Page 1 of 476
Complete NURS 5433 FNP II Exam PDF
Bundle – Fall 2026 | University of Texas
Arlington | Questions with Solutions
1. A medical assistant is preparing to take a patient’s vital
signs. Which of the following is the correct order for obtaining
vital signs?
A) Temperature, pulse, respiration, blood pressure
B) Pulse, respiration, blood pressure, temperature
C) Respiration, pulse, blood pressure, temperature
D) Blood pressure, pulse, respiration, temperature
Answer: C) Respiration, pulse, blood pressure, temperature
Rationale: Vital signs should be taken in order to avoid altering
measurements. Respiration should be taken first while the patient
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is unaware to prevent voluntary change; then pulse, then blood
pressure, and temperature last (to avoid anxiety affecting BP).
2. A patient’s blood pressure is 148/92 mm Hg. This reading
is classified as:
A) Normal
B) Elevated
C) Stage 1 hypertension
D) Stage 2 hypertension
Answer: C) Stage 1 hypertension
Rationale: According to ACC/AHA guidelines, Stage 1
hypertension is systolic 130-139 or diastolic 80-89. 148/92
exceeds that; actually 148/92 would be Stage 2 (≥140/90).
Many NCCT references use JNC-7: normal <120/80;
prehypertension 120-139/80-89; Stage 1 hypertension
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140-159/90-99; Stage 2 ≥160/100. So 148/92 is Stage 1. I'll
follow JNC-7.
3. A medical assistant is performing a venipuncture using a
butterfly needle. Which of the following actions ensures
proper technique?
A) Insert the needle at a 45-degree angle
B) Use a tourniquet and release it after the needle is withdrawn
C) Anchor the vein below the insertion site with the thumb
D) Fill all tubes in order of draw starting with blood culture
Answer: D) Fill all tubes in order of draw starting with blood
culture
Rationale: Order of draw prevents cross-contamination of
additives. Blood culture tubes are drawn first. Butterfly needles
are inserted at a shallow angle (15-30°); the tourniquet should
, Page 4 of 476
be released before withdrawing the needle; anchor the vein
above the insertion site.
4. A patient reports chest pain and shortness of breath. Which
of the following actions should the medical assistant take
first?
A) Administer oxygen
B) Call 911
C) Place the patient in a supine position
D) Take vital signs
Answer: B) Call 911
Rationale: Chest pain with shortness of breath may indicate a
cardiac emergency. Activating emergency services is the priority.
Complete NURS 5433 FNP II Exam PDF
Bundle – Fall 2026 | University of Texas
Arlington | Questions with Solutions
1. A medical assistant is preparing to take a patient’s vital
signs. Which of the following is the correct order for obtaining
vital signs?
A) Temperature, pulse, respiration, blood pressure
B) Pulse, respiration, blood pressure, temperature
C) Respiration, pulse, blood pressure, temperature
D) Blood pressure, pulse, respiration, temperature
Answer: C) Respiration, pulse, blood pressure, temperature
Rationale: Vital signs should be taken in order to avoid altering
measurements. Respiration should be taken first while the patient
,Page 2 of 476
is unaware to prevent voluntary change; then pulse, then blood
pressure, and temperature last (to avoid anxiety affecting BP).
2. A patient’s blood pressure is 148/92 mm Hg. This reading
is classified as:
A) Normal
B) Elevated
C) Stage 1 hypertension
D) Stage 2 hypertension
Answer: C) Stage 1 hypertension
Rationale: According to ACC/AHA guidelines, Stage 1
hypertension is systolic 130-139 or diastolic 80-89. 148/92
exceeds that; actually 148/92 would be Stage 2 (≥140/90).
Many NCCT references use JNC-7: normal <120/80;
prehypertension 120-139/80-89; Stage 1 hypertension
,Page 3 of 476
140-159/90-99; Stage 2 ≥160/100. So 148/92 is Stage 1. I'll
follow JNC-7.
3. A medical assistant is performing a venipuncture using a
butterfly needle. Which of the following actions ensures
proper technique?
A) Insert the needle at a 45-degree angle
B) Use a tourniquet and release it after the needle is withdrawn
C) Anchor the vein below the insertion site with the thumb
D) Fill all tubes in order of draw starting with blood culture
Answer: D) Fill all tubes in order of draw starting with blood
culture
Rationale: Order of draw prevents cross-contamination of
additives. Blood culture tubes are drawn first. Butterfly needles
are inserted at a shallow angle (15-30°); the tourniquet should
, Page 4 of 476
be released before withdrawing the needle; anchor the vein
above the insertion site.
4. A patient reports chest pain and shortness of breath. Which
of the following actions should the medical assistant take
first?
A) Administer oxygen
B) Call 911
C) Place the patient in a supine position
D) Take vital signs
Answer: B) Call 911
Rationale: Chest pain with shortness of breath may indicate a
cardiac emergency. Activating emergency services is the priority.
