NURS 5434 FNP FINAL EXAM
NURS 5434 FNP FINAL EXAM FALL 2025 THE
UNIVERSITY OF TEXAS AT ARLINGTON UTA
FAMILY III COMPLETE QUESTIONS WITH
RATIONALE FSCJ (TAKEN SPRING 2025)
GRADED A+
A 68-year-old woman has recently been diagnosed with polymyalgia rheumatica. The nurse
practitioner is discussing the treatment options with the patient. Which of the following
medications is the first-line treatment for this condition?
A) Etanercept (Enbrel)
B) Oral prednisone
C) Indomethacin
D) Methotrexate
A+ TEST BANK 1
, NURS 5434 FNP FINAL EXAM
B) Oral prednisone
Patients with PMR are treated with oral steroids (glucocorticoids). One of the hallmarks of
the disorder is the dramatic improvement of
symptoms after starting treatment with oral prednisone. Usually, the symptoms can be
controlled with long-term (2-3 years) low-dose oral prednisone, which can be tapered when
symptoms are under control. For most patients, PMR is a self-limiting illness (from a few
months to 3 years).
Which of the following is a true statement regarding the first-pass metabolism process?
A) Drugs that are administered by intramuscular injection all go through the process of first-
pass metabolism
B) After being swallowed, oral drugs are absorbed by the GI tract and metabolized by the
bacteria in the small intestines before being released into the general circulation
C) Drugs administered through the skin (patches) are metabolized by the dermis of the skin
D) After a drug is taken by the oral route, it is absorbed in the small intestines and enters the
liver through the portal circulation, where it is metabolized before being released into the
general circulation
D) After a drug is taken by the oral route, it is absorbed in the small intestines and enters the
liver through the portal circulation, where it is metabolized before being released into the
general circulation
After drugs are taken by the oral route, they are absorbed by the small intestines and enter
the liver through the portal circulation, where they are metabolized before being released
into the
general circulation. First-pass metabolism (first-pass effect) determines how much of the
A+ TEST BANK 2
, NURS 5434 FNP FINAL EXAM
active drug is available to the body (bioavailability). Depending on the drug and other factors,
a drug may be poorly metabolized or extensively metabolized by the liver.
The nurse practitioner orders an ankle-brachial index (ABI) test for a patient. Which of the
following disorders is the ABI test used for?
A) Venous insufficiency
B) Osteoarthritis of the arm or the ankle
C) Peripheral arterial disease (PAD)
D) Rheumatoid arthritis
C) Peripheral arterial disease (PAD)
The ankle-brachial index (ABI) is a test that is used to stratify the severity of arterial blockage
in the lower extremities for patients with peripheral arterial disease (PAD). An ABI score of 1.0
to 1.4 is
normal. Any value less than 1.0 is abnormal. A score of 0.5 or less is indicative of severe PAD.
A college student is seen as a walk-in appointment in a college health clinic. She complains of
the abrupt onset of sore throat, nasal congestion, runny nose, and malaise. Vital signs are a
temperature of 99.8 degrees Fahrenheit, pulse 84, and respiratory rate 14 breaths/minute.
The physical exam reveals an erythematous throat, swollen nasal turbinates, and rhinitis. The
NP suspects viral URI. All of the following treatments are appropriate except:
A) Saline nasal spray (Ocean nasal spray)
B) Pseudoephedrine (Sudafed)
C) Ibuprofen (Advil)
D) Oral prednisone (Medrol Dose Pack)
A+ TEST BANK 3
, NURS 5434 FNP FINAL EXAM
D) Oral prednisone (Medrol Dose Pack)
Symptomatic treatment for viral URI are saline nasal sprays (Ocean spray), decongestants
(pseudoephedrine), NSAIDs (Advil), increased fluid intake, and alternative herbal remedies
(echinachea,
astralagus, elderberry syrup, high doses of Vitamin C).
All of the following foods are best avoided by individuals with celiac sprue except:
A) Rice cereal
B) Blueberry muffins
C) Organic wheat bread
D) Rye bread
A) Rice cereal
Patients can eat any food except those that contain the protein gluten. Foods containing
wheat, barley, and rye should be avoided.
Medicare Part A will pay for all of the following services except:
A) Minor surgery in a walk-in surgical center
B) Plastic surgery to repair facial damage from a burn
C) Kidney transplantation
D) Medical supplies and drugs that are used while the patient is in the hospital
A+ TEST BANK 4
NURS 5434 FNP FINAL EXAM FALL 2025 THE
UNIVERSITY OF TEXAS AT ARLINGTON UTA
FAMILY III COMPLETE QUESTIONS WITH
RATIONALE FSCJ (TAKEN SPRING 2025)
GRADED A+
A 68-year-old woman has recently been diagnosed with polymyalgia rheumatica. The nurse
practitioner is discussing the treatment options with the patient. Which of the following
medications is the first-line treatment for this condition?
A) Etanercept (Enbrel)
B) Oral prednisone
C) Indomethacin
D) Methotrexate
A+ TEST BANK 1
, NURS 5434 FNP FINAL EXAM
B) Oral prednisone
Patients with PMR are treated with oral steroids (glucocorticoids). One of the hallmarks of
the disorder is the dramatic improvement of
symptoms after starting treatment with oral prednisone. Usually, the symptoms can be
controlled with long-term (2-3 years) low-dose oral prednisone, which can be tapered when
symptoms are under control. For most patients, PMR is a self-limiting illness (from a few
months to 3 years).
Which of the following is a true statement regarding the first-pass metabolism process?
A) Drugs that are administered by intramuscular injection all go through the process of first-
pass metabolism
B) After being swallowed, oral drugs are absorbed by the GI tract and metabolized by the
bacteria in the small intestines before being released into the general circulation
C) Drugs administered through the skin (patches) are metabolized by the dermis of the skin
D) After a drug is taken by the oral route, it is absorbed in the small intestines and enters the
liver through the portal circulation, where it is metabolized before being released into the
general circulation
D) After a drug is taken by the oral route, it is absorbed in the small intestines and enters the
liver through the portal circulation, where it is metabolized before being released into the
general circulation
After drugs are taken by the oral route, they are absorbed by the small intestines and enter
the liver through the portal circulation, where they are metabolized before being released
into the
general circulation. First-pass metabolism (first-pass effect) determines how much of the
A+ TEST BANK 2
, NURS 5434 FNP FINAL EXAM
active drug is available to the body (bioavailability). Depending on the drug and other factors,
a drug may be poorly metabolized or extensively metabolized by the liver.
The nurse practitioner orders an ankle-brachial index (ABI) test for a patient. Which of the
following disorders is the ABI test used for?
A) Venous insufficiency
B) Osteoarthritis of the arm or the ankle
C) Peripheral arterial disease (PAD)
D) Rheumatoid arthritis
C) Peripheral arterial disease (PAD)
The ankle-brachial index (ABI) is a test that is used to stratify the severity of arterial blockage
in the lower extremities for patients with peripheral arterial disease (PAD). An ABI score of 1.0
to 1.4 is
normal. Any value less than 1.0 is abnormal. A score of 0.5 or less is indicative of severe PAD.
A college student is seen as a walk-in appointment in a college health clinic. She complains of
the abrupt onset of sore throat, nasal congestion, runny nose, and malaise. Vital signs are a
temperature of 99.8 degrees Fahrenheit, pulse 84, and respiratory rate 14 breaths/minute.
The physical exam reveals an erythematous throat, swollen nasal turbinates, and rhinitis. The
NP suspects viral URI. All of the following treatments are appropriate except:
A) Saline nasal spray (Ocean nasal spray)
B) Pseudoephedrine (Sudafed)
C) Ibuprofen (Advil)
D) Oral prednisone (Medrol Dose Pack)
A+ TEST BANK 3
, NURS 5434 FNP FINAL EXAM
D) Oral prednisone (Medrol Dose Pack)
Symptomatic treatment for viral URI are saline nasal sprays (Ocean spray), decongestants
(pseudoephedrine), NSAIDs (Advil), increased fluid intake, and alternative herbal remedies
(echinachea,
astralagus, elderberry syrup, high doses of Vitamin C).
All of the following foods are best avoided by individuals with celiac sprue except:
A) Rice cereal
B) Blueberry muffins
C) Organic wheat bread
D) Rye bread
A) Rice cereal
Patients can eat any food except those that contain the protein gluten. Foods containing
wheat, barley, and rye should be avoided.
Medicare Part A will pay for all of the following services except:
A) Minor surgery in a walk-in surgical center
B) Plastic surgery to repair facial damage from a burn
C) Kidney transplantation
D) Medical supplies and drugs that are used while the patient is in the hospital
A+ TEST BANK 4
