Fitzgerald Respiratory UPDATED ACTUAL
Exam Questions and CORECT Answers
72. Which of the following is a quality of respiratory fluoroquinolones? A. activity against drug-
resistant S. pneumoniae (DRSP) B. poor activity against atypical pathogens C. predominantly
hepatic route of elimination D. poor activity against beta-lactamase-producing organisms.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 151). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER A. activity against
drug-resistant S. pneumoniae (DRSP)
1. Which of the following best describes asthma?
A. intermittent airway inflammation with occasional bronchospasm
B. a disease of bronchospasm that leads to airway inflammation
C. chronic airway inflammation with superimposed bronchospasm
D. relatively fixed airway constriction
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER C. chronic airway
inflammation with superimposed bronchospasm
2. The patient you are evaluating is having a severe asthma flare. You have assessed that his
condition is appropriate for office treatment. You expect to find the following on physical
examination:
A. tripod posture.
B. inspiratory crackles.
C. increased vocal fremitus.
D. hyperresonance on thoracic percussion.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER D. hyperresonance
on thoracic percussion.
,3. A 44-year-old man has a long-standing history of moderate persistent asthma that is normally
well controlled by fluticasone with salmeterol (Advair®) via metered-dose inhaler, one puff
twice a day, and the use of albuterol 1 to 2 times a week as needed for wheezing. Three days ago,
he developed a sore throat, clear nasal discharge, body aches, and a dry cough. In the past 24
hours, he has had intermittent wheezing that necessitated the use of albuterol, two puffs every 3
hours, which produced partial relief. Your next most appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs).
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER C. spirometry
measurement.
4. You examine Jane, a 24-year-old woman who has an acute asthma flare following a 3-day
history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no fever). She has
a history of moderate persistent asthma that is in good control and an acceptable peak expiratory
flow (PEF). She is using budesonide (Pulmicort®) and albuterol as directed and continues to
have difficulty with coughing and wheezing. At home, her PEF is 55% of personal best. In the
office, her forced expiratory volume at 1 second (FEV1) is 65% of predicted. Her medication
regimen should be adjusted to include:
A. theophylline.
B. salmeterol (Serevent®).
C. prednisone.
D. montelukast (Singulair®).
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER C. prednisone.
4. You examine Jane, a 24-year-old woman who has an acute asthma flare following a 3-day
history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no fever). She has
a history of moderate persistent asthma that is in good control and an acceptable peak expiratory
,flow (PEF). She is using budesonide (Pulmicort®) and albuterol as directed and continues to
have difficulty with coughing and wheezing. At home, her PEF is 55% of personal best. In the
office, her forced expiratory volume at 1 second (FEV1) is 65% of predicted. You also prescribe:
A. amoxicillin.
B. azithromycin.
C. levofloxacin.
D. no antimicrobial therapy.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edit - CORRECT ANSWER D. no antimicrobial
therapy.
6. Peak expiratory flow meters:
A. should only be used in the presence of a medical professional.
B. provide a convenient method to check lung function at home.
C. are as accurate as spirometry.
D. should not be used more than once daily.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER B. provide a
convenient method to check lung function at home.
7. Which of the following is most likely to appear on a chest radiograph of a person during an
acute severe asthma attack?
A. hyperinflation
B. atelectasis
C. consolidation
D. Kerley B signs
, Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER A. hyperinflation
8. A 36-year-old man with asthma also needs antihypertensive therapy. Which of the following
products should you avoid prescribing?
A. hydrochlorothiazide
B. propranolol
C. amlodipine
D. enalapril
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER B. propranolol
9. Which of the following is inconsistent with the presentation of asthma that is not well
controlled?
A. a troublesome nocturnal cough at least 2 nights per week
B. need for albuterol to relieve shortness of breath at least twice a week
C. morning sputum production
D. two or more exacerbations/year requiring oral corticosteroids
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER C. morning
sputum production
10. The cornerstone of moderate persistent asthma drug therapy is the use of:
A. oral theophylline.
B. mast cell stabilizers.
C. short-acting beta2-agonists (SABA).
D. inhaled corticosteroids.
Exam Questions and CORECT Answers
72. Which of the following is a quality of respiratory fluoroquinolones? A. activity against drug-
resistant S. pneumoniae (DRSP) B. poor activity against atypical pathogens C. predominantly
hepatic route of elimination D. poor activity against beta-lactamase-producing organisms.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 151). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER A. activity against
drug-resistant S. pneumoniae (DRSP)
1. Which of the following best describes asthma?
A. intermittent airway inflammation with occasional bronchospasm
B. a disease of bronchospasm that leads to airway inflammation
C. chronic airway inflammation with superimposed bronchospasm
D. relatively fixed airway constriction
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER C. chronic airway
inflammation with superimposed bronchospasm
2. The patient you are evaluating is having a severe asthma flare. You have assessed that his
condition is appropriate for office treatment. You expect to find the following on physical
examination:
A. tripod posture.
B. inspiratory crackles.
C. increased vocal fremitus.
D. hyperresonance on thoracic percussion.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER D. hyperresonance
on thoracic percussion.
,3. A 44-year-old man has a long-standing history of moderate persistent asthma that is normally
well controlled by fluticasone with salmeterol (Advair®) via metered-dose inhaler, one puff
twice a day, and the use of albuterol 1 to 2 times a week as needed for wheezing. Three days ago,
he developed a sore throat, clear nasal discharge, body aches, and a dry cough. In the past 24
hours, he has had intermittent wheezing that necessitated the use of albuterol, two puffs every 3
hours, which produced partial relief. Your next most appropriate action is to obtain a:
A. chest radiograph.
B. measurement of oxygen saturation (SaO2).
C. spirometry measurement.
D. sputum smear for white blood cells (WBCs).
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER C. spirometry
measurement.
4. You examine Jane, a 24-year-old woman who has an acute asthma flare following a 3-day
history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no fever). She has
a history of moderate persistent asthma that is in good control and an acceptable peak expiratory
flow (PEF). She is using budesonide (Pulmicort®) and albuterol as directed and continues to
have difficulty with coughing and wheezing. At home, her PEF is 55% of personal best. In the
office, her forced expiratory volume at 1 second (FEV1) is 65% of predicted. Her medication
regimen should be adjusted to include:
A. theophylline.
B. salmeterol (Serevent®).
C. prednisone.
D. montelukast (Singulair®).
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER C. prednisone.
4. You examine Jane, a 24-year-old woman who has an acute asthma flare following a 3-day
history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no fever). She has
a history of moderate persistent asthma that is in good control and an acceptable peak expiratory
,flow (PEF). She is using budesonide (Pulmicort®) and albuterol as directed and continues to
have difficulty with coughing and wheezing. At home, her PEF is 55% of personal best. In the
office, her forced expiratory volume at 1 second (FEV1) is 65% of predicted. You also prescribe:
A. amoxicillin.
B. azithromycin.
C. levofloxacin.
D. no antimicrobial therapy.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edit - CORRECT ANSWER D. no antimicrobial
therapy.
6. Peak expiratory flow meters:
A. should only be used in the presence of a medical professional.
B. provide a convenient method to check lung function at home.
C. are as accurate as spirometry.
D. should not be used more than once daily.
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER B. provide a
convenient method to check lung function at home.
7. Which of the following is most likely to appear on a chest radiograph of a person during an
acute severe asthma attack?
A. hyperinflation
B. atelectasis
C. consolidation
D. Kerley B signs
, Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 133). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER A. hyperinflation
8. A 36-year-old man with asthma also needs antihypertensive therapy. Which of the following
products should you avoid prescribing?
A. hydrochlorothiazide
B. propranolol
C. amlodipine
D. enalapril
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER B. propranolol
9. Which of the following is inconsistent with the presentation of asthma that is not well
controlled?
A. a troublesome nocturnal cough at least 2 nights per week
B. need for albuterol to relieve shortness of breath at least twice a week
C. morning sputum production
D. two or more exacerbations/year requiring oral corticosteroids
Fitzgerald, Margaret A. Nurse Practitioner Certification Examination and Practice Preparation
(Page 134). F.A. Davis Company. Kindle Edition. - CORRECT ANSWER C. morning
sputum production
10. The cornerstone of moderate persistent asthma drug therapy is the use of:
A. oral theophylline.
B. mast cell stabilizers.
C. short-acting beta2-agonists (SABA).
D. inhaled corticosteroids.
