NURS 5433 UNIVERSITY OF TEXAS - ARLINGTON -NURS 5433 FNP II FINAL EXAM QUESTIONS AND
VERIFIED ANSWERS WITH RATIONALES GRADED A+ LATEST
Core Domains
Family Theory and Advanced Practice Nursing
Advanced Assessment and Diagnostic Reasoning
Cardiovascular Disorders in Family Practice
Respiratory Disorders in Family Practice
Endocrine and Metabolic Disorders
Gastrointestinal and Genitourinary Disorders
Musculoskeletal and Neurological Disorders
Women's Health, Men's Health, and Reproductive Issues
Mental Health Disorders in Primary Care
Dermatologic, HEENT, and Pediatric Considerations
Introduction
The NURS 5433 Family Nurse Practitioner II Final Examination evaluates the graduate nursing student's
readiness for advanced primary care practice across the lifespan. The assessment measures clinical
reasoning, diagnostic accuracy, and evidence-based management of commonly occurring acute and
chronic conditions seen in family practice. Content emphasizes the application of pathophysiologic
principles, pharmacologic decision-making, and patient-centered care planning. This comprehensive test
bank challenges the candidate to synthesize advanced assessment data, prioritize differential diagnoses,
select appropriate diagnostic studies, and formulate safe and effective treatment plans for diverse patient
populations in primary care settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse practitioner focuses on how family members interact with each other during a health
crisis, targeting interventions to improve communication patterns. Which view of family is being
applied?
A. Family as Context
B. Family as Client
C. Family as System
D. Family as Component of Society
🟢 C. Family as System
🔴 RATIONALE: The Family as System approach views the family as an interactional system where the
whole is greater than the sum of its parts. Interventions target the interactions between members, not
just the individual.
2. According to Bronfenbrenner's Ecological Model, which system involves the interaction between
the family and external institutions like the parent's workplace or school board policies?
,A. Microsystem
B. Mesosystem
C. Exosystem
D. Macrosystem
🟢 C. Exosystem
🔴 RATIONALE: The Exosystem refers to social settings that do not contain the developing person but
affect their experiences (e.g., parent's workplace, community resources). The Mesosystem involves
interactions between microsystems.
3. Which family structure is defined as two post-divorce families with children who are members of
both households?
A. Binuclear family
B. Blended family
C. Extended family
D. Cohabitating family
🟢 A. Binuclear family
🔴 RATIONALE: A binuclear family structure is specific to post-divorce situations where children are
members of two nuclear households.
4. A 72-year-old patient is prescribed a medication eliminated primarily by the kidneys. Which
change most likely requires a dosage adjustment?
A. History of heavy alcohol use
B. Elevated liver enzymes
C. Increased age
D. Presence of a urinary tract infection
🟢 C. Increased age
🔴 RATIONALE: Kidney function declines with age due to decreased glomerular filtration rate and
renal blood flow. Drug elimination via the kidneys means decreased renal clearance in older or renally
impaired patients requires dosage adjustment to prevent toxicity.
5. The most serious adverse effect of ACE inhibitors that requires immediate discontinuation is:
A. Dry cough
B. Angioedema
C. Hypotension
D. Hyperkalemia
🟢 B. Angioedema
🔴 RATIONALE: Angioedema is a potentially life-threatening reaction to ACE inhibitors involving rapid
swelling of deep dermal, subcutaneous, or mucosal tissue. It can compromise the airway and requires
immediate discontinuation and emergency management.
, 6. A 58-year-old man presents with substernal chest pressure that began while he was mowing the
lawn. The pressure radiated to his left arm and jaw and was relieved by rest. His ECG is normal.
Which condition is most likely?
A. Unstable angina
B. Stable angina
C. Myocardial infarction
D. Pericarditis
🟢 B. Stable angina
🔴 RATIONALE: Stable angina is characterized by exertional chest pain that is relieved by rest or
nitroglycerin. ECG is typically normal between episodes.
7. Which of the following best describes the primary mechanism of action of statins in managing
dyslipidemia?
A. Inhibiting HMG-CoA reductase to reduce cholesterol synthesis
B. Binding bile acids in the intestine
C. Activating lipoprotein lipase
D. Inhibiting PCSK9
🟢 A. Inhibiting HMG-CoA reductase to reduce cholesterol synthesis
🔴 RATIONALE: Statins inhibit HMG-CoA reductase, the rate-limiting enzyme in hepatic cholesterol
synthesis, leading to upregulation of LDL receptors and increased LDL clearance.
8. A 45-year-old male presents with a 3-day history of purulent conjunctivitis with morning crusting
and eyelid swelling. Which organism is the most common cause of this presentation?
A. Viral adenovirus
B. Staphylococcus aureus
C. Chlamydia trachomatis
D. Neisseria gonorrhoeae
🟢 B. Staphylococcus aureus
🔴 RATIONALE: Bacterial conjunctivitis is most commonly caused by Staphylococcus aureus,
Streptococcus pneumoniae, or Haemophilus influenzae. It presents with purulent discharge, morning
crusting, and conjunctival injection.
9. A 28-year-old student is seen with complaints of hacking cough productive of small amounts of
sputum and runny nose. He has a low-grade temperature of 99.9°F, diffuse fine crackles in the base
of the lungs, and a chest x-ray showing diffuse infiltrates in the lower lobe of the right lung. What is
the likely diagnosis?
A. Streptococcus pneumoniae pneumonia
B. Mycoplasma pneumonia
VERIFIED ANSWERS WITH RATIONALES GRADED A+ LATEST
Core Domains
Family Theory and Advanced Practice Nursing
Advanced Assessment and Diagnostic Reasoning
Cardiovascular Disorders in Family Practice
Respiratory Disorders in Family Practice
Endocrine and Metabolic Disorders
Gastrointestinal and Genitourinary Disorders
Musculoskeletal and Neurological Disorders
Women's Health, Men's Health, and Reproductive Issues
Mental Health Disorders in Primary Care
Dermatologic, HEENT, and Pediatric Considerations
Introduction
The NURS 5433 Family Nurse Practitioner II Final Examination evaluates the graduate nursing student's
readiness for advanced primary care practice across the lifespan. The assessment measures clinical
reasoning, diagnostic accuracy, and evidence-based management of commonly occurring acute and
chronic conditions seen in family practice. Content emphasizes the application of pathophysiologic
principles, pharmacologic decision-making, and patient-centered care planning. This comprehensive test
bank challenges the candidate to synthesize advanced assessment data, prioritize differential diagnoses,
select appropriate diagnostic studies, and formulate safe and effective treatment plans for diverse patient
populations in primary care settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse practitioner focuses on how family members interact with each other during a health
crisis, targeting interventions to improve communication patterns. Which view of family is being
applied?
A. Family as Context
B. Family as Client
C. Family as System
D. Family as Component of Society
🟢 C. Family as System
🔴 RATIONALE: The Family as System approach views the family as an interactional system where the
whole is greater than the sum of its parts. Interventions target the interactions between members, not
just the individual.
2. According to Bronfenbrenner's Ecological Model, which system involves the interaction between
the family and external institutions like the parent's workplace or school board policies?
,A. Microsystem
B. Mesosystem
C. Exosystem
D. Macrosystem
🟢 C. Exosystem
🔴 RATIONALE: The Exosystem refers to social settings that do not contain the developing person but
affect their experiences (e.g., parent's workplace, community resources). The Mesosystem involves
interactions between microsystems.
3. Which family structure is defined as two post-divorce families with children who are members of
both households?
A. Binuclear family
B. Blended family
C. Extended family
D. Cohabitating family
🟢 A. Binuclear family
🔴 RATIONALE: A binuclear family structure is specific to post-divorce situations where children are
members of two nuclear households.
4. A 72-year-old patient is prescribed a medication eliminated primarily by the kidneys. Which
change most likely requires a dosage adjustment?
A. History of heavy alcohol use
B. Elevated liver enzymes
C. Increased age
D. Presence of a urinary tract infection
🟢 C. Increased age
🔴 RATIONALE: Kidney function declines with age due to decreased glomerular filtration rate and
renal blood flow. Drug elimination via the kidneys means decreased renal clearance in older or renally
impaired patients requires dosage adjustment to prevent toxicity.
5. The most serious adverse effect of ACE inhibitors that requires immediate discontinuation is:
A. Dry cough
B. Angioedema
C. Hypotension
D. Hyperkalemia
🟢 B. Angioedema
🔴 RATIONALE: Angioedema is a potentially life-threatening reaction to ACE inhibitors involving rapid
swelling of deep dermal, subcutaneous, or mucosal tissue. It can compromise the airway and requires
immediate discontinuation and emergency management.
, 6. A 58-year-old man presents with substernal chest pressure that began while he was mowing the
lawn. The pressure radiated to his left arm and jaw and was relieved by rest. His ECG is normal.
Which condition is most likely?
A. Unstable angina
B. Stable angina
C. Myocardial infarction
D. Pericarditis
🟢 B. Stable angina
🔴 RATIONALE: Stable angina is characterized by exertional chest pain that is relieved by rest or
nitroglycerin. ECG is typically normal between episodes.
7. Which of the following best describes the primary mechanism of action of statins in managing
dyslipidemia?
A. Inhibiting HMG-CoA reductase to reduce cholesterol synthesis
B. Binding bile acids in the intestine
C. Activating lipoprotein lipase
D. Inhibiting PCSK9
🟢 A. Inhibiting HMG-CoA reductase to reduce cholesterol synthesis
🔴 RATIONALE: Statins inhibit HMG-CoA reductase, the rate-limiting enzyme in hepatic cholesterol
synthesis, leading to upregulation of LDL receptors and increased LDL clearance.
8. A 45-year-old male presents with a 3-day history of purulent conjunctivitis with morning crusting
and eyelid swelling. Which organism is the most common cause of this presentation?
A. Viral adenovirus
B. Staphylococcus aureus
C. Chlamydia trachomatis
D. Neisseria gonorrhoeae
🟢 B. Staphylococcus aureus
🔴 RATIONALE: Bacterial conjunctivitis is most commonly caused by Staphylococcus aureus,
Streptococcus pneumoniae, or Haemophilus influenzae. It presents with purulent discharge, morning
crusting, and conjunctival injection.
9. A 28-year-old student is seen with complaints of hacking cough productive of small amounts of
sputum and runny nose. He has a low-grade temperature of 99.9°F, diffuse fine crackles in the base
of the lungs, and a chest x-ray showing diffuse infiltrates in the lower lobe of the right lung. What is
the likely diagnosis?
A. Streptococcus pneumoniae pneumonia
B. Mycoplasma pneumonia
