NURS 5432 Family I (FNP 1) Final Assessment (UTA)
Latest Graded A+
1. A 4-year-old presents with fever, ear pain, and bulging tympanic membrane. Best
first-line treatment?
A. Azithromycin
• B. High-dose Amoxicillin
C. Ceftriaxone
D. Observation only
Rationale: Amoxicillin is first-line unless penicillin allergy.
2. At what age should cervical cancer screening begin for women?
A. 18 years
• B. 21 years
C. 25 years
D. 30 years
Rationale: USPSTF recommends Pap smear starting at 21.
3. Which vaccine is recommended for adults ≥65 years?
A. Varivax
B. Hepatitis B
• C. Pneumococcal (PCV13/Prevnar 13)
D. HPV
Rationale: Pneumococcal vaccination is standard at 65+.
4. A patient with type 2 diabetes should have HbA1c checked:
A. Every 6 months if controlled
• B. Every 3 months if uncontrolled
C. Annually
D. Only if symptomatic
Rationale: Frequency depends on control status.
5. First-line antihypertensive for African American patients without CKD?
A. ACE inhibitor
• B. Thiazide diuretic or CCB
C. Beta-blocker
D. ARB
Rationale: Evidence supports thiazide/CCB for better outcomes.
6. Best diagnostic test for suspected appendicitis in children?
A. MRI
• B. Ultrasound
C. CT scan
D. X-ray
, Rationale: Ultrasound preferred to avoid radiation.
7. Which screening is recommended for men aged 50–75?
A. PSA
• B. Colorectal cancer screening
C. Lung cancer screening
D. HIV
Rationale: Colonoscopy or stool-based tests are standard.
8. A 2-year-old with barky cough and stridor. Diagnosis?
A. Bronchiolitis
• B. Croup (laryngotracheobronchitis)
C. Asthma
D. Epiglottitis
Rationale: Classic presentation of croup.
9. First-line treatment for depression in primary care?
A. Benzodiazepines
• B. SSRIs
C. TCAs
D. MAOIs
Rationale: SSRIs are safe and effective.
10. Which lab confirms iron deficiency anemia?
A. High ferritin
• B. Low ferritin
C. High MCV
D. High reticulocyte count
Rationale: Low ferritin is diagnostic.
11. A 6-month-old presents with fever, irritability, and bulging anterior fontanelle. Best
diagnostic test?
A. CT scan
• B. Lumbar puncture
C. MRI
D. EEG
Rationale: LP is gold standard for meningitis diagnosis.
12. Which medication is contraindicated in pregnancy?
A. Penicillin
• B. ACE inhibitors
C. Insulin
D. Levothyroxine
Rationale: ACE inhibitors cause fetal renal damage.
13. A 55-year-old smoker with 30 pack-year history. Recommended screening?
Latest Graded A+
1. A 4-year-old presents with fever, ear pain, and bulging tympanic membrane. Best
first-line treatment?
A. Azithromycin
• B. High-dose Amoxicillin
C. Ceftriaxone
D. Observation only
Rationale: Amoxicillin is first-line unless penicillin allergy.
2. At what age should cervical cancer screening begin for women?
A. 18 years
• B. 21 years
C. 25 years
D. 30 years
Rationale: USPSTF recommends Pap smear starting at 21.
3. Which vaccine is recommended for adults ≥65 years?
A. Varivax
B. Hepatitis B
• C. Pneumococcal (PCV13/Prevnar 13)
D. HPV
Rationale: Pneumococcal vaccination is standard at 65+.
4. A patient with type 2 diabetes should have HbA1c checked:
A. Every 6 months if controlled
• B. Every 3 months if uncontrolled
C. Annually
D. Only if symptomatic
Rationale: Frequency depends on control status.
5. First-line antihypertensive for African American patients without CKD?
A. ACE inhibitor
• B. Thiazide diuretic or CCB
C. Beta-blocker
D. ARB
Rationale: Evidence supports thiazide/CCB for better outcomes.
6. Best diagnostic test for suspected appendicitis in children?
A. MRI
• B. Ultrasound
C. CT scan
D. X-ray
, Rationale: Ultrasound preferred to avoid radiation.
7. Which screening is recommended for men aged 50–75?
A. PSA
• B. Colorectal cancer screening
C. Lung cancer screening
D. HIV
Rationale: Colonoscopy or stool-based tests are standard.
8. A 2-year-old with barky cough and stridor. Diagnosis?
A. Bronchiolitis
• B. Croup (laryngotracheobronchitis)
C. Asthma
D. Epiglottitis
Rationale: Classic presentation of croup.
9. First-line treatment for depression in primary care?
A. Benzodiazepines
• B. SSRIs
C. TCAs
D. MAOIs
Rationale: SSRIs are safe and effective.
10. Which lab confirms iron deficiency anemia?
A. High ferritin
• B. Low ferritin
C. High MCV
D. High reticulocyte count
Rationale: Low ferritin is diagnostic.
11. A 6-month-old presents with fever, irritability, and bulging anterior fontanelle. Best
diagnostic test?
A. CT scan
• B. Lumbar puncture
C. MRI
D. EEG
Rationale: LP is gold standard for meningitis diagnosis.
12. Which medication is contraindicated in pregnancy?
A. Penicillin
• B. ACE inhibitors
C. Insulin
D. Levothyroxine
Rationale: ACE inhibitors cause fetal renal damage.
13. A 55-year-old smoker with 30 pack-year history. Recommended screening?
