Family Nurse Practitioner Certification Exam Prep Q&A (2026)

Family Nurse Practitioner Certification Exam
Prep Q&A (2026)




A middle-age female patient presents to the clinic with a recurrence of mild hidradenitis suppurativa after
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topical therapies failed. Which first-line treatment is recommended? - correct answersTetracycline
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Twelve weeks of oral tetracycline (Sumycin) is the recommended first-line treatment for hidradenitis
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suppurativa.



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Hidradenitis suppurativa is a disorder of the terminal follicular epithelium in apocrine gland-bearing skin. It is
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a chronic, disabling disorder that progresses, often causing keloids, contractures, and immobility. It is
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characterized by comedone-like follicular occlusion, chronic and relapsing inflammation, mucopurulent
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discharge, and progressive scarring. e e e




Arthropathy associated with hidradenitis may be present. Typical presentation includes nodules and sinus
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tracts (inflamed or noninflamed), abscesses, and scarring found in the axilla, genitofemoral area, perineum,
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gluteal area, and inframammary area in women.
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Recommended treatments include antibiotics, steroids, retinoids, dapsone, and anti-tumor necrosis factor
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agents. A dermatology consultation should also be considered.
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First-line treatment is a 12-week course of an oral tetracycline (Sumycin) such as doxycycline. For patients
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who do not respond to doxycycline, the next recommended step is a combination of twice-daily clindamycin
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(Cleocin) and rifampicin (Rifadin) for 10-12 weeks. If treatment fails, acitretin (Soriatane, for males and
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nonfertile females) or dapsone (Aczone) may be considered by a dermatologist. In patients with moderate to
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severe hidradenitis suppurativa, adalimumab (Humira) may possibly be considered.
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,When providing culturally competent health care services to an American Indian elder, the nurse practitioner
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understands which is traditionally true? - correct answersThe "Medicine Wheel" is used by many for the e e e e e e e e e e e e e e e e




purpose of health and healing e e e e




The "Medicine Wheel" is traditionally used and contains four directions; north, south, east, and west.
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Traditionally each tribe has different meanings for each direction and they may represent the season of the e e e e e e e e e e e e e e e e e




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
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may value traditional culture and preferences as it relates to healthcare. These individual preferences should
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be included in the interview and treatment plan for patients.
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Traditionally, the American Indian culture values a holistic approach to health care integrating the person, e e e e e e e e e e e e e e e




lifestyle, environment, family, and religion. Patients adhering to these traditional cultural practices often feel
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that illness is due to a lack of harmony with the physical body, mind, spirit, and emotions. Patients may seek
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care from western medicine for specific ailments while also consulting with traditional healers for spiritual
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guidance.

Healthcare providers should seek to understand relevant cultural factors and assess each individual's
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healthcare literacy in order to provide culturally competent care. e e e e e e e e




The nurse practitioner sees an older adult patient in the clinic with the primary report of hearing loss and a
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sensation of fullness in the right ear. The nurse practitioner suspects conductive hearing loss. Which could
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contribute to this? - correct answersCerumen, commonly called earwax, is a combination of secretions and
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sloughed epithelial cells that protects the ears from infection, water, and insects. It is normally expelled from
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the ear canal through natural jaw movement. When this self-cleaning process fails, cerumen can become
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impacted. Cerumen impaction occludes the ear canal and can press against the tympanic membrane,
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resulting in conductive hearing loss. e e e e




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Conductive hearing is the transition of sound from the external and middle ear to the inner ear. Conductive
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hearing loss is caused by problems in the external and middle ear that interfere with the transmission of sound
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and its conversion to mechanical vibration. Causes of conductive hearing loss include obstruction of the
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external auditory canal by cerumen, foreign bodies, debris from otitis externa, and large exocytosis and
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osteomas.

, Sensorineural hearing loss involves difficulty converting mechanical vibrations to electrical potential in the e e e e e e e e e e e e e




cochlea or in auditory nerve transmission to the brain. It is mostly caused by permanent damage in the organ
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of Corti. It can be caused by age-related hearing loss, noise trauma, medications, autoimmune diseases,
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mechanical trauma, Meniere disease, infection, and neoplasm (acoustic neuroma). e e e e e e e e




Approximately one-third of older adults between the ages of 61 and 70 years have hearing loss. More than e e e e e e e e e e e e e e e e e e




90% of adults older than 85 years of age have hearing loss. The most common type of hearing loss is age-
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related and sensorineural. All adults older than 60 years of age should be screened for hearing loss at periodic
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health examinations. e




An otherwise healthy adult patient presents to the clinic with a diagnosis of community-acquired pneumonia
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and no recent antibiotic therapy. Which is the best option for treatment? - correct answersAmoxicillin
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High-dose amoxicillin (Amoxil) or doxycycline are recommended as first-line therapy for adults without
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comorbidities.



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Community-acquired pneumonia (CAP) is pneumonia not acquired in a hospital or long-term care facility. e e e e e e e e e e e e e e




Patients with suspected CAP should receive a chest X-ray for diagnosis. The Pneumonia Severity Index should
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be used to assist in decisions regarding the need for hospitalization in patients with CAP.
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According to the American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA) 2019
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guidelines, the initial treatment of CAP for most patients is amoxicillin or doxycycline. Macrolides are an
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option for treatment, but are no longer recommended routinely as first-line treatment, given increased
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macrolide resistance. This is a change from the 2007 ATS/IDSA guidelines. Respiratory fluoroquinolones and
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amoxicillin/clavulanate should be used in patients who fail first-line medications, have significant e e e e e e e e e e e e




comorbidities, have had recent antibiotic therapy, are allergic to alternative agents, or have a documented e e e e e e e e e e e e e e e




infection with highly drug-resistant pneumococci. e e e e




A patient presents to the clinic for conception counseling. She recently stopped taking oral contraceptives
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and would like to become pregnant. Which statement about conception safety after stopping oral
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contraceptives is correct? - correct answers e e e e e




You have a 35-year-old female patient who is complaining of wrist pain. She is an administrative assistant who
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does a great deal of computer work in her job. You will test her for carpal tunnel syndrome. When you tap at
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the volar surface of the wrist you are performing which of the following tests? - correct answersTinel's sign
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