2025 FNP BOARD REVIEW QUESTIONS
AND CORRECT ANSWERS LATEST
UPDATE ALL ANSWERS CORRECT
VERIFIED TO SCORE A+ FOR
EXCELLENT PASS
, clarithromycin
Sulfonamides are second-line
Match the antibiotics with the correct drug class:
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
A. Doxycyline
B. Azithromycin
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin - CORRECT ANSWERS 1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole
(Bactrim)
2. Tetracycline - A. Doxycycline
3. Macrolide - B & F, Azithromycin and Clarithromycin
1
,4. Beta-lactam - C & E, PCN and cephalosporins
What are the three most common bugs in community-acquired pneumonia? - CORRECT
ANSWERS Streptococcus pneumoniae
Mycoplasma pneuomiae (atypical pathogen)
Chlamydophila pneumoniae (atypical pathogen)
What is the treatment for CAP caused by Strep pneumo? - CORRECT ANSWERS 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? - CORRECT ANSWERS Macrolides
What is the treatment for CAP caused by Mycoplasma pneumoniae? - CORRECT ANSWERS
Macrolide OR doxycycline
What antibiotics are avoided in CAP caused by atypical pathogens? - CORRECT ANSWERS
Beta-lactams (ineffective)
A patient with asthma symptoms more than twice a week, but not daily with occasional
nighttime awakenings has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma - CORRECT ANSWERS B) Mild persistent asthma
A patient with asthma symptoms less than twice a week has
A) Intermittent asthma
B) Mild persistent asthma
2
,C) Moderate persistent asthma
D) Severe persistent asthma - CORRECT ANSWERS A) Intermittent asthma
A patient with asthma symptoms multiple times throughout the day and nighttime
awakenings on most nights of the week has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma - CORRECT ANSWERS D) Severe persistent asthma
What are the most common side effects of long-term inhaled steroid use?
A) Osteoporosis and GERD
B) Cataracts and osteopenia
C) Hyperkalemia and diabetes
D) Hypertension and diabetes - CORRECT ANSWERS B) Cataracts and osteopenia
What medication combination is considered unsafe in a patient with asthma?
A) Fluticasone and albuterol
B) Mometasone, formoterol, albuterol
C) Budesonide and levalbuterol
D) Salmeterol and levalbuterol
Why? - CORRECT ANSWERS D) Salmeterol and levalbuterol
Salmeterol is a long-acting beta agonist. LABAs MUST be combined with an inhaled
corticosteroid (e.g. Advair, Breo, Symbicort)
A 30-year old male has persistent asthma. What daily medication regimen would be
appropriate?
3
, A) Albuterol
B) Low-dose fluticasone, albuterol
C) Medium-dose fluticasone
D) Budseonide, salmeterol, albuterol - CORRECT ANSWERS C) Medium-dose fluticasone
Albuterol alone is used for intermittent asthma Albuterol should not be used daily (if the
patient is using their rescue inhaler more than twice a week --> call the PCM!)
Mr. Jones, a 45-year old drug and alcohol counselor, smokes 1 PPD and c/o cough, low-grade
fever, and night sweats for the last week. His CXR show bilateral hilar nodes. What should
you do next?
A) Refer to Pulmonology
B) Order a chest CT with contrast
C) Order a TB skin test
D) Repeat the CXR in 2 weeks - CORRECT ANSWERS C) Order a TB skin test
A patient who takes fosinopril for HTN has been diagnosed with ACE-inhibitor cough. Which
of the following statements is true?
A) He could switch to lisinopril
B) This cough is more likely in patients with lower airway disease
C) His cough should improve over time
D) The cough is related to an inability to break down bradykinin - CORRECT ANSWERS D)
The cough is related to an inability to break down bradykinin
A 19-year old college student (otherwise healthy, nonsmoker) was diagnosed with
community-acquired pneumonia by CXR a couple days ago. She has been taking amoxillin
with clavulanate 875 mg BID for the past 48 hours. She returns today for a follow-up
appointment.
Her vitals 2 days ago: BP 120/72, HR 96, T 103F, RR 24/min, Ó2 sats 92%.
4
AND CORRECT ANSWERS LATEST
UPDATE ALL ANSWERS CORRECT
VERIFIED TO SCORE A+ FOR
EXCELLENT PASS
, clarithromycin
Sulfonamides are second-line
Match the antibiotics with the correct drug class:
1. Sulfonamide
2. Tetracycline
3. Macrolide
4. Beta-lactam
A. Doxycyline
B. Azithromycin
C. Penicillins
D.Trimethoprim-Sulfamethoxazole
E. Cephalosporin
F. Clarithromycin - CORRECT ANSWERS 1. Sulfonamide - D.Trimethoprim-Sulfamethoxazole
(Bactrim)
2. Tetracycline - A. Doxycycline
3. Macrolide - B & F, Azithromycin and Clarithromycin
1
,4. Beta-lactam - C & E, PCN and cephalosporins
What are the three most common bugs in community-acquired pneumonia? - CORRECT
ANSWERS Streptococcus pneumoniae
Mycoplasma pneuomiae (atypical pathogen)
Chlamydophila pneumoniae (atypical pathogen)
What is the treatment for CAP caused by Strep pneumo? - CORRECT ANSWERS 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? - CORRECT ANSWERS Macrolides
What is the treatment for CAP caused by Mycoplasma pneumoniae? - CORRECT ANSWERS
Macrolide OR doxycycline
What antibiotics are avoided in CAP caused by atypical pathogens? - CORRECT ANSWERS
Beta-lactams (ineffective)
A patient with asthma symptoms more than twice a week, but not daily with occasional
nighttime awakenings has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma - CORRECT ANSWERS B) Mild persistent asthma
A patient with asthma symptoms less than twice a week has
A) Intermittent asthma
B) Mild persistent asthma
2
,C) Moderate persistent asthma
D) Severe persistent asthma - CORRECT ANSWERS A) Intermittent asthma
A patient with asthma symptoms multiple times throughout the day and nighttime
awakenings on most nights of the week has
A) Intermittent asthma
B) Mild persistent asthma
C) Moderate persistent asthma
D) Severe persistent asthma - CORRECT ANSWERS D) Severe persistent asthma
What are the most common side effects of long-term inhaled steroid use?
A) Osteoporosis and GERD
B) Cataracts and osteopenia
C) Hyperkalemia and diabetes
D) Hypertension and diabetes - CORRECT ANSWERS B) Cataracts and osteopenia
What medication combination is considered unsafe in a patient with asthma?
A) Fluticasone and albuterol
B) Mometasone, formoterol, albuterol
C) Budesonide and levalbuterol
D) Salmeterol and levalbuterol
Why? - CORRECT ANSWERS D) Salmeterol and levalbuterol
Salmeterol is a long-acting beta agonist. LABAs MUST be combined with an inhaled
corticosteroid (e.g. Advair, Breo, Symbicort)
A 30-year old male has persistent asthma. What daily medication regimen would be
appropriate?
3
, A) Albuterol
B) Low-dose fluticasone, albuterol
C) Medium-dose fluticasone
D) Budseonide, salmeterol, albuterol - CORRECT ANSWERS C) Medium-dose fluticasone
Albuterol alone is used for intermittent asthma Albuterol should not be used daily (if the
patient is using their rescue inhaler more than twice a week --> call the PCM!)
Mr. Jones, a 45-year old drug and alcohol counselor, smokes 1 PPD and c/o cough, low-grade
fever, and night sweats for the last week. His CXR show bilateral hilar nodes. What should
you do next?
A) Refer to Pulmonology
B) Order a chest CT with contrast
C) Order a TB skin test
D) Repeat the CXR in 2 weeks - CORRECT ANSWERS C) Order a TB skin test
A patient who takes fosinopril for HTN has been diagnosed with ACE-inhibitor cough. Which
of the following statements is true?
A) He could switch to lisinopril
B) This cough is more likely in patients with lower airway disease
C) His cough should improve over time
D) The cough is related to an inability to break down bradykinin - CORRECT ANSWERS D)
The cough is related to an inability to break down bradykinin
A 19-year old college student (otherwise healthy, nonsmoker) was diagnosed with
community-acquired pneumonia by CXR a couple days ago. She has been taking amoxillin
with clavulanate 875 mg BID for the past 48 hours. She returns today for a follow-up
appointment.
Her vitals 2 days ago: BP 120/72, HR 96, T 103F, RR 24/min, Ó2 sats 92%.
4
