GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS
RESERVED. FIRST PUBLISH OCTOBER, 2024
ANCC FNP Boards Study Guide with
Complete Solutions
Chronic Bronchitis Hallmark Symptoms - Answer✔✔-Chronic productive cough
Emphysema hallmark symptoms - Answer✔✔-wheezing and dyspnea
How is COPD diagnosed? - Answer✔✔-Spirometry (FEV1/FVC ratio < 70%)
COPD Group A - Answer✔✔-· 0-1 moderate exacerbations but no hospitalization, CAT score <10
Treat with bronchodilator, typically LABA
COPD Group B - Answer✔✔-· 0-1 moderate exacerbations but no hospitalization, CAT score >10
Treat with LABA - LAMA
COPD Group E - Answer✔✔-· 2 or more moderate exacerbations or 1 exacerbation that leads to
hospitalization
Treat with LABA - LAMA + ICS
REFER THESE PATIENTS
LAMA - Answer✔✔-LAMA is long acting muscarinic antagonist; end in -pium like tiotropium;
anticholergic effects
Page 1/8
, GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS
RESERVED. FIRST PUBLISH OCTOBER, 2024
LABA - Answer✔✔-LABA: most have slower onset of action; however, formoterol is an
exception; used as a solo drug in group A and used in combination group B and E - COPD
patients
COPD mild exacerbation - Answer✔✔-SABA and oral steroid like prednisone
COPD Moderate exacerbation - Answer✔✔-SABA + antibiotics (macrolide or tetracycline)
COPD severe exacerbation - Answer✔✔-Send to the hospital!
Most common lung cancer symptom - Answer✔✔-chronic cough!
Pneumonia physcial exam findings - Answer✔✔-increased tactile fremitus and egophony
MAD pneumonic for pneumonia treatment - Answer✔✔-MAD pneumonic for healthy adults in
outpatient setting!
Macrolide, amoxicillin, and doxycycline
o Macrolides like azithromycin are great for mycoplasma pneumonia
o Amoxicillin - example is Augmentin
Treatment for adults with comorbidities or who have had antibiotics within the last 90 days -
Answer✔✔-Respiratory fluoroquinolone like levofloxacin (Levaquin)
§ Major boxed warning associated with fluoroquinolone is Achilles tendon rupture
o Combination therapy with Augmentin and a macrolide or doxycycline
Page 2/8
RESERVED. FIRST PUBLISH OCTOBER, 2024
ANCC FNP Boards Study Guide with
Complete Solutions
Chronic Bronchitis Hallmark Symptoms - Answer✔✔-Chronic productive cough
Emphysema hallmark symptoms - Answer✔✔-wheezing and dyspnea
How is COPD diagnosed? - Answer✔✔-Spirometry (FEV1/FVC ratio < 70%)
COPD Group A - Answer✔✔-· 0-1 moderate exacerbations but no hospitalization, CAT score <10
Treat with bronchodilator, typically LABA
COPD Group B - Answer✔✔-· 0-1 moderate exacerbations but no hospitalization, CAT score >10
Treat with LABA - LAMA
COPD Group E - Answer✔✔-· 2 or more moderate exacerbations or 1 exacerbation that leads to
hospitalization
Treat with LABA - LAMA + ICS
REFER THESE PATIENTS
LAMA - Answer✔✔-LAMA is long acting muscarinic antagonist; end in -pium like tiotropium;
anticholergic effects
Page 1/8
, GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS
RESERVED. FIRST PUBLISH OCTOBER, 2024
LABA - Answer✔✔-LABA: most have slower onset of action; however, formoterol is an
exception; used as a solo drug in group A and used in combination group B and E - COPD
patients
COPD mild exacerbation - Answer✔✔-SABA and oral steroid like prednisone
COPD Moderate exacerbation - Answer✔✔-SABA + antibiotics (macrolide or tetracycline)
COPD severe exacerbation - Answer✔✔-Send to the hospital!
Most common lung cancer symptom - Answer✔✔-chronic cough!
Pneumonia physcial exam findings - Answer✔✔-increased tactile fremitus and egophony
MAD pneumonic for pneumonia treatment - Answer✔✔-MAD pneumonic for healthy adults in
outpatient setting!
Macrolide, amoxicillin, and doxycycline
o Macrolides like azithromycin are great for mycoplasma pneumonia
o Amoxicillin - example is Augmentin
Treatment for adults with comorbidities or who have had antibiotics within the last 90 days -
Answer✔✔-Respiratory fluoroquinolone like levofloxacin (Levaquin)
§ Major boxed warning associated with fluoroquinolone is Achilles tendon rupture
o Combination therapy with Augmentin and a macrolide or doxycycline
Page 2/8
