NURS 5432 – FAMILY NURSE PRACTITIONER I
MIDTERM EXAM / ACTUAL EXAM QUESTIONS
AND 100% VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
UNIVERSITY OF TEXAS, ARLINGTON
Question 1
A 46-year-old patient presents with fatigue, weight gain, and cold intolerance.
Laboratory results show an elevated TSH and decreased free T4. Which condition
is most consistent with these findings?
A. Graves disease
B. Primary hypothyroidism
C. Subclinical hyperthyroidism
D. Secondary hypothyroidism
Correct Answer: B
Rationale: Elevated TSH with low free T4 indicates primary hypothyroidism due
to thyroid gland dysfunction.
Question 2
A 55-year-old male with hypertension has been taking lisinopril. Which laboratory
value requires the most immediate follow-up?
A. Sodium 138 mEq/L
B. Potassium 5.8 mEq/L
C. Creatinine 1.1 mg/dL
D. BUN 14 mg/dL
Correct Answer: B
Rationale: ACE inhibitors can cause hyperkalemia; potassium levels above 5.5
mEq/L increase risk for cardiac dysrhythmias.
,Question 3
Which physical assessment finding is most characteristic of left-sided heart
failure?
A. Peripheral edema
B. Jugular venous distention
C. Pulmonary crackles
D. Hepatomegaly
Correct Answer: C
Rationale: Left-sided heart failure causes pulmonary congestion, leading to
crackles, dyspnea, and orthopnea.
Question 4
A 28-year-old woman presents with dysuria, urinary frequency, and urgency. She
denies vaginal discharge. What is the most appropriate initial management?
A. Pelvic ultrasound
B. Urinalysis and urine culture
C. Empiric antifungal therapy
D. CT scan of the abdomen
Correct Answer: B
Rationale: Symptoms are classic for urinary tract infection; urinalysis and culture
confirm diagnosis and guide therapy.
Question 5
Which immunization is recommended annually for all adults unless
contraindicated?
A. Tdap
B. Pneumococcal
,C. Influenza
D. Hepatitis B
Correct Answer: C
Rationale: Annual influenza vaccination is recommended for all adults to reduce
morbidity and mortality.
Question 6
A patient with type 2 diabetes has an A1C of 8.9%. What is the most appropriate
initial goal A1C for most non-pregnant adults?
A. <5.7%
B. <6.0%
C. <7.0%
D. <8.5%
Correct Answer: C
Rationale: An A1C goal of less than 7% is recommended for most adults to
reduce microvascular complications.
Question 7
Which lipid abnormality most strongly contributes to atherosclerosis?
A. Elevated HDL
B. Low triglycerides
C. Elevated LDL
D. Low total cholesterol
Correct Answer: C
Rationale: Elevated LDL cholesterol is the primary contributor to plaque
formation and cardiovascular disease.
, Question 8
A 65-year-old smoker presents with a chronic productive cough for the past two
years. Which diagnosis best fits this presentation?
A. Asthma
B. Chronic bronchitis
C. Emphysema
D. Pulmonary fibrosis
Correct Answer: B
Rationale: Chronic bronchitis is defined by productive cough for at least 3 months
in 2 consecutive years.
Question 9
Which finding is most concerning in a patient presenting with acute abdominal
pain?
A. Mild nausea
B. Rebound tenderness
C. Decreased appetite
D. Bloating
Correct Answer: B
Rationale: Rebound tenderness suggests peritoneal irritation and possible surgical
emergency.
Question 10
A patient with iron-deficiency anemia would most likely have which laboratory
finding?
A. Elevated ferritin
B. Increased MCV
C. Decreased serum iron
D. Increased reticulocyte count
MIDTERM EXAM / ACTUAL EXAM QUESTIONS
AND 100% VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
UNIVERSITY OF TEXAS, ARLINGTON
Question 1
A 46-year-old patient presents with fatigue, weight gain, and cold intolerance.
Laboratory results show an elevated TSH and decreased free T4. Which condition
is most consistent with these findings?
A. Graves disease
B. Primary hypothyroidism
C. Subclinical hyperthyroidism
D. Secondary hypothyroidism
Correct Answer: B
Rationale: Elevated TSH with low free T4 indicates primary hypothyroidism due
to thyroid gland dysfunction.
Question 2
A 55-year-old male with hypertension has been taking lisinopril. Which laboratory
value requires the most immediate follow-up?
A. Sodium 138 mEq/L
B. Potassium 5.8 mEq/L
C. Creatinine 1.1 mg/dL
D. BUN 14 mg/dL
Correct Answer: B
Rationale: ACE inhibitors can cause hyperkalemia; potassium levels above 5.5
mEq/L increase risk for cardiac dysrhythmias.
,Question 3
Which physical assessment finding is most characteristic of left-sided heart
failure?
A. Peripheral edema
B. Jugular venous distention
C. Pulmonary crackles
D. Hepatomegaly
Correct Answer: C
Rationale: Left-sided heart failure causes pulmonary congestion, leading to
crackles, dyspnea, and orthopnea.
Question 4
A 28-year-old woman presents with dysuria, urinary frequency, and urgency. She
denies vaginal discharge. What is the most appropriate initial management?
A. Pelvic ultrasound
B. Urinalysis and urine culture
C. Empiric antifungal therapy
D. CT scan of the abdomen
Correct Answer: B
Rationale: Symptoms are classic for urinary tract infection; urinalysis and culture
confirm diagnosis and guide therapy.
Question 5
Which immunization is recommended annually for all adults unless
contraindicated?
A. Tdap
B. Pneumococcal
,C. Influenza
D. Hepatitis B
Correct Answer: C
Rationale: Annual influenza vaccination is recommended for all adults to reduce
morbidity and mortality.
Question 6
A patient with type 2 diabetes has an A1C of 8.9%. What is the most appropriate
initial goal A1C for most non-pregnant adults?
A. <5.7%
B. <6.0%
C. <7.0%
D. <8.5%
Correct Answer: C
Rationale: An A1C goal of less than 7% is recommended for most adults to
reduce microvascular complications.
Question 7
Which lipid abnormality most strongly contributes to atherosclerosis?
A. Elevated HDL
B. Low triglycerides
C. Elevated LDL
D. Low total cholesterol
Correct Answer: C
Rationale: Elevated LDL cholesterol is the primary contributor to plaque
formation and cardiovascular disease.
, Question 8
A 65-year-old smoker presents with a chronic productive cough for the past two
years. Which diagnosis best fits this presentation?
A. Asthma
B. Chronic bronchitis
C. Emphysema
D. Pulmonary fibrosis
Correct Answer: B
Rationale: Chronic bronchitis is defined by productive cough for at least 3 months
in 2 consecutive years.
Question 9
Which finding is most concerning in a patient presenting with acute abdominal
pain?
A. Mild nausea
B. Rebound tenderness
C. Decreased appetite
D. Bloating
Correct Answer: B
Rationale: Rebound tenderness suggests peritoneal irritation and possible surgical
emergency.
Question 10
A patient with iron-deficiency anemia would most likely have which laboratory
finding?
A. Elevated ferritin
B. Increased MCV
C. Decreased serum iron
D. Increased reticulocyte count
