ANCC FNP BOARD EXAM 2025-2026
QUESTIONS WITH ACCURATE
SOLUTUIONS
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? - Precise Answer ✔✔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.
|
When providing culturally competent health care services to an American
| | | | | | | | |
Indian elder, the nurse practitioner understands which is traditionally true?
| | | | | | | | | |
- Precise 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.
| | | | | | | | | | |
________________________________________
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.
| | |
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? - Precise Answer ✔✔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 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? - Precise Answer ✔✔Amoxicillin
| | | | | | | | |
High-dose amoxicillin (Amoxil) or doxycycline are recommended as first-
| | | | | | | |
line therapy for adults without comorbidities.
| | | | |
_____________________________________________
Community-acquired pneumonia (CAP) is pneumonia not acquired in a | | | | | | | |
hospital or long-term care facility. Patients with suspected CAP should
| | | | | | | | | |
receive a chest X-ray for diagnosis. The Pneumonia Severity Index should
| | | | | | | | | | |
be used to assist in decisions regarding the need for hospitalization in
| | | | | | | | | | | |
patients with CAP.
| | |
According to the American Thoracic Society (ATS) and the Infectious | | | | | | | | |
Diseases Society of America (IDSA) 2019 guidelines, the initial treatment
| | | | | | | | | |
of CAP for most patients is amoxicillin or doxycycline. Macrolides are an
| | | | | | | | | | | |
option for treatment, but are no longer recommended routinely as first-line
| | | | | | | | | | |
treatment, given increased macrolide resistance. This is a change from the
| | | | | | | | | | |
2007 ATS/IDSA guidelines. Respiratory fluoroquinolones and
| | | | | |
amoxicillin/clavulanate should be used in patients who fail first-line
| | | | | | | | |
medications, have significant comorbidities, have had recent antibiotic
| | | | | | | |
therapy, are allergic to alternative agents, or have a documented infection
| | | | | | | | | | |
with highly drug-resistant pneumococci.
| | | |
QUESTIONS WITH ACCURATE
SOLUTUIONS
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? - Precise Answer ✔✔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.
|
When providing culturally competent health care services to an American
| | | | | | | | |
Indian elder, the nurse practitioner understands which is traditionally true?
| | | | | | | | | |
- Precise 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.
| | | | | | | | | | |
________________________________________
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.
| | |
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? - Precise Answer ✔✔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 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? - Precise Answer ✔✔Amoxicillin
| | | | | | | | |
High-dose amoxicillin (Amoxil) or doxycycline are recommended as first-
| | | | | | | |
line therapy for adults without comorbidities.
| | | | |
_____________________________________________
Community-acquired pneumonia (CAP) is pneumonia not acquired in a | | | | | | | |
hospital or long-term care facility. Patients with suspected CAP should
| | | | | | | | | |
receive a chest X-ray for diagnosis. The Pneumonia Severity Index should
| | | | | | | | | | |
be used to assist in decisions regarding the need for hospitalization in
| | | | | | | | | | | |
patients with CAP.
| | |
According to the American Thoracic Society (ATS) and the Infectious | | | | | | | | |
Diseases Society of America (IDSA) 2019 guidelines, the initial treatment
| | | | | | | | | |
of CAP for most patients is amoxicillin or doxycycline. Macrolides are an
| | | | | | | | | | | |
option for treatment, but are no longer recommended routinely as first-line
| | | | | | | | | | |
treatment, given increased macrolide resistance. This is a change from the
| | | | | | | | | | |
2007 ATS/IDSA guidelines. Respiratory fluoroquinolones and
| | | | | |
amoxicillin/clavulanate should be used in patients who fail first-line
| | | | | | | | |
medications, have significant comorbidities, have had recent antibiotic
| | | | | | | |
therapy, are allergic to alternative agents, or have a documented infection
| | | | | | | | | | |
with highly drug-resistant pneumococci.
| | | |
