FNP Adult Health Final Study Guide Questions With Correct Answers
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Course
FNP
Institution
FNP
FNP Adult Health Final Study Guide
Questions With Correct Answers
What is the recommended antibiotic therapy for previously healthy patients with no risk factors for
drug-resistant S. pneumonia infection that have community acquired pneumonia (CAP)? -
answerMacrolide (Azithromycin, clarithomyci...
FNP Adult Health Final Study Guide
Questions With Correct Answers
What is the recommended antibiotic therapy for previously healthy patients with no risk factors for
drug-resistant S. pneumonia infection that have community acquired pneumonia (CAP)? -
answer✔Macrolide (Azithromycin, clarithomycin, or erythromycin) OR Doxycycline
What is the recommended antibiotic therapy for patients with chronic comorbidites, such as chronic
disease of heart, liver, lungs, or kidneys; diabetes, alcoholism, malignancies, immunospression,
antimicrobial use within the last 3 months that have community acquired pneumonia? -
answer✔Respiratory fluoroquinolone (moxifloxacin, gemifloxacin or levofloxacin {750 mg}) OR beta
lactam plus macrolide (preferably high-dose amoxicillin (1 to 3 times daily) or amoxicillin-clavulanate (2
tabs twice daily). Alternatives include ceftriaxone, cefpodoxime, and cefuroxime (500 mg, twice daily);
with doxycycline as an alternative to the macrolide)
What is the recommended antibiotic therapy for suspected pseudomonas aeruginosa infection? -
answer✔Antipneumococcal antipseudomonoal beta lactam (pipercillin-tazobactam, cefepime,
meropenem, or imipenem-cilastatin) plus either ciprofloxacin or levofloxacin (750 mg dose) OR
Antipneumococal antipseudomonoal beta-lactam plus an amino glycoside and azithromycin OR
Antipneumonoccal antipseudomonal beta-lactam plus an amino glycoside and an antipneumococcal
fluoroquinolone.
Aztreonam plus an amino glycoside and an antipneumococcal fluoroquinolone for patients allergic to
penicillin
What is the recommended antibiotic therapy for suspected community acquired MRSA infection with
community acquired pneumonia? - answer✔Addition of vancomycin or linezolid
When should you obtain a chest X ray on COPD patient? - answer✔During a COPD exacerbation when
attempting to rule out a concomitant pneumonia.
What Pathogen is most commonly seen in COPD caused by bacteria? - answer✔Haemophilus influenzae,
Moraxella catarrhalis, Streptococcus pneumoniae
What is the preferred meds for Persistent asthma treatment? - answer✔Low dose ICS; Low dose ICS plus
LABA, or Medium dose ICS; Medium dose ICS plus LABA.
What are examples of inhaled corticosteroids? - answer✔Fluticasone (Flovent HFA)
Budesonide (Pulmicort)
Mometasone (Asmanex Twisthaler)
Beclomethasone (Qvar)
Ciclesonide (Alvesco)
Flunisolide (Aerospan HFA)
What are examples of long acting beta agonists? - answer✔Advair, Dulera, and Symbicort (a
combination of a long-acting beta-agonist bronchodilator and an inhaled steroid) Serevent (salmeterol)
Foradil (formoterol) Perforomist (formoterol solution for nebulizers)
What are x-ray findings of acute asthma attack? - answer✔Hyperinflation, focal atelectasis, and
bronchial thickening are clinical findings on chest X-ray of exacerbated asthma.
How is asthma managed without medication? - answer✔Peak flow monitoring
Avoidance of asthma triggers
Extensive, ongoing asthma education for the patient and family regarding disease, treatment, avoidance
of triggers, asthma managed plan, and emergency actions. Use of an asthma action plan can reduce the
number of ED visits as well as hospitalizations.
What screening is appropriate for diabetic neuropathy? - answer✔Urinalysis for urine protein and a Blod
test to check for GFR (kidney function).
The most appropriate screen for diabetic nephropathy is? - answer✔Microalbuminuria
a 26 y/o pt with long hx of chronic sinusitis presents today with temperature of 103.2F, headache, and
stiff neck. Which finding below should make the NP suspect meningitis? - answer✔A positive Kernig's
and Brudzinski's sign
What two tests demonstrate nuchal ridgidity? - answer✔Kernig's and Brudzinski's sign
Kernig's sign refers to the what? - answer✔inability to allow full extension of the knee when the hip is
flexed 90 degrees
Brudzinski's sign refers to the - answer✔spontaneous flexion of the hips during attempted passive
flexion of the neck
A pt is examined and found to have a positive Kernig's and Brudzinski's signs. What is the most likely dx?
- answer✔meningitis
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