NURS5433/ NURS 5433 Final Exam V2– Family II (FNP 2) 2026/ 2027 Edition | UTA Latest Update | Verified Questions & Verified Answers

NURS5433/ NURS 5433 Final Exam V2– Family II (FNP 2) 2026/ 2027 Edition | UTA Latest Update | Verified Questions & Verified Answers Q: What contributes to urge incontinence? Answer Detrusor overactivity Q: Which of the following organisms is not the top 3 for bacterial conjunctivitis? a. Strep pneumoniae b. Haemophilus influenzae c. Psuedomonas d. Staphylococcus aureus Answer Psuedomonas Q: A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that occurs intermittently throughout the year and is often accompanied by a rope like eye discharge and clear nasal discharge. This is most consistent with: a. Allergic conjunctivitis b. bacterial conjunctivitis c. Viral conjunctivitis Answer Allergic conjunctivitis Q: Anterior epistaxis is usually caused from: a. HTN b. Bleeding disorders c. localized nasal mucosa trauma d. a foreign body Answer localized nasal mucosa trauma Q: Ms Murphy is a 58 year old woman presenting with a sudden left sided headache that is most painful in her left eye. Her vision is blurred, and the left pupil is slightly dilated and poorly reactive. The left conjunctiva is markedly injected, and the eyeball is firm. Vision screen with the Snellen chart is 20/30 OD; and 20/90 OS. The most likely dx is: angle-closure glaucoma Anterior uveitis unilateral herpetic conjunctivitis Open angle glaucoma Answer angle-closure glaucoma Q: Which of the following is most likely to be found on the funduscopic exam in a patient with untreated POAG? a. flame-shaped hemorrhages b. excessive cupping of the optic disk c. papilledema d. Arteriovenous nicking Answer excessive cupping of the optic disk Q: A 22 year old female presents with a "pimple" on her right eyelid. Exam reveals a 2mm pustule on the lateral border of the right eyelid margin. What is this most consistent with? a. Blepharitis b. Hordeolum c. cellulitis d. chalazion Answer Hordeolum Q: An independent risk factor for oral cancer is: a. human papillomavirus type 16 b. human papillomavirus type 11 c. h uman papillomavirus type 6 d. human papillomavirus type 26 Answer An independent risk factor for oral cancer is: human papillomavirus type 16 human papillomavirus type 11 human papillomavirus type 6 human papillomavirus type 26 Q: Which of the following is not the top 2 causative pathogens for otitis externa? a. Pseudomonas aeruginosa b. staph aureus c. proteus Enterobacteriaceae Answer proteus Enterobacteriaceae Q: Appropriate antibiotic therapy for otitis externa with accompanying cellulitis suitable for outpatient therapy includes a course of oral: a. Azithromycin b. Ciprofloxacin c. Cephalexin d. Amoxicillin Answer Ciprofloxacin Q: Stage 3 Lyme disease, characterized by joint pain and neuropsychiatric symptoms typically occurs how long after initial infection? Answer 1 year Q: Expected findings in AOM include: a. prominent bony landmarks b. itchiness and crackling in the affected ear c. submental lymphadenopathy d. Tympanic membrane immobility Answer Tympanic membrane immobility Q: A 25 year old patient has a 3 day history of left ear pain that began after one week of URI symptoms. On physical exam, you find that she has AOM. She is allergic to PCN with a flat pink rash only. She took an oral antimicrobial for the treatment of a UTI 2 weeks ago. The most appropriate oral antimicrobial option for this patient is: a. clarithromycin b. cefpodoxime c. Amoxicillin d. trimethoprim-sulfamethoxazole Answer cefpodoxime Drug resistant S. Pneumoniae is least likely to exhibit resistance to which of the following microbial classes? a. respiratory fluoroquinolones b. tetracycline forms c. first generation cephalosporins d. advanced macrolides Answer respiratory fluoroquinolones Treatment options for streptococcal pharyngitis for a patient with PCN allergy include all of the following except: a. trimethoprim-sulfamethoxazole b. Clindamycin c. Clarithromycin d. azithromycin Answer trimethoprim-sulfamethoxazole Which of the following is not a possible complication of group a strep [GAS]? a. liver failure b. Glomerulonephritis c. rheumatic fever liver failure The rash associated with scarlet fever typically occurs how long after the start of the symptomatic infection? a. 2 days b. 3 days c. 4 days d. 1 day 2 days Which of the following medications is most appropriate for allergic rhinitis therapy in an acutely symptomatic 24 year old machine operator? a. fluticasone nasal spray b. nasal cromolyn c. diphenhydramine d. loratadine loratadine Which of the following is the most effective treatment for moderate to severe allergic rhinitis? Nasal corticosteroids Which of the following is most consistent with the diagnosis of acute bacterial rhinosinusitis[ABRS]? Upper respiratory tract infection symptoms persisting beyond 7-10 days Which of the following is not consistent with the presentation asthma that is not well controlled? morning sputum production Sharon is a 10 year old female with moderate persistent asthma. She is not using prescribed inhaled steroids, but is using albuterol PRN to relieve her cough and wheeze with satisfactory clinical effect. Currently she is using 2 MDIs per month. You consider that: Excessive albuterol use is a risk factor for asthma death According to the National Asthma Education and Prevention Program Expert Panel Report 3 (NAEPPEPR-3) guidelines, which of the following are a risks for asthma death? -difficulty perceiving airflow obstruction or it's severity -hospitalization or an ED visit for asthma in the past month -current use of systemic steroids or withdrawal from systemic steroids Compared with SABAs, LABAs: are recommended as a first-line therapy combined with ICS in mild asthma in adults According to the GOLD guidelines, which of the following medications is indicated for all stages of COPD? SABAs According to the GOLD COPD guidelines, the goal of ICS use in severe COPD is to: minimize the risk of repeated exacerbations You see a 67 year old male with very severe COPD who asks, "When should I use my home O2? You respond: For at least 15 hours per day All of the following are consistent with the GOLD COPD recommendation for pulmonary rehab: -It is an underused therapeutic option -Its goals include improvement in overall well-being -It's components are aimed at reducing the deconditioning common in COPD According to the American Thoracic Society /ID Society of America Consensus Guidelines on the management of CAP in adults, which of the following is the most appropriate antimicrobial for tx of CAP in: A 42 year old man with no comorbidity, no drug allergy, and no recent antimicrobial use? Azithromycin According to the American Thoracic Society /ID Society of America Consensus Guidelines on the management of CAP in adults, which of the following is the most appropriate antimicrobial for tx of CAP in: A 46 year old well woman with a hx of bilateral tubal ligation who is macrolide intolerant? Doxycycline According to the American Thoracic Society /ID Society of America Consensus Guidelines on the management of CAP in adults, which of the following is the most appropriate antimicrobial for tx of CAP in: A 78 year old woman with a hx of COPD, hypertension, and dyslipidemia who is taking lovastatin and a dihydropyridine calcium channel blocker? High dose amoxicillin with doxycycline According to the American Thoracic Society /ID Society of America Consensus Guidelines on the management of CAP in adults, which of the following is the most appropriate antimicrobial for tx of CAP in: A 69 year old man with heart failure, prior MI, and type 2 DM? Respiratory fluoroquinolone According to the American Thoracic Society /ID Society of America Consensus Guidelines on the management of CAP in adults, which of the following is the most appropriate antimicrobial for tx of CAP in: A 47 year old woman who was recently treated with in the past 2 months with a beta-lactam for acute bacterial sinusitis? moxifloxacin When advising a patient about injectable influenza immunization, the NP considers the following about the use of this vaccine: Its use is recommended for virtually all members of the population A middle aged man with COPD is about to receive injectable influenza and should be advised that: localized reactions such as redness and soreness at the site are common Which of the following statements is not correct about the varicella vaccine? The use of the vaccine is associated with an increase in reported cases of shingles You see a gentleman with no chronic health problems and a 4 cm furuncle on his right thigh. He has no fever or other systemic infections. How would you treat? I & D of lesion To transmit lyme disease, the tick must feed on a human host for: 36-72 hours Neuro s/s from lyme disease 1 year What are the most helpful tests to support the dx of pertussis? nasopharyngeal culture and polymerase chain reaction (PCR) testing A 2 year old presents with pustular, ulcerating lesions on the hands and feet and oral ulcers. The child is cranky, well hydrated, and afebrile. The most likely dx is? Hand foot and mouth disease The incubation period for measles caused by the rubeola virus is: 10-14 days What is treatment for Kawasaki? Immune globulin and ASA Which of the following is found early in the development of CKD? persistent albuminuria An increase in creatinine from 1-2 mg/dL is typically seen with a _____loss in renal function. 50% Which of the following is most likely to be part of the clinical presentation of an otherwise healthy 27 year old female with uncomplicated lower urinary tract infection? urinary frequency A 36 year old afebrile woman with no health problems presents with dysuria and frequency of urination. Her Urinalysis findings include results positive for nitrites and leukocyte esterase. You consider that she likely has: a gram negative UTI You see a 34 year old woman with an uncomplicated UTI. She is otherwise healthy but reports having a sulfa allergy. Appropriate therapy would include: Nitrofurantoin Which causes alkaline urine in a patient with UTI? Proteus mirabilis In children and elderly, which of the following can contribute to bladder instability and increase the risk of UTI? constipation Long term use of which medication has been possibly associated with increased risk for bladder cancer? cyclophosphamide The most common presenting sign or symptom in bladder cancer is: Painless gross hematuria What contributes to stress incontinence? Pelvic floor weakness Pharmacologic intervention for urge incontinence includes: tolterodine Which of the following medications increase the risk of renal stones: HCTZ First line tx for bursitis is: NSAIDs swelling and redness over the affected area limited ROM of elbow Patients with subscapular bursitis typically present with: localized tenderness under the superomedial angle of the scapula Likely sequelae of intrabursal corticosteroid injection include: Soreness at the site of the injection First line therapy for prepatellar bursitis should include: Bursal aspiration Patients with lateral epicondylitis typically present with: Decreased hand strength Patients with medial epicondylitis typically present with: decreased grip strength Which of the following medications does not increase risk for gout? ARBs The clinical presentation of acute gouty arthritis affecting the base of the great toe includes: greatest swelling and pain along the median aspect of the joint Deformity of the proximal interphalangeal joints found in an elderly patient with OA is known as: Bouchard nodes As part of the evaluation of patients with OA, the nurse practitioner anticipates finding: No disease specific lab abnormalities For a patient with OA of the knee, you advise that: quadriceps strengthening exercises should be performed Which of the following is not a characteristic of RA? Family hx of autoimmune conditions often is reported Wrists, ankles, and toes are often involved It is more common in women than men at a 3:1 The leading cause of death among individuals with RA is: cardiovascular events Which of the following lab tests is most specific to the dx of RA? elevated levels of rheumatoid factor What drug class is preferred to prevent GI ulcerations caused by NSAIDs? Proton Pump inhibitors You see a 37 year old man with RA who has been treated with hydroxychloroquine and oral NSAIDs for the past 3 months with little improvement in symptoms. Radiography indicates slight progression of RA in several major joints. You recommend: adding methotrexate to his regimen A 52 year old female has RA. She now presents with decreased tearing, and a dry mouth. You consider a dx of? Sjogren's Syndrome Which special examinations should be periodically obtained during hydroxycholoroquine sulfate use? Dilated retinal imaging Which of the following best describes the presentation of a patient with complete medial meniscus tear? inability to kneel Most episodes of low back pain are caused by Muscle or ligament strain When telling a patient about muscle relaxants, what do they need to know? These agents have abuse potential What is the preferred screening test for osteoporosis? Dual energy x-ray absorptiometry (DEXA) Long term bisphosphonate use is associated with all of the following: ocular inflammation atypical femur fractures hypothyroidism osteonecrosis of the jaw (ONJ) What is most common site of sprain? Ankle Which statements are correct regarding tendonitis? Acute pain results when firm pressure is applied to the tendon Tendonitis is usually the result of overuse signs of tendonitis include reduced ROM caused by stiffness and discomfort Which medication should not be used for tx of fibromyalgia? Opioids