NURS 5433 FNP II Midterm Exam – 300 Questions University of Texas at Arlington | 2026 | FNP Certification Prep

Pass your NURS 5432 FNP I Final Exam and prepare for AANP/ANCC board certification with this comprehensive study guide featuring 300 high-yield practice questions and detailed rationales! This essential resource covers all core topics for the Family Nurse Practitioner (FNP) final exam including hypertension management (ACE inhibitors preferred in diabetes for renal protection, CCB/thiazide preferred in Black patients, labetalol safe in pregnancy), diabetes mellitus (SGLT2 inhibitors for CKD progression, GLP-1 agonists for weight loss and cardiovascular benefit, metformin first-line, insulin when A1c 9% on multiple agents, type 1 DM requires basal-bolus regimen, hypoglycemia unawareness raises A1c target to 7.5-8.0% with CGM), LDL cholesterol goals (very high-risk patients with DM + ASCVD: LDL 55 mg/dL, high-intensity statin for LDL ≥190), heart failure (HFrEF: GDMT including beta-blockers, ACEi/ARB, MRA/spironolactone, SGLT2i; CRT-D for LBBB ≥150 ms; IV iron for iron deficiency; hold beta-blockers in acute decompensated HF with hypotension; spironolactone for HFpEF, BNP 400 highly suggestive of HF), COPD (GOLD Group E initial therapy LAMA+LABA, ICS if eosinophils ≥300, chronic hypercapnia benefits from home NIV, LAMA reduces mortality), osteoporosis (bisphosphonates first-line, drug holiday after 3-5 years if low fracture risk, denosumab withdrawal requires transition to bisphosphonate), CKD (SGLT2 inhibitors slow progression, hold spironolactone if K5.5, target BP 130/80 per KDIGO, phosphate binders for hyperphosphatemia, ESA for Hb 10 with target 10-11.5, hyperkalemia with ECG changes: IV calcium gluconate first), gout (allopurinol starting dose 50-100 mg daily in CKD, acute treatment with NSAID/colchicine/steroids), BPH (alpha-blockers for rapid symptom relief), cirrhosis (lactulose first-line for hepatic encephalopathy, diagnostic paracentesis before antibiotics for SBP, non-selective beta-blockers or band ligation for variceal primary prophylaxis, MELD-Na predicts 90-day mortality and transplant priority), Parkinson's disease (levodopa/carbidopa most effective, amantadine for dyskinesias, avoid dopamine agonists in elderly due to fall risk), acute and urgent care (aortic dissection: tearing chest pain with BP differential, appendicitis: periumbilical then RLQ pain, cauda equina: urinary retention + saddle anesthesia = emergent MRI, central retinal artery occlusion: painless monocular vision loss + cherry red spot, anaphylaxis: epinephrine IM first, hypertensive emergency: IV labetalol or nicardipine for end-organ damage, Bell's palsy vs stroke: forehead sparing differentiates central vs peripheral, intussusception in child: currant jelly stool + ultrasound target sign, pyloric stenosis: projectile vomiting + olive mass), women's health (endometriosis, PCOS Rotterdam criteria (2 of 3: oligo/anovulation, hyperandrogenism, polycystic ovaries), letrozole first-line for ovulation induction, LNG-IUD for heavy menstrual bleeding, postmenopausal bleeding = endometrial biopsy, vulvovaginal candidiasis treatment with fluconazole 150 mg x1, BV with metronidazole, trichomoniasis treat both partners, preeclampsia: BP ≥140/90 + proteinuria after 20 weeks, placenta previa: painless bleeding - avoid digital exam, BRCA1 screening: mammogram + breast MRI starting at age 30), men's health (BPH: AUA symptom score first, tamsulosin first-line, PSA elevation with abnormal DRE = biopsy, active surveillance for low-risk prostate cancer, testicular torsion: absent cremasteric reflex + absent flow on ultrasound = emergency, varicocele "bag of worms", erectile dysfunction: PDE5 inhibitors first-line, contraindicated with nitrates, priapism 4 hours = emergency aspiration), geriatrics & end-of-life care (delirium vs dementia: acute onset, fluctuating, inattention, most common cause of falls is gait and balance disorders, STOPP/START criteria for appropriate prescribing, Beers criteria: avoid amitriptyline (TCA) in elderly due to fall risk, MMSE scoring (20-24 mild dementia), non-pharmacologic interventions first for behavioral symptoms of dementia, tube feeding NOT recommended in advanced dementia, CBT-I first-line for insomnia in elderly, POLST forms are actionable medical orders for current serious illness, surrogate decision-maker hierarchy (spouse first), low-dose morphine first-line for dyspnea in terminal illness, haloperidol for terminal delirium, hand feeding preferred over tube feeding in advanced dementia). Perfect for Family Nurse Practitioner (FNP) students preparing for final exams, clinical rotations, and AANP or ANCC board certification.