ANCC FNP BOARD QUESTIONS WITH
CORRECT ANSWERS 2025
ABmiddle-
age female patient presents to the clinic with a recurrence of mild hidradenitis suppurativa after topical
therapies failed. Which first-line treatment isBrecommended? - CORRECT 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 i
mmobility. It is characterized by comedone-
like follicular occlusion, chronic and relapsing inflammation, mucopurulent discharge, and progressive sc
arring.
Arthropathy associated with hidradenitis may be present. Typical presentation includes nodules and sin
us tracts (inflamed or noninflamed), abscesses, and scarring found in the axilla, genitofemoral area, peri
neum, 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 wh
o 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, ad
alimumab (Humira) may possibly be considered.
When providing culturally competent health care services to an American Indian elder, the nurse practiti
oner understands which is traditionally true? - CORRECT 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. Tr
aditionally each tribe has different meanings for each direction and they may represent the season of th
e 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 pat
ients may value traditional culture and preferences as it relates to healthcare. These individual preferen
ces 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 perso
n, lifestyle, environment, family, and religion. Patients adhering to these traditional cultural practices oft
en feel that illness is due to a lack of harmony with the physical body, mind, spirit, and emotions. Patien
ts may seek care from western medicine for specific ailments while also consulting with traditional heal
ers for spiritual guidance.
Healthcare providers should seek to understand relevant cultural factors and assess each individual's he
althcare 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 an
d a sensation of fullness in the right ear. The nurse practitioner suspects conductive hearing loss. Which
could contribute to this? - CORRECT ANSWER -
Cerumen, commonly called earwax, is a combination of secretions and sloughed epithelial cells that pro
tects the ears from infection, water, and insects. It is normally expelled from the ear canal through natur
al jaw movement. When this self-
cleaning process fails, cerumen can become impacted. Cerumen impaction occludes the ear canal and c
an 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. Conduc
tive hearing loss is caused by problemsBin the external and middle ear that interfere with the transmissi
on of sound and its conversion to mechanical vibration. Causes of conductive hearing loss include obstr
uction of the external auditory canal by cerumen, foreign bodies, debris from otitis externa, and large ex
ocytosis and osteomas.
Sensorineural hearing loss involves difficulty converting mechanical vibrations to electrical potential in t
he cochlea or in auditory nerve transmission to the brain. It is mostly caused by permanent damage in t
he organ of Corti. It can be caused by age-
related hearing loss, noise trauma, medications, autoimmune diseases, mechanical trauma, Meniere dis
ease, infection, and neoplasm (acousticBneuroma).
Approximately one-
third of older adults between the ages of 61 and 70 years have hearing loss. More than 90% of adults ol
der 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 p
eriodic 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 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.
AccordingBto the American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA)
2019 guidelines, the initial treatmentBof CAP for most patients is amoxicillin or doxycycline. Macrolides a
re 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 guideline
s. 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 altern
ative agents, or have a documented infection with highly drug-resistant pneumococci.
A patient presents to the clinic for conception counseling. She recently stopped taking oral contraceptiv
es and would like to become pregnant. Which statement about conception safety after stopping oral co
ntraceptives is correct? - CORRECT ANSWER -
You have a 35-year-
old female patient who is complaining of wrist pain. She is an administrative assistant who does a great
deal of computer work in her job. You will test her for carpal tunnel syndrome. When you tap at the vol
ar surface of the wrist you are performing which of the following tests? - CORRECT ANSWER -Tinel's sign
ABgastrinoma located on the pancreas or the stomach which secretes gastrin, stimulating high levels of a
cid production in the stomach is which of the following? - CORRECT ANSWER -Zollinger-Ellison syndrome
CORRECT ANSWERS 2025
ABmiddle-
age female patient presents to the clinic with a recurrence of mild hidradenitis suppurativa after topical
therapies failed. Which first-line treatment isBrecommended? - CORRECT 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 i
mmobility. It is characterized by comedone-
like follicular occlusion, chronic and relapsing inflammation, mucopurulent discharge, and progressive sc
arring.
Arthropathy associated with hidradenitis may be present. Typical presentation includes nodules and sin
us tracts (inflamed or noninflamed), abscesses, and scarring found in the axilla, genitofemoral area, peri
neum, 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 wh
o 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, ad
alimumab (Humira) may possibly be considered.
When providing culturally competent health care services to an American Indian elder, the nurse practiti
oner understands which is traditionally true? - CORRECT 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. Tr
aditionally each tribe has different meanings for each direction and they may represent the season of th
e 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 pat
ients may value traditional culture and preferences as it relates to healthcare. These individual preferen
ces 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 perso
n, lifestyle, environment, family, and religion. Patients adhering to these traditional cultural practices oft
en feel that illness is due to a lack of harmony with the physical body, mind, spirit, and emotions. Patien
ts may seek care from western medicine for specific ailments while also consulting with traditional heal
ers for spiritual guidance.
Healthcare providers should seek to understand relevant cultural factors and assess each individual's he
althcare 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 an
d a sensation of fullness in the right ear. The nurse practitioner suspects conductive hearing loss. Which
could contribute to this? - CORRECT ANSWER -
Cerumen, commonly called earwax, is a combination of secretions and sloughed epithelial cells that pro
tects the ears from infection, water, and insects. It is normally expelled from the ear canal through natur
al jaw movement. When this self-
cleaning process fails, cerumen can become impacted. Cerumen impaction occludes the ear canal and c
an 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. Conduc
tive hearing loss is caused by problemsBin the external and middle ear that interfere with the transmissi
on of sound and its conversion to mechanical vibration. Causes of conductive hearing loss include obstr
uction of the external auditory canal by cerumen, foreign bodies, debris from otitis externa, and large ex
ocytosis and osteomas.
Sensorineural hearing loss involves difficulty converting mechanical vibrations to electrical potential in t
he cochlea or in auditory nerve transmission to the brain. It is mostly caused by permanent damage in t
he organ of Corti. It can be caused by age-
related hearing loss, noise trauma, medications, autoimmune diseases, mechanical trauma, Meniere dis
ease, infection, and neoplasm (acousticBneuroma).
Approximately one-
third of older adults between the ages of 61 and 70 years have hearing loss. More than 90% of adults ol
der 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 p
eriodic 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 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.
AccordingBto the American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA)
2019 guidelines, the initial treatmentBof CAP for most patients is amoxicillin or doxycycline. Macrolides a
re 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 guideline
s. 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 altern
ative agents, or have a documented infection with highly drug-resistant pneumococci.
A patient presents to the clinic for conception counseling. She recently stopped taking oral contraceptiv
es and would like to become pregnant. Which statement about conception safety after stopping oral co
ntraceptives is correct? - CORRECT ANSWER -
You have a 35-year-
old female patient who is complaining of wrist pain. She is an administrative assistant who does a great
deal of computer work in her job. You will test her for carpal tunnel syndrome. When you tap at the vol
ar surface of the wrist you are performing which of the following tests? - CORRECT ANSWER -Tinel's sign
ABgastrinoma located on the pancreas or the stomach which secretes gastrin, stimulating high levels of a
cid production in the stomach is which of the following? - CORRECT ANSWER -Zollinger-Ellison syndrome
