NURS 5433 FAMILY NURSE PRACTITIONER FINAL
EXAM – UTA ACTUAL QUESTIONS AND ANSWERS -
LATEST AND COMPLETE UPDATE WITH VERIFIED
SOLUTIONS – ASSURED PASS WITH INSTANT
DOWNLOAD PDF.
The primary care pediatric nurse practitioner is performing a well-baby checkup on
a 6nmonth old infant and notes a candida diaper rash and oral thrush. The infant
has had two ear infections in the past 2 months and is in the 3rd percentile for
weight. What will the nurse practitioner do?
a. Refer the infant to an otolaryngologist to evaluate recurrent OM
b. Order a CBC with diff and platelets and quantitative immunoglobins
c. Refer the infant to an immunologist for evaluation of immunodeficiency
Order candida and pneumococcal skin test and lymphocyte surface markers
b. Order a CBC with diff and platelets and quantitative immunoglobins
Which is a distinctive finding in patients who have Churg-Strauss syndrome
(CSS)?
a. Elevated ESR and CRP
b. Increased eosinophils
c. HBV surface antigen
d. Positive antinuclear antibodies
b. Increased eosinophils
,A patient has a palpable purpural rash. This finding is most consistent with
a. Small vessel vasculitis
b. Medium vessel vasculitis
c. Large vessel vasculitis
d. Central vessel vasculitis
a. Small vessel vasculitis
A homeless patient who has HIV infection has been on ART for 18 months and has
had a normal CD4 counts and viral loads for the past year. What will the provider
recommend?
a. Allow for periods of time off from ART medications
b. Begin monitoring viral load and CD4 counts every 6-12 months
c. Consider beginning highly active HAART
d. Continue monitoring viral load and CD4 counts every 3-4 months
d. Continue monitoring viral load and CD4 counts every 3-4 months
A 12-year-old is brought to the clinic with joint pain, a 3-week history of low-
grade fever, and a facial rash. The NP palpates an enlarged liver 2cm below the
subcostal margin along with diffuse lymphadenopathy. An ANA test is positive.
Which test may be ordered to confirm a diagnosis of SLE?
a. Anti-La antibodies
b. Anti-RO antibodies
,c. Anti-Sm antibodies
d. Anti-double strand DNA antibodies
d. Anti-double strand DNA antibodies
A patient with systemic lupus erythematosus (SLE) has frequent symptoms and has
been taking prednisone for each episode. The provider plans to start
hydroxychloroquine and the patient asks why this medication is necessary. What
will the provider tell this patient about this medication?
a. It is given in conjunction with steroids to improve outcomes
b. It lowers BP and decreases the risk for renal disease
c. It is effective in reducing disease flares and for tapering steroids
d. It prevents the need for bisphosphonate therapy
c. It is effective in reducing disease flares and for tapering steroids
A patient with systemic lupus erythematosus (SLE) develops end-stage renal
disease. Because of the underlying SLE, what treatment is recommended for this
patient?
a. Dialysis only
b. Immunosuppressant therapy
c. Kidney transplantation
d. Palliative care
c. Kidney transplantation
, A child presenting with a high fever, bilateral conjunctivitis, and a desquamating
rash is presumed to have a vasculitis disease. What is the likely treatment for this
child?
a. Antibiotic therapy for 10 to 14 days
b. Aspirin (ASA) and intravenous immunoglobulin (IVIG)
c. High-dose prednisolone therapy
d. Immunosuppressant medications
b. Aspirin (ASA) and intravenous immunoglobulin (IVIG)
Which are symptoms of RA that distinguish it from OA?
a. Joint stiffness later in the day
b. Symmetric tender, swollen joints
c. Extra-articular inflammatory signs
d. Unilateral joint involvement
e. History of injury to affected joints
b. Symmetric tender, swollen joints
C is also correct
A 60-year-old patient reports a new onset of bilateral shoulder pain with morning
stiffness lasting approximately 1 hour. Which will NOT be included in initial
diagnostic testing for this patient?
EXAM – UTA ACTUAL QUESTIONS AND ANSWERS -
LATEST AND COMPLETE UPDATE WITH VERIFIED
SOLUTIONS – ASSURED PASS WITH INSTANT
DOWNLOAD PDF.
The primary care pediatric nurse practitioner is performing a well-baby checkup on
a 6nmonth old infant and notes a candida diaper rash and oral thrush. The infant
has had two ear infections in the past 2 months and is in the 3rd percentile for
weight. What will the nurse practitioner do?
a. Refer the infant to an otolaryngologist to evaluate recurrent OM
b. Order a CBC with diff and platelets and quantitative immunoglobins
c. Refer the infant to an immunologist for evaluation of immunodeficiency
Order candida and pneumococcal skin test and lymphocyte surface markers
b. Order a CBC with diff and platelets and quantitative immunoglobins
Which is a distinctive finding in patients who have Churg-Strauss syndrome
(CSS)?
a. Elevated ESR and CRP
b. Increased eosinophils
c. HBV surface antigen
d. Positive antinuclear antibodies
b. Increased eosinophils
,A patient has a palpable purpural rash. This finding is most consistent with
a. Small vessel vasculitis
b. Medium vessel vasculitis
c. Large vessel vasculitis
d. Central vessel vasculitis
a. Small vessel vasculitis
A homeless patient who has HIV infection has been on ART for 18 months and has
had a normal CD4 counts and viral loads for the past year. What will the provider
recommend?
a. Allow for periods of time off from ART medications
b. Begin monitoring viral load and CD4 counts every 6-12 months
c. Consider beginning highly active HAART
d. Continue monitoring viral load and CD4 counts every 3-4 months
d. Continue monitoring viral load and CD4 counts every 3-4 months
A 12-year-old is brought to the clinic with joint pain, a 3-week history of low-
grade fever, and a facial rash. The NP palpates an enlarged liver 2cm below the
subcostal margin along with diffuse lymphadenopathy. An ANA test is positive.
Which test may be ordered to confirm a diagnosis of SLE?
a. Anti-La antibodies
b. Anti-RO antibodies
,c. Anti-Sm antibodies
d. Anti-double strand DNA antibodies
d. Anti-double strand DNA antibodies
A patient with systemic lupus erythematosus (SLE) has frequent symptoms and has
been taking prednisone for each episode. The provider plans to start
hydroxychloroquine and the patient asks why this medication is necessary. What
will the provider tell this patient about this medication?
a. It is given in conjunction with steroids to improve outcomes
b. It lowers BP and decreases the risk for renal disease
c. It is effective in reducing disease flares and for tapering steroids
d. It prevents the need for bisphosphonate therapy
c. It is effective in reducing disease flares and for tapering steroids
A patient with systemic lupus erythematosus (SLE) develops end-stage renal
disease. Because of the underlying SLE, what treatment is recommended for this
patient?
a. Dialysis only
b. Immunosuppressant therapy
c. Kidney transplantation
d. Palliative care
c. Kidney transplantation
, A child presenting with a high fever, bilateral conjunctivitis, and a desquamating
rash is presumed to have a vasculitis disease. What is the likely treatment for this
child?
a. Antibiotic therapy for 10 to 14 days
b. Aspirin (ASA) and intravenous immunoglobulin (IVIG)
c. High-dose prednisolone therapy
d. Immunosuppressant medications
b. Aspirin (ASA) and intravenous immunoglobulin (IVIG)
Which are symptoms of RA that distinguish it from OA?
a. Joint stiffness later in the day
b. Symmetric tender, swollen joints
c. Extra-articular inflammatory signs
d. Unilateral joint involvement
e. History of injury to affected joints
b. Symmetric tender, swollen joints
C is also correct
A 60-year-old patient reports a new onset of bilateral shoulder pain with morning
stiffness lasting approximately 1 hour. Which will NOT be included in initial
diagnostic testing for this patient?
