ADVANCED PRACTICE NURSING &
FAMILY NURSE PRACTITIONER
CLINICAL MANAGEMENT
NAME: DATE:
Validate your exam readiness and pass your FNP-C or FNP-BC national certification on your first attempt with
this comprehensive Family Nurse Practitioner Practice Exam simulation package. Mapped strictly to the
updated 2026 AANPCB and ANCC testing blueprints, this resource delivers high-yield.
ADVANCED PRACTICE NURSING & FAMILY NURSE PRACTITIONER CLINICAL
MANAGEMENT
A 38-year old mother of two teenagers recently recovered from Mycoplasma pneumonia a couple of
weeks ago. She asks if she should get the "pneumonia shot." She takes levothyroxine 88 mcg daily
for hypothyroidism, but is otherwise healthy. How do you respond?
A) No, it's too soon after your infection
B) No, it's not indicated
C) Yes, you can get it in about a month
D) Yes you can get it today
B) No, it's not indicated
An otherwise healthy adult without immunocompromise or multiple comorbid conditions is not a "vulnerable
population"
The pneumonia vaccine does not prevent mycoplasma pneumonia
According to GOLD, what is required to establish the diagnosis of COPD?
Spirometry (FEV1/FVC ratio < 70%)
A 70-year old house painter reports a 4-week history of exertional dyspnea, chest tightness, and
cough for the past 3 months. He has never smoked. What diagnoses are included in your
differential? Select 4.
A) Asthma
B) Angina
C) COPD
Confidential | 2026 Edition Page 1
,D) GERD
E) Pneumonia
F) Tuberculosis
G) Heart Failure
B) Angina
C) COPD
F) Tuberculosis
G) Heart failure
How do inhaled anticholinergics work to treat shortness of breath in COPD?
A) They cause bronchodilation in the lungs
B) They block the action of acetylcholine and prevent bronchoconstriction
B) They block the action of acetylcholine and prevent bronchconstriction
Name a short-acting inhaled anticholinergic:
Ipratropium (Atrovent)
Name a long-acting inhaled anticholinergic:
Tiotropium (Spiriva)
How do inhaled betá-agonists work to treat shortness of breath in COPD?
A) They cause bronchodilation in the lungs
B) They block the action of acetylcholine and prevent bronchoconstriction
A) They cause bronchodilation in the lungs
What are the only 2 inhaled short-acting beta agonists (SABAs):
Albuterol and levalbuterol
Name an inhaled long-acting beta agonists (LABAs):
Salmeterol (Serevent)
What are the side effects associated with anticholinergic medications?
Cognitive impairment, confusion, hallucinations, dry mouth, blurry vision, urinary retention, constipation,
tachycardia, acute angle glaucoma
"Can't see, can't pee, can't spit, can't shit."
Name a inhaled combined short-acting anticholinergic/short-acting beta agonist:
Ipratropium/albuterol (Combivent)
Name a inhaled combined long-acting beta-agonist/corticosteroid
Confidential | 2026 Edition Page 2
,Fluticasone/salmeterol (Advair)
Fluticasone/vilanterol (Breo)
Budesonide/formoterol (Symbicort)
Mometasone/frmoterol (Dulera)
Name an inhaled steroid:
Fluticasone (Flovent)
Budesonide (Pulmicort)
Mometasone (Asmanex)
Put the following in the correct order for COPD prescribing strategy:
A) Long-acting anticholinergic or LABA, plus rescue med
B) Inhaled corticosteroid +LABA or LA anticholinergic, plus rescue med
C) Short-acting anticholinergic or SABA PRN
D) Inhaled corticosteroid +LABA and/or LA anticholinergic, plus rescue med
C, A, B, D
1. Short-acting anticholinergic or SABA PRN
THEN
2. Long-acting anticholinergic or LABA, plus rescue med
THEN
3. Inhaled corticosteroid +LABA or LA anticholinergic, plus rescue med
THEN
4. Inhaled corticosteroid +LABA and/or LA anticholinergic, plus rescue med
There is good evidence in support of oral steroids for COPD exacerbations to shorten recovery time
and improve lung function. What is the correct recommended dose?
A) Medrol dose-pack
B) 10-day course of Prednisone 20 mg, followed by a taper
C) 5-day course of Prednisone 40 mg
C) 5-day course of Prednisone 40 mg
Chronic use should be avoided - associated with an unfavorable risk-to-benefit ratio
A 24-year old, otherwise healthy college student presents with c/o cough x 6 weeks. She has tried
several OTC cough meds with no improvement. What is the most important information to consider
when building your differential diagnoses?
A) Her age
B) Family hx
C) Ineffectiveness of OTC cough medicines
Confidential | 2026 Edition Page 3
, D) Length of time she has been coughing
D) Length of time she has been coughing
Why? This information helps you build your ddx
Acute cough < 3 weeks: bronchitis, sinusitis, PND, exacerbation of COPD/asthma, pneumonia, pulmonary
embolism
Chronic cough (>8 weeks) GERD and Asthma are most common causes, also consider infection (e.g.
pertussis, atypical pneumonia), ACE inhibitors, chronic bronchitis, bronchiectasis, lung ca)
According to the CDC, what drug class is considered first-line treatment for pertussis?
A) Sulfonamide
B) Tetracycline
C) Macrolide
D) Beta-lactam
C) Macrolide antiobitic (e.g. Azithromycin, clarithromycin
Sulfonamides are second-line
Match the antibiotics with the correct drug class:
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
A. Doxycyline
B. Azithromycin
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin
1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim)
2. Tetracycline - A. Doxycycline
3. Macrolide - B & F, Azithromycin and Clarithromycin
4. Beta-lactam - C & E, PCN and cephalosporins
What are the three most common bugs in community-acquired pneumonia?
Confidential | 2026 Edition Page 4
FAMILY NURSE PRACTITIONER
CLINICAL MANAGEMENT
NAME: DATE:
Validate your exam readiness and pass your FNP-C or FNP-BC national certification on your first attempt with
this comprehensive Family Nurse Practitioner Practice Exam simulation package. Mapped strictly to the
updated 2026 AANPCB and ANCC testing blueprints, this resource delivers high-yield.
ADVANCED PRACTICE NURSING & FAMILY NURSE PRACTITIONER CLINICAL
MANAGEMENT
A 38-year old mother of two teenagers recently recovered from Mycoplasma pneumonia a couple of
weeks ago. She asks if she should get the "pneumonia shot." She takes levothyroxine 88 mcg daily
for hypothyroidism, but is otherwise healthy. How do you respond?
A) No, it's too soon after your infection
B) No, it's not indicated
C) Yes, you can get it in about a month
D) Yes you can get it today
B) No, it's not indicated
An otherwise healthy adult without immunocompromise or multiple comorbid conditions is not a "vulnerable
population"
The pneumonia vaccine does not prevent mycoplasma pneumonia
According to GOLD, what is required to establish the diagnosis of COPD?
Spirometry (FEV1/FVC ratio < 70%)
A 70-year old house painter reports a 4-week history of exertional dyspnea, chest tightness, and
cough for the past 3 months. He has never smoked. What diagnoses are included in your
differential? Select 4.
A) Asthma
B) Angina
C) COPD
Confidential | 2026 Edition Page 1
,D) GERD
E) Pneumonia
F) Tuberculosis
G) Heart Failure
B) Angina
C) COPD
F) Tuberculosis
G) Heart failure
How do inhaled anticholinergics work to treat shortness of breath in COPD?
A) They cause bronchodilation in the lungs
B) They block the action of acetylcholine and prevent bronchoconstriction
B) They block the action of acetylcholine and prevent bronchconstriction
Name a short-acting inhaled anticholinergic:
Ipratropium (Atrovent)
Name a long-acting inhaled anticholinergic:
Tiotropium (Spiriva)
How do inhaled betá-agonists work to treat shortness of breath in COPD?
A) They cause bronchodilation in the lungs
B) They block the action of acetylcholine and prevent bronchoconstriction
A) They cause bronchodilation in the lungs
What are the only 2 inhaled short-acting beta agonists (SABAs):
Albuterol and levalbuterol
Name an inhaled long-acting beta agonists (LABAs):
Salmeterol (Serevent)
What are the side effects associated with anticholinergic medications?
Cognitive impairment, confusion, hallucinations, dry mouth, blurry vision, urinary retention, constipation,
tachycardia, acute angle glaucoma
"Can't see, can't pee, can't spit, can't shit."
Name a inhaled combined short-acting anticholinergic/short-acting beta agonist:
Ipratropium/albuterol (Combivent)
Name a inhaled combined long-acting beta-agonist/corticosteroid
Confidential | 2026 Edition Page 2
,Fluticasone/salmeterol (Advair)
Fluticasone/vilanterol (Breo)
Budesonide/formoterol (Symbicort)
Mometasone/frmoterol (Dulera)
Name an inhaled steroid:
Fluticasone (Flovent)
Budesonide (Pulmicort)
Mometasone (Asmanex)
Put the following in the correct order for COPD prescribing strategy:
A) Long-acting anticholinergic or LABA, plus rescue med
B) Inhaled corticosteroid +LABA or LA anticholinergic, plus rescue med
C) Short-acting anticholinergic or SABA PRN
D) Inhaled corticosteroid +LABA and/or LA anticholinergic, plus rescue med
C, A, B, D
1. Short-acting anticholinergic or SABA PRN
THEN
2. Long-acting anticholinergic or LABA, plus rescue med
THEN
3. Inhaled corticosteroid +LABA or LA anticholinergic, plus rescue med
THEN
4. Inhaled corticosteroid +LABA and/or LA anticholinergic, plus rescue med
There is good evidence in support of oral steroids for COPD exacerbations to shorten recovery time
and improve lung function. What is the correct recommended dose?
A) Medrol dose-pack
B) 10-day course of Prednisone 20 mg, followed by a taper
C) 5-day course of Prednisone 40 mg
C) 5-day course of Prednisone 40 mg
Chronic use should be avoided - associated with an unfavorable risk-to-benefit ratio
A 24-year old, otherwise healthy college student presents with c/o cough x 6 weeks. She has tried
several OTC cough meds with no improvement. What is the most important information to consider
when building your differential diagnoses?
A) Her age
B) Family hx
C) Ineffectiveness of OTC cough medicines
Confidential | 2026 Edition Page 3
, D) Length of time she has been coughing
D) Length of time she has been coughing
Why? This information helps you build your ddx
Acute cough < 3 weeks: bronchitis, sinusitis, PND, exacerbation of COPD/asthma, pneumonia, pulmonary
embolism
Chronic cough (>8 weeks) GERD and Asthma are most common causes, also consider infection (e.g.
pertussis, atypical pneumonia), ACE inhibitors, chronic bronchitis, bronchiectasis, lung ca)
According to the CDC, what drug class is considered first-line treatment for pertussis?
A) Sulfonamide
B) Tetracycline
C) Macrolide
D) Beta-lactam
C) Macrolide antiobitic (e.g. Azithromycin, clarithromycin
Sulfonamides are second-line
Match the antibiotics with the correct drug class:
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
A. Doxycyline
B. Azithromycin
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin
1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim)
2. Tetracycline - A. Doxycycline
3. Macrolide - B & F, Azithromycin and Clarithromycin
4. Beta-lactam - C & E, PCN and cephalosporins
What are the three most common bugs in community-acquired pneumonia?
Confidential | 2026 Edition Page 4
