FNP Board Review | Family Nurse Practitioner Certification Exam Study Guide

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FNP BOARD REVIEW QUESTIONS 2025 ACTUAL
EXAM NEWEST VERSION QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY
GRADED A+



A 24-year old, otherwise healthy college student presents with c/o cough x 6 weeks.
She has tried several OTC cough meds with no improvement. What is the most
important information to consider when building your differential diagnoses?

A) Her age

B) Family hx

C) Ineffectiveness of OTC cough medicines

D) Length of time she has been coughing

D) Length of time she has been coughing




Why? This information helps you build your ddx

Acute cough < 3 weeks: bronchitis, sinusitis, PND, exacerbation of COPD/asthma,
pneumonia, pulmonary embolism




Chronic cough (>8 weeks) GERD and Asthma are most common causes, also consider
infection (e.g. pertussis, atypical pneumonia), ACE inhibitors, chronic bronchitis,
bronchiectasis, lung ca)




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According to the CDC, what drug class is considered first-line treatment for pertussis?

A) Sulfonamide

B) Tetracycline

C) Macrolide

D) Beta-lactam

C) Macrolide antiobitic (e.g. Azithromycin, clarithromycin




Sulfonamides are second-line




Match the antibiotics with the correct drug class:




1. Sulfonamide

2. Tetracycline

3. Macrolide

4. Beta-lactam




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A. Doxycyline

B. Azithromycin

C. Penicillins

D.Trimethoprim-Sulfamethoxazole

E. Cephalosporin

F. Clarithromycin

1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole (Bactrim)

2. Tetracycline - A. Doxycycline

3. Macrolide - B & F, Azithromycin and Clarithromycin




4. Beta-lactam - C & E, PCN and cephalosporins




What are the three most common bugs in community-acquired pneumonia?

Streptococcus pneumoniae

Mycoplasma pneuomiae (atypical pathogen)

Chlamydophila pneumoniae (atypical pathogen)




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What is the treatment for CAP caused by Strep pneumo?

Respiratory quinolone (e.g. Levofloxacin, moxifloxacin, gemifloxacin) OR high-dose
amoxicillin OR amoxicillin with clavulanate




What antibiotics are avoided in CAP caused by Strep pneumo due to high rates of
resistance?

Macrolides




What is the treatment for CAP caused by Mycoplasma pneumoniae?

Macrolide OR doxycycline




What antibiotics are avoided in CAP caused by atypical pathogens?

Beta-lactams (ineffective)




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