NURS 5434 FNP FINAL EXAM
NURS 5434 FNP FINAL EXAM 2 FALL 2025 THE
UNIVERSITY OF TEXAS AT ARLINGTON UTA
FAMILY III COMPLETE QUESTIONS WITH
RATIONALE FSCJ (TAKEN SPRING 2025)
GRADED A+
The FNP is seeing a patient with COPD. The patient had been doing well on salmeterol
(Serevent) one puff every 12 hours and tiotropium (Spiriva) two puffs daily. But he is now
having an exacerbation. His eosinophil count is high at 200. According to GOLD guidelines,
what would be the most appropriate next medication to add at this point?
A. Fluticasone (Flovent) 2 puffs twice daily
B. Prednisone 40 mg daily for 10 days
C. Formoterol (Foradil) 20 mcg nebulizer q 12 hours
D. Roflumilast (Daliresp) 500 mcg daily
A+ TEST BANK 1
, NURS 5434 FNP FINAL EXAM
A. Fluticasone (Flovent) 2 puffs twice daily
The patient is already on a LABA and a LAMA. He is having an exacerbation with a high
eosinophil count. Adding an ICS such as Flovent would be most appropriate (even though
EOS is not <300, it is still high and follow-up GOLD states <100 EOS indicates ICS)
A course of oral corticosteroids should be considered with moderate/severe exacerbations,
but the EOS dictates adding ICS and severity is not specified
A patient with limited-stage small cell lung cancer (SCLC) has undergone chemotherapy with a
good initial response to therapy. What will the provider tell this patient about the prognosis
for treating this disease?
A. There is an 80% chance of 5-year survival
B. Surgical resection will improve survival chances dramatically
C. That relapse is likely with a 2-year overall survival of 50%
D. Treatment will proceed with curative intent
B. That relapse is likely with a 2-year overall survival of 50%
SCLC often responds well initially, but the majority of patients relapse and 2-yr survival is 50%.
Treatment is generally palliative
Which of the following is NOT recommended for the management of HIV-exposed infants in
the U.S?
A. Routine viral load
B. Breastfeeding
C. Referral to a pediatric HIV specialist
D. Management with HIV antiviral medications
A+ TEST BANK 2
, NURS 5434 FNP FINAL EXAM
C. Breastfeeding
A 3-week-old infant is brought to the ED with a fever of 38.4 C (101.1 F) for the past 4 hours.
The baby is feeding well and has no other symptoms. On examination, the infant appears well
and has normal vital signs except for the fever. What is the most appropriate next step in
management?
A. Perform a full sepsis workup and admit for empiric IV antibiotics
B. Obtain a chest x-ray and start oral antibiotics pending results
C. Obtain a rapid viral panel and start antivirals in the ED
D. Administer antipyretics and discharge with close outpatient follow-up
A. Perform a full sepsis workup and admit for empiric IV antibiotics
Any neonates <22 days of age with fever should be hospitalized and receive a full septic
workup (they are septic until proven otherwise)
The FNP is seeing a 4 y/o child who has a positive polysomnography indicating obstructive
sleep apnea (OSA). The NP determines which of the following is the best next step in
managing this child's condition?
A. Prescribe intranasal steroids
B. Refer to pediatric neurologist
C. Referral to pulmonology for CPAP management
D. Referral to ENT for evaluation for tonsillectomy and adenoidectomy surgery
D. Referral to ENT for evaluation for tonsillectomy and adenoidectomy surgery
A+ TEST BANK 3
, NURS 5434 FNP FINAL EXAM
T & A is considered first-line tx for OSA in children. CPAP is not first-line but can be considered
if T & A is not effective
In a patient experiencing an acute gout attack, which of the following diagnostic labs would
you expect to be elevated?
A. ESR and creatinine
B. Urine sodium and serum glucose
C. BUN and serum calcium
D. Serum calcium and serum sodium
A. ESR and creatinine
Gout= elevated ESR/CRP, creatinine, and serum uric acid level
The FNP has been seeing a patient who has bone pain. Lab studies reveal an elevated serum
alkaline phosphatase (ALP). The NP suspects Paget's Disease. Which initial test can help
distinguish Paget's from a bone tumor?
A. Bone radiograph/x-ray
B. Bone scan
C. Bone densitometry
D. Bone marrow biopsy
A. Bone radiograph/x-ray
The initial test is x-ray. Paget's Disease would show a mixed sclerotic-lytic (cotton-wool)
pattern, cortical thickening, and bone enlargement
The FNP is evaluating a patient who is taking a sulfonamide antibiotic who has developed a
rash that has began peeling. Which type of rash is suspected?
A+ TEST BANK 4
NURS 5434 FNP FINAL EXAM 2 FALL 2025 THE
UNIVERSITY OF TEXAS AT ARLINGTON UTA
FAMILY III COMPLETE QUESTIONS WITH
RATIONALE FSCJ (TAKEN SPRING 2025)
GRADED A+
The FNP is seeing a patient with COPD. The patient had been doing well on salmeterol
(Serevent) one puff every 12 hours and tiotropium (Spiriva) two puffs daily. But he is now
having an exacerbation. His eosinophil count is high at 200. According to GOLD guidelines,
what would be the most appropriate next medication to add at this point?
A. Fluticasone (Flovent) 2 puffs twice daily
B. Prednisone 40 mg daily for 10 days
C. Formoterol (Foradil) 20 mcg nebulizer q 12 hours
D. Roflumilast (Daliresp) 500 mcg daily
A+ TEST BANK 1
, NURS 5434 FNP FINAL EXAM
A. Fluticasone (Flovent) 2 puffs twice daily
The patient is already on a LABA and a LAMA. He is having an exacerbation with a high
eosinophil count. Adding an ICS such as Flovent would be most appropriate (even though
EOS is not <300, it is still high and follow-up GOLD states <100 EOS indicates ICS)
A course of oral corticosteroids should be considered with moderate/severe exacerbations,
but the EOS dictates adding ICS and severity is not specified
A patient with limited-stage small cell lung cancer (SCLC) has undergone chemotherapy with a
good initial response to therapy. What will the provider tell this patient about the prognosis
for treating this disease?
A. There is an 80% chance of 5-year survival
B. Surgical resection will improve survival chances dramatically
C. That relapse is likely with a 2-year overall survival of 50%
D. Treatment will proceed with curative intent
B. That relapse is likely with a 2-year overall survival of 50%
SCLC often responds well initially, but the majority of patients relapse and 2-yr survival is 50%.
Treatment is generally palliative
Which of the following is NOT recommended for the management of HIV-exposed infants in
the U.S?
A. Routine viral load
B. Breastfeeding
C. Referral to a pediatric HIV specialist
D. Management with HIV antiviral medications
A+ TEST BANK 2
, NURS 5434 FNP FINAL EXAM
C. Breastfeeding
A 3-week-old infant is brought to the ED with a fever of 38.4 C (101.1 F) for the past 4 hours.
The baby is feeding well and has no other symptoms. On examination, the infant appears well
and has normal vital signs except for the fever. What is the most appropriate next step in
management?
A. Perform a full sepsis workup and admit for empiric IV antibiotics
B. Obtain a chest x-ray and start oral antibiotics pending results
C. Obtain a rapid viral panel and start antivirals in the ED
D. Administer antipyretics and discharge with close outpatient follow-up
A. Perform a full sepsis workup and admit for empiric IV antibiotics
Any neonates <22 days of age with fever should be hospitalized and receive a full septic
workup (they are septic until proven otherwise)
The FNP is seeing a 4 y/o child who has a positive polysomnography indicating obstructive
sleep apnea (OSA). The NP determines which of the following is the best next step in
managing this child's condition?
A. Prescribe intranasal steroids
B. Refer to pediatric neurologist
C. Referral to pulmonology for CPAP management
D. Referral to ENT for evaluation for tonsillectomy and adenoidectomy surgery
D. Referral to ENT for evaluation for tonsillectomy and adenoidectomy surgery
A+ TEST BANK 3
, NURS 5434 FNP FINAL EXAM
T & A is considered first-line tx for OSA in children. CPAP is not first-line but can be considered
if T & A is not effective
In a patient experiencing an acute gout attack, which of the following diagnostic labs would
you expect to be elevated?
A. ESR and creatinine
B. Urine sodium and serum glucose
C. BUN and serum calcium
D. Serum calcium and serum sodium
A. ESR and creatinine
Gout= elevated ESR/CRP, creatinine, and serum uric acid level
The FNP has been seeing a patient who has bone pain. Lab studies reveal an elevated serum
alkaline phosphatase (ALP). The NP suspects Paget's Disease. Which initial test can help
distinguish Paget's from a bone tumor?
A. Bone radiograph/x-ray
B. Bone scan
C. Bone densitometry
D. Bone marrow biopsy
A. Bone radiograph/x-ray
The initial test is x-ray. Paget's Disease would show a mixed sclerotic-lytic (cotton-wool)
pattern, cortical thickening, and bone enlargement
The FNP is evaluating a patient who is taking a sulfonamide antibiotic who has developed a
rash that has began peeling. Which type of rash is suspected?
A+ TEST BANK 4
