FNP 2 EXAM 1 PRACTICE QUESTIONS AND ANSWERS
The bacterium responsible for the highest mortality in pts with CAP is:
A. Strep Pneumo
B. Mycoplasma pneumo
C. Moraxella catarrhalis
D. Haemophilus inuenzae
Correct answer: Streptococcus pneumoniae
When initially treating adults for bronchitis, which would the NP be least likely to order?
A. Expectorants
B. Antibiotics
C. Bronchodilators
D. Antitussives
Correct answer: B. Antibiotics
What is the least common pathogen found in community-acquired atypical pneumonia?
A. Moxarella catarrhalis
B. Strep Pneumo
C. Pseudomonas aeruginosa
D. Mycoplasma Pneumonia
Correct answer: C. Pseudomonas: is an uncommon cause of CAP but is very diicult
bacteria to treat
,Which of the following is recommended for erythema migrans treatment in early stages of
lyme disease?
A. Doxycyline (Vibramycin) 100mg PO BID X21 days
B. Ciprooxacin (Cipro) 250 mg PO BID X14 days
C. Erythromycin (E-mycin) 333mg PO TID X10 days
D. Dixoxacillin 500mg PO BID X 10 days
Correct answer: A. Doxycyline 100mg PO BID X21 days- Recommended by the CDC as
gold standard treatment
28 y.o. student presents with "hacking cough." Productive with small amounts sputum,
runny nose. Doesn't take any meds, no allergies, no signicant PMH. Temp: 99.9F, Resp:
16/min, HR: 90 BPM, diuse ne crackles. CXR shows diuse inltrates in lower lobe of
right lung. CBC shows WBC count 10,500. What is most likely diagnosis?
A. Strep pneumo
B. Mycoplasma pneumo
C. Acute Bronchitis
D. Legionnaires disease
Correct answer: B. Mycoplasma: most commonly seen in children and young adults.
spread through droplets, sneezing and coughing at close distance. DX made through sx and
CXR showing inltrate to lower lobes
30 y.o. c/o pruritic hives over chest/ arms but denies SOB, diiculty swallowing. Reports
family hx allergic rhinitis, & asthma. Which of the following interventions is most
appropriate?
A. Perform thorough History
, B. Prescribe PO antihistamine such as benadryl 25mg PO QD
C. IM Epinephrine 1:1000 STAT
D. Call 911
Correct answer: A. Take a thorough history prior to prescribing medications: nd cause of
rash. No airway diiculty/ swallowing so no need for 911
Which of the following is associated with Vitamin B-12 anemia?
A. Spoon shaped nails and Pica
B. An abnormal neuro exam
C. Vegan diet
D. Tingling/ numbness in both feet
Correct answer: D. Tingling and numbness in both feet: B12 can cause nerve damage if left
untreated, also dementia, memory loss, diiculty walking, mood changes, depression also
A 70 y.o male c/o bright red spot in his left eye for 2 days. He denies pain, visual changes, or
headaches. New onset cough from recent viral illness. The only med he was on was Bayer
Aspirin 1 tablet daily. Which of the following is most likely?
A. Corneal Abraison
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage
Correct answer: D: Subconjunctival hemorrhage: caused by increased intraocular
pressure due to straining, coughing, heavy lifting etc. Self limiting- disappears in 1-3 weeks
RMSF is caused by bite of:
The bacterium responsible for the highest mortality in pts with CAP is:
A. Strep Pneumo
B. Mycoplasma pneumo
C. Moraxella catarrhalis
D. Haemophilus inuenzae
Correct answer: Streptococcus pneumoniae
When initially treating adults for bronchitis, which would the NP be least likely to order?
A. Expectorants
B. Antibiotics
C. Bronchodilators
D. Antitussives
Correct answer: B. Antibiotics
What is the least common pathogen found in community-acquired atypical pneumonia?
A. Moxarella catarrhalis
B. Strep Pneumo
C. Pseudomonas aeruginosa
D. Mycoplasma Pneumonia
Correct answer: C. Pseudomonas: is an uncommon cause of CAP but is very diicult
bacteria to treat
,Which of the following is recommended for erythema migrans treatment in early stages of
lyme disease?
A. Doxycyline (Vibramycin) 100mg PO BID X21 days
B. Ciprooxacin (Cipro) 250 mg PO BID X14 days
C. Erythromycin (E-mycin) 333mg PO TID X10 days
D. Dixoxacillin 500mg PO BID X 10 days
Correct answer: A. Doxycyline 100mg PO BID X21 days- Recommended by the CDC as
gold standard treatment
28 y.o. student presents with "hacking cough." Productive with small amounts sputum,
runny nose. Doesn't take any meds, no allergies, no signicant PMH. Temp: 99.9F, Resp:
16/min, HR: 90 BPM, diuse ne crackles. CXR shows diuse inltrates in lower lobe of
right lung. CBC shows WBC count 10,500. What is most likely diagnosis?
A. Strep pneumo
B. Mycoplasma pneumo
C. Acute Bronchitis
D. Legionnaires disease
Correct answer: B. Mycoplasma: most commonly seen in children and young adults.
spread through droplets, sneezing and coughing at close distance. DX made through sx and
CXR showing inltrate to lower lobes
30 y.o. c/o pruritic hives over chest/ arms but denies SOB, diiculty swallowing. Reports
family hx allergic rhinitis, & asthma. Which of the following interventions is most
appropriate?
A. Perform thorough History
, B. Prescribe PO antihistamine such as benadryl 25mg PO QD
C. IM Epinephrine 1:1000 STAT
D. Call 911
Correct answer: A. Take a thorough history prior to prescribing medications: nd cause of
rash. No airway diiculty/ swallowing so no need for 911
Which of the following is associated with Vitamin B-12 anemia?
A. Spoon shaped nails and Pica
B. An abnormal neuro exam
C. Vegan diet
D. Tingling/ numbness in both feet
Correct answer: D. Tingling and numbness in both feet: B12 can cause nerve damage if left
untreated, also dementia, memory loss, diiculty walking, mood changes, depression also
A 70 y.o male c/o bright red spot in his left eye for 2 days. He denies pain, visual changes, or
headaches. New onset cough from recent viral illness. The only med he was on was Bayer
Aspirin 1 tablet daily. Which of the following is most likely?
A. Corneal Abraison
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage
Correct answer: D: Subconjunctival hemorrhage: caused by increased intraocular
pressure due to straining, coughing, heavy lifting etc. Self limiting- disappears in 1-3 weeks
RMSF is caused by bite of:
