5 Sample ANCC AGPCNP Practice
Questions With Rationales
**Question 1: Acne Vulgaris Management**
An 18-year-old female patient is being followed up for acne by the
nurse practitioner. During the facial exam, papules and pustules are
noted mostly on the forehead and the chin areas. The patient has
been using over-the-counter topical antibiotic gels and medicated
soap daily for 6 months without much improvement. The nurse
practitioner will recommend:
- A. Isotretinoin (Accutane)
- B. Tetracycline (Sumycin)
- C. Clindamycin topical solution (Cleocin-T)
- D. Minoxidil (Rogaine)
**Answer: B. Tetracycline (Sumycin)**
**Rationale:** For moderate inflammatory acne that hasn't
responded to first-line over-the-counter washes and topical
antibiotics, the next step is to initiate an oral antibiotic, such as a
tetracycline. Isotretinoin is reserved for severe, nodular, or
treatment-resistant acne. A topical antibiotic alone is unlikely to be
sufficient after a 6-month trial of similar therapy. Minoxidil is used for
hair loss, not acne .
**Question 2: Asthma Step Therapy**
Questions With Rationales
**Question 1: Acne Vulgaris Management**
An 18-year-old female patient is being followed up for acne by the
nurse practitioner. During the facial exam, papules and pustules are
noted mostly on the forehead and the chin areas. The patient has
been using over-the-counter topical antibiotic gels and medicated
soap daily for 6 months without much improvement. The nurse
practitioner will recommend:
- A. Isotretinoin (Accutane)
- B. Tetracycline (Sumycin)
- C. Clindamycin topical solution (Cleocin-T)
- D. Minoxidil (Rogaine)
**Answer: B. Tetracycline (Sumycin)**
**Rationale:** For moderate inflammatory acne that hasn't
responded to first-line over-the-counter washes and topical
antibiotics, the next step is to initiate an oral antibiotic, such as a
tetracycline. Isotretinoin is reserved for severe, nodular, or
treatment-resistant acne. A topical antibiotic alone is unlikely to be
sufficient after a 6-month trial of similar therapy. Minoxidil is used for
hair loss, not acne .
**Question 2: Asthma Step Therapy**
