NURS 5433 University Of Texas - Arlington -
NURS 5433 FNP II Final Exam Questions With
Complete Solutions
Comprehensive Practice Final Exam
NURS 5433 – Family Nurse Practitioner II
100 Original Questions
Section I – Multiple Choice
1.
A 58-year-old man with hypertension and diabetes presents with
crushing substernal chest pain lasting 45 minutes. Which action is
the highest priority?
A. Prescribe omeprazole
B. Obtain a 12-lead ECG immediately
C. Schedule an outpatient stress test
D. Order a chest CT
Answer: B
Rationale: Suspected acute coronary syndrome requires
immediate ECG within 10 minutes.
,2.
Which patient meets diagnostic criteria for diabetes mellitus?
A. Fasting glucose 112 mg/dL
B. HbA1c 5.9%
C. Random glucose 212 mg/dL with classic symptoms
D. Two-hour OGTT 165 mg/dL
Answer: C
3.
A patient has unilateral calf swelling after recent surgery. The
Wells score is high. The best next step is:
A. D-dimer only
B. Venous duplex ultrasound
C. MRI
D. X-ray
Answer: B
4.
A patient with CKD Stage 4 develops hyperkalemia (K=6.4).
Initial management includes:
A. Oral iron
, B. IV calcium gluconate
C. Increase potassium intake
D. NSAIDs
Answer: B
5.
Which retinal finding is most concerning for diabetic retinopathy?
A. Cataracts
B. Cotton wool spots
C. Pinguecula
D. Hordeolum
Answer: B
Sample Case Study
A 67-year-old woman presents with fatigue, weight loss, Hb 8.1
g/dL, MCV 72, ferritin 8.
6.
Most likely diagnosis?
A. Anemia of chronic disease
B. Iron deficiency anemia
C. B12 deficiency
NURS 5433 FNP II Final Exam Questions With
Complete Solutions
Comprehensive Practice Final Exam
NURS 5433 – Family Nurse Practitioner II
100 Original Questions
Section I – Multiple Choice
1.
A 58-year-old man with hypertension and diabetes presents with
crushing substernal chest pain lasting 45 minutes. Which action is
the highest priority?
A. Prescribe omeprazole
B. Obtain a 12-lead ECG immediately
C. Schedule an outpatient stress test
D. Order a chest CT
Answer: B
Rationale: Suspected acute coronary syndrome requires
immediate ECG within 10 minutes.
,2.
Which patient meets diagnostic criteria for diabetes mellitus?
A. Fasting glucose 112 mg/dL
B. HbA1c 5.9%
C. Random glucose 212 mg/dL with classic symptoms
D. Two-hour OGTT 165 mg/dL
Answer: C
3.
A patient has unilateral calf swelling after recent surgery. The
Wells score is high. The best next step is:
A. D-dimer only
B. Venous duplex ultrasound
C. MRI
D. X-ray
Answer: B
4.
A patient with CKD Stage 4 develops hyperkalemia (K=6.4).
Initial management includes:
A. Oral iron
, B. IV calcium gluconate
C. Increase potassium intake
D. NSAIDs
Answer: B
5.
Which retinal finding is most concerning for diabetic retinopathy?
A. Cataracts
B. Cotton wool spots
C. Pinguecula
D. Hordeolum
Answer: B
Sample Case Study
A 67-year-old woman presents with fatigue, weight loss, Hb 8.1
g/dL, MCV 72, ferritin 8.
6.
Most likely diagnosis?
A. Anemia of chronic disease
B. Iron deficiency anemia
C. B12 deficiency
