FNP 511 Final Exam Questions With Correct Answers | Latest Update Graded A+ | 2023/2024

A middle-aged hypertensive man presents to the public health clinic with complaints of an acute onset of fever, chills, and cough that is productive of rusty-colored sputum. The patient reports episodes of sharp pains on the left side of his back and chest whenever he is coughing. His temperature is 102.2°F, pulse is 100 beats/min, and blood pressure is 130/80 mmHg. The urinalysis does not show leukocytes, nitrites, or blood. These findings are most consistent with: A. Atypical pneumonia B. Upper urinary tract infection C. Bacterial pneumonia D. Acute pyelonephritis Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC. Family Nurse Practitioner Certification Intensive Review, Fourth Edition (p. 1214). Springer Publishing Company. Kindle Edition. C) Bacterial pneumonia. The most common cause of bacterial pneumonia is Streptococcus pneumoniae. Haemophilus influenzae, Chlamydia pneumoniae, Mycoplasma pneumoniae, and Legionella pneumophila are other bacteria that cause pneumonia. Typically, pneumonia comes on very quickly; the patient has high fever/chills, productive cough with yellow or brown sputum, and shortness of breath, and may have chest pain with breathing/coughing. The gold standard for diagnosing bacterial pneumonia is the chest x-ray, which shows infiltrates and/or lobar consolidation. Older people can have confusion or a change in their mental abilities. In patients with bacterial pneumonia, it is important to determine whether bacteria are present in the urine, in order to identify appropriate antibiotics to treat the bacteria. Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC. Family Nurse Practitioner Certification Intensive Review, Fourth Edition (p. 1258). Springer Publishing Company. Kindle Edition. A patient has been taking albuterol via a metered-dose inhaler for a month and remains in the yellow zone. Which of the following statements is true? A. Medication should be lowered to produce desired effects B. The patient is at 50% to 80% of their personal best C. The patient is at 80% to 100% of their personal best D. Current medication dosage places the patient at risk for hypoxia Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC. Family Nurse Practitioner Certification Intensive Review, Fourth Edition (p. 1228). Springer Publishing Company. Kindle Edition. B) The patient is at 50% to 80% of their personal best. Spirometer readings are used to assess a patient's personal best. The green zone is in the range of 80% to 100% expected volume, the yellow zone is in the range of 50% to 80% expected volume, and the red zone is below 50% of expected volume, which would place the patient at risk for hypoxia. The medication would need to be adjusted, but not lowered, to produce desired effects. Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC. Family Nurse Practitioner Certification Intensive Review, Fourth Edition (p. 1272). Springer Publishing Company. Kindle Edition. What is the priority treatment for a patient who presents with an asthma exacerbation? A. Prescribe albuterol PRN B. Teach patient how to properly use a spacer C. Assess asthma triggers D. Apply nebulizer treatment Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC. Family Nurse Practitioner Certification Intensive Review, Fourth Edition (p. 1237). Springer Publishing Company. Kindle Edition. D) Apply nebulizer treatment. The priority treatment for a patient with an asthma exacerbation is a nebulizer treatment every 20 minutes as needed. Additionally, a short course of oral corticosteroids may be prescribed after an exacerbation or, if the patient is not currently prescribed one, a low-dose 635inhaled corticosteroid (ICS) or long-acting beta2-agonist (LABA) such as albuterol. Assessing triggers and providing teaching on the use of a spacer can be completed after the patient has been stabilized. Leik, Maria T. Codina, MSN, ARNP, FNP-C, AGPCNP-BC. Family Nurse Practitioner Certification Intensive Review, Fourth Edition (p. 1281). Springer Publishing Company. Kindle Edition. A middle-aged female patient with a history of rheumatoid arthritis reports to the nurse practitioner that she had been taking ibuprofen twice daily for many years. All of the following organ systems are at risk of damage from chronic nonsteroidal anti-inflammatory drug (NSAID) use, except: A. Cardiovascular system