NURS 5434 FNP FINAL EXAM FALL FROM
2023-2025 TOP 100 MOST TESTED
QUESTIONS AND ANSWERS FOR THE
UNIVERSITY OF TEXAS AT ARLINGTON
UTA FAMILY III COMPLETE QUESTIONS
1. A nurse practitioner is assessing a 68-year-old client with heart failure who
is prescribed lisinopril. Which finding indicates a potential adverse effect of
this medication?
a. Persistent dry cough
b. Increased appetite
c. Constipation
d. Hyperglycemia
Correct Answer: a. Persistent dry cough
Rationale: ACE inhibitors such as lisinopril commonly cause a persistent dry
cough due to increased bradykinin levels. This adverse effect may require
switching the client to an ARB such as losartan. Monitoring for cough,
hypotension, and hyperkalemia is essential.
DIF: Application
REF: ACE Inhibitors
OBJ: Identify adverse effects
TOP: Nursing Process Step: Assessment
2. A client with type 2 diabetes is prescribed metformin. Which condition is a
contraindication for this medication?
a. Mild hypertension
b. Renal impairment
c. Hyperlipidemia
d. Osteoarthritis
, Correct Answer: b. Renal impairment
Rationale: Metformin is contraindicated in clients with significant renal
impairment because it can increase the risk of lactic acidosis, a rare but life-
threatening complication. Renal function should be assessed before
initiating therapy and monitored regularly.
DIF: Application
REF: Antidiabetic Agents
OBJ: Identify contraindications
TOP: Nursing Process Step: Assessment
3. A nurse practitioner is prescribing albuterol for a client with asthma. Which
instruction should be included in client teaching?
a. Use the inhaler before exercise
b. Use the inhaler once daily only
c. Take with food
d. Avoid shaking the inhaler
Correct Answer: a. Use the inhaler before exercise
Rationale: Albuterol is a short-acting beta2 agonist used for acute
bronchospasm and prevention of exercise-induced asthma. Clients should
be instructed to use the inhaler before exercise if prescribed for that
purpose.
DIF: Application
REF: Bronchodilators
OBJ: Client education
TOP: Nursing Process Step: Implementation
4. A client taking warfarin asks which foods should be limited. Which food
should the nurse practitioner identify as high in vitamin K?
a. Spinach
b. Apples
c. Bananas
d. Rice
Correct Answer: a. Spinach
Rationale: Foods high in vitamin K such as spinach, kale, and broccoli can
, reduce the effectiveness of warfarin. Clients should maintain consistent
intake of vitamin K to prevent fluctuations in anticoagulation levels.
DIF: Application
REF: Anticoagulants
OBJ: Medication teaching
TOP: Nursing Process Step: Implementation
5. A client with hypertension is prescribed hydrochlorothiazide. Which adverse
effect should the nurse practitioner monitor for?
a. Hyperkalemia
b. Hypokalemia
c. Hypercalcemia
d. Hypoglycemia
Correct Answer: b. Hypokalemia
Rationale: Thiazide diuretics promote potassium excretion, leading to
hypokalemia. Symptoms may include muscle weakness, fatigue, and cardiac
dysrhythmias. Electrolyte levels should be monitored regularly.
DIF: Application
REF: Thiazide Diuretics
OBJ: Monitor adverse effects
TOP: Nursing Process Step: Assessment
6. A client is prescribed atorvastatin. Which laboratory value should be
monitored to detect potential toxicity?
a. AST and ALT
b. Hemoglobin
c. Platelet count
d. Sodium
Correct Answer: a. AST and ALT
Rationale: Statins can cause hepatotoxicity; therefore, liver enzymes such as
AST and ALT should be monitored. Elevated levels may indicate liver injury
requiring dose adjustment or discontinuation.
DIF: Application
REF: Antilipidemic Agents
, OBJ: Monitor therapy
TOP: Nursing Process Step: Evaluation
7. A client receiving digoxin develops nausea and visual disturbances. Which
finding supports digoxin toxicity?
a. Yellow-green vision
b. Blurred hearing
c. Increased appetite
d. Diarrhea only
Correct Answer: a. Yellow-green vision
Rationale: Digoxin toxicity often presents with visual disturbances such as
yellow or green halos around lights, along with nausea, vomiting, and
bradycardia. Monitoring digoxin levels and potassium is important.
DIF: Application
REF: Cardiac Glycosides
OBJ: Recognize toxicity
TOP: Nursing Process Step: Assessment
8. A client with hypothyroidism is prescribed levothyroxine. Which instruction
is appropriate?
a. Take the medication on an empty stomach in the morning
b. Take with calcium supplements
c. Take at bedtime with food
d. Skip doses if feeling better
Correct Answer: a. Take the medication on an empty stomach in the
morning
Rationale: Levothyroxine should be taken on an empty stomach in the
morning to maximize absorption. Calcium, iron, and certain foods can
decrease absorption and should be taken separately.
DIF: Application
REF: Thyroid Hormones
OBJ: Medication teaching
TOP: Nursing Process Step: Implementation
2023-2025 TOP 100 MOST TESTED
QUESTIONS AND ANSWERS FOR THE
UNIVERSITY OF TEXAS AT ARLINGTON
UTA FAMILY III COMPLETE QUESTIONS
1. A nurse practitioner is assessing a 68-year-old client with heart failure who
is prescribed lisinopril. Which finding indicates a potential adverse effect of
this medication?
a. Persistent dry cough
b. Increased appetite
c. Constipation
d. Hyperglycemia
Correct Answer: a. Persistent dry cough
Rationale: ACE inhibitors such as lisinopril commonly cause a persistent dry
cough due to increased bradykinin levels. This adverse effect may require
switching the client to an ARB such as losartan. Monitoring for cough,
hypotension, and hyperkalemia is essential.
DIF: Application
REF: ACE Inhibitors
OBJ: Identify adverse effects
TOP: Nursing Process Step: Assessment
2. A client with type 2 diabetes is prescribed metformin. Which condition is a
contraindication for this medication?
a. Mild hypertension
b. Renal impairment
c. Hyperlipidemia
d. Osteoarthritis
, Correct Answer: b. Renal impairment
Rationale: Metformin is contraindicated in clients with significant renal
impairment because it can increase the risk of lactic acidosis, a rare but life-
threatening complication. Renal function should be assessed before
initiating therapy and monitored regularly.
DIF: Application
REF: Antidiabetic Agents
OBJ: Identify contraindications
TOP: Nursing Process Step: Assessment
3. A nurse practitioner is prescribing albuterol for a client with asthma. Which
instruction should be included in client teaching?
a. Use the inhaler before exercise
b. Use the inhaler once daily only
c. Take with food
d. Avoid shaking the inhaler
Correct Answer: a. Use the inhaler before exercise
Rationale: Albuterol is a short-acting beta2 agonist used for acute
bronchospasm and prevention of exercise-induced asthma. Clients should
be instructed to use the inhaler before exercise if prescribed for that
purpose.
DIF: Application
REF: Bronchodilators
OBJ: Client education
TOP: Nursing Process Step: Implementation
4. A client taking warfarin asks which foods should be limited. Which food
should the nurse practitioner identify as high in vitamin K?
a. Spinach
b. Apples
c. Bananas
d. Rice
Correct Answer: a. Spinach
Rationale: Foods high in vitamin K such as spinach, kale, and broccoli can
, reduce the effectiveness of warfarin. Clients should maintain consistent
intake of vitamin K to prevent fluctuations in anticoagulation levels.
DIF: Application
REF: Anticoagulants
OBJ: Medication teaching
TOP: Nursing Process Step: Implementation
5. A client with hypertension is prescribed hydrochlorothiazide. Which adverse
effect should the nurse practitioner monitor for?
a. Hyperkalemia
b. Hypokalemia
c. Hypercalcemia
d. Hypoglycemia
Correct Answer: b. Hypokalemia
Rationale: Thiazide diuretics promote potassium excretion, leading to
hypokalemia. Symptoms may include muscle weakness, fatigue, and cardiac
dysrhythmias. Electrolyte levels should be monitored regularly.
DIF: Application
REF: Thiazide Diuretics
OBJ: Monitor adverse effects
TOP: Nursing Process Step: Assessment
6. A client is prescribed atorvastatin. Which laboratory value should be
monitored to detect potential toxicity?
a. AST and ALT
b. Hemoglobin
c. Platelet count
d. Sodium
Correct Answer: a. AST and ALT
Rationale: Statins can cause hepatotoxicity; therefore, liver enzymes such as
AST and ALT should be monitored. Elevated levels may indicate liver injury
requiring dose adjustment or discontinuation.
DIF: Application
REF: Antilipidemic Agents
, OBJ: Monitor therapy
TOP: Nursing Process Step: Evaluation
7. A client receiving digoxin develops nausea and visual disturbances. Which
finding supports digoxin toxicity?
a. Yellow-green vision
b. Blurred hearing
c. Increased appetite
d. Diarrhea only
Correct Answer: a. Yellow-green vision
Rationale: Digoxin toxicity often presents with visual disturbances such as
yellow or green halos around lights, along with nausea, vomiting, and
bradycardia. Monitoring digoxin levels and potassium is important.
DIF: Application
REF: Cardiac Glycosides
OBJ: Recognize toxicity
TOP: Nursing Process Step: Assessment
8. A client with hypothyroidism is prescribed levothyroxine. Which instruction
is appropriate?
a. Take the medication on an empty stomach in the morning
b. Take with calcium supplements
c. Take at bedtime with food
d. Skip doses if feeling better
Correct Answer: a. Take the medication on an empty stomach in the
morning
Rationale: Levothyroxine should be taken on an empty stomach in the
morning to maximize absorption. Calcium, iron, and certain foods can
decrease absorption and should be taken separately.
DIF: Application
REF: Thyroid Hormones
OBJ: Medication teaching
TOP: Nursing Process Step: Implementation
