NURS 5432 — Family Nurse Practitioner I | Test 1 Materials (2026/2027) Complete Solutions Edition
TEST 1 MATERIALS — NURS 5432
Questions With Complete Solutions |
Family Nurse Practitioner I (FNP I) · University of Texas at Arlington
Comprehensive Examination · 130 Questions · Cognitive mix: 15% recall, 50% application, 35% analysis
Aligned with the UTA NURS 5432 Family I Course Syllabus, NONPF Core Competencies, and Evidence-Based Primary Care
Management Standards (USPSTF, CDC, ACS, ACOG, Beers Criteria).
Section Topic Questions
Section 1 Advanced Health Assessment & Diagnostic Reasoning Q1 – Q25 (25)
Section 2 Pathophysiology & Clinical Decision-Making Q26 – Q50 (25)
Section 3 Pharmacology & Prescribing Principles Q51 – Q70 (20)
Section 4 Pediatric & Adolescent Health Q71 – Q95 (25)
Section 5 Women's Health & Reproductive Health Q96 – Q110 (15)
Section 6 Men's Health & Geriatrics Q111 – Q120 (10)
Section 7 Comprehensive Case Studies & Clinical Scenarios Q121 – Q130 (10)
Total 130 Questions
Examination Blueprint: 25% direct knowledge · 75% scenario-based · Multiple choice (4 options,
one best answer) · Distractors reflect common diagnostic errors, guideline misinterpretations,
pharmacologic pitfalls, and developmental milestone confusion. Rationales reference the NURS
5432 curriculum, UTA FNP standards, and current evidence-based practice guidelines (USPSTF,
CDC, ACS, ACOG, Beers Criteria).
University of Texas at Arlington | FNP Program Page 1
,NURS 5432 — Family Nurse Practitioner I | Test 1 Materials (2026/2027) Complete Solutions Edition
Section 1: Advanced Health Assessment & Diagnostic Reasoning (Q1-Q25)
This section evaluates the FNP student's mastery of Gordon's Functional Health Patterns, QSEN
competencies, physical examination techniques, documentation standards, and diagnostic
reasoning. Items integrate scenario-based clinical decision-making with applied assessment
principles consistent with the UTA FNP curriculum and NONPF Core Competencies.
Q1: A 68-year-old retired teacher presents for a wellness visit. Using Gordon's
Functional Health Patterns model, the FNP begins the assessment. Which pattern is
being assessed when the provider asks, "How do you feel about your overall health and
what do you do to stay healthy?"
A. Health Perception-Health Management Pattern [CORRECT]
B. Nutritional-Metabolic Pattern
C. Activity-Exercise Pattern
D. Value-Belief Pattern
Correct Answer: A
Rationale: The Health Perception-Health Management Pattern focuses on the patient's perceived
level of health, health behaviors, and self-care practices. Asking how the patient feels about overall
health and what they do to stay well directly elicits this pattern. The Nutritional-Metabolic Pattern
addresses food/fluid intake, Activity-Exercise addresses daily activities, and Value-Belief addresses
goals and beliefs — none of which match this question.
Q2: An FNP is assessing a 45-year-old patient with unintentional 15-pound weight loss
over 3 months. Which Gordon's Functional Health Pattern requires the most in-depth
exploration to identify potential causes?
A. Sleep-Rest Pattern only
B. Nutritional-Metabolic Pattern with integration of Cognitive-Perceptual and
Role-Relationship Patterns [CORRECT]
C. Self-Perception-Self-Concept Pattern alone
D. Coping-Stress Tolerance Pattern alone
Correct Answer: B
Rationale: Unintentional weight loss requires a multi-pattern assessment: Nutritional-Metabolic
(intake, appetite, swallowing), Cognitive-Perceptual (depression, cognition affecting eating), and
Role-Relationship (social support, financial barriers to food). Isolated pattern assessment would
miss key contributors such as depression, dental issues, or financial insecurity — central tenets of
comprehensive FNP assessment per Gordon's framework.
University of Texas at Arlington | FNP Program Page 2
,NURS 5432 — Family Nurse Practitioner I | Test 1 Materials (2026/2027) Complete Solutions Edition
Q3: A 52-year-old patient reports chronic constipation. According to Gordon's
Functional Health Patterns, which pattern is the PRIMARY framework for organizing
assessment questions about bowel habits, laxative use, and continence?
A. Activity-Exercise Pattern
B. Nutritional-Metabolic Pattern
C. Elimination Pattern [CORRECT]
D. Coping-Stress Tolerance Pattern
Correct Answer: C
Rationale: The Elimination Pattern specifically addresses bowel and bladder function, including
regularity, continence, laxative use, and changes in patterns. While Nutritional-Metabolic informs
fiber/fluid intake and Activity-Exercise affects motility, the Elimination Pattern is the primary
organizing framework for bowel habit assessment, consistent with Gordon's model taught in NURS
5432.
Q4: During a comprehensive assessment of a 60-year-old with new-onset insomnia, the
FNP explores the Sleep-Rest Pattern. Which question BEST addresses both quantity and
quality of sleep?
A. "Do you sleep at night?"
B. "How many hours do you sleep, and do you feel rested upon waking?" [CORRECT]
C. "Do you take sleeping pills?"
D. "Do you snore?"
Correct Answer: B
Rationale: A comprehensive Sleep-Rest Pattern assessment addresses both quantitative (hours slept)
and qualitative (restoration, perceived quality) dimensions. The other options are narrow and fail to
capture the full pattern. The NONPF Core Competencies emphasize holistic assessment — combining
sleep duration with perceived restoration guides differential diagnosis of insomnia (primary vs.
secondary, sleep apnea vs. behavioral).
Q5: A 30-year-old female describes feeling "hopeless" after a job loss. Which Gordon's
pattern should the FNP assess NEXT given its direct link to coping and emotional
regulation?
A. Sexuality-Reproductive Pattern
B. Cognitive-Perceptual Pattern
C. Coping-Stress Tolerance Pattern [CORRECT]
D. Value-Belief Pattern
Correct Answer: C
Rationale: The Coping-Stress Tolerance Pattern addresses how a patient manages stress, including
coping mechanisms, support systems, and emotional regulation. Hopelessness after a stressor
warrants immediate exploration for depression risk and suicidal ideation. Value-Belief may inform
coping but Coping-Stress Tolerance is the primary framework — a NONPF-aligned priority for safety
assessment.
University of Texas at Arlington | FNP Program Page 3
, NURS 5432 — Family Nurse Practitioner I | Test 1 Materials (2026/2027) Complete Solutions Edition
Q6: When performing a comprehensive physical examination, which sequence reflects
the correct standard order of techniques for the abdominal assessment?
A. Inspection, Auscultation, Percussion, Palpation [CORRECT]
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Palpation, Auscultation, Inspection
Correct Answer: A
Rationale: For the abdomen, the correct order is Inspection → Auscultation → Percussion →
Palpation. Auscultation precedes percussion and palpation because manipulation of the abdomen
can alter bowel sounds, producing false findings. This differs from other body systems where
palpation may precede auscultation. This technique is emphasized in the NURS 5432 advanced
health assessment module.
Q7: A QSEN-aligned FNP is caring for an 82-year-old with polypharmacy. Which QSEN
competency is MOST directly demonstrated when the provider uses the Beers Criteria
to identify potentially inappropriate medications and involves the patient in
deprescribing decisions?
A. Patient-Centered Care and Safety [CORRECT]
B. Informatics only
C. Quality Improvement only
D. Teamwork and Collaboration only
Correct Answer: A
Rationale: Using the Beers Criteria reflects Safety (preventing harm from inappropriate
medications), while involving the patient in deprescribing decisions reflects Patient-Centered Care.
QSEN competencies are integrated in FNP practice; this scenario most directly demonstrates these
two. Informatics, QI, and Teamwork may also apply but are not the primary competencies
demonstrated.
Q8: An FNP documents: "Patient reports 7/10 lower back pain, worse with movement,
denies radiating pain. Pain rated 4/10 after acetaminophen 650 mg." This
documentation BEST meets which standard?
A. Subjective only — fails to include objective findings
B. Subjective, objective, and assessment data reflecting a complete pain reassessment
[CORRECT]
C. Plan-only documentation
D. Nursing process without legal sufficiency
Correct Answer: B
Rationale: The note documents subjective (patient-reported pain), objective (response to
intervention), and supports reassessment — a core legal and clinical standard. Documentation of
pain intensity, character, aggravating factors, and response to intervention is required by Joint
Commission standards and NONPF documentation guidelines. The other choices mischaracterize
the note.
University of Texas at Arlington | FNP Program Page 4
TEST 1 MATERIALS — NURS 5432
Questions With Complete Solutions |
Family Nurse Practitioner I (FNP I) · University of Texas at Arlington
Comprehensive Examination · 130 Questions · Cognitive mix: 15% recall, 50% application, 35% analysis
Aligned with the UTA NURS 5432 Family I Course Syllabus, NONPF Core Competencies, and Evidence-Based Primary Care
Management Standards (USPSTF, CDC, ACS, ACOG, Beers Criteria).
Section Topic Questions
Section 1 Advanced Health Assessment & Diagnostic Reasoning Q1 – Q25 (25)
Section 2 Pathophysiology & Clinical Decision-Making Q26 – Q50 (25)
Section 3 Pharmacology & Prescribing Principles Q51 – Q70 (20)
Section 4 Pediatric & Adolescent Health Q71 – Q95 (25)
Section 5 Women's Health & Reproductive Health Q96 – Q110 (15)
Section 6 Men's Health & Geriatrics Q111 – Q120 (10)
Section 7 Comprehensive Case Studies & Clinical Scenarios Q121 – Q130 (10)
Total 130 Questions
Examination Blueprint: 25% direct knowledge · 75% scenario-based · Multiple choice (4 options,
one best answer) · Distractors reflect common diagnostic errors, guideline misinterpretations,
pharmacologic pitfalls, and developmental milestone confusion. Rationales reference the NURS
5432 curriculum, UTA FNP standards, and current evidence-based practice guidelines (USPSTF,
CDC, ACS, ACOG, Beers Criteria).
University of Texas at Arlington | FNP Program Page 1
,NURS 5432 — Family Nurse Practitioner I | Test 1 Materials (2026/2027) Complete Solutions Edition
Section 1: Advanced Health Assessment & Diagnostic Reasoning (Q1-Q25)
This section evaluates the FNP student's mastery of Gordon's Functional Health Patterns, QSEN
competencies, physical examination techniques, documentation standards, and diagnostic
reasoning. Items integrate scenario-based clinical decision-making with applied assessment
principles consistent with the UTA FNP curriculum and NONPF Core Competencies.
Q1: A 68-year-old retired teacher presents for a wellness visit. Using Gordon's
Functional Health Patterns model, the FNP begins the assessment. Which pattern is
being assessed when the provider asks, "How do you feel about your overall health and
what do you do to stay healthy?"
A. Health Perception-Health Management Pattern [CORRECT]
B. Nutritional-Metabolic Pattern
C. Activity-Exercise Pattern
D. Value-Belief Pattern
Correct Answer: A
Rationale: The Health Perception-Health Management Pattern focuses on the patient's perceived
level of health, health behaviors, and self-care practices. Asking how the patient feels about overall
health and what they do to stay well directly elicits this pattern. The Nutritional-Metabolic Pattern
addresses food/fluid intake, Activity-Exercise addresses daily activities, and Value-Belief addresses
goals and beliefs — none of which match this question.
Q2: An FNP is assessing a 45-year-old patient with unintentional 15-pound weight loss
over 3 months. Which Gordon's Functional Health Pattern requires the most in-depth
exploration to identify potential causes?
A. Sleep-Rest Pattern only
B. Nutritional-Metabolic Pattern with integration of Cognitive-Perceptual and
Role-Relationship Patterns [CORRECT]
C. Self-Perception-Self-Concept Pattern alone
D. Coping-Stress Tolerance Pattern alone
Correct Answer: B
Rationale: Unintentional weight loss requires a multi-pattern assessment: Nutritional-Metabolic
(intake, appetite, swallowing), Cognitive-Perceptual (depression, cognition affecting eating), and
Role-Relationship (social support, financial barriers to food). Isolated pattern assessment would
miss key contributors such as depression, dental issues, or financial insecurity — central tenets of
comprehensive FNP assessment per Gordon's framework.
University of Texas at Arlington | FNP Program Page 2
,NURS 5432 — Family Nurse Practitioner I | Test 1 Materials (2026/2027) Complete Solutions Edition
Q3: A 52-year-old patient reports chronic constipation. According to Gordon's
Functional Health Patterns, which pattern is the PRIMARY framework for organizing
assessment questions about bowel habits, laxative use, and continence?
A. Activity-Exercise Pattern
B. Nutritional-Metabolic Pattern
C. Elimination Pattern [CORRECT]
D. Coping-Stress Tolerance Pattern
Correct Answer: C
Rationale: The Elimination Pattern specifically addresses bowel and bladder function, including
regularity, continence, laxative use, and changes in patterns. While Nutritional-Metabolic informs
fiber/fluid intake and Activity-Exercise affects motility, the Elimination Pattern is the primary
organizing framework for bowel habit assessment, consistent with Gordon's model taught in NURS
5432.
Q4: During a comprehensive assessment of a 60-year-old with new-onset insomnia, the
FNP explores the Sleep-Rest Pattern. Which question BEST addresses both quantity and
quality of sleep?
A. "Do you sleep at night?"
B. "How many hours do you sleep, and do you feel rested upon waking?" [CORRECT]
C. "Do you take sleeping pills?"
D. "Do you snore?"
Correct Answer: B
Rationale: A comprehensive Sleep-Rest Pattern assessment addresses both quantitative (hours slept)
and qualitative (restoration, perceived quality) dimensions. The other options are narrow and fail to
capture the full pattern. The NONPF Core Competencies emphasize holistic assessment — combining
sleep duration with perceived restoration guides differential diagnosis of insomnia (primary vs.
secondary, sleep apnea vs. behavioral).
Q5: A 30-year-old female describes feeling "hopeless" after a job loss. Which Gordon's
pattern should the FNP assess NEXT given its direct link to coping and emotional
regulation?
A. Sexuality-Reproductive Pattern
B. Cognitive-Perceptual Pattern
C. Coping-Stress Tolerance Pattern [CORRECT]
D. Value-Belief Pattern
Correct Answer: C
Rationale: The Coping-Stress Tolerance Pattern addresses how a patient manages stress, including
coping mechanisms, support systems, and emotional regulation. Hopelessness after a stressor
warrants immediate exploration for depression risk and suicidal ideation. Value-Belief may inform
coping but Coping-Stress Tolerance is the primary framework — a NONPF-aligned priority for safety
assessment.
University of Texas at Arlington | FNP Program Page 3
, NURS 5432 — Family Nurse Practitioner I | Test 1 Materials (2026/2027) Complete Solutions Edition
Q6: When performing a comprehensive physical examination, which sequence reflects
the correct standard order of techniques for the abdominal assessment?
A. Inspection, Auscultation, Percussion, Palpation [CORRECT]
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Palpation, Auscultation, Inspection
Correct Answer: A
Rationale: For the abdomen, the correct order is Inspection → Auscultation → Percussion →
Palpation. Auscultation precedes percussion and palpation because manipulation of the abdomen
can alter bowel sounds, producing false findings. This differs from other body systems where
palpation may precede auscultation. This technique is emphasized in the NURS 5432 advanced
health assessment module.
Q7: A QSEN-aligned FNP is caring for an 82-year-old with polypharmacy. Which QSEN
competency is MOST directly demonstrated when the provider uses the Beers Criteria
to identify potentially inappropriate medications and involves the patient in
deprescribing decisions?
A. Patient-Centered Care and Safety [CORRECT]
B. Informatics only
C. Quality Improvement only
D. Teamwork and Collaboration only
Correct Answer: A
Rationale: Using the Beers Criteria reflects Safety (preventing harm from inappropriate
medications), while involving the patient in deprescribing decisions reflects Patient-Centered Care.
QSEN competencies are integrated in FNP practice; this scenario most directly demonstrates these
two. Informatics, QI, and Teamwork may also apply but are not the primary competencies
demonstrated.
Q8: An FNP documents: "Patient reports 7/10 lower back pain, worse with movement,
denies radiating pain. Pain rated 4/10 after acetaminophen 650 mg." This
documentation BEST meets which standard?
A. Subjective only — fails to include objective findings
B. Subjective, objective, and assessment data reflecting a complete pain reassessment
[CORRECT]
C. Plan-only documentation
D. Nursing process without legal sufficiency
Correct Answer: B
Rationale: The note documents subjective (patient-reported pain), objective (response to
intervention), and supports reassessment — a core legal and clinical standard. Documentation of
pain intensity, character, aggravating factors, and response to intervention is required by Joint
Commission standards and NONPF documentation guidelines. The other choices mischaracterize
the note.
University of Texas at Arlington | FNP Program Page 4
