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 Land Lsensorineural. LAll Ladults Lolder Lthan L60 Lyears Lof Lage Lshould Lbe Lscreened Lfor Lhearing Lloss
Lat Lp Leriodic Lhealth Lexaminations.
An Lotherwise Lhealthy Ladult Lpatient Lpresents Lto Lthe Lclinic Lwith La Ldiagnosis Lof Lcommunity-
acquired Lpneumonia Land Lno Lrecent Lantibiotic Ltherapy. LWhich Lis Lthe Lbest Loption Lfor
Ltreatment? L- LCORRECT LANSWER L-Amoxicillin
High-dose Lamoxicillin L(Amoxil) Lor Ldoxycycline Lare Lrecommended Las
Lfirst- Lline Ltherapy Lfor Ladults Lwithout Lcomorbidities.
Community-acquired Lpneumonia L(CAP) Lis Lpneumonia Lnot Lacquired Lin La Lhospital Lor
Llong- Lterm Lcare Lfacility. LPatients Lwith Lsuspected LCAP Lshould Lreceive La Lchest LX-
ray Lfor Ldiagnosis. LThe LPneumonia LSeverity LIndex Lshould Lbe Lused Lto Lassist Lin Ldecisions Lregarding
Lthe Lneed Lfor Lhospitalization Lin Lpatients Lwith LCAP.
AccordingBto Lthe LAmerican LThoracic LSociety L(ATS) Land Lthe LInfectious LDiseases LSociety Lof LAmerica
L(IDSA) L2019 Lguidelines, Lthe Linitial LtreatmentBof LCAP Lfor Lmost Lpatients Lis Lamoxicillin Lor
Ldoxycycline. LMacrolides La Lre Lan Loption Lfor Ltreatment, Lbut Lare Lno Llonger Lrecommended Lroutinely
Las Lfirst-
line Ltreatment, Lgiven Lincreased Lmacrolide Lresistance. LThis Lis La Lchange Lfrom Lthe L2007 LATS/IDSA
Lguideline
s. LRespiratory Lfluoroquinolones Land Lamoxicillin/clavulanate Lshould Lbe Lused Lin Lpatients Lwho Lfail Lfirst-
line Lmedications, Lhave Lsignificant Lcomorbidities, Lhave Lhad Lrecent Lantibiotic Ltherapy, Lare Lallergic Lto
Laltern Lative Lagents, Lor Lhave La Ldocumented Linfection Lwith Lhighly Ldrug-resistant Lpneumococci.
A Lpatient Lpresents Lto Lthe Lclinic Lfor Lconception Lcounseling. LShe Lrecently Lstopped Ltaking Loral
Lcontraceptiv Les Land Lwould Llike Lto Lbecome Lpregnant. LWhich Lstatement Labout Lconception Lsafety
Lafter Lstopping Loral Lco Lntraceptives Lis Lcorrect? L- LCORRECT LANSWER L-
You Lhave La L35-year-
old Lfemale Lpatient Lwho Lis Lcomplaining Lof Lwrist Lpain. LShe Lis Lan Ladministrative Lassistant Lwho
Ldoes La Lgreat Ldeal Lof Lcomputer Lwork Lin Lher Ljob. LYou Lwill Ltest Lher Lfor Lcarpal Ltunnel Lsyndrome.
LWhen Lyou Ltap Lat Lthe Lvol Lar Lsurface Lof Lthe Lwrist Lyou Lare Lperforming Lwhich Lof Lthe Lfollowing
Ltests? L- LCORRECT LANSWER L-Tinel's Lsign
ABgastrinoma Llocated Lon Lthe Lpancreas Lor Lthe Lstomach Lwhich Lsecretes Lgastrin, Lstimulating Lhigh
Llevels Lof La Lcid Lproduction Lin Lthe Lstomach Lis Lwhich Lof Lthe Lfollowing? L- LCORRECT LANSWER L-
Zollinger-Ellison Lsyndrome
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 Land Lsensorineural. LAll Ladults Lolder Lthan L60 Lyears Lof Lage Lshould Lbe Lscreened Lfor Lhearing Lloss
Lat Lp Leriodic Lhealth Lexaminations.
An Lotherwise Lhealthy Ladult Lpatient Lpresents Lto Lthe Lclinic Lwith La Ldiagnosis Lof Lcommunity-
acquired Lpneumonia Land Lno Lrecent Lantibiotic Ltherapy. LWhich Lis Lthe Lbest Loption Lfor
Ltreatment? L- LCORRECT LANSWER L-Amoxicillin
High-dose Lamoxicillin L(Amoxil) Lor Ldoxycycline Lare Lrecommended Las
Lfirst- Lline Ltherapy Lfor Ladults Lwithout Lcomorbidities.
Community-acquired Lpneumonia L(CAP) Lis Lpneumonia Lnot Lacquired Lin La Lhospital Lor
Llong- Lterm Lcare Lfacility. LPatients Lwith Lsuspected LCAP Lshould Lreceive La Lchest LX-
ray Lfor Ldiagnosis. LThe LPneumonia LSeverity LIndex Lshould Lbe Lused Lto Lassist Lin Ldecisions Lregarding
Lthe Lneed Lfor Lhospitalization Lin Lpatients Lwith LCAP.
AccordingBto Lthe LAmerican LThoracic LSociety L(ATS) Land Lthe LInfectious LDiseases LSociety Lof LAmerica
L(IDSA) L2019 Lguidelines, Lthe Linitial LtreatmentBof LCAP Lfor Lmost Lpatients Lis Lamoxicillin Lor
Ldoxycycline. LMacrolides La Lre Lan Loption Lfor Ltreatment, Lbut Lare Lno Llonger Lrecommended Lroutinely
Las Lfirst-
line Ltreatment, Lgiven Lincreased Lmacrolide Lresistance. LThis Lis La Lchange Lfrom Lthe L2007 LATS/IDSA
Lguideline
s. LRespiratory Lfluoroquinolones Land Lamoxicillin/clavulanate Lshould Lbe Lused Lin Lpatients Lwho Lfail Lfirst-
line Lmedications, Lhave Lsignificant Lcomorbidities, Lhave Lhad Lrecent Lantibiotic Ltherapy, Lare Lallergic Lto
Laltern Lative Lagents, Lor Lhave La Ldocumented Linfection Lwith Lhighly Ldrug-resistant Lpneumococci.
A Lpatient Lpresents Lto Lthe Lclinic Lfor Lconception Lcounseling. LShe Lrecently Lstopped Ltaking Loral
Lcontraceptiv Les Land Lwould Llike Lto Lbecome Lpregnant. LWhich Lstatement Labout Lconception Lsafety
Lafter Lstopping Loral Lco Lntraceptives Lis Lcorrect? L- LCORRECT LANSWER L-
You Lhave La L35-year-
old Lfemale Lpatient Lwho Lis Lcomplaining Lof Lwrist Lpain. LShe Lis Lan Ladministrative Lassistant Lwho
Ldoes La Lgreat Ldeal Lof Lcomputer Lwork Lin Lher Ljob. LYou Lwill Ltest Lher Lfor Lcarpal Ltunnel Lsyndrome.
LWhen Lyou Ltap Lat Lthe Lvol Lar Lsurface Lof Lthe Lwrist Lyou Lare Lperforming Lwhich Lof Lthe Lfollowing
Ltests? L- LCORRECT LANSWER L-Tinel's Lsign
ABgastrinoma Llocated Lon Lthe Lpancreas Lor Lthe Lstomach Lwhich Lsecretes Lgastrin, Lstimulating Lhigh
Llevels Lof La Lcid Lproduction Lin Lthe Lstomach Lis Lwhich Lof Lthe Lfollowing? L- LCORRECT LANSWER L-
Zollinger-Ellison Lsyndrome
