NURS 5433 FNP II Final Exam (PDF) | 2026
Nursing Questions | UTA Prep
Section I: Family Systems & Role Theory (Questions 1–5)
1. A family nurse practitioner assesses a family where the grandmother manages
discipline while both parents work full-time. Which family role is the grandmother
primarily fulfilling?
A. Instrumental role
B. Affective role
C. Role strain
D. Rescuer role
Answer: A – Instrumental role
Rationale: Instrumental roles focus on task completion, discipline, and resource
management.
Keywords: family role theory, instrumental vs affective
2. A patient reports feeling exhausted from caring for a spouse with dementia while also
parenting teenagers. This is best described as:
A. Role conflict
B. Role strain
C. Role reversal
D. Role reciprocity
Answer: B – Role strain
Rationale: Role strain occurs when demands exceed capacity in an existing role.
Keywords: caregiver burden, role strain, family systems
,3. An FNP asks each family member how the family makes major health decisions. This
assesses which family process?
A. Communication
B. Decision-making
C. Socialization
D. Economic function
Answer: B – Decision-making
Keywords: family process assessment, family dynamics
4. Which family assessment tool focuses on relationships, boundaries, and subsystems?
A. Family APGAR
B. Ecomap
C. Genogram
D. Calgary Family Assessment Model
Answer: D – Calgary Family Assessment Model
Keywords: Calgary Family Assessment Model, structural family assessment
5. A family refuses a recommended treatment based on cultural beliefs. The FNP’s best
response is to:
A. Report the family for medical neglect
B. Respect the decision and explore alternatives
C. Insist on the original treatment plan
D. Discharge the family from care
Answer: B – Respect the decision and explore alternatives
Keywords: cultural competence, shared decision-making
, Section II: Advanced Health Assessment (Questions 6–20)
6. A 72-year-old male reports pain in the calves while walking that resolves with rest.
This is most consistent with:
A. Neurogenic claudication
B. Venous insufficiency
C. Peripheral arterial disease
D. Sciatica
Answer: C – Peripheral arterial disease
Rationale: Exertional calf pain relieved by rest is classic intermittent claudication from
PAD.
Keywords: PAD, intermittent claudication, ABI
7. On fundoscopic exam, you see sharp discs, AV nicking, and silver wiring. This
indicates:
A. Diabetic retinopathy
B. Hypertensive retinopathy
C. Glaucoma
D. Papilledema
Answer: B – Hypertensive retinopathy
Keywords: hypertensive retinopathy, AV nicking
8. Murphy’s sign is positive when the patient stops breathing during palpation of the:
A. Left lower quadrant
B. Right upper quadrant
C. Epigastrium
D. Suprapubic area
Answer: B – Right upper quadrant
Keywords: Murphy’s sign, acute cholecystitis
Nursing Questions | UTA Prep
Section I: Family Systems & Role Theory (Questions 1–5)
1. A family nurse practitioner assesses a family where the grandmother manages
discipline while both parents work full-time. Which family role is the grandmother
primarily fulfilling?
A. Instrumental role
B. Affective role
C. Role strain
D. Rescuer role
Answer: A – Instrumental role
Rationale: Instrumental roles focus on task completion, discipline, and resource
management.
Keywords: family role theory, instrumental vs affective
2. A patient reports feeling exhausted from caring for a spouse with dementia while also
parenting teenagers. This is best described as:
A. Role conflict
B. Role strain
C. Role reversal
D. Role reciprocity
Answer: B – Role strain
Rationale: Role strain occurs when demands exceed capacity in an existing role.
Keywords: caregiver burden, role strain, family systems
,3. An FNP asks each family member how the family makes major health decisions. This
assesses which family process?
A. Communication
B. Decision-making
C. Socialization
D. Economic function
Answer: B – Decision-making
Keywords: family process assessment, family dynamics
4. Which family assessment tool focuses on relationships, boundaries, and subsystems?
A. Family APGAR
B. Ecomap
C. Genogram
D. Calgary Family Assessment Model
Answer: D – Calgary Family Assessment Model
Keywords: Calgary Family Assessment Model, structural family assessment
5. A family refuses a recommended treatment based on cultural beliefs. The FNP’s best
response is to:
A. Report the family for medical neglect
B. Respect the decision and explore alternatives
C. Insist on the original treatment plan
D. Discharge the family from care
Answer: B – Respect the decision and explore alternatives
Keywords: cultural competence, shared decision-making
, Section II: Advanced Health Assessment (Questions 6–20)
6. A 72-year-old male reports pain in the calves while walking that resolves with rest.
This is most consistent with:
A. Neurogenic claudication
B. Venous insufficiency
C. Peripheral arterial disease
D. Sciatica
Answer: C – Peripheral arterial disease
Rationale: Exertional calf pain relieved by rest is classic intermittent claudication from
PAD.
Keywords: PAD, intermittent claudication, ABI
7. On fundoscopic exam, you see sharp discs, AV nicking, and silver wiring. This
indicates:
A. Diabetic retinopathy
B. Hypertensive retinopathy
C. Glaucoma
D. Papilledema
Answer: B – Hypertensive retinopathy
Keywords: hypertensive retinopathy, AV nicking
8. Murphy’s sign is positive when the patient stops breathing during palpation of the:
A. Left lower quadrant
B. Right upper quadrant
C. Epigastrium
D. Suprapubic area
Answer: B – Right upper quadrant
Keywords: Murphy’s sign, acute cholecystitis
