ANCC FNP Board EXAM Questions with 100%
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Terms in this set (149)
,A middle-age female patient Tetracycline
presents to the clinic with a Twelve weeks of oral tetracycline (Sumycin) is the
recurrence of mild hidradenitis recommended first-line treatment for hidradenitis
suppurativa after topical therapies suppurativa.
failed. Which first-line treatment is
recommended? __________________________________________________
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 The "Medicine Wheel" is used by many for the
competent health care services to purpose of health and healing
an American Indian elder, the nurse The "Medicine Wheel" is traditionally used and
practitioner understands which is contains four directions; north, south, east, and
traditionally true? 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 Cerumen, commonly called earwax, is a
adult patient in the clinic with the combination of secretions and sloughed
primary report of hearing loss and a epithelial cells that protects the ears from
sensation of fullness in the right ear. infection, water, and insects. It is normally
The nurse practitioner suspects expelled from the ear canal through natural jaw
conductive hearing loss. Which movement. When this self-cleaning process fails,
could contribute to this? 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
Correct Answers | Verified || ACTUAL EXAM
2026 TEST!! Graded A+ | 2026 EXAM UPDATE
Save
Terms in this set (149)
,A middle-age female patient Tetracycline
presents to the clinic with a Twelve weeks of oral tetracycline (Sumycin) is the
recurrence of mild hidradenitis recommended first-line treatment for hidradenitis
suppurativa after topical therapies suppurativa.
failed. Which first-line treatment is
recommended? __________________________________________________
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 The "Medicine Wheel" is used by many for the
competent health care services to purpose of health and healing
an American Indian elder, the nurse The "Medicine Wheel" is traditionally used and
practitioner understands which is contains four directions; north, south, east, and
traditionally true? 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 Cerumen, commonly called earwax, is a
adult patient in the clinic with the combination of secretions and sloughed
primary report of hearing loss and a epithelial cells that protects the ears from
sensation of fullness in the right ear. infection, water, and insects. It is normally
The nurse practitioner suspects expelled from the ear canal through natural jaw
conductive hearing loss. Which movement. When this self-cleaning process fails,
could contribute to this? 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
