ANCC Family Nursing Programme Real
Exam Board Questions and Answers 2026
Brand New Guaranteed Pass
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? --Verified--Solution----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? --Verified--Solution----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? --Verified--Solution----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? --Verified--Solution----
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
Exam Board Questions and Answers 2026
Brand New Guaranteed Pass
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? --Verified--Solution----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? --Verified--Solution----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? --Verified--Solution----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? --Verified--Solution----
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
