2025/2026
FNP Adult Health Final
Study Guide questions
and answers 2025/2026
USER
[COMPANY NAME]
,What is the recommended antibiotic therapy for previously healthy patients with no risk factors for
drug-resistant S. pneumonia infection that have community acquired pneumonia (CAP)? -✔✔answer
Macrolide (Azithromycin, clarithomycin, or erythromycin) OR Doxycycline
What is the recommended antibiotic therapy for patients with chronic comorbidites, such as chronic
disease of heart, liver, lungs, or kidneys; diabetes, alcoholism, malignancies, immunospression,
antimicrobial use within the last 3 months that have community acquired pneumonia? -✔✔answer
Respiratory fluoroquinolone (moxifloxacin, gemifloxacin or levofloxacin {750 mg}) OR beta lactam plus
macrolide (preferably high-dose amoxicillin (1 to 3 times daily) or amoxicillin-clavulanate (2 tabs twice
daily). Alternatives include ceftriaxone, cefpodoxime, and cefuroxime (500 mg, twice daily); with
doxycycline as an alternative to the macrolide)
What is the recommended antibiotic therapy for suspected pseudomonas aeruginosa infection? -
✔✔answer Antipneumococcal antipseudomonoal beta lactam (pipercillin-tazobactam, cefepime,
meropenem, or imipenem-cilastatin) plus either ciprofloxacin or levofloxacin (750 mg dose) OR
Antipneumococal antipseudomonoal beta-lactam plus an amino glycoside and azithromycin OR
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 therapy for suspected community acquired MRSA infection with
community acquired pneumonia? -✔✔answer Addition of vancomycin or linezolid
When should you obtain a chest X ray on COPD patient? -✔✔answer During a COPD exacerbation when
attempting to rule out a concomitant pneumonia.
What Pathogen is most commonly seen in COPD caused by bacteria? -✔✔answer Haemophilus
influenzae, Moraxella catarrhalis, Streptococcus pneumoniae
What is the preferred meds for Persistent asthma treatment? -✔✔answer Low dose ICS; Low dose ICS
plus LABA, or Medium dose ICS; Medium dose ICS plus LABA.
What are examples of inhaled corticosteroids? -✔✔answer Fluticasone (Flovent HFA)
, Budesonide (Pulmicort)
Mometasone (Asmanex Twisthaler)
Beclomethasone (Qvar)
Ciclesonide (Alvesco)
Flunisolide (Aerospan HFA)
What are examples of long acting beta agonists? -✔✔answer Advair, Dulera, and Symbicort (a
combination of a long-acting beta-agonist bronchodilator and an inhaled steroid) Serevent (salmeterol)
Foradil (formoterol) Perforomist (formoterol solution for nebulizers)
What are x-ray findings of acute asthma attack? -✔✔answer Hyperinflation, focal atelectasis, and
bronchial thickening are clinical findings on chest X-ray of exacerbated asthma.
How is asthma managed without medication? -✔✔answer Peak flow monitoring
Avoidance of asthma triggers
Extensive, ongoing asthma education for the patient and family regarding disease, 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 neuropathy? -✔✔answer Urinalysis for urine protein and a
Blod test to check for GFR (kidney function).
The most appropriate screen for diabetic nephropathy is? -✔✔answer Microalbuminuria
a 26 y/o pt with long hx of chronic sinusitis presents today with temperature of 103.2F, headache, and
stiff neck. Which finding below should make the NP suspect meningitis? -✔✔answer A positive Kernig's
and Brudzinski's sign
What two tests demonstrate nuchal ridgidity? -✔✔answer Kernig's and Brudzinski's sign
FNP Adult Health Final
Study Guide questions
and answers 2025/2026
USER
[COMPANY NAME]
,What is the recommended antibiotic therapy for previously healthy patients with no risk factors for
drug-resistant S. pneumonia infection that have community acquired pneumonia (CAP)? -✔✔answer
Macrolide (Azithromycin, clarithomycin, or erythromycin) OR Doxycycline
What is the recommended antibiotic therapy for patients with chronic comorbidites, such as chronic
disease of heart, liver, lungs, or kidneys; diabetes, alcoholism, malignancies, immunospression,
antimicrobial use within the last 3 months that have community acquired pneumonia? -✔✔answer
Respiratory fluoroquinolone (moxifloxacin, gemifloxacin or levofloxacin {750 mg}) OR beta lactam plus
macrolide (preferably high-dose amoxicillin (1 to 3 times daily) or amoxicillin-clavulanate (2 tabs twice
daily). Alternatives include ceftriaxone, cefpodoxime, and cefuroxime (500 mg, twice daily); with
doxycycline as an alternative to the macrolide)
What is the recommended antibiotic therapy for suspected pseudomonas aeruginosa infection? -
✔✔answer Antipneumococcal antipseudomonoal beta lactam (pipercillin-tazobactam, cefepime,
meropenem, or imipenem-cilastatin) plus either ciprofloxacin or levofloxacin (750 mg dose) OR
Antipneumococal antipseudomonoal beta-lactam plus an amino glycoside and azithromycin OR
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 therapy for suspected community acquired MRSA infection with
community acquired pneumonia? -✔✔answer Addition of vancomycin or linezolid
When should you obtain a chest X ray on COPD patient? -✔✔answer During a COPD exacerbation when
attempting to rule out a concomitant pneumonia.
What Pathogen is most commonly seen in COPD caused by bacteria? -✔✔answer Haemophilus
influenzae, Moraxella catarrhalis, Streptococcus pneumoniae
What is the preferred meds for Persistent asthma treatment? -✔✔answer Low dose ICS; Low dose ICS
plus LABA, or Medium dose ICS; Medium dose ICS plus LABA.
What are examples of inhaled corticosteroids? -✔✔answer Fluticasone (Flovent HFA)
, Budesonide (Pulmicort)
Mometasone (Asmanex Twisthaler)
Beclomethasone (Qvar)
Ciclesonide (Alvesco)
Flunisolide (Aerospan HFA)
What are examples of long acting beta agonists? -✔✔answer Advair, Dulera, and Symbicort (a
combination of a long-acting beta-agonist bronchodilator and an inhaled steroid) Serevent (salmeterol)
Foradil (formoterol) Perforomist (formoterol solution for nebulizers)
What are x-ray findings of acute asthma attack? -✔✔answer Hyperinflation, focal atelectasis, and
bronchial thickening are clinical findings on chest X-ray of exacerbated asthma.
How is asthma managed without medication? -✔✔answer Peak flow monitoring
Avoidance of asthma triggers
Extensive, ongoing asthma education for the patient and family regarding disease, 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 neuropathy? -✔✔answer Urinalysis for urine protein and a
Blod test to check for GFR (kidney function).
The most appropriate screen for diabetic nephropathy is? -✔✔answer Microalbuminuria
a 26 y/o pt with long hx of chronic sinusitis presents today with temperature of 103.2F, headache, and
stiff neck. Which finding below should make the NP suspect meningitis? -✔✔answer A positive Kernig's
and Brudzinski's sign
What two tests demonstrate nuchal ridgidity? -✔✔answer Kernig's and Brudzinski's sign
