FNP Certification Exam Questions
36-year-old man with asthma has been treating his asthma with albuterol once or twice a
week for the last few years. He reports that for the last month or so he has had to use it
much more often—"not every day, but almost." The nurse practitioner should consider all of
the following except:
Administering the Asthma Control Test questionnaire.
Spirometric assessment.
a thorough evaluation of the symptoms. Adding an inhaled long-acting beta2-agonist. -
ANS-Ans: Adding an inhaled long-acting beta2-agonist.
A 12-day-old infant presents with a 2-day history of eye irritation. The infant is otherwise
healthy. He was born at a local birth center and received standard newborn care including
ocular chemoprophylaxis. Chemosis, bilateral lid swelling, and mucoid eye discharge are
discovered during examination. The most likely cause of this condition is:
Neonatal ocular chemoprophylaxis causes chemical irritation. Chlamydial (inclusion)
conjunctivitis.
Gonococcal conjunctivitis.
Neonatal adenovirus infection. - ANS-Ans: Chlamydial (inclusion) conjunctivitis.
A 12-year-old boy and his mother come in for a checkup on their child's health. What is the
most helpful approach to this visit?
Interview and examine the child in the absence of the mother.
Inquire about the child with the mother and request that she depart for the examination. Ask
the child if he wishes his mother to be there for the interview and examination.
Ask the mother if she wishes to be included in the interview and examination - ANS-Ans:
Ask the child if he wishes his mother to be there for the interview and examination.
A 14-month-old girl is brought in for evaluation by her mother. She reports that her daughter
has been fussy for the past 3 days and tugging at her left ear. Evaluation reveals moderate
bulging of the tympanic membrane and her temperature is 102.6ºF (39.2ºC). The child has
no reported medication allergies and has not received any antimicrobials in the past 3
months. You recommend:
Watchful waiting and follow-up in 3 days.
Amoxicillin (Amoxil®).
Clarithromycin (Biaxin®).
Levofloxacin (Levaquin®). - ANS-Ans: Amoxicillin (Amoxil®).
A 15-week-old infant presents with a fever of 100.5ᵒF (38.1ᵒC) and bilateral erythematous
tympanic membranes. The infant is alert with excellent skin turgor, no evidence of difficulty
breathing, acknowledges her mother's face, and is wearing a wet diaper. Her parents report
that she is vigorously nursing every 3 hours without vomiting or excessive stooling. The
appropriate management would be to:
Counsel the mother to observe for 72 hours and return to clinic if there is no improvement.
Start topical therapy with otic antibiotic drops.
Initiate a sepsis workup.
Begin a systemic antibiotic regimen. - ANS-Ans: Begin a systemic antibiotic regimen.
36-year-old man with asthma has been treating his asthma with albuterol once or twice a
week for the last few years. He reports that for the last month or so he has had to use it
much more often—"not every day, but almost." The nurse practitioner should consider all of
the following except:
Administering the Asthma Control Test questionnaire.
Spirometric assessment.
a thorough evaluation of the symptoms. Adding an inhaled long-acting beta2-agonist. -
ANS-Ans: Adding an inhaled long-acting beta2-agonist.
A 12-day-old infant presents with a 2-day history of eye irritation. The infant is otherwise
healthy. He was born at a local birth center and received standard newborn care including
ocular chemoprophylaxis. Chemosis, bilateral lid swelling, and mucoid eye discharge are
discovered during examination. The most likely cause of this condition is:
Neonatal ocular chemoprophylaxis causes chemical irritation. Chlamydial (inclusion)
conjunctivitis.
Gonococcal conjunctivitis.
Neonatal adenovirus infection. - ANS-Ans: Chlamydial (inclusion) conjunctivitis.
A 12-year-old boy and his mother come in for a checkup on their child's health. What is the
most helpful approach to this visit?
Interview and examine the child in the absence of the mother.
Inquire about the child with the mother and request that she depart for the examination. Ask
the child if he wishes his mother to be there for the interview and examination.
Ask the mother if she wishes to be included in the interview and examination - ANS-Ans:
Ask the child if he wishes his mother to be there for the interview and examination.
A 14-month-old girl is brought in for evaluation by her mother. She reports that her daughter
has been fussy for the past 3 days and tugging at her left ear. Evaluation reveals moderate
bulging of the tympanic membrane and her temperature is 102.6ºF (39.2ºC). The child has
no reported medication allergies and has not received any antimicrobials in the past 3
months. You recommend:
Watchful waiting and follow-up in 3 days.
Amoxicillin (Amoxil®).
Clarithromycin (Biaxin®).
Levofloxacin (Levaquin®). - ANS-Ans: Amoxicillin (Amoxil®).
A 15-week-old infant presents with a fever of 100.5ᵒF (38.1ᵒC) and bilateral erythematous
tympanic membranes. The infant is alert with excellent skin turgor, no evidence of difficulty
breathing, acknowledges her mother's face, and is wearing a wet diaper. Her parents report
that she is vigorously nursing every 3 hours without vomiting or excessive stooling. The
appropriate management would be to:
Counsel the mother to observe for 72 hours and return to clinic if there is no improvement.
Start topical therapy with otic antibiotic drops.
Initiate a sepsis workup.
Begin a systemic antibiotic regimen. - ANS-Ans: Begin a systemic antibiotic regimen.
