1|Page
(AGPCNP) NU 662 AGPCNP II Finals Exams
Review 2025 (Qns & Ans).
72. Which of the following is a quality of respiratory
fluoroquinolones? A. activity against drug-resistant S.
pneumoniae (DRSP) B. poor activity against atypical
pathogens C. predominantly hepatic route of elimination
D. poor activity against beta-lactamase-producing
organisms.
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 151). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
A. activity against drug-resistant S. pneumoniae (DRSP)
1. Which of the following best describes asthma?
A. intermittent airway inflammation with occasional
bronchospasm
B. a disease of bronchospasm that leads to airway
inflammation
C. chronic airway inflammation with superimposed
bronchospasm
D. relatively fixed airway constriction
,2|Page
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 133). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
C. chronic airway inflammation with superimposed
bronchospasm
2. The patient you are evaluating is having a severe
asthma flare. You have assessed that his condition is
appropriate for office treatment. You expect to find the
following on physical examination:
A. tripod posture.
B. inspiratory crackles.
C. increased vocal fremitus.
D. hyperresonance on thoracic percussion.
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 133). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
D. hyperresonance on thoracic percussion.
3. A 44-year-old man has a long-standing history of
moderate persistent asthma that is normally well
controlled by fluticasone with salmeterol (Advair®) via
metered-dose inhaler, one puff twice a day, and the use
of albuterol 1 to 2 times a week as needed for
,3|Page
wheezing. Three days ago, he developed a sore throat,
clear nasal discharge, body aches, and a dry cough. In
the past 24 hours, he has had intermittent wheezing that
necessitated the use of albuterol, two puffs every 3
hours, which produced partial relief. Your next most
appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs).
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 133). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
C. spirometry measurement.
4. You examine Jane, a 24-year-old woman who has an
acute asthma flare following a 3-day history of upper
respiratory tract symptoms (clear nasal discharge, dry
cough, no fever). She has a history of moderate
persistent asthma that is in good control and an
acceptable peak expiratory flow (PEF). She is using
budesonide (Pulmicort®) and albuterol as directed and
continues to have difficulty with coughing and wheezing.
At home, her PEF is 55% of personal best. In the office,
her forced expiratory volume at 1 second (FEV1) is 65%
, 4|Page
of predicted. Her medication regimen should be
adjusted to include:
A. theophylline.
B. salmeterol (Serevent®).
C. prednisone.
D. montelukast (Singulair®).
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 133). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
C. prednisone.
4. You examine Jane, a 24-year-old woman who has an
acute asthma flare following a 3-day history of upper
respiratory tract symptoms (clear nasal discharge, dry
cough, no fever). She has a history of moderate
persistent asthma that is in good control and an
acceptable peak expiratory flow (PEF). She is using
budesonide (Pulmicort®) and albuterol as directed and
continues to have difficulty with coughing and wheezing.
At home, her PEF is 55% of personal best. In the office,
her forced expiratory volume at 1 second (FEV1) is 65%
of predicted. You also prescribe:
A. amoxicillin.
B. azithromycin.
(AGPCNP) NU 662 AGPCNP II Finals Exams
Review 2025 (Qns & Ans).
72. Which of the following is a quality of respiratory
fluoroquinolones? A. activity against drug-resistant S.
pneumoniae (DRSP) B. poor activity against atypical
pathogens C. predominantly hepatic route of elimination
D. poor activity against beta-lactamase-producing
organisms.
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 151). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
A. activity against drug-resistant S. pneumoniae (DRSP)
1. Which of the following best describes asthma?
A. intermittent airway inflammation with occasional
bronchospasm
B. a disease of bronchospasm that leads to airway
inflammation
C. chronic airway inflammation with superimposed
bronchospasm
D. relatively fixed airway constriction
,2|Page
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 133). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
C. chronic airway inflammation with superimposed
bronchospasm
2. The patient you are evaluating is having a severe
asthma flare. You have assessed that his condition is
appropriate for office treatment. You expect to find the
following on physical examination:
A. tripod posture.
B. inspiratory crackles.
C. increased vocal fremitus.
D. hyperresonance on thoracic percussion.
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 133). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
D. hyperresonance on thoracic percussion.
3. A 44-year-old man has a long-standing history of
moderate persistent asthma that is normally well
controlled by fluticasone with salmeterol (Advair®) via
metered-dose inhaler, one puff twice a day, and the use
of albuterol 1 to 2 times a week as needed for
,3|Page
wheezing. Three days ago, he developed a sore throat,
clear nasal discharge, body aches, and a dry cough. In
the past 24 hours, he has had intermittent wheezing that
necessitated the use of albuterol, two puffs every 3
hours, which produced partial relief. Your next most
appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs).
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 133). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
C. spirometry measurement.
4. You examine Jane, a 24-year-old woman who has an
acute asthma flare following a 3-day history of upper
respiratory tract symptoms (clear nasal discharge, dry
cough, no fever). She has a history of moderate
persistent asthma that is in good control and an
acceptable peak expiratory flow (PEF). She is using
budesonide (Pulmicort®) and albuterol as directed and
continues to have difficulty with coughing and wheezing.
At home, her PEF is 55% of personal best. In the office,
her forced expiratory volume at 1 second (FEV1) is 65%
, 4|Page
of predicted. Her medication regimen should be
adjusted to include:
A. theophylline.
B. salmeterol (Serevent®).
C. prednisone.
D. montelukast (Singulair®).
Fitzgerald, Margaret A. Nurse Practitioner Certification
Examination and Practice Preparation (Page 133). F.A.
Davis Company. Kindle Edition. - .....ANSWER ...✔✔
C. prednisone.
4. You examine Jane, a 24-year-old woman who has an
acute asthma flare following a 3-day history of upper
respiratory tract symptoms (clear nasal discharge, dry
cough, no fever). She has a history of moderate
persistent asthma that is in good control and an
acceptable peak expiratory flow (PEF). She is using
budesonide (Pulmicort®) and albuterol as directed and
continues to have difficulty with coughing and wheezing.
At home, her PEF is 55% of personal best. In the office,
her forced expiratory volume at 1 second (FEV1) is 65%
of predicted. You also prescribe:
A. amoxicillin.
B. azithromycin.
