FNP BOARD REVIEW QUESTIONS AND CORRECT ANSWERS LATEST UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED TO SCORE A+ FOR EXCELLENT PASS

FNP BOARD REVIEW QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED TO SCORE A+
FOR EXCELLENT PASS


A 38-year old mother of two teenagers recently recovered from Mycoplasma pneumonia a couple of
weeks ago. She asks if she should get the "pneumonia shot." She takes levothyroxine 88 mcg daily
for hypothyroidism, but is otherwise healthy. How do you respond?

A) No, it's too soon after your infection

B) No, it's not indicated

C) Yes, you can get it in about a month

D) Yes you can get it today - CORRECT ANSWERS B) No, it's not indicated



An otherwise healthy adult without immunocompromise or multiple comorbid conditions is not a
"vulnerable population"



The pneumonia vaccine does not prevent mycoplasma pneumonia



According to GOLD, what is required to establish the diagnosis of COPD? - CORRECT ANSWERS
Spirometry (FEV1/FVC ratio < 70%)



A 70-year old house painter reports a 4-week history of exertional dyspnea, chest tightness, and
cough for the past 3 months. He has never smoked. What diagnoses are included in your
differential? Select 4.



A) Asthma

B) Angina

C) COPD

D) GERD

E) Pneumonia

F) Tuberculosis

G) Heart Failure - CORRECT ANSWERS B) Angina

C) COPD

F) Tuberculosis

G) Heart failure

,FNP BOARD REVIEW QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED TO SCORE A+
FOR EXCELLENT PASS

How do inhaled anticholinergics work to treat shortness of breath in COPD?

A) They cause bronchodilation in the lungs

B) They block the action of acetylcholine and prevent bronchoconstriction - CORRECT ANSWERS B)
They block the action of acetylcholine and prevent bronchconstriction



Name a short-acting inhaled anticholinergic: - CORRECT ANSWERS Ipratropium (Atrovent)



Name a long-acting inhaled anticholinergic: - CORRECT ANSWERS Tiotropium (Spiriva)



How do inhaled betá-agonists work to treat shortness of breath in COPD?

A) They cause bronchodilation in the lungs

B) They block the action of acetylcholine and prevent bronchoconstriction - CORRECT ANSWERS A)
They cause bronchodilation in the lungs



What are the only 2 inhaled short-acting beta agonists (SABAs): - CORRECT ANSWERS Albuterol and
levalbuterol



Name an inhaled long-acting beta agonists (LABAs): - CORRECT ANSWERS Salmeterol (Serevent)



What are the side effects associated with anticholinergic medications? - CORRECT ANSWERS
Cognitive impairment, confusion, hallucinations, dry mouth, blurry vision, urinary retention,
constipation, tachycardia, acute angle glaucoma



"Can't see, can't pee, can't spit, can't shit."



Name a inhaled combined short-acting anticholinergic/short-acting beta agonist: - CORRECT
ANSWERS Ipratropium/albuterol (Combivent)



Name a inhaled combined long-acting beta-agonist/corticosteroid - CORRECT ANSWERS
Fluticasone/salmeterol (Advair)

Fluticasone/vilanterol (Breo)

,FNP BOARD REVIEW QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED TO SCORE A+
FOR EXCELLENT PASS
Budesonide/formoterol (Symbicort)

Mometasone/frmoterol (Dulera)



Name an inhaled steroid: - CORRECT ANSWERS Fluticasone (Flovent)

Budesonide (Pulmicort)

Mometasone (Asmanex)



Put the following in the correct order for COPD prescribing strategy:



A) Long-acting anticholinergic or LABA, plus rescue med

B) Inhaled corticosteroid +LABA or LA anticholinergic, plus rescue med

C) Short-acting anticholinergic or SABA PRN

D) Inhaled corticosteroid +LABA and/or LA anticholinergic, plus rescue med - CORRECT ANSWERS C,
A, B, D

1. Short-acting anticholinergic or SABA PRN

THEN

2. Long-acting anticholinergic or LABA, plus rescue med

THEN

3. Inhaled corticosteroid +LABA or LA anticholinergic, plus rescue med

THEN

4. Inhaled corticosteroid +LABA and/or LA anticholinergic, plus rescue med



There is good evidence in support of oral steroids for COPD exacerbations to shorten recovery time
and improve lung function. What is the correct recommended dose?



A) Medrol dose-pack

B) 10-day course of Prednisone 20 mg, followed by a taper

C) 5-day course of Prednisone 40 mg - CORRECT ANSWERS C) 5-day course of Prednisone 40 mg



Chronic use should be avoided - associated with an unfavorable risk-to-benefit ratio

, FNP BOARD REVIEW QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE 2023/2024 ALL ANSWERS CORRECT VERIFIED TO SCORE A+
FOR EXCELLENT PASS
A patient with asthma symptoms daily with occasional nighttime awakenings has



A) Intermittent asthma

B) Mild persistent asthma

C) Moderate persistent asthma

D) Severe persistent asthma - CORRECT ANSWERS C) Moderate persistent asthma




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 - CORRECT ANSWERS 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)



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

A) Sulfonamide

B) Tetracycline

C) Macrolide

D) Beta-lactam - CORRECT ANSWERS C) Macrolide antiobitic (e.g. Azithromycin, clarithromycin



Sulfonamides are second-line