ANCC AGPCNP Exam with Practice Questions and Answers

ANCC AGPCNP Exam with Practice Questions and Answers 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) First treatment for acne vulgaris includes over-the-counter medicated soap and water with topical antibiotic gels. The next step in treatment would be the initiation of oral tetracycline. A young adult presents for reassessment of uncontrolled asthma symptoms. The patient is currently taking an inhaled short-acting beta2-agonist (SABA) as needed and reports daytime symptoms more than 3 days/week, but not daily, and nighttime awakenings 4 to 5 times/week. The patient's forced expiratory volume (FEV1) is 80% of predicted. The nurse practitioner upgrades the patient to the next stage of treatment, which includes: a. Budesonide with formoterol b. Budesonide with montelukast c. Cromolyn or nedocromil d. Fluticasone with salmeterol ANSWER a. Budesonide with formoterol.