NURS 5433 FNP II Final Exam Review (2026/2027) (PDF) | Family Nursing | UTA

NURS 5433 FNP II Final Exam
Review (2026/2027) (PDF) | Family
Nursing | UTA



NURS 5433 FNP II Final Exam Review
Select the best answer. Each question is worth 1 point.

Section 1: Cardiovascular

1. A 58-year-old male with hypertension and DM type 2 presents with substernal chest pressure
radiating to the jaw, occurring at rest for 15 minutes. ECG shows ST depression in leads V3-V5.
What is the most appropriate next step?

 A) Aspirin 325 mg and discharge with cardiology referral

 B) Aspirin, nitroglycerin, and admit for high-risk unstable angina

 C) Code STEMI protocol for immediate cath lab

 D) Chest X-ray and stress test in clinic

2. Which medication has been shown to reduce mortality in chronic systolic HF (HFrEF) and should
be initiated as first-line therapy?

 A) Furosemide

 B) Digoxin

 C) Sacubitril/valsartan (ARNI)

 D) Metoprolol tartrate

3. A 72-year-old with hypertension develops angioedema after starting lisinopril. Which drug class
should be used next?

 A) Beta-blocker

 B) ARB (e.g., losartan)

 C) Direct renin inhibitor

 D) Thiazide diuretic

, Section 2: Respiratory

4. A 45-year-old with asthma has used her albuterol inhaler daily for 2 months and wakes up at
night with cough. What is the most appropriate step-up therapy?

 A) Add oral montelukast

 B) Add low-dose ICS (e.g., fluticasone)

 C) Switch to LABA alone

 D) Increase albuterol to 4 puffs QID

5. Which finding on chest X-ray is most suggestive of community-acquired pneumonia (CAP) in an
elderly patient?

 A) Hyperlucent lung fields

 B) Air bronchograms with lobar consolidation

 C) Blunted costophrenic angle

 D) Widened mediastinum

6. A 30-year-old with acute dyspnea, tachycardia, and hypoxia after long flight has clear lungs and
a swollen left leg. What is the most appropriate next test?

 A) D-dimer

 B) CT pulmonary angiography

 C) Lower extremity venous duplex

 D) Chest X-ray

Section 3: Endocrine

7. A 55-year-old obese female with A1c 7.8% on metformin 2000 mg/day needs a second agent.
She has CKD stage 3 (eGFR 42). Which is preferred?

 A) Pioglitazone

 B) Empagliflozin (SGLT2 inhibitor)

 C) Glipizide

 D) Saxagliptin (DPP-4 inhibitor)

8. A patient on levothyroxine for Hashimoto’s has fatigue and TSH of 8.5. What should you assess
first?

 A) Free T4 level