NURS 5433 FNP II FINAL EXAM REVIEW
2026/2027 | FAMILY NURSING | UTA
PRACTICE QUESTIONS AND VERIFIED
ANSWERS PDF
• This is a comprehensive FNP II Final Exam Review practice set covering advanced
family nursing concepts tested at the graduate level — use each EXPERT
RATIONALE to reinforce clinical reasoning, not just memorization.
• Work through all 200 questions in timed sittings, revisit any missed items using
the EXPERT RATIONALE provided, and prioritize weak areas before your exam
date.
NURS 5433 FNP II FINAL EXAM REVIEW 2026/2027
FAMILY NURSING PRACTICE QUESTIONS — UTA
200 Multiple Choice Questions with Verified Answers
1. A 45-year-old patient presents with a fasting blood glucose of 128 mg/dL on
two separate occasions. Which diagnosis is most appropriate?
A. Normal fasting glucose
B. Impaired fasting glucose
C. Prediabetes
D. Type 2 Diabetes Mellitus
E. Type 1 Diabetes Mellitus
Correct Answer: D. Type 2 Diabetes Mellitus
EXPERT RATIONALE: A fasting plasma glucose ≥126 mg/dL on two separate
occasions meets the ADA diagnostic criteria for Type 2 Diabetes Mellitus.
2. Which HbA1c value confirms a diagnosis of diabetes?
,A. 5.4%
B. 5.6%
C. 5.8%
D. 6.2%
E. 6.5% or higher
Correct Answer: E. 6.5% or higher
EXPERT RATIONALE: The ADA defines diabetes as an HbA1c ≥6.5% on two
separate tests or one test with classic symptoms present.
3. A patient with Type 2 DM has an eGFR of 38 mL/min. Which medication
should be avoided?
A. Metformin
B. Glipizide
C. Sitagliptin
D. Empagliflozin
E. Insulin glargine
Correct Answer: A. Metformin
EXPERT RATIONALE: Metformin is contraindicated when eGFR falls below 30
and should be used with caution below 45 due to risk of lactic acidosis.
4. Which first-line medication is recommended for a newly diagnosed
hypertensive African American patient without diabetes or CKD?
A. ACE inhibitor
B. ARB
C. Beta-blocker
,D. Thiazide diuretic or calcium channel blocker
E. Alpha-blocker
Correct Answer: D. Thiazide diuretic or calcium channel blocker
EXPERT RATIONALE: JNC guidelines recommend thiazide diuretics or CCBs as
first-line therapy in African American patients without compelling indications, as
ACE inhibitors are less effective in this population.
5. A 60-year-old patient has a blood pressure of 158/96 mmHg on three
separate visits. Which stage of hypertension does this represent?
A. Elevated blood pressure
B. Stage 1 hypertension
C. Stage 2 hypertension
D. Hypertensive urgency
E. Normal
Correct Answer: C. Stage 2 hypertension
EXPERT RATIONALE: Per ACC/AHA 2017 guidelines, Stage 2 hypertension is
defined as systolic ≥140 mmHg or diastolic ≥90 mmHg.
6. Which of the following is the most common cause of hypothyroidism in the
United States?
A. Iodine deficiency
B. Hashimoto's thyroiditis
C. Subacute thyroiditis
D. Postpartum thyroiditis
E. Pituitary adenoma
, Correct Answer: B. Hashimoto's thyroiditis
EXPERT RATIONALE: Hashimoto's thyroiditis is an autoimmune disorder and
the leading cause of hypothyroidism in iodine-sufficient countries like the US.
7. Which lab finding is most consistent with primary hypothyroidism?
A. Low TSH, low T4
B. High TSH, high T4
C. High TSH, low T4
D. Low TSH, high T4
E. Normal TSH, low T4
Correct Answer: C. High TSH, low T4
EXPERT RATIONALE: In primary hypothyroidism, the thyroid gland fails to
produce adequate T4, causing compensatory TSH elevation by the pituitary.
8. A patient is started on levothyroxine for hypothyroidism. How long should
you wait before rechecking TSH?
A. 2 weeks
B. 3 weeks
C. 4–6 weeks
D. 8 weeks
E. 12 weeks
Correct Answer: C. 4–6 weeks
EXPERT RATIONALE: TSH takes 4–6 weeks to reach a new steady state after
initiating or adjusting levothyroxine therapy; earlier testing would yield inaccurate
results.
2026/2027 | FAMILY NURSING | UTA
PRACTICE QUESTIONS AND VERIFIED
ANSWERS PDF
• This is a comprehensive FNP II Final Exam Review practice set covering advanced
family nursing concepts tested at the graduate level — use each EXPERT
RATIONALE to reinforce clinical reasoning, not just memorization.
• Work through all 200 questions in timed sittings, revisit any missed items using
the EXPERT RATIONALE provided, and prioritize weak areas before your exam
date.
NURS 5433 FNP II FINAL EXAM REVIEW 2026/2027
FAMILY NURSING PRACTICE QUESTIONS — UTA
200 Multiple Choice Questions with Verified Answers
1. A 45-year-old patient presents with a fasting blood glucose of 128 mg/dL on
two separate occasions. Which diagnosis is most appropriate?
A. Normal fasting glucose
B. Impaired fasting glucose
C. Prediabetes
D. Type 2 Diabetes Mellitus
E. Type 1 Diabetes Mellitus
Correct Answer: D. Type 2 Diabetes Mellitus
EXPERT RATIONALE: A fasting plasma glucose ≥126 mg/dL on two separate
occasions meets the ADA diagnostic criteria for Type 2 Diabetes Mellitus.
2. Which HbA1c value confirms a diagnosis of diabetes?
,A. 5.4%
B. 5.6%
C. 5.8%
D. 6.2%
E. 6.5% or higher
Correct Answer: E. 6.5% or higher
EXPERT RATIONALE: The ADA defines diabetes as an HbA1c ≥6.5% on two
separate tests or one test with classic symptoms present.
3. A patient with Type 2 DM has an eGFR of 38 mL/min. Which medication
should be avoided?
A. Metformin
B. Glipizide
C. Sitagliptin
D. Empagliflozin
E. Insulin glargine
Correct Answer: A. Metformin
EXPERT RATIONALE: Metformin is contraindicated when eGFR falls below 30
and should be used with caution below 45 due to risk of lactic acidosis.
4. Which first-line medication is recommended for a newly diagnosed
hypertensive African American patient without diabetes or CKD?
A. ACE inhibitor
B. ARB
C. Beta-blocker
,D. Thiazide diuretic or calcium channel blocker
E. Alpha-blocker
Correct Answer: D. Thiazide diuretic or calcium channel blocker
EXPERT RATIONALE: JNC guidelines recommend thiazide diuretics or CCBs as
first-line therapy in African American patients without compelling indications, as
ACE inhibitors are less effective in this population.
5. A 60-year-old patient has a blood pressure of 158/96 mmHg on three
separate visits. Which stage of hypertension does this represent?
A. Elevated blood pressure
B. Stage 1 hypertension
C. Stage 2 hypertension
D. Hypertensive urgency
E. Normal
Correct Answer: C. Stage 2 hypertension
EXPERT RATIONALE: Per ACC/AHA 2017 guidelines, Stage 2 hypertension is
defined as systolic ≥140 mmHg or diastolic ≥90 mmHg.
6. Which of the following is the most common cause of hypothyroidism in the
United States?
A. Iodine deficiency
B. Hashimoto's thyroiditis
C. Subacute thyroiditis
D. Postpartum thyroiditis
E. Pituitary adenoma
, Correct Answer: B. Hashimoto's thyroiditis
EXPERT RATIONALE: Hashimoto's thyroiditis is an autoimmune disorder and
the leading cause of hypothyroidism in iodine-sufficient countries like the US.
7. Which lab finding is most consistent with primary hypothyroidism?
A. Low TSH, low T4
B. High TSH, high T4
C. High TSH, low T4
D. Low TSH, high T4
E. Normal TSH, low T4
Correct Answer: C. High TSH, low T4
EXPERT RATIONALE: In primary hypothyroidism, the thyroid gland fails to
produce adequate T4, causing compensatory TSH elevation by the pituitary.
8. A patient is started on levothyroxine for hypothyroidism. How long should
you wait before rechecking TSH?
A. 2 weeks
B. 3 weeks
C. 4–6 weeks
D. 8 weeks
E. 12 weeks
Correct Answer: C. 4–6 weeks
EXPERT RATIONALE: TSH takes 4–6 weeks to reach a new steady state after
initiating or adjusting levothyroxine therapy; earlier testing would yield inaccurate
results.
