FNP PREDICTOR STUDY CASE
QUESTIONS AND ANSWERS
A 76 year old female has a urinary tract infection. Which is of the
following would be involved in assessment and treatment of this patient?
A. Nitrofurantoin (Macrobid) for 7-10 days
B. Sulfamethoxazole/trimethoprim (Bactrim) for 3 days
C. Inquire about antibiotic use over the past three months
D. Order a urine culture
E. Nitrofurantoin (Macrobid) for 3 days - CORRECT ANSWER- A C D
A 26 year old female who is not pregnant and otherwise healthy has a
urinary tract infection. Which is of the following would be involved in
assessment and treatment of this patient?
A. Nitrofurantoin (Macrobid) for 7-10 days
B. Sulfamethoxazole/trimethoprim (Bactrim) for 3 days
C. Inquire about antibiotic use over the past three months
D. Order a urine culture
E. Nitrofurantoin (Macrobid) for 3 days - CORRECT ANSWER- C. D.
E.
A 56 year old male presents with suspected kidney stones. Which of the
following tests is the gold standard for diagnosis? Which medication is
indicated if otherwise not contraindicated?
A. MRI
B. Helical CT scan
C. Ultrasound
D. Toradol injection
E. Amoxicillin
F. 2nd generation fluoroquinolone (ciprofloxacin (Cipro)) - CORRECT
ANSWER- B, D
, A 68 year old female presents with hematuria, temp of 100.8, and CVA
tenderness. Which of the following medications is indicated at this time?
A. 2nd generation fluoroquinolone (ciprofloxacin (Cipro)) for 7 days
B. 1st generation cephalosporin (Cephalexin (Keflex)) for 10 days
C. Nitrofurantoin (Macrobid) for 3 days
D. 3rd generation cephalosporins extended release (ceftriaxone
(Rocephine)) for 14 days - CORRECT ANSWER- A. 2nd generation
fluoroquinolone (ciprofloxacin (Cipro)) for 7 days
Which of the following patients would not be screened for HIV?
A. Routine screening for 13-64 year old patients
B. Currently treated for TB
C. Diagnosed with syphilis, GC, or chlamydia
D. Pregnant women once per trimester - CORRECT ANSWER- D.
Pregnant women once per trimester
A 32 year old man has acute bronchitis. He is a non smoker and is
otherwise healthy. How should he be managed?
A. Treat symptoms only
B. Prescribe a macrolide antibiotic.
C. Prescribe an an antitussive.
D. Prescribe an antibiotic and antitussive. - CORRECT ANSWER- A.
Treat symptoms only
An 84 year old male has acute bronchitis. Which of the following tests
would you perform as the Nurse Practitioner?
A. Sputum culture
B. Chest X-ray
C. Chest CT
D. Chest MRI - CORRECT ANSWER- B. Chest X-ray
A 58 year old male has acute bronchitis. He is a heavy smoker, but is
otherwise healthy. What is the most likely etiology?
A. Viral infection
B. S. pneumoniae
C. B. Pertussis
D. Haemophilus influenzae - CORRECT ANSWER- D. Haemophilus
influenzae
QUESTIONS AND ANSWERS
A 76 year old female has a urinary tract infection. Which is of the
following would be involved in assessment and treatment of this patient?
A. Nitrofurantoin (Macrobid) for 7-10 days
B. Sulfamethoxazole/trimethoprim (Bactrim) for 3 days
C. Inquire about antibiotic use over the past three months
D. Order a urine culture
E. Nitrofurantoin (Macrobid) for 3 days - CORRECT ANSWER- A C D
A 26 year old female who is not pregnant and otherwise healthy has a
urinary tract infection. Which is of the following would be involved in
assessment and treatment of this patient?
A. Nitrofurantoin (Macrobid) for 7-10 days
B. Sulfamethoxazole/trimethoprim (Bactrim) for 3 days
C. Inquire about antibiotic use over the past three months
D. Order a urine culture
E. Nitrofurantoin (Macrobid) for 3 days - CORRECT ANSWER- C. D.
E.
A 56 year old male presents with suspected kidney stones. Which of the
following tests is the gold standard for diagnosis? Which medication is
indicated if otherwise not contraindicated?
A. MRI
B. Helical CT scan
C. Ultrasound
D. Toradol injection
E. Amoxicillin
F. 2nd generation fluoroquinolone (ciprofloxacin (Cipro)) - CORRECT
ANSWER- B, D
, A 68 year old female presents with hematuria, temp of 100.8, and CVA
tenderness. Which of the following medications is indicated at this time?
A. 2nd generation fluoroquinolone (ciprofloxacin (Cipro)) for 7 days
B. 1st generation cephalosporin (Cephalexin (Keflex)) for 10 days
C. Nitrofurantoin (Macrobid) for 3 days
D. 3rd generation cephalosporins extended release (ceftriaxone
(Rocephine)) for 14 days - CORRECT ANSWER- A. 2nd generation
fluoroquinolone (ciprofloxacin (Cipro)) for 7 days
Which of the following patients would not be screened for HIV?
A. Routine screening for 13-64 year old patients
B. Currently treated for TB
C. Diagnosed with syphilis, GC, or chlamydia
D. Pregnant women once per trimester - CORRECT ANSWER- D.
Pregnant women once per trimester
A 32 year old man has acute bronchitis. He is a non smoker and is
otherwise healthy. How should he be managed?
A. Treat symptoms only
B. Prescribe a macrolide antibiotic.
C. Prescribe an an antitussive.
D. Prescribe an antibiotic and antitussive. - CORRECT ANSWER- A.
Treat symptoms only
An 84 year old male has acute bronchitis. Which of the following tests
would you perform as the Nurse Practitioner?
A. Sputum culture
B. Chest X-ray
C. Chest CT
D. Chest MRI - CORRECT ANSWER- B. Chest X-ray
A 58 year old male has acute bronchitis. He is a heavy smoker, but is
otherwise healthy. What is the most likely etiology?
A. Viral infection
B. S. pneumoniae
C. B. Pertussis
D. Haemophilus influenzae - CORRECT ANSWER- D. Haemophilus
influenzae
