NURS 5432 Family I FNP Midterm &
Final Exam Prep Questions And Well
Graded Solutions With Rationales
Updated 2026 2027
Master your FNP boards and course exams with this comprehensive 300-
question study bank for NURS 5432: Family Nurse Practitioner I (Family 1).
This high-yield resource features complete multiple-choice questions covering
both Midterm and Final Exam topics. Boost your retention with structured
clinical case vignettes, visual ASCII diagrams, comparative tables, and
formulas. Every question includes clear answer choices, bolded correct
answers, and expert clinical rationales for top scores.
Part 1: Primary Care Foundations & Pediatric Pathophysiology
(Questions 1–100)
Case Vignettes, Figures, and Questions 1–10
Table: Pediatric Caloric Requirements by Age
Age Group Daily Caloric Target
Birth to 6 months 120 kcal/kg/day
7 to 12 months 100 kcal/kg/day
12 to 24 months 90 kcal/kg/day
1. A 4-month-old infant is brought to the clinic for a routine well-child exam. The infant
is exclusively formula-fed and weighs 6 kg. Based on standard pediatric nutritional
1|Page
, guidelines, what is the estimated daily caloric requirement for this infant?
A) 500 kcal/day
B) 600 kcal/day
C) 720 kcal/day
D) 900 kcal/day
C) 720 kcal/day
Rationale: Infants from birth to 6 months of age require approximately 120
kcal/kg/day to support rapid growth. Multiplying 120 kcal by 6 kg yields 720 kcal/day.
2. A mother brings her 9-month-old infant to the clinic for a checkup. She asks how
many calories her child needs each day now that the infant weighs 9 kg. What is the
approximate daily caloric requirement for an infant of this age?
A) 720 kcal/day
B) 900 kcal/day
C) 1080 kcal/day
D) 1200 kcal/day
B) 900 kcal/day
Rationale: From 7 to 12 months of age, the caloric requirement drops slightly to
approximately 100 kcal/kg/day. For a 9 kg infant, 9 kg multiplied by 100 kcal equals
900 kcal/day.
Figure: Fine Motor Milestones Development
[Grasps Rattle (2-3m)] ---> [Hand-to-Hand Transfer (5-6m)] ---> [Pincer Grasp (8-
10m)]
3. During a well-child assessment of an 8-month-old infant, the family nurse practitioner
notes that the infant is able to successfully transfer a plastic block from his left hand
to his right hand. This fine motor milestone is typically first mastered at what age?
A) 2 to 3 months
B) 5 to 6 months
C) 8 to 10 months
D) 12 to 15 months
B) 5 to 6 months
Rationale: Hand-to-hand object transfer is a milestone achieved between 5 and 6
months of age. A 2-3 month old shakes a rattle, and an 8-10 month old develops a
pincer grasp.
4. A 10-month-old infant is observed picking up a small piece of cereal using the distal
phalanges of the thumb and index finger. The nurse practitioner documents this fine
motor skill as which milestone?
A) Finger grasp
B) Hand-to-hand transfer
C) Crude palmar grasp
D) Pincer grasp
D) Pincer grasp
Rationale: The neat pincer grasp involves using the tips of the thumb and index
finger to pick up small objects and is typically mastered between 8 and 10 months of
age.
5. The parent of an 11-month-old child reports that the infant can say "mama" and
"dada" specifically to the correct parent and frequently waves "bye-bye" when family
members leave. How should the family nurse practitioner interpret these language
and social findings?
A) Delayed language development requiring speech therapy referral
2|Page
, B) Advanced language skills indicating precocious development
C) Normal age-appropriate milestones for a late-infancy child
D) Primitive reflexes that should have been extinguished by 9 months
C) Normal age-appropriate milestones for a late-infancy child
Rationale: Specific use of "mama" and "dada" along with imitative social gestures
like waving "bye-bye" are classic milestones achieved between 8 and 9 months and
well-established by 11 months.
6. A family nurse practitioner is evaluating a 20-month-old toddler during a physical
exam. The father asks if it is normal that the child is putting two words together, such
as "more milk" and "go car". This expressive language milestone typically emerges
at what age?
A) 9 to 10 months
B) 12 to 14 months
C) 18 to 22 months
D) 30 to 36 months
C) 18 to 22 months
Rationale: Combining two distinct words into short phrases or sentences typically
emerges between 18 and 22 months of age. At 9-10 months, children comprehend
"no", and single words appear around 12 months.
Figure: Testicular Torsion Physical Presentation
[Scrotal Swelling/Erythema] ---> [High-Riding Testis with Horizontal Lie] ---> [Absent
Cremasteric Reflex]
7. A 14-year-old male presents to the urgent care clinic with sudden, severe unilateral
scrotal pain that awoke him from sleep 2 hours ago. On physical examination, the
left testicle is exquisitely tender, edematous, and high-riding. Stroking the medial
aspect of the left thigh fails to cause elevation of the left testis. What is the most
likely diagnosis?
A) Acute epididymitis
B) Testicular torsion
C) Hydrocele
D) Spermatocele
B) Testicular torsion
Rationale: Sudden onset of severe pain, a high-riding testis, and the absolute
absence of the cremasteric reflex are classic diagnostic indicators of testicular
torsion, an emergency requiring surgical exploration.
8. A 24-year-old male presents with gradual onset of dull, aching right scrotal pain over
the past three days accompanied by dysuria. Physical examination reveals localized
tenderness over the posterior superior aspect of the testis. When the nurse
practitioner elevates the scrotum, the patient reports a distinct reduction in pain.
What does this clinical finding signify?
A) Negative Prehn's sign, indicating testicular torsion
B) Positive Prehn's sign, indicating acute epididymitis
C) Negative cremasteric reflex, indicating inguinal hernia
D) Positive cremasteric reflex, indicating varicocele
B) Positive Prehn's sign, indicating acute epididymitis
Rationale: Relief of scrotal pain when the affected testicle is manually elevated is
known as a positive Prehn's sign, which characteristically supports a diagnosis of
epididymitis over testicular torsion.
3|Page
, Figure: Red Blood Cell Indices in Anemia
Normal RBC ---> [Low MCV / Low MCHC] ---> Microcytic, Hypochromic RBC (Iron
Deficiency Anemia)
9. A 3-year-old female is evaluated for fatigue and pallor. A complete blood count
reveals a hemoglobin of 9.2 g/dL, a mean corpuscular volume (MCV) of 68 fL, and a
low serum ferritin level. The blood smear demonstrates microcytic, hypochromic red
blood cells. Which condition matches this clinical and laboratory profile?
A) Vitamin B12 deficiency
B) Folate deficiency
C) Iron deficiency anemia
D) Aplastic anemia
C) Iron deficiency anemia
Rationale: Iron deficiency anemia is characterized by a low hemoglobin, microcytic
(low MCV) and hypochromic (low MCHC) red blood cells, and depleted iron stores
indicated by low ferritin.
10. A 28-year-old female at 8 weeks of gestation presents with a history of recurrent
urinary tract infections. She asks why ciprofloxacin is avoided for treating acute
cystitis during pregnancy. What is the primary safety concern associated with
fluoroquinolones in pregnancy?
A) Neural tube defects
B) Ototoxicity and permanent hearing loss
C) Adverse effects on fetal bone and cartilage development
D) Grey baby syndrome
C) Adverse effects on fetal bone and cartilage development
Rationale: Fluoroquinolones like ciprofloxacin are avoided during pregnancy
because animal studies show an association with arthropathy and permanent
damage to developing fetal bone and cartilage structures.
Questions 11–20
11. A 6-month-old infant is brought in for a well-baby visit. The parent asks when solid
foods should be introduced into the infant's diet. What is the standard recommended
age to introduce complementary solid foods?
A) 2 to 3 months
B) 4 to 6 months
C) 8 to 9 months
D) 12 months
B) 4 to 6 months
Rationale: Complementary solid foods should be introduced around 4 to 6 months of
age, when the infant displays adequate head control and the tongue-extrusion reflex
has diminished.
12. During a developmental assessment, a 4-month-old infant is placed in the prone
position. The family nurse practitioner expects the infant to demonstrate which gross
motor ability?
A) Roll completely from back to front
4|Page
Final Exam Prep Questions And Well
Graded Solutions With Rationales
Updated 2026 2027
Master your FNP boards and course exams with this comprehensive 300-
question study bank for NURS 5432: Family Nurse Practitioner I (Family 1).
This high-yield resource features complete multiple-choice questions covering
both Midterm and Final Exam topics. Boost your retention with structured
clinical case vignettes, visual ASCII diagrams, comparative tables, and
formulas. Every question includes clear answer choices, bolded correct
answers, and expert clinical rationales for top scores.
Part 1: Primary Care Foundations & Pediatric Pathophysiology
(Questions 1–100)
Case Vignettes, Figures, and Questions 1–10
Table: Pediatric Caloric Requirements by Age
Age Group Daily Caloric Target
Birth to 6 months 120 kcal/kg/day
7 to 12 months 100 kcal/kg/day
12 to 24 months 90 kcal/kg/day
1. A 4-month-old infant is brought to the clinic for a routine well-child exam. The infant
is exclusively formula-fed and weighs 6 kg. Based on standard pediatric nutritional
1|Page
, guidelines, what is the estimated daily caloric requirement for this infant?
A) 500 kcal/day
B) 600 kcal/day
C) 720 kcal/day
D) 900 kcal/day
C) 720 kcal/day
Rationale: Infants from birth to 6 months of age require approximately 120
kcal/kg/day to support rapid growth. Multiplying 120 kcal by 6 kg yields 720 kcal/day.
2. A mother brings her 9-month-old infant to the clinic for a checkup. She asks how
many calories her child needs each day now that the infant weighs 9 kg. What is the
approximate daily caloric requirement for an infant of this age?
A) 720 kcal/day
B) 900 kcal/day
C) 1080 kcal/day
D) 1200 kcal/day
B) 900 kcal/day
Rationale: From 7 to 12 months of age, the caloric requirement drops slightly to
approximately 100 kcal/kg/day. For a 9 kg infant, 9 kg multiplied by 100 kcal equals
900 kcal/day.
Figure: Fine Motor Milestones Development
[Grasps Rattle (2-3m)] ---> [Hand-to-Hand Transfer (5-6m)] ---> [Pincer Grasp (8-
10m)]
3. During a well-child assessment of an 8-month-old infant, the family nurse practitioner
notes that the infant is able to successfully transfer a plastic block from his left hand
to his right hand. This fine motor milestone is typically first mastered at what age?
A) 2 to 3 months
B) 5 to 6 months
C) 8 to 10 months
D) 12 to 15 months
B) 5 to 6 months
Rationale: Hand-to-hand object transfer is a milestone achieved between 5 and 6
months of age. A 2-3 month old shakes a rattle, and an 8-10 month old develops a
pincer grasp.
4. A 10-month-old infant is observed picking up a small piece of cereal using the distal
phalanges of the thumb and index finger. The nurse practitioner documents this fine
motor skill as which milestone?
A) Finger grasp
B) Hand-to-hand transfer
C) Crude palmar grasp
D) Pincer grasp
D) Pincer grasp
Rationale: The neat pincer grasp involves using the tips of the thumb and index
finger to pick up small objects and is typically mastered between 8 and 10 months of
age.
5. The parent of an 11-month-old child reports that the infant can say "mama" and
"dada" specifically to the correct parent and frequently waves "bye-bye" when family
members leave. How should the family nurse practitioner interpret these language
and social findings?
A) Delayed language development requiring speech therapy referral
2|Page
, B) Advanced language skills indicating precocious development
C) Normal age-appropriate milestones for a late-infancy child
D) Primitive reflexes that should have been extinguished by 9 months
C) Normal age-appropriate milestones for a late-infancy child
Rationale: Specific use of "mama" and "dada" along with imitative social gestures
like waving "bye-bye" are classic milestones achieved between 8 and 9 months and
well-established by 11 months.
6. A family nurse practitioner is evaluating a 20-month-old toddler during a physical
exam. The father asks if it is normal that the child is putting two words together, such
as "more milk" and "go car". This expressive language milestone typically emerges
at what age?
A) 9 to 10 months
B) 12 to 14 months
C) 18 to 22 months
D) 30 to 36 months
C) 18 to 22 months
Rationale: Combining two distinct words into short phrases or sentences typically
emerges between 18 and 22 months of age. At 9-10 months, children comprehend
"no", and single words appear around 12 months.
Figure: Testicular Torsion Physical Presentation
[Scrotal Swelling/Erythema] ---> [High-Riding Testis with Horizontal Lie] ---> [Absent
Cremasteric Reflex]
7. A 14-year-old male presents to the urgent care clinic with sudden, severe unilateral
scrotal pain that awoke him from sleep 2 hours ago. On physical examination, the
left testicle is exquisitely tender, edematous, and high-riding. Stroking the medial
aspect of the left thigh fails to cause elevation of the left testis. What is the most
likely diagnosis?
A) Acute epididymitis
B) Testicular torsion
C) Hydrocele
D) Spermatocele
B) Testicular torsion
Rationale: Sudden onset of severe pain, a high-riding testis, and the absolute
absence of the cremasteric reflex are classic diagnostic indicators of testicular
torsion, an emergency requiring surgical exploration.
8. A 24-year-old male presents with gradual onset of dull, aching right scrotal pain over
the past three days accompanied by dysuria. Physical examination reveals localized
tenderness over the posterior superior aspect of the testis. When the nurse
practitioner elevates the scrotum, the patient reports a distinct reduction in pain.
What does this clinical finding signify?
A) Negative Prehn's sign, indicating testicular torsion
B) Positive Prehn's sign, indicating acute epididymitis
C) Negative cremasteric reflex, indicating inguinal hernia
D) Positive cremasteric reflex, indicating varicocele
B) Positive Prehn's sign, indicating acute epididymitis
Rationale: Relief of scrotal pain when the affected testicle is manually elevated is
known as a positive Prehn's sign, which characteristically supports a diagnosis of
epididymitis over testicular torsion.
3|Page
, Figure: Red Blood Cell Indices in Anemia
Normal RBC ---> [Low MCV / Low MCHC] ---> Microcytic, Hypochromic RBC (Iron
Deficiency Anemia)
9. A 3-year-old female is evaluated for fatigue and pallor. A complete blood count
reveals a hemoglobin of 9.2 g/dL, a mean corpuscular volume (MCV) of 68 fL, and a
low serum ferritin level. The blood smear demonstrates microcytic, hypochromic red
blood cells. Which condition matches this clinical and laboratory profile?
A) Vitamin B12 deficiency
B) Folate deficiency
C) Iron deficiency anemia
D) Aplastic anemia
C) Iron deficiency anemia
Rationale: Iron deficiency anemia is characterized by a low hemoglobin, microcytic
(low MCV) and hypochromic (low MCHC) red blood cells, and depleted iron stores
indicated by low ferritin.
10. A 28-year-old female at 8 weeks of gestation presents with a history of recurrent
urinary tract infections. She asks why ciprofloxacin is avoided for treating acute
cystitis during pregnancy. What is the primary safety concern associated with
fluoroquinolones in pregnancy?
A) Neural tube defects
B) Ototoxicity and permanent hearing loss
C) Adverse effects on fetal bone and cartilage development
D) Grey baby syndrome
C) Adverse effects on fetal bone and cartilage development
Rationale: Fluoroquinolones like ciprofloxacin are avoided during pregnancy
because animal studies show an association with arthropathy and permanent
damage to developing fetal bone and cartilage structures.
Questions 11–20
11. A 6-month-old infant is brought in for a well-baby visit. The parent asks when solid
foods should be introduced into the infant's diet. What is the standard recommended
age to introduce complementary solid foods?
A) 2 to 3 months
B) 4 to 6 months
C) 8 to 9 months
D) 12 months
B) 4 to 6 months
Rationale: Complementary solid foods should be introduced around 4 to 6 months of
age, when the infant displays adequate head control and the tongue-extrusion reflex
has diminished.
12. During a developmental assessment, a 4-month-old infant is placed in the prone
position. The family nurse practitioner expects the infant to demonstrate which gross
motor ability?
A) Roll completely from back to front
4|Page
