ANCC FNP BOARD QUESTIONS / 150 ACTUAL TEST
QUESTIONS WITH DETAILED VERIFIED ANSWERS &
RATIONALES / ALREADY GRADED A
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 recommended
recurrence of mild
first-line treatment for hidradenitis suppurativa.
hidradenitis suppurativa
after topical therapies 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 purpose of
competent health care health and healing
services to an American
The "Medicine Wheel" is traditionally used and contains four
Indian elder, the nurse
practitioner understands directions; north, south, east, and west. Traditionally each
which is traditionally true? 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 Cerumen, commonly called earwax, is a combination of
an older adult patient in the secretions and sloughed epithelial cells that protects the
clinic with the primary report ears from infection, water, and insects. It is normally
of hearing loss and a
expelled from the ear canal through natural jaw movement.
sensation of fullness in the
right ear. The nurse When this self-cleaning process fails, cerumen can become
practitioner suspects 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
conductive hearing loss. mechanical vibrations to electrical potential in the cochlea
Which could contribute to or in auditory nerve transmission to the brain. It is mostly
this? 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 agerelated and sensorineural.
All adults older than 60 years of age should be screened for
hearing loss at periodic health examinations.
QUESTIONS WITH DETAILED VERIFIED ANSWERS &
RATIONALES / ALREADY GRADED A
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 recommended
recurrence of mild
first-line treatment for hidradenitis suppurativa.
hidradenitis suppurativa
after topical therapies 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 purpose of
competent health care health and healing
services to an American
The "Medicine Wheel" is traditionally used and contains four
Indian elder, the nurse
practitioner understands directions; north, south, east, and west. Traditionally each
which is traditionally true? 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 Cerumen, commonly called earwax, is a combination of
an older adult patient in the secretions and sloughed epithelial cells that protects the
clinic with the primary report ears from infection, water, and insects. It is normally
of hearing loss and a
expelled from the ear canal through natural jaw movement.
sensation of fullness in the
right ear. The nurse When this self-cleaning process fails, cerumen can become
practitioner suspects 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
conductive hearing loss. mechanical vibrations to electrical potential in the cochlea
Which could contribute to or in auditory nerve transmission to the brain. It is mostly
this? 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 agerelated and sensorineural.
All adults older than 60 years of age should be screened for
hearing loss at periodic health examinations.
