ANCC FNP Board Exam Questions and
Correct Answers (Verified Answers) Latest
Version
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?
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?
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?
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
Correct Answers (Verified Answers) Latest
Version
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?
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?
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?
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
