1 | Page
ANCC FNP BOARD EXAM QUESTIONS WITH
100% CORRECT SOLUTIONS | GUARANTEED
SUCCESS.
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? -
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 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
,2 | Page
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? - 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. 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
,3 | Page
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? -
correct 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.
, 4 | Page
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? -
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.
ANCC FNP BOARD EXAM QUESTIONS WITH
100% CORRECT SOLUTIONS | GUARANTEED
SUCCESS.
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? -
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 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
,2 | Page
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? - 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. 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
,3 | Page
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? -
correct 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.
, 4 | Page
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? -
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.
