NSG 6998 FNP PREDICTOR EXAM
210 ORIGINAL PRACTICE QUESTIONS, CORRECT ANSWERS &
RATIONALES
SOUTH UNIVERSITY — FAMILY NURSE PRACTITIONER EXAM
PREPARATION
SECTION 1 — RESPIRATORY / PULMONARY
1. A 76-year-old man with COPD, diabetes, and alcohol-use disorder
has a chest x-ray showing pulmonary infiltrates. Which medication is
an appropriate empiric option for community-acquired pneumonia in
this higher-risk outpatient?
A. Amoxicillin alone
B. Levofloxacin
C. Acyclovir
D. Oseltamivir
Correct Answer: B. Levofloxacin
Rationale: A respiratory fluoroquinolone such as levofloxacin is an
accepted empiric option for adults with significant comorbidities when
treating community-acquired pneumonia.
2. Which finding is most characteristic of bacterial pneumonia?
A. Dry cough without fever
B. Productive cough with fever and focal crackles
,C. Painless hematuria
D. Generalized pruritus
Correct Answer: B. Productive cough with fever and focal crackles
Rationale: Fever, productive cough, focal crackles, and localized
infiltrates are classic findings of bacterial pneumonia.
3. Which organism is a common cause of community-acquired
pneumonia?
A. Streptococcus pneumoniae
B. Candida albicans
C. Giardia lamblia
D. Clostridium tetani
Correct Answer: A. Streptococcus pneumoniae
Rationale: S. pneumoniae remains a major bacterial cause of
community-acquired pneumonia.
4. An older adult with pneumonia becomes confused and
hypotensive. What is the priority concern?
A. Seasonal allergies
B. Sepsis
C. Chronic sinusitis
D. Stable COPD
Correct Answer: B. Sepsis
Rationale: Acute confusion and hypotension in the setting of infection
suggest systemic deterioration and possible sepsis.
,5. Which symptom most strongly suggests pneumonia rather than
uncomplicated allergic rhinitis?
A. Sneezing
B. Clear rhinorrhea
C. Fever with productive cough
D. Nasal itching
Correct Answer: C. Fever with productive cough
6. Which diagnostic study is commonly used to confirm pneumonia
when clinically indicated?
A. Chest radiograph
B. Colonoscopy
C. EEG
D. Bone scan
Correct Answer: A. Chest radiograph
7. A patient with COPD has increased dyspnea, cough, and sputum
production. Which finding suggests an acute exacerbation?
A. Symptoms completely unchanged from baseline
B. Increased respiratory symptoms beyond baseline
C. Improved exercise tolerance
D. Decreased sputum production
Correct Answer: B. Increased respiratory symptoms beyond baseline
, 8. Which medication is a short-acting bronchodilator commonly used
for acute COPD symptom relief?
A. Albuterol
B. Levothyroxine
C. Metformin
D. Omeprazole
Correct Answer: A. Albuterol
9. Which smoking-related disease is characterized by persistent
airflow limitation?
A. COPD
B. Acute appendicitis
C. Cystitis
D. Migraine
Correct Answer: A. COPD
10. Which intervention has the greatest impact on slowing smoking-
related COPD progression?
A. Smoking cessation
B. Increasing dairy intake
C. Daily antihistamines
D. Bed rest
Correct Answer: A. Smoking cessation
210 ORIGINAL PRACTICE QUESTIONS, CORRECT ANSWERS &
RATIONALES
SOUTH UNIVERSITY — FAMILY NURSE PRACTITIONER EXAM
PREPARATION
SECTION 1 — RESPIRATORY / PULMONARY
1. A 76-year-old man with COPD, diabetes, and alcohol-use disorder
has a chest x-ray showing pulmonary infiltrates. Which medication is
an appropriate empiric option for community-acquired pneumonia in
this higher-risk outpatient?
A. Amoxicillin alone
B. Levofloxacin
C. Acyclovir
D. Oseltamivir
Correct Answer: B. Levofloxacin
Rationale: A respiratory fluoroquinolone such as levofloxacin is an
accepted empiric option for adults with significant comorbidities when
treating community-acquired pneumonia.
2. Which finding is most characteristic of bacterial pneumonia?
A. Dry cough without fever
B. Productive cough with fever and focal crackles
,C. Painless hematuria
D. Generalized pruritus
Correct Answer: B. Productive cough with fever and focal crackles
Rationale: Fever, productive cough, focal crackles, and localized
infiltrates are classic findings of bacterial pneumonia.
3. Which organism is a common cause of community-acquired
pneumonia?
A. Streptococcus pneumoniae
B. Candida albicans
C. Giardia lamblia
D. Clostridium tetani
Correct Answer: A. Streptococcus pneumoniae
Rationale: S. pneumoniae remains a major bacterial cause of
community-acquired pneumonia.
4. An older adult with pneumonia becomes confused and
hypotensive. What is the priority concern?
A. Seasonal allergies
B. Sepsis
C. Chronic sinusitis
D. Stable COPD
Correct Answer: B. Sepsis
Rationale: Acute confusion and hypotension in the setting of infection
suggest systemic deterioration and possible sepsis.
,5. Which symptom most strongly suggests pneumonia rather than
uncomplicated allergic rhinitis?
A. Sneezing
B. Clear rhinorrhea
C. Fever with productive cough
D. Nasal itching
Correct Answer: C. Fever with productive cough
6. Which diagnostic study is commonly used to confirm pneumonia
when clinically indicated?
A. Chest radiograph
B. Colonoscopy
C. EEG
D. Bone scan
Correct Answer: A. Chest radiograph
7. A patient with COPD has increased dyspnea, cough, and sputum
production. Which finding suggests an acute exacerbation?
A. Symptoms completely unchanged from baseline
B. Increased respiratory symptoms beyond baseline
C. Improved exercise tolerance
D. Decreased sputum production
Correct Answer: B. Increased respiratory symptoms beyond baseline
, 8. Which medication is a short-acting bronchodilator commonly used
for acute COPD symptom relief?
A. Albuterol
B. Levothyroxine
C. Metformin
D. Omeprazole
Correct Answer: A. Albuterol
9. Which smoking-related disease is characterized by persistent
airflow limitation?
A. COPD
B. Acute appendicitis
C. Cystitis
D. Migraine
Correct Answer: A. COPD
10. Which intervention has the greatest impact on slowing smoking-
related COPD progression?
A. Smoking cessation
B. Increasing dairy intake
C. Daily antihistamines
D. Bed rest
Correct Answer: A. Smoking cessation
