3/23/25, 7:46 FNP Adult Health Final Study Guide Flashcards |
AM
FNP ADULT HEALTH FINAL STUDY GUIDE EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (173)
What is the recommended antibiotic Macrolide (Azithromycin, clarithomycin, or erythromycin) OR Doxycycline
therapy for previously healthy patients with
no risk factors for drug-resistant S.
pneumonia infection that have community
acquired pneumonia (CAP)?
What is the recommended antibiotic Respiratory fluoroquinolone (moxifloxacin, gemifloxacin or levofloxacin {750 mg})
therapy for patients with chronic OR beta lactam plus macrolide (preferably high-dose amoxicillin (1 to 3 times
comorbidites, such as chronic disease of daily) or amoxicillin-clavulanate (2 tabs twice daily). Alternatives include
heart, liver, lungs, or kidneys; diabetes, ceftriaxone, cefpodoxime, and cefuroxime (500 mg, twice daily); with doxycycline
alcoholism, malignancies, as an
immunospression, antimicrobial use within alternative to the macrolide)
the last 3 months that have community
acquired pneumonia?
Antipneumococcal antipseudomonoal beta lactam (pipercillin-tazobactam,
cefepime, meropenem, or imipenem-cilastatin) plus either ciprofloxacin or
levofloxacin (750 mg dose) OR
What is the recommended antibiotic Antipneumococal antipseudomonoal beta-lactam plus an amino glycoside and
therapy for suspected pseudomonas azithromycin OR
aeruginosa infection? Antipneumonoccal antipseudomonal beta-lactam plus an amino glycoside and an
antipneumococcal fluoroquinolone.
Aztreonam plus an amino glycoside and an antipneumococcal fluoroquinolone for
patients allergic to penicillin
What is the recommended antibiotic Addition of vancomycin or linezolid
therapy for suspected community acquired
MRSA infection with community acquired
pneumonia?
When should you obtain a chest X ray on During a COPD exacerbation when attempting to rule out a concomitant pneumonia.
COPD patient?
What Pathogen is most commonly seen in Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pneumoniae
COPD caused by bacteria?
What is the preferred meds for Persistent Low dose ICS; Low dose ICS plus LABA, or Medium dose ICS; Medium dose ICS plus
asthma treatment? LABA.
Fluticasone (Flovent HFA)
Budesonide (Pulmicort)
What are examples of inhaled Mometasone (Asmanex Twisthaler)
corticosteroids? Beclomethasone (Qvar)
Ciclesonide (Alvesco)
Flunisolide (Aerospan HFA)
Advair, Dulera, and Symbicort (a combination of a long-acting beta-agonist
What are examples of long acting beta
bronchodilator and an inhaled steroid) Serevent (salmeterol) Foradil (formoterol)
agonists?
Perforomist (formoterol solution for nebulizers)
What are x-ray findings of acute asthma Hyperinflation, focal atelectasis, and bronchial thickening are clinical findings on
attack? chest X-ray of exacerbated asthma.
1/
8
, 3/23/25, 7:46 FNP Adult Health Final Study Guide Flashcards |
AM
Peak flow monitoring
Avoidance of asthma triggers
How is asthma managed Extensive, ongoing asthma education for the patient and family regarding disease,
without medication? treatment, avoidance of triggers, asthma managed plan, and emergency actions. Use
of an asthma action plan can reduce the number of ED visits as well as
hospitalizations.
What screening is appropriate for diabetic Urinalysis for urine protein and a Blod test to check for GFR (kidney function).
neuropathy?
The most appropriate screen for diabetic Microalbuminuria
nephropathy is?
a 26 y/o pt with long hx of chronic sinusitis A positive Kernig's and Brudzinski's sign
presents today with temperature of 103.2F,
headache, and stiff neck. Which finding
below should make the NP suspect
meningitis?
What two tests demonstrate nuchal Kernig's and Brudzinski's sign
ridgidity?
Kernig's sign refers to the what? inability to allow full extension of the knee when the hip is flexed 90 degrees
Brudzinski's sign refers to the spontaneous flexion of the hips during attempted passive flexion of the neck
A pt is examined and found to have meningitis
a positive Kernig's and Brudzinski's
signs. What is the most likely dx?
What symptoms point to acute meningitis Photophobia and severe headache may point to
rather than encephalitis?
m. tuberculosis
atypical mycobacteria
Chronic subacute meningitis are
fungi
usually caused by what?
spirochetes
SYMPTOMS develop over months; less acutely ill
Which type of meningitis has a slower Chronic meningitis
development of symptoms after exposure,
usually caused bym. tuberculosis, atypical
mycobacteria, fungi, or spirochetes?
What is the leading cause of death after Pneumonia
stroke?
What class of medications can be used to Alpha-1-blockers
tx benign prostatic hyperplasia and
provide immediate relief?
An elderly male has benign prostatic Hydrochlorothiazide (HCTZ)
hyperplasia (BPH). what drug should be
avoided in him?
A 73 y/o pt is thought to have benign DRE (digital rectal exam), urinalysis, PSA
prostatic hyperplasia. what would be part
of the initial workup?
2/
8
AM
FNP ADULT HEALTH FINAL STUDY GUIDE EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (173)
What is the recommended antibiotic Macrolide (Azithromycin, clarithomycin, or erythromycin) OR Doxycycline
therapy for previously healthy patients with
no risk factors for drug-resistant S.
pneumonia infection that have community
acquired pneumonia (CAP)?
What is the recommended antibiotic Respiratory fluoroquinolone (moxifloxacin, gemifloxacin or levofloxacin {750 mg})
therapy for patients with chronic OR beta lactam plus macrolide (preferably high-dose amoxicillin (1 to 3 times
comorbidites, such as chronic disease of daily) or amoxicillin-clavulanate (2 tabs twice daily). Alternatives include
heart, liver, lungs, or kidneys; diabetes, ceftriaxone, cefpodoxime, and cefuroxime (500 mg, twice daily); with doxycycline
alcoholism, malignancies, as an
immunospression, antimicrobial use within alternative to the macrolide)
the last 3 months that have community
acquired pneumonia?
Antipneumococcal antipseudomonoal beta lactam (pipercillin-tazobactam,
cefepime, meropenem, or imipenem-cilastatin) plus either ciprofloxacin or
levofloxacin (750 mg dose) OR
What is the recommended antibiotic Antipneumococal antipseudomonoal beta-lactam plus an amino glycoside and
therapy for suspected pseudomonas azithromycin OR
aeruginosa infection? Antipneumonoccal antipseudomonal beta-lactam plus an amino glycoside and an
antipneumococcal fluoroquinolone.
Aztreonam plus an amino glycoside and an antipneumococcal fluoroquinolone for
patients allergic to penicillin
What is the recommended antibiotic Addition of vancomycin or linezolid
therapy for suspected community acquired
MRSA infection with community acquired
pneumonia?
When should you obtain a chest X ray on During a COPD exacerbation when attempting to rule out a concomitant pneumonia.
COPD patient?
What Pathogen is most commonly seen in Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pneumoniae
COPD caused by bacteria?
What is the preferred meds for Persistent Low dose ICS; Low dose ICS plus LABA, or Medium dose ICS; Medium dose ICS plus
asthma treatment? LABA.
Fluticasone (Flovent HFA)
Budesonide (Pulmicort)
What are examples of inhaled Mometasone (Asmanex Twisthaler)
corticosteroids? Beclomethasone (Qvar)
Ciclesonide (Alvesco)
Flunisolide (Aerospan HFA)
Advair, Dulera, and Symbicort (a combination of a long-acting beta-agonist
What are examples of long acting beta
bronchodilator and an inhaled steroid) Serevent (salmeterol) Foradil (formoterol)
agonists?
Perforomist (formoterol solution for nebulizers)
What are x-ray findings of acute asthma Hyperinflation, focal atelectasis, and bronchial thickening are clinical findings on
attack? chest X-ray of exacerbated asthma.
1/
8
, 3/23/25, 7:46 FNP Adult Health Final Study Guide Flashcards |
AM
Peak flow monitoring
Avoidance of asthma triggers
How is asthma managed Extensive, ongoing asthma education for the patient and family regarding disease,
without medication? treatment, avoidance of triggers, asthma managed plan, and emergency actions. Use
of an asthma action plan can reduce the number of ED visits as well as
hospitalizations.
What screening is appropriate for diabetic Urinalysis for urine protein and a Blod test to check for GFR (kidney function).
neuropathy?
The most appropriate screen for diabetic Microalbuminuria
nephropathy is?
a 26 y/o pt with long hx of chronic sinusitis A positive Kernig's and Brudzinski's sign
presents today with temperature of 103.2F,
headache, and stiff neck. Which finding
below should make the NP suspect
meningitis?
What two tests demonstrate nuchal Kernig's and Brudzinski's sign
ridgidity?
Kernig's sign refers to the what? inability to allow full extension of the knee when the hip is flexed 90 degrees
Brudzinski's sign refers to the spontaneous flexion of the hips during attempted passive flexion of the neck
A pt is examined and found to have meningitis
a positive Kernig's and Brudzinski's
signs. What is the most likely dx?
What symptoms point to acute meningitis Photophobia and severe headache may point to
rather than encephalitis?
m. tuberculosis
atypical mycobacteria
Chronic subacute meningitis are
fungi
usually caused by what?
spirochetes
SYMPTOMS develop over months; less acutely ill
Which type of meningitis has a slower Chronic meningitis
development of symptoms after exposure,
usually caused bym. tuberculosis, atypical
mycobacteria, fungi, or spirochetes?
What is the leading cause of death after Pneumonia
stroke?
What class of medications can be used to Alpha-1-blockers
tx benign prostatic hyperplasia and
provide immediate relief?
An elderly male has benign prostatic Hydrochlorothiazide (HCTZ)
hyperplasia (BPH). what drug should be
avoided in him?
A 73 y/o pt is thought to have benign DRE (digital rectal exam), urinalysis, PSA
prostatic hyperplasia. what would be part
of the initial workup?
2/
8
