is the most appropriate next step?
A. Uncomplicated dysmenorrhea
■ B. Stable menopause
C. Simple constipation
D. Ectopic pregnancy
■ RATIONALE: Unilateral pain with syncope in possible pregnancy may reflect ruptured ectopic pregnancy and requires
emergency evaluation.
Question 16: Which symptom in a patient with urinary complaints requires prompt evaluation? What is the most
appropriate next step?
A. Mild frequency after caffeine
