1
ANCC FNP Board 2026 Questions and
Answers (100% Correct Answers)
Already Graded A+
A middle-age female patient presents to the clinic with a
recurrence of mild hidradenitis suppurativa after topical
therapies failed. Which first-line treatment is
recommended? Ans: Tetracycline
© 2026 Assignment
Twelve weeks of oral tetracycline (Sumycin) is the
Guru01 - Stuvia
recommended first-line treatment for hidradenitis
suppurativa.
Expert
__________________________________________________
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.
, 2
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.
© 2026 Assignment
When providing culturally competent health care services
to an American Indian elder, the nurse practitioner
Guru01 - Stuvia
understands which is traditionally true? Ans: The
Expert
"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. 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
, 3
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.
© 2026 Assignment
The nurse practitioner sees an older adult patient in the
clinic with the primary report of hearing loss and a
Guru01 - Stuvia
sensation of fullness in the right ear. The nurse
practitioner suspects conductive hearing loss. Which could
Expert
contribute to this? Ans: Cerumen, commonly called
earwax, is a combination of secretions and sloughed
epithelial cells that protects the ears from infection, water,
and insects. It is normally expelled from the ear canal
through natural jaw movement. When this self-cleaning
process fails, 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.
ANCC FNP Board 2026 Questions and
Answers (100% Correct Answers)
Already Graded A+
A middle-age female patient presents to the clinic with a
recurrence of mild hidradenitis suppurativa after topical
therapies failed. Which first-line treatment is
recommended? Ans: Tetracycline
© 2026 Assignment
Twelve weeks of oral tetracycline (Sumycin) is the
Guru01 - Stuvia
recommended first-line treatment for hidradenitis
suppurativa.
Expert
__________________________________________________
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.
, 2
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.
© 2026 Assignment
When providing culturally competent health care services
to an American Indian elder, the nurse practitioner
Guru01 - Stuvia
understands which is traditionally true? Ans: The
Expert
"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. 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
, 3
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.
© 2026 Assignment
The nurse practitioner sees an older adult patient in the
clinic with the primary report of hearing loss and a
Guru01 - Stuvia
sensation of fullness in the right ear. The nurse
practitioner suspects conductive hearing loss. Which could
Expert
contribute to this? Ans: Cerumen, commonly called
earwax, is a combination of secretions and sloughed
epithelial cells that protects the ears from infection, water,
and insects. It is normally expelled from the ear canal
through natural jaw movement. When this self-cleaning
process fails, 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.
