CMN 568
Intro to Family NP Final Exam
Complete Guide with Questions and Verified Answers
1. A five-year-old child requires daily use of a short-acting beta2-agonist for wheezing and the child's symptoms
exacerbate at least twice a week during physical exercise.The parent reports that the child has a dry cough at night,
which occurs several times a week.The child's asthma is classified as:
a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
Answer: a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
2.You are prescribing a short course of oral steroids for a 5-year-old with asthma. She weighs 20 kilograms.Which
is an appropriate dose?
a. Prednisolone 25 mg BID
, b. Prednisolone 15mg BID
c. Prednisolone 15 mg once a day
d. Prednisolone 10mg once a day
Answer: a. Prednisolone 25 mg BID
b. Prednisolone 15mg BID
c. Prednisolone 15 mg once a day
d. Prednisolone 10mg once a day
3. 3.What is an appropriate medication regimen to initiate for a pediatric patient that you have diagnosed as
having moderate persistent asthma
a. prn SABA
b. prn SABA and low dose ICS + LABA the key part I mistakenly left out this patient was not on any medications
c. prn SABA and oral LTRA
d. low dose ICS
Answer: a. prn SABA
b. prn SABA and low dose ICS + LABA the key part I mistakenly left out this patient was not on any medications
c. prn SABA and oral LTRA
d. low dose ICS
4. 4. A 10-year-old with exercise-induced bronchospasm should be instructed to:
a. use a long-acting antimuscarinic agent (LAMA) prior to exercise b, use a short-acting beta agonist
(SABA) prior to exercise
c. use an inhaled corticosteroid (ICS) prior to exercise
d. avoid all vigorous sports such as football or basketball
Answer: a. use a long-acting antimuscarinic agent (LAMA) prior to exercise
b, use a short-acting beta agonist (SABA) prior to exercise
c. use an inhaled corticosteroid (ICS) prior to exercise
, d. avoid all vigorous sports such as football or basketball
5. 5. A 29-year-old patient complains of chest tightness and cough at least 3 days a week. He denies any
limitations with his activities. He reports waking up coughing 2-3 times a month. The patient's asthma is
classified as:
a. mild persistent asthma
b. moderate persistent asthma
c. severe persistent asthma
d. intermittent asthma
Answer: a. mild persistent asthma
b. moderate persistent asthma
c. severe persistent asthma
d. intermittent asthma
6. 6. A 39-year-old female patient with a diagnosis of asthma is presently taking a low-dose ICS daily and SABA
prn.You the nurse practitioner have assessed that the patient's asthma is not well controlled.Which is an appropriate
action of the nurse practitioner:
a. add a daily inhaled SABA
b. add daily long-term oral corticosteroids
c. discontinue her low-dose ICS and add a high-dose ICS
b. add a daily inhaled LABA
Answer: b. add a daily inhaled LABA
7. 7. A 54-year-old patient is diagnosed with COPD and based on symptoms and exacerbations, he is in Group
A.Which is an appropriate medication for the nurse practitioner to initiate?
a. Albuterol MDI
b. Theophylline
c. Budesonide MDI
, d. Fluticasone
Answer: a. Albuterol MDI
8. 8. A 63-year-old male with COPD (Gold Group C) visits your office for medication treatment. As the nurse
practitioner what preferred first choice medication will you prescribe?
a. prn short-acting beta-agonists
b. prn short-acting anticholinergics
c. daily long-acting anticholinergics
d. daily low-dose inhaled corticosteroids
Answer: c. daily long-acting anticholinergics
9. 9. A 44-year-old male patient is seen in your clinic today with an asthma exacerbation. In addition to his ICS, you
the nurse practitioner have prescribed a short course of oral steroids.What is the appropriate dose for this patient:
a. Prednisone 40 mg po BID
b. Prednisone 30mg po BID
c. Prednisone 15mg po BID
d. Prednisone 10mg po BID
Answer: b. Prednisone 30mg po BID please review McPhee page 252 outpatient prednisone during acute
exacerbation burst therapy
10. (MODULE 3) 10. A 74-year-old male with a 20-year one pack per day cigarette smoking. He comes into the
clinic for his annual exam. He is asymp- tomatic but as part of his physical you the nurse practitioner ordered which
recommended cancer screening tool for this patient:
a. Chest X-ray
b. CA 125
c. Bronchoscopy with sputum aspiration
d. Low dose CT of chest
Intro to Family NP Final Exam
Complete Guide with Questions and Verified Answers
1. A five-year-old child requires daily use of a short-acting beta2-agonist for wheezing and the child's symptoms
exacerbate at least twice a week during physical exercise.The parent reports that the child has a dry cough at night,
which occurs several times a week.The child's asthma is classified as:
a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
Answer: a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
2.You are prescribing a short course of oral steroids for a 5-year-old with asthma. She weighs 20 kilograms.Which
is an appropriate dose?
a. Prednisolone 25 mg BID
, b. Prednisolone 15mg BID
c. Prednisolone 15 mg once a day
d. Prednisolone 10mg once a day
Answer: a. Prednisolone 25 mg BID
b. Prednisolone 15mg BID
c. Prednisolone 15 mg once a day
d. Prednisolone 10mg once a day
3. 3.What is an appropriate medication regimen to initiate for a pediatric patient that you have diagnosed as
having moderate persistent asthma
a. prn SABA
b. prn SABA and low dose ICS + LABA the key part I mistakenly left out this patient was not on any medications
c. prn SABA and oral LTRA
d. low dose ICS
Answer: a. prn SABA
b. prn SABA and low dose ICS + LABA the key part I mistakenly left out this patient was not on any medications
c. prn SABA and oral LTRA
d. low dose ICS
4. 4. A 10-year-old with exercise-induced bronchospasm should be instructed to:
a. use a long-acting antimuscarinic agent (LAMA) prior to exercise b, use a short-acting beta agonist
(SABA) prior to exercise
c. use an inhaled corticosteroid (ICS) prior to exercise
d. avoid all vigorous sports such as football or basketball
Answer: a. use a long-acting antimuscarinic agent (LAMA) prior to exercise
b, use a short-acting beta agonist (SABA) prior to exercise
c. use an inhaled corticosteroid (ICS) prior to exercise
, d. avoid all vigorous sports such as football or basketball
5. 5. A 29-year-old patient complains of chest tightness and cough at least 3 days a week. He denies any
limitations with his activities. He reports waking up coughing 2-3 times a month. The patient's asthma is
classified as:
a. mild persistent asthma
b. moderate persistent asthma
c. severe persistent asthma
d. intermittent asthma
Answer: a. mild persistent asthma
b. moderate persistent asthma
c. severe persistent asthma
d. intermittent asthma
6. 6. A 39-year-old female patient with a diagnosis of asthma is presently taking a low-dose ICS daily and SABA
prn.You the nurse practitioner have assessed that the patient's asthma is not well controlled.Which is an appropriate
action of the nurse practitioner:
a. add a daily inhaled SABA
b. add daily long-term oral corticosteroids
c. discontinue her low-dose ICS and add a high-dose ICS
b. add a daily inhaled LABA
Answer: b. add a daily inhaled LABA
7. 7. A 54-year-old patient is diagnosed with COPD and based on symptoms and exacerbations, he is in Group
A.Which is an appropriate medication for the nurse practitioner to initiate?
a. Albuterol MDI
b. Theophylline
c. Budesonide MDI
, d. Fluticasone
Answer: a. Albuterol MDI
8. 8. A 63-year-old male with COPD (Gold Group C) visits your office for medication treatment. As the nurse
practitioner what preferred first choice medication will you prescribe?
a. prn short-acting beta-agonists
b. prn short-acting anticholinergics
c. daily long-acting anticholinergics
d. daily low-dose inhaled corticosteroids
Answer: c. daily long-acting anticholinergics
9. 9. A 44-year-old male patient is seen in your clinic today with an asthma exacerbation. In addition to his ICS, you
the nurse practitioner have prescribed a short course of oral steroids.What is the appropriate dose for this patient:
a. Prednisone 40 mg po BID
b. Prednisone 30mg po BID
c. Prednisone 15mg po BID
d. Prednisone 10mg po BID
Answer: b. Prednisone 30mg po BID please review McPhee page 252 outpatient prednisone during acute
exacerbation burst therapy
10. (MODULE 3) 10. A 74-year-old male with a 20-year one pack per day cigarette smoking. He comes into the
clinic for his annual exam. He is asymp- tomatic but as part of his physical you the nurse practitioner ordered which
recommended cancer screening tool for this patient:
a. Chest X-ray
b. CA 125
c. Bronchoscopy with sputum aspiration
d. Low dose CT of chest
