NURS 5433 Final Exam
Questions & Answers
2026/2027 | Comprehensive
Nursing Exam Review
(Rationales)
Document Overview
This comprehensive nursing review document provides 152 questions with
correct answers and detailed rationales, covering a broad spectrum of advanced
nursing topics. It is perfectly suited for in-depth study, final exam preparation,
and certification review, offering clear explanations to solidify understanding of
critical concepts. This resource is designed to ensure students are well-prepared
for their academic and professional assessments.
100% Accurate Questions and Answers
100% Guarantee Pass - Verified by Experts Expert-Verified
Verified Answers · Detailed Rationales · 152 Questions · September 2026
NURS 5433 Final Exam Questions & Answers 2026/2027 | Comprehensive Nursing Exam Review (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Diabetes Mellitus Diagnosis & Management
Questions covering diabetes Mellitus Diagnosis & Management concepts.
Section 2: Musculoskeletal Conditions: Joints & Nerves
Questions covering musculoskeletal Conditions: Joints & Nerves concepts.
Section 3: Rheumatic & Inflammatory Conditions
Questions covering rheumatic & Inflammatory Conditions concepts.
Section 4: Ophthalmology & Otology
Questions covering ophthalmology & Otology concepts.
Section 5: Pulmonary Conditions & Asthma
Questions covering pulmonary Conditions & Asthma concepts.
Section 6: Infectious Diseases & Vaccines
Questions covering infectious Diseases & Vaccines concepts.
Section 7: Renal & Genitourinary System
Questions covering renal & Genitourinary System concepts.
Section 8: Endocrine System: Thyroid & Adrenals
Questions covering endocrine System: Thyroid & Adrenals concepts.
Section 9: Pharmacology: Anesthetics & Opioids
Questions covering pharmacology: Anesthetics & Opioids concepts.
Section 10: Pharmacology: Analgesics & Glucocorticoids
Questions covering pharmacology: Analgesics & Glucocorticoids concepts.
Questions
QUESTION 1 OF 152
Diagnosis for Pre Diabetes
Fasting Blood Glucose (FBG) Range
Correct Answer: 100-125 mg/dL
Rationale: Pre-diabetes is defined by impaired fasting glucose levels that are higher than normal but not yet high
enough for a diagnosis of type 2 diabetes. The established diagnostic range for impaired fasting glucose, indicating
pre-diabetes, is a fasting blood glucose level between 100 and 125 mg/dL. Levels within this range signify an increased
risk for developing diabetes and cardiovascular disease. This aligns with 100-125 mg/dL and 100-.
NURS 5433 Final Exam Questions & Answers 2026/2027 | Comprehensive Nursing Exam Review (Rationales) - Practice Questions Page 0
, QUESTION 2 OF 152
Diagnosis for Pre Diabetes
HbA1c (Range)
Correct Answer: 5.7% to 6.4%
Rationale: The American Diabetes Association (ADA) defines prediabetes based on specific HbA1c levels, which
reflect average blood glucose over the preceding 2-3 months. An HbA1c reading between 5.7% and 6.4% indicates
impaired glucose metabolism that, while not yet meeting diagnostic criteria for type 2 diabetes, significantly increases
the risk of developing the condition and its associated complications. This range signifies a state where blood glucose
levels are consistently higher than normal but not high enough for a diabetes diagnosis. This aligns with 5.7% to 6.4%.
QUESTION 3 OF 152
Diagnosis for Pre Diabetes
2 hour OGTT (Range)
Correct Answer: 140-199 mg/dL (after 75g load)
Rationale: The Oral Glucose Tolerance Test (OGTT) is a diagnostic tool used to assess the body's ability to regulate
blood glucose. A 2-hour post-load plasma glucose level between 140 and 199 mg/dL, following a 75g glucose load,
indicates impaired glucose tolerance, which is diagnostic for prediabetes according to established clinical guidelines.
This range signifies that the body is not effectively clearing glucose from the bloodstream within the expected
timeframe. This aligns with 140-199 mg/dL (after 75g load) and 140-.
QUESTION 4 OF 152
Diabetes diagnosis
What is the level of the Random Blood Glucose for someone diagnosed with diabetics?
A. Greater than or equal to 100 mg/dL
B. Greater than or equal to 126 mg/dL
C. Greater than or equal to 140 mg/dL
D. Greater than or equal to 200 mg/dL
Correct Answer: D. Greater than or equal to 200 mg/dL
Rationale: A random blood glucose level of 200 mg/dL or higher, especially when accompanied by classic symptoms
of hyperglycemia such as polyuria, polydipsia, and unexplained weight loss, is a diagnostic criterion for diabetes
mellitus. This threshold indicates a significant impairment in glucose regulation, exceeding normal physiological
ranges. Other diagnostic criteria include fasting plasma glucose levels of 126 mg/dL or higher on two separate
occasions or a 2-hour plasma glucose level of 200 mg/dL or higher during a 75-g oral glucose tolerance test. This
aligns with D. Greater than or equal to 200 mg/dL and Greater than or equal to 200 mg/dL.
NURS 5433 Final Exam Questions & Answers 2026/2027 | Comprehensive Nursing Exam Review (Rationales) - Practice Questions Page 0
, QUESTION 5 OF 152
Diabetes diagnosis
What is the level of the Fasting Blood Glucose for someone diagnosed with diabetics?
A. Greater than or equal to 100 mg/dL
B. Greater than or equal to 126 mg/dL
C. Greater than or equal to 140 mg/dL
D. Greater than or equal to 200 mg/dL
Correct Answer: B. Greater than or equal to 126 mg/dL
Rationale: Diagnostic criteria for diabetes mellitus include a fasting plasma glucose (FPG) level of 126 mg/dL or
higher on two separate occasions. This threshold signifies impaired glucose regulation characteristic of diabetes.
Therefore, a fasting blood glucose level greater than or equal to 126 mg/dL is used for diagnosis. This aligns with B.
Greater than or equal to 126 mg/dL and Greater than or equal to 126 mg/dL.
QUESTION 6 OF 152
Diabetes diagnosis
What is the level of the A1c for someone diagnosed with diabetics?
A. Greater than or equal to 5.7 %
B. Greater than or equal to 6.0 %
C. Greater than or equal to 6.5 %
D. Greater than or equal to 8.0 %
Correct Answer: C. Greater than or equal to 6.5 %
Rationale: The American Diabetes Association (ADA) diagnostic criteria for diabetes mellitus include a fasting
plasma glucose of 126 mg/dL or higher, a 2-hour plasma glucose of 200 mg/dL or higher during a 75-g oral glucose
tolerance test, or an A1c level of 6.5% or higher. Therefore, an A1c level greater than or equal to 6.5% is indicative of a
diabetes diagnosis. This aligns with C. Greater than or equal to 6.5 % and Greater than or equal to 6.5 %.
QUESTION 7 OF 152
Which of the following patients is a good candidate for Metformin for Type 2 Diabetes?
A. 70 year old woman on dialysis
B. 45 year old man struggling with binge drinking
C. A pregnant women with gestational diabetes
D. 75 year old overweight man who smokes cigarettes
Correct Answer: D. 75 year old overweight man who smokes cigarettes
Rationale: Metformin is a first-line oral antidiabetic agent for type 2 diabetes mellitus, particularly in overweight or
obese patients, but it is contraindicated in severe renal impairment, such as that requiring dialysis, and in conditions
with increased risk of lactic acidosis like significant alcohol abuse. While gestational diabetes in pregnant women
requires specific management, often with insulin, Metformin is generally avoided due to potential teratogenic effects
and lack of long-term safety data in pregnancy. The 75-year-old overweight, smoking man with type 2 diabetes,
absent contraindications like significant renal dysfunction or active alcoholism, represents a typical patient profile
benefiting from Metformin's efficacy in improving insulin sensitivity and reducing hepatic glucose production. This
aligns with D. 75 year old overweight man who smokes cigarettes and 75 year old overweight man who smokes
cigarettes.
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