NURS 5433 UNIVERSITY OF TEXAS - ARLINGTON -NURS 5433 FNP II FINAL EXAM QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES GRADED A+ LATEST

NURS 5433 UNIVERSITY OF TEXAS -
ARLINGTON -NURS 5433 FNP II FINAL
EXAM QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES GRADED A+
LATEST

Question 1
A 62-year-old patient with long-standing hypertension presents with exertional
dyspnea and preserved ejection fraction on echocardiogram. This presentation is
most consistent with:
A. Systolic heart failure
B. Diastolic heart failure
C. Cardiogenic shock
D. Acute coronary syndrome
Correct Answer: B
Rationale: Heart failure with preserved ejection fraction is caused by impaired
ventricular relaxation, commonly due to chronic hypertension.


Question 2
A patient with type 2 diabetes mellitus develops microalbuminuria. This finding
indicates:
A. Advanced nephrotic syndrome
B. Early diabetic nephropathy
C. Acute kidney injury
D. Renal artery stenosis
Correct Answer: B
Rationale: Microalbuminuria is an early marker of diabetic kidney disease.

,Question 3
A patient presents with sudden unilateral leg swelling, warmth, and pain. The most
likely underlying mechanism is:
A. Venous valve incompetence
B. Arterial occlusion
C. Venous thrombus formation
D. Lymphatic obstruction
Correct Answer: C
Rationale: These are classic findings of deep vein thrombosis.


Question 4
Which hormone is primarily responsible for increasing serum glucose during acute
stress?
A. Insulin
B. Cortisol
C. Aldosterone
D. Calcitonin
Correct Answer: B
Rationale: Cortisol promotes gluconeogenesis and insulin resistance during stress.


Question 5
A patient with chronic kidney disease develops metabolic acidosis primarily due
to:
A. Increased bicarbonate production
B. Reduced hydrogen ion excretion
C. Increased carbon dioxide retention
D. Decreased lactic acid production
Correct Answer: B
Rationale: Impaired renal acid excretion leads to metabolic acidosis.

,Question 6
Which physical finding is most consistent with right-sided heart failure?
A. Pulmonary crackles
B. Orthopnea
C. Peripheral edema
D. Decreased oxygen saturation
Correct Answer: C
Rationale: Right-sided failure causes systemic venous congestion.


Question 7
A patient with chronic obstructive pulmonary disease develops secondary
polycythemia due to:
A. Increased plasma volume
B. Chronic hypoxemia
C. Reduced erythropoietin secretion
D. Increased hemolysis
Correct Answer: B
Rationale: Chronic hypoxia stimulates erythropoietin release.


Question 8
Which electrolyte abnormality is most likely to cause cardiac arrhythmias?
A. Hyponatremia
B. Hyperkalemia
C. Hypophosphatemia
D. Hypermagnesemia
Correct Answer: B
Rationale: Potassium abnormalities directly affect cardiac conduction.

, Question 9
A patient presents with tremor, weight loss, heat intolerance, and tachycardia.
These findings are most consistent with:
A. Hypothyroidism
B. Hyperthyroidism
C. Cushing syndrome
D. Addison disease
Correct Answer: B
Rationale: Excess thyroid hormone increases metabolic activity.


Question 10
A patient with long-standing diabetes presents with early satiety and bloating. The
most likely cause is:
A. Peptic ulcer disease
B. Gastroparesis
C. Pancreatitis
D. Bowel obstruction
Correct Answer: B
Rationale: Autonomic neuropathy delays gastric emptying.


Question 11
Which mechanism is responsible for pulmonary edema in left-sided heart failure?
A. Decreased oncotic pressure
B. Increased pulmonary capillary hydrostatic pressure
C. Increased lymphatic drainage
D. Decreased alveolar ventilation
Correct Answer: B
Rationale: Elevated left atrial pressure causes fluid leakage into alveoli.