FNP 652 FINAL CERTIFICATION EVALUATION
2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ What are diagnostic requirements for cystic fibrosis? Answer:
Positive genetic testing OR positive sweat chloride test AND one of
the following: COPD, exocrine pancreatic insufficiency, positive
family history.
◉ A child with suspected cystic fibrosis presents for a sweat chloride
test. His results come back as 55mmol/L, what is your interpretation
of those results and what is your next step? Answer: That is a
borderline result, I would order a retest
◉ What are the normal, borderline and positive results ranges for
sweat chloride parameters for cystic fibrosis? Answer: Normal: <40
Borderline: >40, <60 (do a retest)
Positive CF: >60
◉ In a patient with known cystic fibrosis, what PFT results would
you expect to be demonstrated? Answer: Airway Obstruction
,◉ In a neonate with a meconium ileus, what test should be run to
rule out CF? Answer: pancreatic enzyme (immunoreactive
trypsinogen)
◉ A 4 year old patient presents to the clinic with his father who is
describing a resent onset of night time barking cough with periodic
stridor and a low grade fever. What condition do you suspect?
Answer: Croup
◉ What is the most common cause of croup? Answer: Parainfluenza
◉ What medication would you prescribe for a 4 year old male with a
diagnosis of croup? Answer: Dexamethasone
◉ What is the most common cause of bronchiolitis? Answer: RSV
◉ What medication should be given during RSV season to premature
infants bore before 29 weeks, cyanotic congenital heart diseases,
chronic lung disease or neuromuscular disorder patients? Answer:
Palivizumab
◉ What medications should be avoided in cases of bronchiolitis?
Answer: nebulizers/racemic epinephrine/hypertonic saline/
systemic corticosteroids
, ◉ Condition associated with reversible airway obstruction,
inflammation, and increased bronchial hyper responsiveness?
Answer: Asthma
◉ What is the asthma "allergic march" Answer: Family history, food
allergies, atopic dermatitis
◉ What is the Step 1 medication for asthma? Answer: Inhaled SABA
◉ What is step 2 in asthma medication? Answer: Inhaled SABA and
ADD low dose Inhaled corticosteroid (ICS)
◉ What is step 3 in asthma medication? Answer: Inhaled SABA AND
moderate dose ICS...OR keep the low dose ICS and add LABA
◉ What is step 4 in asthma medications? Answer: Inhaled SABA,
moderate dose ICS AND LABA
◉ What is step 5 in asthma medications? Answer: SABA, high dose
ICS, LABA
◉ What is step 6 in asthma medications? Answer: SABA, high dose
ICS, LABA, AND oral systemic corticosteroids
2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ What are diagnostic requirements for cystic fibrosis? Answer:
Positive genetic testing OR positive sweat chloride test AND one of
the following: COPD, exocrine pancreatic insufficiency, positive
family history.
◉ A child with suspected cystic fibrosis presents for a sweat chloride
test. His results come back as 55mmol/L, what is your interpretation
of those results and what is your next step? Answer: That is a
borderline result, I would order a retest
◉ What are the normal, borderline and positive results ranges for
sweat chloride parameters for cystic fibrosis? Answer: Normal: <40
Borderline: >40, <60 (do a retest)
Positive CF: >60
◉ In a patient with known cystic fibrosis, what PFT results would
you expect to be demonstrated? Answer: Airway Obstruction
,◉ In a neonate with a meconium ileus, what test should be run to
rule out CF? Answer: pancreatic enzyme (immunoreactive
trypsinogen)
◉ A 4 year old patient presents to the clinic with his father who is
describing a resent onset of night time barking cough with periodic
stridor and a low grade fever. What condition do you suspect?
Answer: Croup
◉ What is the most common cause of croup? Answer: Parainfluenza
◉ What medication would you prescribe for a 4 year old male with a
diagnosis of croup? Answer: Dexamethasone
◉ What is the most common cause of bronchiolitis? Answer: RSV
◉ What medication should be given during RSV season to premature
infants bore before 29 weeks, cyanotic congenital heart diseases,
chronic lung disease or neuromuscular disorder patients? Answer:
Palivizumab
◉ What medications should be avoided in cases of bronchiolitis?
Answer: nebulizers/racemic epinephrine/hypertonic saline/
systemic corticosteroids
, ◉ Condition associated with reversible airway obstruction,
inflammation, and increased bronchial hyper responsiveness?
Answer: Asthma
◉ What is the asthma "allergic march" Answer: Family history, food
allergies, atopic dermatitis
◉ What is the Step 1 medication for asthma? Answer: Inhaled SABA
◉ What is step 2 in asthma medication? Answer: Inhaled SABA and
ADD low dose Inhaled corticosteroid (ICS)
◉ What is step 3 in asthma medication? Answer: Inhaled SABA AND
moderate dose ICS...OR keep the low dose ICS and add LABA
◉ What is step 4 in asthma medications? Answer: Inhaled SABA,
moderate dose ICS AND LABA
◉ What is step 5 in asthma medications? Answer: SABA, high dose
ICS, LABA
◉ What is step 6 in asthma medications? Answer: SABA, high dose
ICS, LABA, AND oral systemic corticosteroids
