ANCC FNP Board Questions
A 16-year-old male is in the office. He has an insect bite on his left forearm and you suspect a
brown recluse spider bite. What medical management would you provide? - ANS-ice pack and
elevation of the area
\A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your care
after relocating from another state to live with relatives who can help her. The nurse practitioner
understands that which of the following is NOT part of her management plan: -
ANS-Corticosteroids are often used for maintenance.
\A 35-year-old female patient tells you that she has not had a period in over 3 months. She tells
you that until now she has been quite regular with her periods. This condition is which of the
following? - ANS-secondary amenorrhea
\A 42-year-old non-smoker is diagnosed with mild community-acquired pneumonia. He is
otherwise healthy and does not need hospitalization at this time. Which antibiotic can be used
for empirical treatment according to the 2007 Infectious Disease Society of America? -
ANS-azithromycin - macrolide ATB
\A 62-year-old male is in the clinic and he has known heart failure (HF). Which of the following is
not likely to be noted in this patient? - ANS-evidence of hemoconcentration on hemogram
The increased circulating volume found in heart failure (HF) will lead to hemodilution on
hemogram, not hemoconcentration.
\A 70-year-old female presents with a one-sided headache in the temple and tenderness over
the temporal artery. She complains of vision loss in one eye. Which of the following diseases is
this patient most likely to have? - ANS-temporal arteritis
\A CT would allow for a better diagnosis (with "slices") of the patient by which of the following
ways? - ANS--Forms a full three-dimensional computer model of the inside of the patient.
-It is easier for the physician to pinpoint a problem because of the narrow "slices" that the
scanner uses.
\A gastrinoma located on the pancreas or the stomach which secretes gastrin, stimulating high
levels of acid production in the stomach is which of the following? - ANS-Zollinger-Ellison
syndrome
\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? -
ANS-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 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.
\A mother brings her 3-year-old son to the clinic where the FNP diagnoses impetigo. The FNP
understands that which of the following statements about treatment for this disease is least
accurate? - ANS-Mupirocin and oral erythromycin are not as effective as penicillin.
\A mother brings her 5-year-old child to the clinic with a ringlike pruritic rash with some central
clearing on the arms and legs. The FNP knows that this is which of the following conditions? -
ANS-tinea corporis
\A mother brings in her 11-year-old daughter who is having recurrent abdominal pain. You rule
out organic diseases and you develop a therapeutic plan for this child. This plan might contain
all of the following EXCEPT: - ANS-decreasing fiber in the diet
\A mother brings in her 7-year-old child with a red rash on his cheeks and ears. You diagnose
Fifth disease. You might recommend all of the following for this child EXCEPT: - ANS-isolation
\A patient has recently been diagnosed with Addison's disease. How often should this patient's
electrolytes be monitored? - ANS-every 3-4 months for the first year of therapy
\A patient is diagnosed as dehydrated, anxious, and isolated. What should you give the highest
priority? - ANS-Dehydration.
\A patient of yours has a "Christmas tree" pattern of rash on his trunk. He tells you that he
started having some lesions about two weeks ago but now they have spread. You would
suspect which of the following conditions/diseases? - ANS-Pityriasis rosea
\A patient presents to the clinic for conception counseling. She recently stopped taking oral
contraceptives and would like to become pregnant. Which statement about conception safety
after stopping oral contraceptives is correct? - ANS-
\A patient shares that she uses chamomile to combat insomnia. What medication might that
interact with? - ANS-coumadin - Coumadin Coumadin is an anticoagulant. Chamomile also act
as an anticoagulant. The two may cause a reaction that further increases bleeding risks.
\A patient should be referred to which of the following to get help with issues caused by the
anatomy of the jaw? - ANS-dentist - Dentists can help with issues caused by the anatomy of the
jaw by creating a dental appliance to be inserted at bedtime.
\A patient who has been prescribed Zestril for hypertension should be advised that all but which
of the following are potential side effects? - ANS-Wet cough.
\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? - ANS-Schedule a CXR
A 16-year-old male is in the office. He has an insect bite on his left forearm and you suspect a
brown recluse spider bite. What medical management would you provide? - ANS-ice pack and
elevation of the area
\A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your care
after relocating from another state to live with relatives who can help her. The nurse practitioner
understands that which of the following is NOT part of her management plan: -
ANS-Corticosteroids are often used for maintenance.
\A 35-year-old female patient tells you that she has not had a period in over 3 months. She tells
you that until now she has been quite regular with her periods. This condition is which of the
following? - ANS-secondary amenorrhea
\A 42-year-old non-smoker is diagnosed with mild community-acquired pneumonia. He is
otherwise healthy and does not need hospitalization at this time. Which antibiotic can be used
for empirical treatment according to the 2007 Infectious Disease Society of America? -
ANS-azithromycin - macrolide ATB
\A 62-year-old male is in the clinic and he has known heart failure (HF). Which of the following is
not likely to be noted in this patient? - ANS-evidence of hemoconcentration on hemogram
The increased circulating volume found in heart failure (HF) will lead to hemodilution on
hemogram, not hemoconcentration.
\A 70-year-old female presents with a one-sided headache in the temple and tenderness over
the temporal artery. She complains of vision loss in one eye. Which of the following diseases is
this patient most likely to have? - ANS-temporal arteritis
\A CT would allow for a better diagnosis (with "slices") of the patient by which of the following
ways? - ANS--Forms a full three-dimensional computer model of the inside of the patient.
-It is easier for the physician to pinpoint a problem because of the narrow "slices" that the
scanner uses.
\A gastrinoma located on the pancreas or the stomach which secretes gastrin, stimulating high
levels of acid production in the stomach is which of the following? - ANS-Zollinger-Ellison
syndrome
\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? -
ANS-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 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.
\A mother brings her 3-year-old son to the clinic where the FNP diagnoses impetigo. The FNP
understands that which of the following statements about treatment for this disease is least
accurate? - ANS-Mupirocin and oral erythromycin are not as effective as penicillin.
\A mother brings her 5-year-old child to the clinic with a ringlike pruritic rash with some central
clearing on the arms and legs. The FNP knows that this is which of the following conditions? -
ANS-tinea corporis
\A mother brings in her 11-year-old daughter who is having recurrent abdominal pain. You rule
out organic diseases and you develop a therapeutic plan for this child. This plan might contain
all of the following EXCEPT: - ANS-decreasing fiber in the diet
\A mother brings in her 7-year-old child with a red rash on his cheeks and ears. You diagnose
Fifth disease. You might recommend all of the following for this child EXCEPT: - ANS-isolation
\A patient has recently been diagnosed with Addison's disease. How often should this patient's
electrolytes be monitored? - ANS-every 3-4 months for the first year of therapy
\A patient is diagnosed as dehydrated, anxious, and isolated. What should you give the highest
priority? - ANS-Dehydration.
\A patient of yours has a "Christmas tree" pattern of rash on his trunk. He tells you that he
started having some lesions about two weeks ago but now they have spread. You would
suspect which of the following conditions/diseases? - ANS-Pityriasis rosea
\A patient presents to the clinic for conception counseling. She recently stopped taking oral
contraceptives and would like to become pregnant. Which statement about conception safety
after stopping oral contraceptives is correct? - ANS-
\A patient shares that she uses chamomile to combat insomnia. What medication might that
interact with? - ANS-coumadin - Coumadin Coumadin is an anticoagulant. Chamomile also act
as an anticoagulant. The two may cause a reaction that further increases bleeding risks.
\A patient should be referred to which of the following to get help with issues caused by the
anatomy of the jaw? - ANS-dentist - Dentists can help with issues caused by the anatomy of the
jaw by creating a dental appliance to be inserted at bedtime.
\A patient who has been prescribed Zestril for hypertension should be advised that all but which
of the following are potential side effects? - ANS-Wet cough.
\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? - ANS-Schedule a CXR
