NURS 5433 Family II Final Exam Review Complete Guide
2026 | Accurate Answers
1. What lab test is considered most specific for diagnosing rheumatoid arthritis?
Complete blood count (CBC)
Anti-citrullinated protein antibody (ACPA) test
Erythrocyte sedimentation rate (ESR)
Rheumatoid factor (RF) test
2. In a clinical scenario where a patient presents with pneumonia caused by
drug-resistant S. Pneumoniae, which treatment option would be most
appropriate to minimize the risk of treatment failure?
tetracycline forms
respiratory fluoroquinolones
advanced macrolides
first generation cephalosporins
3. A 54-year-old female presents with dysuria, increased urinary frequency, and
urgency. She has had no recent antibiotic use. What is the most appropriate
therapy for this patient?
Levofloxacin x 7 days
Ceftriaxone x 1 dose
Piperacillin-tazobactam x 3 days
Macrobid (Nitrofurantoin) x 5 days
,4. An inrease in creatinine from 1 to 2 mg/dL is typically seen with a _ loss in
renal function
100%
25%
75%
50%
5. Describe the primary reason why localized nasal mucosa trauma leads to
anterior epistaxis.
Localized nasal mucosa trauma can damage blood vessels in the
nasal lining, causing bleeding.
Localized nasal mucosa trauma is only a concern in children.
Localized nasal mucosa trauma does not affect the nasal blood
supply.
Localized nasal mucosa trauma is less significant than systemic
conditions like HTN.
6. Which of the following is most likely to be part of the clinical presentation of
an otherwise healthy 27-year-old woman with uncomplicated lower urinary
tract infection (UTI)?
lower gastrointestinal (GI) upset
suprapubic tenderness
urinary frequency
fever
,7. If a patient experiences persistent pain and swelling after an intrabursal
corticosteroid injection, what should be the next step in their management?
Schedule a follow-up appointment in six months.
Increase the dosage of corticosteroids.
Advise the patient to rest and apply ice.
Evaluate for infection or other complications.
8. What is the most likely diagnosis for a patient presenting with a sudden left-
sided headache, blurred vision, and a firm eyeball?
angle-closure glaucoma
unilateral herpetic conjunctivitis
open angle glaucoma
anterior uveitis
9. If a patient presents with symptoms of a recent group A strep infection and
develops joint pain and swelling, what condition should be suspected?
Chronic obstructive pulmonary disease
Asthma exacerbation
Liver failure
Rheumatic fever
10. Describe the key considerations a nurse practitioner should keep in mind
when discussing the injectable influenza vaccine with a patient.
The nurse practitioner should consider the patient's age, health
status, and any allergies to vaccine components.
, The nurse practitioner should only focus on the vaccine's cost and
availability.
The nurse practitioner should recommend the vaccine regardless of
the patient's medical history.
The nurse practitioner should prioritize the patient's preference for
oral medication over injections.
11. What is the most effective treatment for moderate to severe allergic rhinitis?
Antihistamines
Intranasal corticosteroids
Leukotriene receptor antagonists
Decongestants
12. In a patient who has inflammatory arthritis as well as excessive dryness of the
mouth and other mucous membranes, think
Sjögren's Syndrome
Scleroderma
Lupus Erythematosus
Dermatomyositis
Polyarteritis Nodosa
13. Antibiotic used for otitis externa pseudomonas infection
Ciprofloxacin
Amoxicillin
Flucloxacillin
Levofloxacin
2026 | Accurate Answers
1. What lab test is considered most specific for diagnosing rheumatoid arthritis?
Complete blood count (CBC)
Anti-citrullinated protein antibody (ACPA) test
Erythrocyte sedimentation rate (ESR)
Rheumatoid factor (RF) test
2. In a clinical scenario where a patient presents with pneumonia caused by
drug-resistant S. Pneumoniae, which treatment option would be most
appropriate to minimize the risk of treatment failure?
tetracycline forms
respiratory fluoroquinolones
advanced macrolides
first generation cephalosporins
3. A 54-year-old female presents with dysuria, increased urinary frequency, and
urgency. She has had no recent antibiotic use. What is the most appropriate
therapy for this patient?
Levofloxacin x 7 days
Ceftriaxone x 1 dose
Piperacillin-tazobactam x 3 days
Macrobid (Nitrofurantoin) x 5 days
,4. An inrease in creatinine from 1 to 2 mg/dL is typically seen with a _ loss in
renal function
100%
25%
75%
50%
5. Describe the primary reason why localized nasal mucosa trauma leads to
anterior epistaxis.
Localized nasal mucosa trauma can damage blood vessels in the
nasal lining, causing bleeding.
Localized nasal mucosa trauma is only a concern in children.
Localized nasal mucosa trauma does not affect the nasal blood
supply.
Localized nasal mucosa trauma is less significant than systemic
conditions like HTN.
6. Which of the following is most likely to be part of the clinical presentation of
an otherwise healthy 27-year-old woman with uncomplicated lower urinary
tract infection (UTI)?
lower gastrointestinal (GI) upset
suprapubic tenderness
urinary frequency
fever
,7. If a patient experiences persistent pain and swelling after an intrabursal
corticosteroid injection, what should be the next step in their management?
Schedule a follow-up appointment in six months.
Increase the dosage of corticosteroids.
Advise the patient to rest and apply ice.
Evaluate for infection or other complications.
8. What is the most likely diagnosis for a patient presenting with a sudden left-
sided headache, blurred vision, and a firm eyeball?
angle-closure glaucoma
unilateral herpetic conjunctivitis
open angle glaucoma
anterior uveitis
9. If a patient presents with symptoms of a recent group A strep infection and
develops joint pain and swelling, what condition should be suspected?
Chronic obstructive pulmonary disease
Asthma exacerbation
Liver failure
Rheumatic fever
10. Describe the key considerations a nurse practitioner should keep in mind
when discussing the injectable influenza vaccine with a patient.
The nurse practitioner should consider the patient's age, health
status, and any allergies to vaccine components.
, The nurse practitioner should only focus on the vaccine's cost and
availability.
The nurse practitioner should recommend the vaccine regardless of
the patient's medical history.
The nurse practitioner should prioritize the patient's preference for
oral medication over injections.
11. What is the most effective treatment for moderate to severe allergic rhinitis?
Antihistamines
Intranasal corticosteroids
Leukotriene receptor antagonists
Decongestants
12. In a patient who has inflammatory arthritis as well as excessive dryness of the
mouth and other mucous membranes, think
Sjögren's Syndrome
Scleroderma
Lupus Erythematosus
Dermatomyositis
Polyarteritis Nodosa
13. Antibiotic used for otitis externa pseudomonas infection
Ciprofloxacin
Amoxicillin
Flucloxacillin
Levofloxacin
