NURS 5433 FNP II Final Exam 2026/2027 (UTA)|
150 MCQs with Answers and Detailed Rationales |
Advanced Family Nurse Practitioner Review
Practice Test Bundle
Introduction
This NURS 5433 FNP II Final Exam practice bundle is designed for advanced Family
Nurse Practitioner students preparing for final assessments and clinical decision-making
evaluations. The exam includes 150 high-quality multiple-choice questions covering key
topics such as cardiology, endocrinology, respiratory disorders, infectious diseases,
neurology, renal function, and pharmacology.
Each question is structured in a clinically realistic format to strengthen diagnostic reasoning,
evidence-based practice, and critical thinking skills required at the graduate nursing level.
All answers are provided in bold italic format, followed by clear and concise rationales to
enhance understanding and retention.
Q1.
A 64-year-old patient with a history of hypertension and diabetes presents with chest
pressure and diaphoresis. What is the priority initial action?
A. Order lipid panel
B. Administer aspirin
C. Schedule stress test
D. Obtain CBC
Answer: B. Administer aspirin
Explanation: Aspirin reduces platelet aggregation and should be given immediately in
suspected acute coronary syndrome.
Q2.
A patient with heart failure has an ejection fraction of 35%. Which medication improves
mortality?
,A. Furosemide
B. Digoxin
C. Lisinopril
D. Hydrochlorothiazide
Answer: C. Lisinopril
Explanation: ACE inhibitors reduce mortality and slow progression in patients with
reduced ejection fraction heart failure.
Q3.
Which symptom is most concerning for stroke?
A. Gradual headache
B. Sudden unilateral weakness
C. Chronic fatigue
D. Joint pain
Answer: B. Sudden unilateral weakness
Explanation: Sudden neurologic deficits like unilateral weakness are hallmark signs of
acute stroke.
Q4.
A patient presents with diabetic ketoacidosis. What is the first priority treatment?
A. Insulin therapy
B. Fluid resuscitation
C. Potassium replacement
D. Bicarbonate
Answer: B. Fluid resuscitation
Explanation: Initial management focuses on restoring circulating volume before insulin
administration in DKA
,Q5.
Which medication is contraindicated in pregnancy for hypertension management?
A. Labetalol
B. Methyldopa
C. Lisinopril
D. Nifedipine
Answer: C. Lisinopril
Explanation: ACE inhibitors are teratogenic and contraindicated during pregnancy due to
fetal risk.
Q6.
A patient with COPD has frequent exacerbations. Which medication reduces exacerbation
frequency?
A. Albuterol
B. Inhaled corticosteroids
C. Antibiotics
D. Antihistamines
Answer: B. Inhaled corticosteroids
Explanation: Inhaled corticosteroids reduce airway inflammation and decrease frequency
of COPD exacerbations.
Q7.
Which lab value indicates poor diabetes control?
A. HbA1c 5.5%
B. HbA1c 6.0%
C. HbA1c 8.5%
D. HbA1c 5.0%
, Answer: C. HbA1c 8.5%
Explanation: Elevated HbA1c reflects chronic hyperglycemia and poor glycemic control
in diabetic patients.
Q8.
A patient presents with fever, productive cough, and crackles. What is the most likely
diagnosis?
A. Asthma
B. Pneumonia
C. COPD
D. Bronchitis
Answer: B. Pneumonia
Explanation: Fever, productive cough, and crackles indicate infection of lung
parenchyma consistent with pneumonia.
Q9.
Which medication is first-line for treating hyperlipidemia?
A. Niacin
B. Statins
C. Fibrates
D. Omega-3
Answer: B. Statins
Explanation: Statins reduce LDL cholesterol and significantly decrease cardiovascular
risk in patients.
Q10.
A patient with atrial fibrillation is at high stroke risk. Which medication is indicated?
150 MCQs with Answers and Detailed Rationales |
Advanced Family Nurse Practitioner Review
Practice Test Bundle
Introduction
This NURS 5433 FNP II Final Exam practice bundle is designed for advanced Family
Nurse Practitioner students preparing for final assessments and clinical decision-making
evaluations. The exam includes 150 high-quality multiple-choice questions covering key
topics such as cardiology, endocrinology, respiratory disorders, infectious diseases,
neurology, renal function, and pharmacology.
Each question is structured in a clinically realistic format to strengthen diagnostic reasoning,
evidence-based practice, and critical thinking skills required at the graduate nursing level.
All answers are provided in bold italic format, followed by clear and concise rationales to
enhance understanding and retention.
Q1.
A 64-year-old patient with a history of hypertension and diabetes presents with chest
pressure and diaphoresis. What is the priority initial action?
A. Order lipid panel
B. Administer aspirin
C. Schedule stress test
D. Obtain CBC
Answer: B. Administer aspirin
Explanation: Aspirin reduces platelet aggregation and should be given immediately in
suspected acute coronary syndrome.
Q2.
A patient with heart failure has an ejection fraction of 35%. Which medication improves
mortality?
,A. Furosemide
B. Digoxin
C. Lisinopril
D. Hydrochlorothiazide
Answer: C. Lisinopril
Explanation: ACE inhibitors reduce mortality and slow progression in patients with
reduced ejection fraction heart failure.
Q3.
Which symptom is most concerning for stroke?
A. Gradual headache
B. Sudden unilateral weakness
C. Chronic fatigue
D. Joint pain
Answer: B. Sudden unilateral weakness
Explanation: Sudden neurologic deficits like unilateral weakness are hallmark signs of
acute stroke.
Q4.
A patient presents with diabetic ketoacidosis. What is the first priority treatment?
A. Insulin therapy
B. Fluid resuscitation
C. Potassium replacement
D. Bicarbonate
Answer: B. Fluid resuscitation
Explanation: Initial management focuses on restoring circulating volume before insulin
administration in DKA
,Q5.
Which medication is contraindicated in pregnancy for hypertension management?
A. Labetalol
B. Methyldopa
C. Lisinopril
D. Nifedipine
Answer: C. Lisinopril
Explanation: ACE inhibitors are teratogenic and contraindicated during pregnancy due to
fetal risk.
Q6.
A patient with COPD has frequent exacerbations. Which medication reduces exacerbation
frequency?
A. Albuterol
B. Inhaled corticosteroids
C. Antibiotics
D. Antihistamines
Answer: B. Inhaled corticosteroids
Explanation: Inhaled corticosteroids reduce airway inflammation and decrease frequency
of COPD exacerbations.
Q7.
Which lab value indicates poor diabetes control?
A. HbA1c 5.5%
B. HbA1c 6.0%
C. HbA1c 8.5%
D. HbA1c 5.0%
, Answer: C. HbA1c 8.5%
Explanation: Elevated HbA1c reflects chronic hyperglycemia and poor glycemic control
in diabetic patients.
Q8.
A patient presents with fever, productive cough, and crackles. What is the most likely
diagnosis?
A. Asthma
B. Pneumonia
C. COPD
D. Bronchitis
Answer: B. Pneumonia
Explanation: Fever, productive cough, and crackles indicate infection of lung
parenchyma consistent with pneumonia.
Q9.
Which medication is first-line for treating hyperlipidemia?
A. Niacin
B. Statins
C. Fibrates
D. Omega-3
Answer: B. Statins
Explanation: Statins reduce LDL cholesterol and significantly decrease cardiovascular
risk in patients.
Q10.
A patient with atrial fibrillation is at high stroke risk. Which medication is indicated?
