Promotion Assessment with 100% verified answers
2025/2026 With (51 Q&A)
A middle-age female patient presents to the clinic with a recurrence of mild
hidradenitis suppurativa after topical therapies failed. Which first-line treatment
is recommended? - Answer-Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line
treatment for hidradenitis suppurativa.
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Hidradenitis suppurativa is a disorder of the terminal follicular epithelium in
apocrine gland-bearing skin. It is a chronic, disabling disorder that progresses,
often causing keloids, contractures, and immobility. It is characterized by
comedone-like follicular occlusion, chronic and relapsing inflammation,
mucopurulent discharge, and progressive scarring.
Arthropathy associated with hidradenitis may be present. Typical presentation
includes nodules and sinus tracts (inflamed or noninflamed), abscesses, and
scarring found in the axilla, genitofemoral area, perineum, gluteal area, and
inframammary area in women.
Recommended treatments include antibiotics, steroids, retinoids, dapsone, and
anti-tumor necrosis factor agents. A dermatology consultation should also be
considered.
First-line treatment is a 12‑week course of an oral tetracycline (Sumycin) such as
doxycycline. For patients who do not respond to doxycycline, the next
recommended step is a combination of twice-daily clindamycin (Cleocin) and
,rifampicin (Rifadin) for 10-12 weeks. If treatment fails, acitretin (Soriatane, for
males and nonfertile females) or dapsone (Aczone) may be considered by a
dermatologist. In patients with moderate to severe hidradenitis suppurativa,
adalimumab (Humira) may possibly be considered.
When providing culturally competent health care services to an American Indian
elder, the nurse practitioner understands which is traditionally true? - Answer-
The "Medicine Wheel" is used by many for the purpose of health and healing
The "Medicine Wheel" is traditionally used and contains four directions; north,
south, east, and west. Traditionally each tribe has different meanings for each
direction and they may represent the season of the year or stage of life. It is
aimed at providing a holistic view of life.
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An understanding of different cultural preferences leads to cultural competence
in healthcare. Some patients may value traditional culture and preferences as it
relates to healthcare. These individual preferences should be included in the
interview and treatment plan for patients.
Traditionally, the American Indian culture values a holistic approach to health
care integrating the person, lifestyle, environment, family, and religion. Patients
adhering to these traditional cultural practices often feel that illness is due to a
lack of harmony with the physical body, mind, spirit, and emotions. Patients may
seek care from western medicine for specific ailments while also consulting with
traditional healers for spiritual guidance.
Healthcare providers should seek to understand relevant cultural factors and
assess each individual's healthcare literacy in order to provide culturally
competent care.
, A patient with sensitive skin had a TB skin test but has no symptoms. He returns
with redness and swelling that appears positive. What is the next step? - Answer-
Schedule a CXR
The nurse practitioner should not cross certain boundaries with patients. Which
of the following would not be considered crossing one of these boundaries? -
Answer-Not sharing personal information with the patient
The United States Preventive Services Task Force recommends screening older
patients for depression: - Answer-at each primary care visit
Which of the following types of hepatitis is transmitted by fecal and oral route
from contaminated food? - Answer-Hep A
Which of the following is a normal physiologic change during pregnancy? -
Answer--Cardiac output increases by 1/3 by the last two trimesters.
-Decreased systolic and diastolic pressure occurs in the first trimester.
-There is decreased peristalsis from progesterone effects.
If a patient is diagnosed with left-heart failure, which of the following medications
would the nurse practitioner more than likely use for treatment? - Answer-Lasix
When counseling patients who smoke cigarettes, which of the following is NOT
good management advice? - Answer-For asymptomatic adults, instruct the
patient on how it is easier to stop now than when symptomatic.