ANCC FNP Board Questions and Answers
(Top Grade Assured) 2026 Update
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? -
Correct Answers ✅Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the
recommended first-line treatment for hidradenitis
suppurativa.
__________________________________________________
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
,ANCC FNP Board Questions and Answers
(Top Grade Assured) 2026 Update
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? - Correct Answers ✅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.
________________________________________
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
,ANCC FNP Board Questions and Answers
(Top Grade Assured) 2026 Update
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.
The nurse practitioner sees an older adult patient in the clinic
with the primary report of hearing loss and a sensation of
fullness in the right ear. The nurse practitioner suspects
conductive hearing loss. Which could contribute to this? -
Correct Answers ✅Cerumen, commonly called earwax, is a
combination of secretions and sloughed epithelial cells that
protects the ears from infection, water, and insects. It is
normally expelled from the ear canal through natural jaw
movement. When this self-cleaning process fails, cerumen
can become impacted. Cerumen impaction occludes the ear
canal and can press against the tympanic membrane,
resulting in conductive hearing loss.
_________________________________________
Conductive hearing is the transition of sound from the
external and middle ear to the inner ear. Conductive hearing
loss is caused by problems in the external and middle ear
that interfere with the transmission of sound and its
conversion to mechanical vibration. Causes of conductive
, ANCC FNP Board Questions and Answers
(Top Grade Assured) 2026 Update
hearing loss include obstruction of the external auditory canal
by cerumen, foreign bodies, debris from otitis externa, and
large exocytosis and osteomas.
Sensorineural hearing loss involves difficulty converting
mechanical vibrations to electrical potential in the cochlea or
in auditory nerve transmission to the brain. It is mostly
caused by permanent damage in the organ of Corti. It can be
caused by age-related hearing loss, noise trauma,
medications, autoimmune diseases, mechanical trauma,
Meniere disease, infection, and neoplasm (acoustic neuroma).
Approximately one-third of older adults between the ages of
61 and 70 years have hearing loss. More than 90% of adults
older than 85 years of age have hearing loss. The most
common type of hearing loss is age-related and
sensorineural. All adults older than 60 years of age should be
screened for hearing loss at periodic health examinations.
An otherwise healthy adult patient presents to the clinic with
a diagnosis of community-acquired pneumonia and no recent
antibiotic therapy. Which is the best option for treatment? -
Correct Answers ✅Amoxicillin
High-dose amoxicillin (Amoxil) or doxycycline are
recommended as first-line therapy for adults without
comorbidities.
_____________________________________________
(Top Grade Assured) 2026 Update
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? -
Correct Answers ✅Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the
recommended first-line treatment for hidradenitis
suppurativa.
__________________________________________________
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
,ANCC FNP Board Questions and Answers
(Top Grade Assured) 2026 Update
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? - Correct Answers ✅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.
________________________________________
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
,ANCC FNP Board Questions and Answers
(Top Grade Assured) 2026 Update
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.
The nurse practitioner sees an older adult patient in the clinic
with the primary report of hearing loss and a sensation of
fullness in the right ear. The nurse practitioner suspects
conductive hearing loss. Which could contribute to this? -
Correct Answers ✅Cerumen, commonly called earwax, is a
combination of secretions and sloughed epithelial cells that
protects the ears from infection, water, and insects. It is
normally expelled from the ear canal through natural jaw
movement. When this self-cleaning process fails, cerumen
can become impacted. Cerumen impaction occludes the ear
canal and can press against the tympanic membrane,
resulting in conductive hearing loss.
_________________________________________
Conductive hearing is the transition of sound from the
external and middle ear to the inner ear. Conductive hearing
loss is caused by problems in the external and middle ear
that interfere with the transmission of sound and its
conversion to mechanical vibration. Causes of conductive
, ANCC FNP Board Questions and Answers
(Top Grade Assured) 2026 Update
hearing loss include obstruction of the external auditory canal
by cerumen, foreign bodies, debris from otitis externa, and
large exocytosis and osteomas.
Sensorineural hearing loss involves difficulty converting
mechanical vibrations to electrical potential in the cochlea or
in auditory nerve transmission to the brain. It is mostly
caused by permanent damage in the organ of Corti. It can be
caused by age-related hearing loss, noise trauma,
medications, autoimmune diseases, mechanical trauma,
Meniere disease, infection, and neoplasm (acoustic neuroma).
Approximately one-third of older adults between the ages of
61 and 70 years have hearing loss. More than 90% of adults
older than 85 years of age have hearing loss. The most
common type of hearing loss is age-related and
sensorineural. All adults older than 60 years of age should be
screened for hearing loss at periodic health examinations.
An otherwise healthy adult patient presents to the clinic with
a diagnosis of community-acquired pneumonia and no recent
antibiotic therapy. Which is the best option for treatment? -
Correct Answers ✅Amoxicillin
High-dose amoxicillin (Amoxil) or doxycycline are
recommended as first-line therapy for adults without
comorbidities.
_____________________________________________
