FNP Predictor Study Exam

FNP Predictor Study

1. A 32 year old man has acute bronchitis. He is a non smoker and is otherwise healthy.
How should he be managed?
A. Treat symptoms only
B. Prescribe a macrolide antibiotic.
C. Prescribe an an antitussive.
D. Prescribe an antibiotic and antitussive.: A. Treat symptoms only

2. An 84 year old male has acute bronchitis. Which of the following tests would you
perform as the Nurse Practitioner?
A. Sputum culture
B. Chest X-ray
C. Chest CT
D. Chest MRI: B. Chest X-ray

3. A 58 year old male has acute bronchitis. He is a heavy smoker, but is otherwise
healthy. What is the most likely etiology?
A. Viral infection
B. S. pneumoniae
C. B. Pertussis
D. Haemophilus influenzae: D. Haemophilus influenzae

4. A 76 year old man has acute productive cough, fever 100-101 F for the past 3-4 days.
He is a non smoker and is otherwise healthy. Which likely diagnosis should be included
in your differential?
A. Acute bronchitis
B. Pneumonitis
C. Pneumonia
D. COPD
E. Bronchiectasis
F. Pertussis: C. Pneumonia



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5. Which of the following warrant a chest x-ray when an acute cough is present?
A. Temp 100.4
B. HR 86
C. Rales, consolidation
D. >65 years of age
E. RR 26: A. C. E.
Abnormal vital signs (increased RR or HR, temp >100.4)
Rales, consolidation
>75 years of age with cough

6. A 76 year old male has a chest x-ray that shows infiltrates. Which of the following
medication is first-line treatment?
A. Amoxicillin 1 gram TID
B. Doxycycline 100 mg BID
C. Azithromycin 500 mg on first day, then 250 mg daily
D. Clarithromycin 500 mg BID: A. Amoxicillin 1 gram TID

7. A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a chest
x-ray that shows infiltrates. Which of the following medications is first line treatment?
A. Amoxicillin
B. Levofloxacin
C. Azithromycin
D. Doxycycline: B. Levofloxacin

8. A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a chest
x-ray that shows infiltrates. Which of the following is the most likely pathogen?
A. H. flu
B. S. Pneumoniae
C. B. Pertussis
D. Viral infection: A. H. flu.



, FNP Predictor Study

9. A 56 year old male has suspected COPD. Which of the following symptoms are
indicative of COPD?
A. Progressive dyspnea
B. Acute cough
C. Sputum productive over the past 2 months
D. FEV1/FVC ratio >0.70
E. Alpha-1 antitrypsin deficiency: A. C. E. Chronic cough >8 weeks and FEV1/FVC ration
<0.70.

10. A 56 year old male has been diagnosed with COPD. Which of the follow medications
is considered first-line?
A. SABAs (albuterol)
B. LABAs (salmeterol)
C. Inhaled anticholinergics (ipratropium)
D. LAAC (aclindinium): A. SABAs (albuterol) is first-line

11. Which of the following diagnoses decrease Hgb over time?
A. COPD Stage 3
B. DM with A1C 13.8
C. Testosterone use
D. Resident of Denver, CO
E. 84 years old: A. B. E.

12. A 76 year old male presents with pinpoint non-blanching spots that measure less than
2 mm in size on his bilateral feet. Which of the following labs would be ordered?
A. Serum iron levels
B. B12 and folate levels
C. PT/INR
D. CBC: D. CBC for petechiae/thrombocytopenia