1
FNP ADULT HEALTH FINAL NEWEST ACTUAL
2025/2026 EXAM REVIEW WITH COMPLETE
QUESTIONS AND ANSWERED. VERIFIED/GRADED A+
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
, 2
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)
, 3
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
FNP ADULT HEALTH FINAL NEWEST ACTUAL
2025/2026 EXAM REVIEW WITH COMPLETE
QUESTIONS AND ANSWERED. VERIFIED/GRADED A+
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
, 2
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)
, 3
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
